ORLAPAlliance : Messages : 1-23 of 23

The fast paced advancements in education and technology require us to
keep up to date in the chosen field. We also need to improve our skill
sets or study a new discipline to meet ever growing competition in the
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#22

From: Christa Olsson <christaolsson@...>
Date: Sun Sep 7, 2008 10:37 pm
Subject: Hardest part of working independently

wreckless_x2

Offline

Hi everyone,

I just wanted to take a quick survey from LAP hygienists. I would like to help improve the working experience of ALL lap hygienists, not just myself. Hope this doesn't sound grandiose. I do have an eye for systems and have this in mind when I ask, "What is the hardest part of working independently?"

Is it:

Time required to get new clients

Up-front operational expenses (instruments, compressor, sterilizer, etc)

Receiving payment

Time required in billing

Resistence from eligible facillities (such as nursing homes)

Plain old ergonomic issues

Others?

Many hygienist are not using their LAP; this tells me something needs to be improved?. If you are actively using your LAP are you finding it is an imperfect system? Surely improvement can be made. You frontier-people are shaping the future for Oregon and I thank you. You can email me publicly or privately.

Thank you for contributions!

Christa Olsson, RDH

christaolsson@...

(LAP deficient at the moment, but one day soon if it becomes a feasible occupation.)

#21

From: Christa Olsson <christaolsson@...>
Date: Sun Sep 7, 2008 10:13 pm
Subject: Re: Elder Care

wreckless_x2

Offline

Hello Darla,

I'd be interested to know any progress you've been able to achieve in your project, as well as any wrong turns you've encountered. Sorry I wasn't able to contribute anything. I'm just now embarking on the path.

Christa

----- Original Message ----
From: darlathompson32 <darlathompson32@...>
To: ORLAPAlliance@yahoogroups.com
Sent: Sunday, June 29, 2008 11:03:24 AM
Subject: [ORLAPAlliance] Elder Care

My goal is to begin an Oral Prevention Program in our County. Has
anyone taking this task on, and what advise can you give me. This will
be in Nursing Homes and any Retirement Residences. I have in mind what
I would like to do and have collected allot of data to support the need
to present to the homes. My biggest problem is I am a little unsure how
this approach will go. Anyone with experience working with these
facilities I would love to hear from you.

#20

From: "tords.martin" <tords.martin@...>
Date: Thu Jul 31, 2008 8:34 am
Subject: Online Degree Benefits

tords.martin

Offline

The fast paced advancements in education and technology require us to
keep up to date in the chosen field. We also need to improve our skill
sets or study a new discipline to meet ever growing competition in the
job market. Online degrees offer the best solution to all of us as we
don't have to attend regular classes leaving our present commitments.

Visit the website for some valuable tips on how to get online degrees
from world's renowned universities to improve our academics and
further our career interests: http://onlinedegrees.onlineseeker.info

The More You Learn The More You Earn
* Don't quit your job
* Obtain your degree online on your schedule
* Earn more money

Average Salary Pattern:

High School Diploma - $34k
Associate Degree - $46k
Bachelor's Degree - $65k
Master's Degree - $83k
PG Degrees - $103k

Visit the website for some valuable tips on how to get online degrees:
http://onlinedegrees.onlineseeker.info

#19

From: "darlathompson32" <darlathompson32@...>
Date: Sun Jun 29, 2008 6:03 pm
Subject: Elder Care

darlathompson32

Offline

My goal is to begin an Oral Prevention Program in our County. Has
anyone taking this task on, and what advise can you give me. This will
be in Nursing Homes and any Retirement Residences. I have in mind what
I would like to do and have collected allot of data to support the need
to present to the homes. My biggest problem is I am a little unsure how
this approach will go.  Anyone with experience working with these
facilities I would love to hear from you.

#18

From: aljanyoung@...
Date: Mon Jun 23, 2008 2:42 pm
Subject: Re: Re: Oregon and California

aljanyoung@...

Karen,
You are correct it is General supervision.
Jan

**************
Gas prices getting you down? Search AOL Autos for fuel-efficient used cars.
(http://autos.aol.com/used?ncid=aolaut00050000000007)

#17

From: Christa Olsson <christaolsson@...>
Date: Sun Jun 22, 2008 11:46 pm
Subject: Re: Re: Oregon and California

wreckless_x2

Offline

(Below is a delayed response to Jan's post ~ something must have interfered my message going through a few days ago. I'm resending now. Thanks for sharing your thoughts, Karen and Jan.) If anyone else would like to comment on this issue, I'd sure love to hear it. -Christa

Thank you, Jan. You've just provided me some important feedback. This is great!

