Yesterday was a very tiring day. I still needed 11 quads of a class 3 patient. I had 5 quads scheduled yesterday and was planning on just getting as much done as I could. My day in clinic went differently than I had planned, but it all worked out for the best.
At 8:00 I had a class 3 patient coming back that needed to have 2 quads finished. Michelle ended up coming to clinic to make up for a day. She had a class 3 patient that still had 3 quads that needed to be cleaned. Michelle only needed one more quad to finish her requirements so she was kind enough to offer the other 2 quads to me. That really pushed me to finish the 2 quads on my patient so I could hop over to the other chair and finish Michelle's patient. The timing was B-E-A-utiful! I was able to finish Michelle's patient, which dropped me down to needing 7 quads of a class 3. A little more manageable.
Heather had seen a class 3/4 patient last week and was kind enough to reschedule him to come back this week for me. I wasn't really looking forward to seeing him because she said his calculus was so hard but beggers can't be choosers at this point in the semester. He ended up cancelling his appointment right before lunch. I wasn't really too disappointed but slightly stressed about my requirements now.
Kayla had a patient coming in at 1:00 that she was pretty sure would be a class 3 and since she already had her requirements she gave me the patient. When I pulled his chart I noticed that he hadn't been in in about 4 years and they had mentioned in his chart that he was going to have artificial heart valves placed soon. That means he needed to have pre-med which I found out he didn't know about before the appointment. I eneded up waiting until 2:00 to receive a physician's consult back and then had to release him because it would be 3:00 before I could even do anything on him.
What a waste of an afternoon...not completely. While I was wondering around waiting for the physician's consult Marilyn called me into the instructors pod and asked if I had seen any class 2 patients during the semester that we could possibly bump their classification to class 3. I logged into Taleval and started checking. I found one of my mockboard patients that was classified as a class 2 but was extremely difficult. I had to bring him in 3 times to finish everything on him. Marilyn pulled up his x-rays while I went and got his chart. As soon as she opened the x-rays she said, "He is a class 3!" She looked at the probe depths and ended up changing his classification to 4 quads of a class 3. YES! That meant I only needed 3 more quads of a class 3.
My board patient was waiting in the waiting room for his wife so I decided to go out and see if he wanted me to clean the rest of his mouth since I didn't have anything else to do for the next hour and a half. He agreed. I brought him back and took the chart to Marilyn to review and sign. He was classified as a class 2 but she checked his probe depths, recession, and x-rays and changed his classification to a class 3 patient! It was my lucky day! I was able to finish 2 quads on him and am planning on bringing him back to finish the last quad. That means I will have my class 3 requirements finished!