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New pts!

I have a job offer and am very nervous to accept! I have been practicing hygiene only for two years and finally found an office that has no turnover and treats the employees as a family. The hygienist is relocating. The policy for NP is FMX, FMP, charting,intraoral images, CompEX & cleaning if it’s a healthy mouth. All this in one hour & everything is digital. At my old office the doctor sees the NP before me, so I am worried of running out of time. Is this enough time?



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5 Answers

Yes, that is enough time. The X-rays will take the longest, but with practice you can take a good FMX in 10 minutes. Add another five for intraorals. Perio charting (in a healthy mouth) takes less than five minutes. Charting existing only takes a couple minutes. So being generous with this timing you still have 35 minutes to complete a healthy prophy and get an exam. If the patient needs Perio therapy you now have 35 minutes to do patient education.
You will run over at first because it’s not in your routine, but practice makes perfect. One hour for new patients is very very common in most practices. Good luck!

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I do all this in an hour IF its a healthy mouth. If its not then i make the decision to either do a gross debridement at that visit or have them back to start cleaning , depending on pt needs and time

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In my office new patients are seen by Dr first for radiographs, charting, exam and such. I usually step in at the end to perio probe and determine their cleaning. They are then scheduled for hygiene if they are not already set to see me after for an hour appointment. This gives me enough time to build a good relationship with the patient and provide appropriate care. If they need SRP tx then I will have enough time for at least a quad with the time I was given when the pt was initially scheduled.

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I have worked in an office where the new patient policy (seeing the hygienist first) is the same as you are describing. It can totally be done, but to be honest, I did feel rushed at times. In my current office, the protocol is exactly the same as WarnerSL’s. New patients see the doctor first and scheduled with the hygienist second; which is the way I personally prefer. With that being said, if this seems to be a great office and a good fit, I’d give it a go! With enough practice of getting into the routine, I’m sure you will be fine. I must also be honest a say that I have high anxiety, so I may have felt rushed even if I shouldn’t have been! Also, congrats on the job offer!!

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I’m not sure what planet has these genetically enhanced patients you speak of where 60 minutes is enough time. In my reality, I find that new patients often haven’t seen a dentist for awhile. They have questions, gums that bleed during probing and require rinsing, stain, take a year to fill out any form, need educating and ohi, and like it when staff take the time to give them exceptional care. We have had so many patients tell us that they have never been to an office that really explained everything or took such good care of them. We book 90 minutes, and often take much longer. So in my world 60 minutes isn’t long enough. I don’t want to offend the rockstar superior NASCAR hygienists that can make all the planets align and the dentist run on time and never be long winded and are pulling off this feat, I just know that for me and my patients, 60 minutes is only long enough when they have 6 teeth.

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