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Dental & Maxillofacial Department Induction eHandbook
September 2017/2018
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eHandbook contents
3 Departmental induction
4 Service overview
5 Dental staff list
7 Phone numbers
8 DCT timetable 2016
10 Additional activities
11 Day surgery theatre sessions template
12-13 Ward referrals advice document
14 Leave protocol
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Trust and Departmental Induction: 6TH
September 2017
Educational Supervisor Dental Manager Senior Nurses
Introduction to Department Educational objectives
MJDF
ePortfolio
Diploma
Formal reviews
IT
Internet access
Kodak
Cerner
Tour of department
Clinical areas
Admin areas
Xray
Godstone theatre
Main Theatres
Pharmacy
Hole
Team working
Theatre
Consultants
SDS
Cover
Leave
Annual
Sick
Study
Other
Clinical paperwork
Hospital notes
Ortho notes
PDS/EDS notes
Consent
Xray/Path order comms/forms
Coding forms
Timetable
Clinic times
Ward cover
EDS
Timetable reviews
Secretarial
Clinical correspondenc e
Photocopying
Dictate IT
Clinical protocols and procedures
Additional activities
Ad hoc sessions
Project work
Clinical governance/journal club
Audit
Trays
Lockers
*Induction to Specialities will be individually arranged by the consultants*
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Dental & Maxillofacial Department: service overview Clinical Lead Alison Newlyn
The Dental & Maxillofacial Department at East Surrey Hospital hosts specialist dental services in response to the dental needs of local people. Our Consultant-led teams provide diagnosis and treatment planning advice for general dental and medical practitioners, and treatment for complex cases requiring secondary care.
Our Specialist Services
Oral & Maxillofacial Surgery Dento-alveolar and maxillo-facial diagnosis Treatment under local and general anaesthesia Specialist fast track soft tissue lesion assessment
Consultant: Jeremy Collyer Michael Shelley John Tighe
Keith Altman
Orthodontics Advice and diagnosis for children and adults Treatment for complex multidisciplinary cases and patients with special medical needs
Consultant: Natasha Wright Joyti Vasudev
Paediatric Dentistry
Outpatient assessment, advice and treatment, including treatment under inhalation sedation and general anaesthesia, for children with complex dental needs and co-morbidities.
Consultant: Thayalan Kandiah
Restorative Dentistry Advice for all aspects of restorative dentistry, including endodontics, periodontics and prosthodontics Linked with the restorative treatment unit at Croydon University Hospital for complex cases
Consultant: Serpal Djemal
Special Care Dentistry Outpatient assessment and treatment at East Surrey Hospital, community-based outpatient care at Caterham Dene Hospital and domiciliary care for those who are housebound. Treatment under inhalation and IV sedation and general anaesthesia at East Surrey Hospital
Consultant: Mili Doshi
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Dental & Maxillofacial Department staff 2017 Clinical Staff Mrs Alison Newlyn Lead Clinician for Dentistry/Locum Consultant Orthodontist Mr Keith Altman Consultant in Oral & Maxillofacial Surgery Mr Jeremy Collyer Consultant in Oral & Maxillofacial Surgery Mr Martin Danford Consultant in Oral & Maxillofacial Surgery Mrs Mili Doshi Consultant in Special Care Dentistry Ms Serpil Djemal Consultant in Restorative Dentistry Mr Thayalan Kandiah Consultant in Paediatric Dentistry Miss Paula Scull Locum Consultant Oral Surgeon Mr Michael Shelley Consultant in Oral & Maxillofacial Surgery Mr John Tighe Consultant in Oral & Maxillofacial Surgery (oncology) Miss Joyti Vasudev Locum Consultant Orthodontist Dr Natasha Wright Consultant Orthodontist Mr Richard Simons Specialist Oral Surgeon Miss Anika Davis Specialty Doctor, Oral Surgery
Dr Suki Edge-Partington Special Care Dentist Band A Dr Gilly Houston Special Care Dentist Band A Dr Jane Preston Special Care Dentist Band B Miss Sophie Marshall StR Paediatric Dentistry Nursing Staff Mrs Sue Stephenson Lead Dental Nurse/Dental Nurse Radiographer Mrs Kelly Austin Senior Dental Nurse (Oral Surgery) /Dental Nurse Radiographer Mrs Sharon Park Senior Dental Nurse (Paeds/SCD)/Dental Nurse Radiographer Mrs Jenny Chay Dental Health Educator/Dental Nurse Mrs Lisa Bull Dental Nurse/Dental Nurse Radiographer