The experience you've shared brings to mind a couple of questions.

1) Why is reimbursement slow? Is it slower than a traditional general practice's reimbursement?

2) Which hygiene services can be performed and billed? Prophy, perio maint, RPC/SRP?

3) Can you comment more on the local anesthesia? I was looking at the 2007 Oregon regulations and it says general anesthesia can be performed under "General" supervision, not "direct". I think this is a long-standing rule.

As for anesthesia (see below ~ highlighted yellow). It seems they're saying local anesthesia is okay for a LAP hygienist IF done within certain LAP circumstances. By this kind of 'general' supervision I wonder if it might be possible to have the patient's dentist 'ok' the use of local anesthesia. Seems like this would qualify as general. Any thoughts?

Frankly, the local anesthesia issue is kind of a deal maker or breaker for me. If I'm going to treat adults who haven't had regular access to care, I want to make sure their first cleanings are not torture, and that they get the kind of care they need. I don't want that kind of experience. Neither do they, generally.

Thank you so much!!

-Christa

680.205 Services rendered under permit. (1) A dental hygienist issued a permit to act as a limited access permit dental hygienist under ORS 680.200 shall be authorized to render all services within the scope of practice of dental hygiene, as defined in ORS 679.010, without the supervision of a dentist and as authorized by the limited access permit to:

(a) Patients or residents of the following facilities or programs who, due to age, infirmity or disability, are unable to receive regular dental hygiene treatment:

(A) Nursing homes as defined in ORS 678.710;

(B) Adult foster homes as defined in ORS 443.705;

(D) Adult congregate living facilities as defined in ORS 441.525;

(E) Mental health residential programs administered by the Department of Human Services;

(F) Facilities for mentally ill persons, as those terms are defined in ORS 426.005;

(G) Facilities for persons with mental retardation, as those terms are defined in ORS 427.005;

(H) Local correctional facilities and juvenile detention facilities as those terms are defined in ORS 169.005, regional correctional facilities as defined in ORS 169.620, youth correction facilities as defined in ORS 420.005, youth care centers as defined in ORS 420.855, and Department of Corrections institutions as defined in ORS 421.005; or

(I) Public and nonprofit community health clinics.

(b) Adults who are homebound.

(c) Students or enrollees of nursery schools and day care programs and their siblings under 18 years of age, Job Corps and other similar employment training facilities, primary and secondary schools, including private schools and public charter schools, and persons entitled to benefits under the Women, Infants and Children Program.

(2) The Oregon Board of Dentistry may authorize the provision of dental hygiene services by a limited access permit dental hygienist at locations or to populations that are underserved or lack access to dental hygiene services.

(3) At least once each calendar year, a dental hygienist issued a permit to act as a limited access permit dental hygienist shall refer each patient or resident to a dentist who is available to treat the patient or resident.

(4) This section does not authorize a limited access permit dental hygienist to administer local anesthesia, denture soft lines, temporary restorations and radiographs except under the general supervision of a dentist licensed under ORS chapter 679, or to administer nitrous oxide except under the indirect supervision of a dentist licensed under ORS chapter 679.

(5) A limited access permit dental hygienist may assess the need for and appropriateness of sealants, apply sealants and write prescriptions for all applications of fluoride in which fluoride is applied or supplied to patients.

(6) A person granted a limited access permit under ORS 680.200 shall also procure all other permits or certificates required by the board under ORS 679.250. [1997 c.251 �3; 2001 c.592 �1; 2005 c.52 �1; 2007 c.70 �306; 2007 c.379 �3]

----- Original Message ----
From: "aljanyoung@..." <aljanyoung@...>
To: ORLAPAlliance@yahoogroups.com
Sent: Thursday, June 19, 2008 4:37:36 PM
Subject: Re: [ORLAPAlliance] Re: Oregon and California

Christa,
You can not use anesthetic because it is under direct supervision.
We have been able to get reinbursement from the insurance companies. Some times it is slow. You are to make referrals to a dentist. Most have a dentist of record. I is hard to get a referral on the Oregon Health Plan. I have done a few with my LAP but still work pretty much full time in a regular dental setting. Many are making it their full time work. We are needed in the Care facilities.
Jan Young

