2013年9月10日星期二

self-protection dentists notified


Our nation's doctors, and proximity to the dilemma, the doctor becomes a high-risk occupation. Dentists must learn to protect themselves and prevent medical risks, resolve medical disputes, which
Where combined with my many years of clinical experience, introduce our dentists to "prevention" in clinical work on how to implement risk control, protect yourself.
A patient admissions, through understanding of the disease and patient verbal communication, bargaining efforts, determine whether it is a picky person, high expectations of people, it is difficult
Communicate with people, dental Composite the illness is incurable, and if so, to identify the reasons for its introduction to a higher level of medical attention.
 Second, through admissions, to understand history, by looking clinic interrogation, early detection hysteria, psychosis, temporomandibular joint disorder syndrome patients, these patients do young doctors
Amount to avoid treatment.
 Third, the extraction of contraindications, should by heart, strictly controlled. Patients over 70 years old extractions, in-person measurement of blood pressure, you can not listen to individual reports. Extraction required family Accompanied. Do not believe the patient uttered: extraction problems do not find you, then this type of saliva.
 Fourth, dental clinic, dental extraction is the maximum risk in the clinic, extractions as possible in the morning, after four in the afternoon, try to avoid extractions. You do not on night duty, to prevent half
Night called you up and deal with tooth extraction bleeding wound. Half an hour after tooth extraction was observed, such as the timely processing of continued bleeding, bleeding wounds, put iodoform, hemostatic sponge or
Direct suture. Contact to the patient, there were quick response.
Five, careful history taking, cerebral infarction after myocardial infarction in patients with high blood pressure patients, fillings also need to be careful.
Six, treatment, frequently changes the instrument to prevent separation equipment, root canal measurement, note the location and length of the root canal values ​​recharge gutta percha length as a basis to prevent
Ultra-charge, charge less.
Seven, heat sealing strips teeth drugs, can not be heated directly into the patient's mouth, the application of instrumentation, to prevent cross-infection and burns patients.
 Eight, endodontic treatment, and the patient after tooth extraction, your doctor rather more not less, plus a special, painful inflammation must eat anti-inflammatory drugs, "is not followed up" also must not forget.
 Nine, endodontic treatment, sealing deactivator patients leave your phone number, to prevent the closure inactivating agent to the time when the patient forget the referral, dental equipments the doctor promptly phone alerts
Prevent chemical periapical.
 Ten, cobalt-chromium porcelain teeth silver black line, possible allergic reactions should be informed in advance so that patient selection. Fixed bridge design should be reasonable, not contrary to the principle of medicine. Prepared tooth structure Exposed pulp, to act decisively, pulling marrow treatment to avoid future trouble.Eleven, orthodontic tooth extractions extra cautious when, preferring to be corrected, the first observation, after extraction, step by step, so that the patient signed on agree with your proposal. After pulling
Teeth you will not be passive. May avoid subsequent extractions.
XII begin orthodontic models, maxillofacial phase properly preserved. Correction program patients or parents to sign, correct conclusion, patients picky, they can come up with convincing evidence.Thirteen teeth before bleaching with shade carefully recorded patients teeth, the tooth surface, the third color, bleaching treatment, so that patients have more to prove drift
White effect.
Fourteen, outpatient records to detail, outpatient diagnostic caution, leaving room for maneuver.
 Fifteen, talking leeway, do not make rash promises, can not promise regular patient compliance with operating requirements.
Sixteen, not indiscriminately boasted, I can assure you what what. Medical writing to formal, not altered, proof of diagnosis and medical records verbatim.
 Seventeen, met medical disputes, we do not stir up trouble, but not timid, and patient communication solutions.
 Eighteen, not in front of the patient before the peer evaluation of the merits of restoration treatment, patients with other doctors clinics let you analyze the situation, "who is right and wrong, must be non-human,"
Remember, you have to be vigilant, what you say may be spread to other doctors ears patients, patients with medical disputes as weights.
 Nineteen, his all else fails, be sure to superiors doctor, do not self-righteous.
 Twenty, high-quality treatment technology, strict compliance with treatment practices and good service attitude, the doctor the best way to protect themselves.

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