1. VOLUNTEER CLINIC ORIENTATION OPEN MOUTHS, OPEN HEARTS, OPEN MINDS. PERONIA, GUATEMALA DENTAL CLINIC

2. OPEN WIDE – PERONIA, GUA THE PERONIA, GUATEMALA CLINIC Is the result of an amazing partnership… Municipality of Villa Nueva –Responsible for cost of building maintenance –Provides permanent staff members & 24/7 facility security. Association for a Better Guatemala –Organized local corporate funding and materials as well as donated materials to build the facility and coordinated hundreds of local citizens in the project. Open Wide Foundation –Volunteer Dentists –Administrative Training & Support –Educational content and access –Dental Supplies & Equipment through donation from corporate and individual donors

3. OVERVIEW Arriving in Guatemala Antigua Introduction to the Peronia Permanent Staff Schedule for the week Clinic Setup, Triage & Workflow System Charting & Stats Making Memories WORKING TOGETHER IS BETTER

4. INTRODUCTION TO DENTISTS Dr. Stephanie Lambour Clinic Administrator Municipality of Villa Nueva Guatemalan Dentist Oversees Clinics Resident Dental Student Programs Dr. Vilma Reyes Dr. Evelyn Siguenza

5. INTRODUCTION TO STAFF Vivian Gonzalez Main Dental Assistant Vivian is the person you will interact with most. She will be present with you in the clinic the whole week & is responsible for: Assisting volunteers and translation Supplies ordering & inventory Sterilization & maintenance procedures

6. INTRODUCTION TO STAFF Zaira Carrazco Front Desk Manager Managing patient flow Receiving Appointments Patient Records Fees Each patient pays the equivalent of $1.50 per visit. The City of Peronia collects these fees to fund the clinic when OWF moves on in five years. Security staff is on site 24/7.

7. SCHEDULE FOR THE WEEK 7am Breakfast each morning 8am Bus leaves hotel for the clinic 9amArrive at clinic, Start of Day 12pm-1 Lunch 3pm End of Day Clean-up 3:30-4pmBus leaves for Antigua EVENINGS ARE FREE

8. CLINIC SETUP We have 5 operatory chairs in the clinic A-dec, AirTechniques, Hu-Friedy, Kerr, Patterson Dental, PhotoMed, Schick, Sirona & Spear Education Have so generously donated great equipment for the Peronia Clinic.

9. CLINIC SETUP Lower Cabinets –Burs –Handpiece Maintenance –Misc. Supplies… Open Shelves – Upper Left –Etch/Desensitizer –S.S. Crown –Micro Brush Applicators Middle Upper Cabinets: –Composites –Articulating Paper –Amalgam –Wedges –Tofflemire & Myar Stripes –Floss, Retraction Cord –Astrigident –Finishing Strips –Isolation, Rubber Damn –Dapen Dishes –Various Cements, Mixing Pads, –Spatulas –IRM, Zinc Oxide –Bonding Agents Restorative Supplies:

10. CLINIC SETUP Bibs & Disposables: –2X2’s – 4X4’s Gauze –Cotton Tip Applicators –Cotton Rolls –Bibs –Dapen dishes Masks & Gloves: –Masks –Clear Shields –Gloves (all sizes) –Wipes –Saliva Ejectors

11. CLINIC SETUP Medications & Emergency Drugs –Pharmaceutical supplies EPI Pen Anesthetic –Medications Ibuprofen Antibiotics

12. CLINIC SETUP Tray Setup Exam Basic Tray Restorative Tray Extraction Tracy All specialty supplied are kept in team baskets. Example: Matrix, Tofflemires, Etch, Wedges, Burs, etc.

13. CLINIC SETUP Team Table Cotton roll dispenser Disinfecting wipes Needle container Cotton tip applicators Team Basket Team members fill the team baskets with the products they need from the supply cabinets

14. TRIAGE SYSTEM We recommend using a Triage System to maximize patient flow. The triage chair is operatory #1 near x- ray. A Triage Doctor or Hygienist will: Diagnose the patient Chart all decay (no probing) Numb the area that needs attention Re-seat the patient in the triage area See the next patient

15. RESORATIVE TEAMS A Restorative Doctor will get patient: – TRIAGED PATIENT Perform treatment Chart work done Make notes on next visit recommendations & timing Communicate post treatment care 2 “There are times of day when there are not patients in triage, so all dentists can bring a patient from the waiting room,” – NON-TRIAGED PATIENT Diagnose the patient Chart all decay Numb the area that needs attention Then, follow TRIAGED PATIENT STEPS

16. CHARTING SYSTEM NEW PATIENTS: Existing in BLUE Decay in RED Completed BLACK over RED RETURNING PATIENTS: Completed in BLACK, over RED Decay in RED Line through completed on back

17. CHARTING SYSTEM BACK OF TOOTH CHART Enter Date MM/DD/YYYY Enter tooth treated Enter next treatment recommended i.e. prophy, upper left Enter treatment provided

18. DAILY STATISTICS Statistics we compile include the following: - Patient Name - Male or Female - Adult or Child - Treatment provided

19. STERILIZATION Surgical Instruments: Hand pieces are sterilized after surgical procedures Place all surgical instruments & surgical burs in the ultrasonic Rinse all surgical Instruments & surgical burs after ultrasonic cycle Place surgical Instruments and surgical burs on towel to dry Bag dry surgical Instruments do not bag surgical burs Place dry surgical Instruments and burs in sterilizer After sterilization place bagged surgical Instruments in drawers Place surgical burs in the surgical bur container

20. STERILIZATION Non-surgical Instruments: Place all Instruments and burs in the front ultrasonic Rinse all Instruments and burs after ultrasonic cycle Place Instruments and burs on towel to dry Place dry instruments un-bagged in Statim Brush and place burs/bur blocks in metal trough sterilize as needed After Statim cycle place sterilized instruments in drawer Hand pieces and Air/water syringes are sterilized at the end of the day.

21. BEGINNING OF DAY On your first day in the clinic, Vivian will give you a full orientation tour of the clinic. Next you’ll get your specialized items and put them in your team basket. Start seeing patients

22. END OF DAY CLEAN UP End of Day Checklist Clean and sterilize hand pieces and syringe tips. Wipe all surfaces of the chair and base. Flush Vacuum lines Refill water bottles with distilled water. Lube hand pieces Lock all cabinets