----- Original Message ----
From: "aljanyoung@..." <aljanyoung@...>
To: ORLAPAlliance@yahoogroups.com
Sent: Thursday, June 19, 2008 4:37:36 PM
Subject: Re: [ORLAPAlliance] Re: Oregon and California

#16

From: Karen Hall <karenhall_lap@...>
Date: Sun Jun 22, 2008 2:54 pm
Subject: Re: Re: Oregon and California

karenhall_lap

Offline

Are you sure anesthetic is under direct supervision? That means a dentist needs to be in the room with you as you give anesthetic. I would check the dental practice act, I need to refresh my memory. I wasn't aware of anything I couldn't do under general supervision, or in the case of LAP, without general supervision. I would be interested to know other's interpretation of the practice act.

Karen

aljanyoung@... wrote:

Christa,
You can not use anesthetic because it is under direct supervision.
We have been able to get reinbursement from the insurance companies. Some times it is slow. You are to make referrals to a dentist. Most have a dentist of record. I is hard to get a referral on the Oregon Health Plan. I have done a few with my LAP but still work pretty much full time in a regular dental setting. Many are making it their full time work. We are needed in the Care facilities.
Jan Young

**************
Gas prices getting you down? Search AOL Autos for fuel-efficient used cars.
(http://autos.aol.com/used?ncid=aolaut00050000000007)

#15

From: aljanyoung@...
Date: Thu Jun 19, 2008 7:37 pm
Subject: Re: Re: Oregon and California

aljanyoung@...

#14

From: "megan_cameron2000" <megan_cameron2000@...>
Date: Mon Jun 16, 2008 3:35 pm
Subject: Get air tickets almost for nothing

megan_camero...

Offline

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airlines dominating the sky, the passengers can now enjoy the best
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#13

From: "Christa" <christaolsson@...>
Date: Mon Jun 9, 2008 10:32 pm
Subject: Re: Oregon and California

wreckless_x2

Offline

Hello!  Hmm, not a lot of chatter on this site ~ but that's okay.
However, I do hope to fluff up a bit of critical information about
practicing with an LAP because:

I am seriously considering obtaining an LAP.

Important questions:

* Can you administer local anesthesia?
* What are the requirements for a pt to have exams w/dentist if they
are to receive ongoing RDH care?
* How have you LAP Rdh's gone about receiving money for fee for
service / insurance pts?

Thanks in advance for sharing your answers and stories!

Christa

--- In ORLAPAlliance@yahoogroups.com, "Cori Ann" <ms__c_@...> wrote:
>
> Hello everyone!  I'm graduating from my DH educational program this
> year and planning to take National Boards in March 2007 and State
> Boards in July 2007 in Sacramento, California.  I'm thinking about
> moving to Oregon or having dual residences in California and Oregon
> within the next few years.  Does anyone know what the process is for
> practicing in Oregon?  Does Oregon have the same type of state board
> examination as California?  If so, should I sit for Oregon state boards
> around the same time I sit for California since I will hopefully have
> the right type of patient?  Or is there a process that I can utilize to
> bypass Oregon state boards since I will hopefully be registered within
> California already?
>
> I tried to look it up online...but the info I found was a little
> confusing.  Does anyone out there know?  Thanks!  :)
>
> Cori Ann
> ms__c_@...
>

#12

From: "sebastin_britto" <sebastin_britto@...>
Date: Tue May 20, 2008 1:07 pm
Subject: Get air tickets almost for nothing

sebastin_britto

Offline

As the business war on the air is hotting up with so many low-budget
airlines dominating the sky, the passengers can now enjoy the best
deals. The webguide - http://air.myguideforlife.com - helps you find
the cheapest and even free air tickets to make your journey ore
happier and very less expensive.

Visit the website now to find out how to get the cheap and free air
tickets: http://air.myguideforlife.com

#11

From: "laurajaussi" <laurajaussi@...>
Date: Sun Apr 27, 2008 5:11 pm
Subject: paperwork

laurajaussi

Offline

Hi Lap RDH's-

Does anyone have any paperwork ideas they would like to share?  How
about and waivers?  This seems to be my biggest stumbling block to get
out in the field.

Laura, RDH

#10

From: "sophiajoshua72" <sophiajoshua72@...>
Date: Sat Apr 26, 2008 3:59 pm
Subject: Trendy Used Laptops

sophiajoshua72

Offline

Looking for a cheap used laptop?

