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Dentist
on the Ward is written for students and recently qualified dental
surgeons taking up their first job in a General Hospital within the
speciality of Oral and Maxillofacial Surgery. It arose from our
'Dentist on the Ward' courses which we have been running in Lincoln
since 1995.
Like the
courses the text is intended as an introduction for those with no prior
experience and is not intended to be a textbook of Oral and
Maxillofacial Surgery.
The text
includes information broadly in four categories:-
1.
An introduction as to how the various services in the hospital
work.
2. Advice on routine procedures which the new appointee may
have to carry out on their own.
3.
Background clinical information which relates to these
procedures; this is not intended to be a substitute for a text book or
clinical teaching and is heavily edited to exclude all but the essential
knowledge for the task.
4. Explanation of the work of other hospital departments and
clinical practice which may be peripheral to the direct work but which
may help in the understanding of complete patient management.
The text
is intended only as an introduction to hospital based Oral and
Maxillofacial Surgery; it is not intended as a text for examination
preparation but of necessity covers some of the subjects in the
Committee of Postgraduate Dental Deans and Directors 'Curriculum for UK
Dental Foundation Programme Training.'
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Contents.
Why work in Oral and Maxillofacial Surgery?
How to apply for a job in Oral and Maxillofacial Surgery.
Getting the best from your student attachment or
elective.
Educational matters.
Before starting.
Pre employment health screening and the blood borne
viruses.
Inoculation (needlestick) injuries.
Basic hospital cross infection control: MRSA, Clostridium
Difficile and hand hygiene.
The Outpatient Department.
The Day Surgery Unit.
The ward: its staff and routines.
The Operating Theatres.
The Accident and Emergency Department.
Understanding the Intensive Care Unit.
Recognition of critical illness.
Examination of the injured face.
Imaging for facial fractures.
Medical emergencies.
Resuscitation.
Examination of the cardiovascular and respiratory
systems.
Wound closure-skin suturing.
The sterile supply service.
Surgical instruments .
Minor oral surgery.
Venepuncture.
Histopathology.
Blood sciences.
Understanding and prescribing fluid replacement.
Consent for hospital treatment.
Prescribing medicine in the hospital.
Preparation for theatre.
Understanding the Anaesthetist.
Understanding the organisation of the head and neck
cancer team.
Understanding a major cancer case.
Keeping out of trouble. |