Mrs Jacky Forsdick Dental Nurse Mrs Carolyn Hassall Dental Nurse Mrs Veronica Jemmison Dental Nurse/Dental Nurse Radiographer Miss Viviet Makota Dental Nurse Mrs Janice Tedder Dental Nurse Mrs Linda Viner Dental Nurse/Dental Nurse Radiographer Administrative/support Staff Mr Tobias Tipper Service Manager Mrs Janet Elliott Dental Manager Mrs Karen Rayner Dental Secretary Mrs Jacqueline Tulley
Dental Secretary
Mrs Amanda Turner Dental Coordinator Miss Carole Turner Clerk/Receptionist Emergency Dental Service Mr N Sivakumaran Dentist Miss Maydini Weeraman Dentist Miss S Patel Dentist Miss Suzanne Robinson Dental Nurse Mrs Michaela Holloway Dental Nurse Miss Katie Jeffcoate Dental Nurse
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Telephone numbers
Alison Newlyn x 2977
Mili Doshi x 6232
Janet Elliott x 6233
Malinda Ayling x 6234
Carole Turner x 6235
Jenny Chay x 6236 Kelly Austin x 6243
Sue Stephenson x 6270
Reception x 1650 Direct line to Unit 01737 231650
Orthodontic emergency 017373 231893
Fax No. (Unit) 01737 231632
Fax No. (Secretaries) 01737 231892
Surgery 1 x 6237
Surgery 2 x 6238
Surgery 3 x 6239 Surgery 4 x 6231
Surgery 5 x 6242
Dental file admin x 2711
Godstone Theatre 231656
X-ray x 1603
QVH speed dial 5025 (Tel 01342 4102100)
Porters (to bleep) 88 571 1650
CUH 0208 401 3000
Main theatres 1616 reception
6043 recovery
Theatres 9/10 850
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DCT Timetable: Sep 2017- August 2018
Please note that this timetable is a guide and is subject to change depending on service needs
Please note that the normal working day is 0830-1700
DCT 1 (Multidisciplinary) HEE Post MON TUES WEDS THURS FRI SAT
AM Oral Surgery outpatient clinic (AD/RD)
Paediatric Outpatient clinic
ESH ORAL SURGERY OP (PS) (1in4 Special Care GA)
ESH Head and neck oncology clinic (JT)
1 in 4 GA (oral surgery list TBC) 1:3:4 Paeds GA 1in 4 Sp care sedation clinic
EDS 4 session during the year
PM Oral Surgery consultant clinic (JC)
Audit/Admin ESH PERSONAL Treatment clinic (1in 4 Special Care)
Pediatric outpatient clinic
1 in 4 GA (oral surgery list TBC) 1:3:4 Paeds GA 1in 4 Sp care sedation clinic
DCT 2 Special Care/ Dental Public Health (DPH) HEE Post MON TUES WEDS THURS FRI SAT
AM ESH Special Care Inpatient liaisons
DPH
ESH Special Care Day Surgery/ 1 in 4 HEE
DPH
Special Care Assessment/ Sedation Clinic
EDS 4 session during the year
PM ESH Oral Surgery Treatment (AD)
DPH WK 1 GA WK 2 Clinic WK 3 IV Godstone WK 4 Clinic/Remeo 1 in 4 HEE
DPH Special Care Assessment/ Sedation Clinic
Educational Supervisor Mili Doshi Clinical Lead for Dentistry Alison Newlyn
Clinical Supervisors:
TK
JP
Thayalan Kandiah
Jane Preston
Consultant in Paediatric Dentistry
Special Care Dentist
MS
RSi
Michael Shelley
Richard Simons
Consultant Maxillofacial Surgeon
Specialist Oral Surgeon
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JT
NW
John Tighe
Natasha Wright
Consultant Maxillofacial Surgeon
Consultant Orthodontics
AD Annika Davies Staff Grade Oral Surgery
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DCT additional activities Completion of ePDP and Diploma
Audit projects: Minimum of two audits per year
Topic selection/preparation Liaise with Clinical Audit dept Audit presentation at Clinical Governance session
Clinical: DCT to organise and incorporate
2 x domiciliary visits (with Jane Preston) DCT is responsible for
prepping and checking Consultant clinic notes in advance ensuring personal treatment sessions are fully booked (liaise with reception as
necessary) checking staffing rotas to check theatre list amendments/changes liaising with senior dental nurses/Educational Supervisor re changes to timetable
due to annual/other leave Journal Club/Clinical Governance: DCTs are responsible for key topic presentation, organising attendance register and issuing certificates of attendance
Conscious Sedation training You will have a day of Conscious Sedation training. You will need to complete intermediate life support and paediatric life support training and maintain a sedation logbook.