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From: "Cori Ann" <ms__c_@...>
Date: Sat Jan 6, 2007 6:54 pm
Subject: Oregon and California

corirdh2007

Offline

Hello everyone!  I'm graduating from my DH educational program this
year and planning to take National Boards in March 2007 and State
Boards in July 2007 in Sacramento, California.  I'm thinking about
moving to Oregon or having dual residences in California and Oregon
within the next few years.  Does anyone know what the process is for
practicing in Oregon?  Does Oregon have the same type of state board
examination as California?  If so, should I sit for Oregon state boards
around the same time I sit for California since I will hopefully have
the right type of patient?  Or is there a process that I can utilize to
bypass Oregon state boards since I will hopefully be registered within
California already?

I tried to look it up online...but the info I found was a little
confusing.  Does anyone out there know?  Thanks!  :)

Cori Ann
ms__c_@...

From: Karen Hall <karenhall_lap@...>
Date: Sun Oct 22, 2006 8:56 pm
Subject: RE: Re: Welcome to the LAP Alliance

karenhall_lap

Offline

Melanie,

Thanks for the reply.

I do have a few questions. First, do you do any direct billing of private dental insurance? Do you see OHP or Medicaid patients and do you know the person to contact to become an OHP or Medicaid provider?

Do you have a portable dental unit you bring with you to headstart or to the nursing home? I have seen portable units advertised in some of the dental hygiene magazines but I don't know anything about them. How do you handle sterilization? I was thinking of contracting to use a dentist's autoclave/chemiclave on a regular basis until I actually had a place to do my own sterilization.

Medically compromised, disabled, and semi- to non-ambulatory patients are my target right now, but I am still finalizing that. This may include some children and elderly, but my focus will not necessarily be either of those two groups. I just recieved my LAP license in the mail this week, so I have been doing some footwork, alot of computer research, and brainstorming ideas until now. It is time to get going on putting the license to work now.

Thanks for info. If there is someone else around here targetting that population that you know of, I would be delighted to talk to them.

I appreciate your time, Karen

Melanie Breidenthal <mbreidenthal@...> wrote:

Hi Karen!

Welcome to the group and congrat's on getting your LAP. I would be happy to share any information I can with you. Do you know what type of population you want to target? I work with head start mainly and the occasional nursing home client. I have a regular job 3 days and don't know that I will ever go exclusively to LAP practice. Let me know haw I can help.

Mel

-----Original Message-----
From: ORLAPAlliance@yahoogroups.com [mailto:ORLAPAlliance@yahoogroups.com]On Behalf Of karenhall_lap
Sent: Saturday, September 23, 2006 10:48 AM
To: ORLAPAlliance@yahoogroups.com
Subject: [ORLAPAlliance] Re: Welcome to the LAP Alliance

I have recently applied for my LAP and am awaiting my new lisense to
come in the mail. I am very excited to get started using my LAP
exclusively but I don't want to "re-invent the wheel."
Any resourse ideas for me regarding the business aspect, must-have
computer programs, etc. would be well recieved.
Thanks for any info or ideas you want to share with me!
Karen
--- In ORLAPAlliance@yahoogroups.com, "orlapalliance"
<mbreidenthal@...> wrote:
>
>
> I am so happy that Yahoo has such a great tool available for us to
> communicate with each other! Please feel free to post questions,
> comments, frustrations, ideas, helpfull hints, stories, or
anything you
> want really! This is a collective group so you have the ability to
make
> it great by posting your thoughts!
>
> GO LAP's !!!!!!!
>
> We make a difference one patient at a time giving the dentally
forgotten
> hope!
>

Do you Yahoo!?
Everyone is raving about the all-new Yahoo! Mail.

From: "Melanie Breidenthal" <mbreidenthal@...>
Date: Mon Oct 2, 2006 3:45 am
Subject: RE: Re: Welcome to the LAP Alliance

orlapalliance

Offline

Hi Karen!

Welcome to the group and congrat's on getting your LAP. I would be happy to share any information I can with you. Do you know what type of population you want to target? I work with head start mainly and the occasional nursing home client. I have a regular job 3 days and don't know that I will ever go exclusively to LAP practice. Let me know haw I can help.

