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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

Email

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