CDA Duties in OMS

Set up of Ops and Equipment:

• Wipe down ops
• Turn on x-ray machine(s)
• Turn on computers and load appropriate software
• Post day sheets (in ops, sterilization, RN and CDA workstations)
• Prepare and sterilize instruments and equipment
• Pick and setup for surgery with appropriate equipment, instrumentation, and materials (e.g. bone minerals, membranes, implants, etc.)
• Use STERILE TECHNIQUE when applicable
• Possess a working knowledge of all implants systems (Astra, Nobel, and Straumann), and their components
• Know where all instruments and equipment (specialty and otherwise) are stored

Charting:

• Update and review health histories, clinical notes, and treatment plans DAILY, WEEKLY, and BIWEEKLY
• File onsite radiographs
• Ensure that offsite CT CD’s are ‘picked’ and readable

Radiography Acquisition:

• Pas
• Occlusal films
• Pans
• CT scans
• Intra-oral scans

Lab Duties:

• Acquire alginate impressions to fabricate study models, surgical guides, and palatal stents
• Acquire PV bite registration to adjust dentures (following healing abutments, or locators)
• Adjust and reline dentures

Chairside Assisting:

• Extractions
• Extractions with ridge preservation (includes charting)
• Biopsies (includes specimen processing, filing requisitions, charting, tracking)
• Exposures (with or without a bracket, place periopak)
• Apicoectomy
• Bone Grafts
• Sinus Grafts
• Implant Placement – UNDERSTAND IMPLANT FLOW – (healing abutments, multi-unit abutments, locators, includes charting)
• ‘All-on-four’
  – assisting with prosthetic PV impressions
  – sealing and exposing access holes on provisional denture
• TMJ Lavage
• OR (hospital)

Post-Op Assisting

• Removal of periopak
• Suture removal
• Treatment of alveolar osteitis
• Removal of orthodontic elastics

PERIOPERATIVE CARE:

• Pre-op, Intra-op, and Post-op care of patient on day of surgery in conjunction with the surgical team (Surgeon, RN, administrative staff)
• Help patient feel comfortable and safe before, during and after oral surgery
• Maintain the dignity of patient at all times

PRE-OP:

• Admit patient
• Review patient’s medical history
• Ensure that finances are reconciled
• Confirm NPO status (IV)
• Confirm a driver (IV)
• Ensure that patient understands treatment plan
• Ensure that patient has consented to treatment
• Organize post-op prescriptions (give to driver if applicable)
• Weigh patient (IV)
• Take vital signs
• Ensure that pre-op medications and oral rinse has been administered

INTRA-OP:

• Protect airway at all times
• Ensure that nasal cannula is in place (IV)
• Ensure that protective eyewear is in place

POST-OP:

• Never leave a patient unattended until they are awake
• Provide patients and guardians with verbal and written post-operative healing and pain management instructions
• Teach patients and guardians appropriate oral hygiene strategies to promote healing and maintain oral health i.e. tooth brushing, flossing and nutritional counselling following each specific procedure
• Discharge patient after consulting with surgical team

Ordering and Inventory:

• Order supplies, dental sundries, and oral surgery supplies (grafting materials, implants, oral surgery specific instruments and equipment), kitchen supplies and paper products (paper towel, Kleenex, Dixie cups, etc.)
• Reconcile deliveries and invoices
• Perform ANNUAL inventory

Quality Control:

• Maintain a safe and clean working environment (e.g. counters, surfaces, and hallways free from clutter)
• Manage infection control protocol: DAILY perform spore testing
• WEEKLY: Maintain instruments and equipment (e.g. clean sterilizers)
• Track equipment repairs and warranty
• Maintain up-to-date repair technician contact information
• Implement and maintain WHMIS (Workplace Hazardous Materials Information System)
• Manage radiation quality control – Safety Code 30: WEEKLY step wedge testing, clean scanner every 3 MONTHS, and schedule ANNUAL Pan & CT maintenance
• Monitor and record National Dosimetry Registry