Mel

-----Original Message-----
From: ORLAPAlliance@yahoogroups.com [mailto:ORLAPAlliance@yahoogroups.com]On Behalf Of karenhall_lap
Sent: Saturday, September 23, 2006 10:48 AM
To: ORLAPAlliance@yahoogroups.com
Subject: [ORLAPAlliance] Re: Welcome to the LAP Alliance

I have recently applied for my LAP and am awaiting my new lisense to
come in the mail. I am very excited to get started using my LAP
exclusively but I don't want to "re-invent the wheel."
Any resourse ideas for me regarding the business aspect, must-have
computer programs, etc. would be well recieved.
Thanks for any info or ideas you want to share with me!
Karen
--- In ORLAPAlliance@yahoogroups.com, "orlapalliance"
<mbreidenthal@...> wrote:
>
>
> I am so happy that Yahoo has such a great tool available for us to
> communicate with each other! Please feel free to post questions,
> comments, frustrations, ideas, helpfull hints, stories, or
anything you
> want really! This is a collective group so you have the ability to
make
> it great by posting your thoughts!
>
> GO LAP's !!!!!!!
>
> We make a difference one patient at a time giving the dentally
forgotten
> hope!
>

From: "karenhall_lap" <karenhall_lap@...>
Date: Sat Sep 23, 2006 5:47 pm
Subject: Re: Welcome to the LAP Alliance

karenhall_lap

Offline

I have recently applied for my LAP and am awaiting my new lisense to
come in the mail. I am very excited to get started using my LAP
exclusively but I don't want to "re-invent the wheel."
Any resourse ideas for me regarding the business aspect, must-have
computer programs, etc. would be well recieved.
Thanks for any info or ideas you want to share with me!
Karen
--- In ORLAPAlliance@yahoogroups.com, "orlapalliance"
<mbreidenthal@...> wrote:
>
>
> I am so happy that Yahoo has such a great tool available for us to
> communicate with each other! Please feel free to post questions,
> comments, frustrations, ideas, helpfull hints, stories, or
anything you
> want really! This is a collective group so you have the ability to
make
> it great by posting your thoughts!
>
> GO LAP's !!!!!!!
>
> We make a difference one patient at a time giving the dentally
forgotten
> hope!
>

From: "orlapalliance" <mbreidenthal@...>
Date: Fri Sep 8, 2006 10:24 pm
Subject: Perio and the law?

orlapalliance

Offline

http://www.meddentlaw.com/

In RDH this month, interesting.

From: "orlapalliance" <mbreidenthal@...>
Date: Fri May 19, 2006 3:20 pm
Subject: Strategic Planning Meeting

orlapalliance

Offline

Hope to see you guys at the strategic planning meeting at LCC this
Satat 10:00 AM. It should be great! Karla Girts will be facillitating!
See you there!
Mel

From: "paisleyconquest" <paisleyconquest@...>
Date: Thu May 18, 2006 1:18 pm
Subject: Re: Welch Allen Dental Lighted Mirror

paisleyconquest

Offline

i have used this mirror/light also.  It is great!
Beth




--- In ORLAPAlliance@yahoogroups.com, "orlapalliance" <mbreidenthal@...> wrote:
>
>
> I have been using a Welch Allen battery opperated hand held
> mirror/light.  It really makes the dental screenings go so much easier
> and helps my accuracy. The rechargeable batteries charge up within 15
> minutes and I can do about 20 screenings before I need to change out.
> The overhead light I used to use was pretty intimidating to the kids, so
> this small hand held is great!
>

From: "orlapalliance" <mbreidenthal@...>
Date: Mon May 15, 2006 11:30 pm
Subject: Welch Allen Dental Lighted Mirror

orlapalliance

Offline

I have been using a Welch Allen battery opperated hand held
mirror/light.  It really makes the dental screenings go so much easier
and helps my accuracy. The rechargeable batteries charge up within 15
minutes and I can do about 20 screenings before I need to change out.
The overhead light I used to use was pretty intimidating to the kids, so
this small hand held is great!

From: "orlapalliance" <mbreidenthal@...>
Date: Mon May 15, 2006 10:50 pm
Subject: Welcome to the LAP Alliance

orlapalliance

Offline

I am so happy that Yahoo has such a great tool available for us to communicate with each other! Please feel free to post questions, comments, frustrations, ideas, helpfull hints, stories, or anything you want really! This is a collective group so you have the ability to make it great by posting your thoughts!

GO LAP's !!!!!!!

We make a difference one patient at a time giving the dentally forgotten hope!