Paediatric Safeguarding training You will need to complete Level 3 Paediatric Safeguarding. Please discuss with Thayalan Kandiah.
Important dates for 2017/2018
Induction ( SaSH) Wednesday 6th September 2017 All day Conscious Sedation Training (SaSH) Wednesday 13th September 2017 PM Safeguarding children Level 3 Wednesday 8th November 2017 All day Careers Seminar (London) Thursdays 18th January 2018 ( London) Interim RCPs (in abstenia) Thursday 22nd February 2018
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Case Presentation day Friday 22nd June 2018 Final RCPs Thursday 5th July 2018
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Dental & Maxillofacial Department Ward Referrals
What you might be called for: Oral Mucosal Pathology, Facial Injury, Dental Injury, mouth care advice for medically compromised patients. The dental unit is not obliged to make every patient in the hospital dentally fit. However, the unit is obliged to treat patients with dentoalveolar sepsis and manage both general dental trauma and iatrogenic dental trauma. All ward referrals should be seen within 1 working day and should be discussed with senior staff. To offer support or advice to the Mouth Care Matters Team
Examples of acceptable ward referrals include: Advice on the management of facial trauma Management of acute dental sepsis Requests for assessment of dental health prior to cardiac surgery or starting bisphosphonate treatment Management of traumatically avulsed teeth Advice on diagnosis for oral mucosal pathology
What to take with you when you go to the ward You need to attend the ward dressed appropriately, abiding by the hospital’s dress code (bare below the elbows, no watch and no tie). Set good clinical standards by making sure that you wash your hands before and after seeing the patient and dispose of gloves in the yellow bins. You should take disposable dental mirrors with you for intraoral examination; a pen torch from the department.
Documentation! Whenever you have seen a patient on the ward you must document what you have done and what you have said in the medical records and in the ward log book in the unit.
Minimum standards of documentation for ward visits are:
Date and time
Who has seen the patient and what is their grade and specialty (DCT, Dental & Maxillofacial Department, GDC NUMBER and Time)
A legible signature
Clinical documentation should follow a structure so that it is easy understand the logic of the clinical decision making process and the expected outcome
Please complete the Ward book log kept at reception
All ward referrals seen must be reported back to a Dental & Maxillofacial Dept Consultant/senior clinician within 24 hours
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Leave protocol: Annual leave Study leave Sickness absence
Annual leave
You are entitled to 32 days annual leave per year
All annual leave must be applied for in writing at least 8 weeks in advance
Your leave should be taken evenly through the year. It is your responsibility to ensure you have taken all your leave before the end of your appointment as any unapproved leave remaining at the end of your contract will be lost
Normally no more than 2 weeks continuous absence will be approved. If necessary, apply in writing with an explanation of why >2 weeks is needed
You will be issued with a leave card. Please fill in your leave dates and give to Janet to be approved
It is your responsibility to tell the Consultants you work with, the Senior Dental Nurses and the Receptionist your leave dates so that clinics can be cancelled/or alternative cover arranged
No more than 2 SHOs off at any one time. Please liaise with your colleagues IF YOU ARE TAKING LEAVE AND ARE SCHEDULED TO BE IN THEATRES THIS
NEEDS TO BE APPORVED BY THE RELAVENT CONSULTANT SO THAT
COVER CAN BE ARRANGED Study Leave
You are entitled to 15 days study leave
All study leave must be applied for at least 8 weeks in advance
Please complete the “Study Leave Application form” and submit to Dental Manager
and via the electronic system
You are entitled to £680 study leave allowance
Again please let the Consultants, Senior Dental Nurses and Receptionist know your study leave dates
Sickness
In line with the Trust’s absence policy, you must report your sickness to First Care
on 0845 4372601 to open your absence. When you are ready to return to work this needs to be closed again by phoning the same number.
Where possible, please phone the dental secretaries as well first thing in the morning of your first day of absence so we can make any necessary changes to your day.
When you return to work please make an appointment for your return to work interview with the dental manager