hospital admissions

Discussion in 'Dental Residents and Practicing Dentists' started by simpsonj24, Mar 5, 2007.

  1. simpsonj24

    simpsonj24 Member
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    I was wondering if a general dentist could admit to a hospital, not that you would ever need to, or if you had to be an oms. The reason is simply curiosity because I was told that a gp could not which doesn't make sense because oms and gp are under the same license. Thanks
     
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  3. esclavo

    esclavo from frying pan into fire
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    It depends which state you are in if OMS and GP are the same license. Some states have "specialty licenses" in addition to a dental license that have further scope of practice items. I know some GP's have done a good GPR where they have admitted patients or followed patients in the hospital. Some hospitals will let a dentist admit but with CMS helping to supervise medical needs.
     
  4. ItsGavinC

    Dentist Moderator Emeritus 10+ Year Member

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    Don't you have to have hospital privileges to admit (if so, then the question is can a GP get those privileges, to which the answer is yes)?
     
  5. buck-E

    buck-E New Member
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    Hospital priveledges may or may not include admitting privledges. When you apply for hospital privledges your are usually applying to be able to preform certain procedures. There are typically core privledges for general dentists and OMFS which are separate. Depending on the hospital this may or may not include the privledege to preform an H&P and admit a patient. There are many OMFS who purposely do not apply for this privledge so that medicine manages their patients.
     
  6. north2southOMFS

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    I think you'd be hard pressed to find a hospital that wouldnt let an OMFS admit, whether single or dual degree. Its more getting medicine to do it for sake of ease.
     
  7. scalpel2008

    scalpel2008 beep beep beep...smash
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    i wish i didn't have admitting privileges.
     
  8. rrc

    rrc Member
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    In order to obtain admitting privileges you need to be able to perform an H&P. Traditionally only MD's are allowed to do this. Most states allow single degree OMS to admit thus the exception to this rule. I have not heard of a general dentist allowed to admit a patient but I guess it's not out of the question.
     
  9. scalpel2008

    scalpel2008 beep beep beep...smash
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    dental school does not prepare one for hospital admissions. however, a GPR is the closest thing to a general dentist admitting a patient (and i believe that most GPRs even don't admit their own patients).
     
  10. Flapster

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    If you have the dual OMFS-MD degree would you stand a better chance of getting admitting privileges vs. OMFS alone?
     
  11. esclavo

    esclavo from frying pan into fire
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    nope.

    There are some sad dentists out their who won't get to "lay" their hands on patients. I had a dental buddy who wanted to get "breast examination" privileges at the hospital.... he said he'd be willing to do that portion of the physical for anyone admitting a patient.... how about derm? Has anyone ever seen a derm patient in the hospital?
     
  12. MAXFAC

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    We treated a derm patient who was admitted with severe psoriasis, derm thought that the cause for his psoriasis outbreak is oral infection, the patient is a typical inner city gentleman who hasn't brushed his teeth for ages and had a nice palatal abscess screaming to be drained.
     
  13. esclavo

    esclavo from frying pan into fire
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    So derm admitted the patient?!? WOW. Did they bring CMS on board to help them find the room in the hospital and show them which section you write orders in and which section you write the daily in?
     
  14. rarm1

    rarm1 Senior Member
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    First, JCAHO (hospital accreditation) allow a dentist to admit patients... but H&P's must be done by a qualified person.

    Each hospital by-laws set up requirements for getting on the staff. Each staff member is credentialed for procedures.

    To see a patient in the hospital... as a consult for even a lost filling you must be on staff and credentialed to do the procedure.

    We had on general dentist come in and extracted a tooth on a leukemic… without permission… we procedured with trespass procedures.

    I see patients daily, go to the OR, and admit pts for same day and longer stays…. And get the primary care MD or specialist (often cardiologist) to do the H&P.

    Each hospital sets its rules… often politics/money enters into the picture… if dental patient will lose money … way have any.
     
  15. Bifid Uvula

    Bifid Uvula My Superior Wang...
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    For most dentists to get Admitting and other privileges at a hospital, they have to be credentialed by that hospital. The credentialing procedure can be very long and tedious and full of red-tape. To get the privileges you have to show proof and record of your degrees, transcripts,training-specifics, GPR certificates, obtain letters from residency directors... You have to submit patient care records (i.e. hospital consults, Operating Room and Procedure Log Books, OP reports, Admit H & P's, Discharge Summaries etc).

    There are general dentists on staff (often courtesy staff) with very limited privileges, and at times there are even general dentists who have greater privileges which include Admitting/Discharging/Operating Room/ Consult/ and writing Orders.

    It all depends where you end up, what hospital politics are involved and what level of training you have. There are general dentists who have done OMFS internships or very strong GPR's and completed the History and Physical Course with the other residents and medical students... That's one of the essential needs to be able to admit and discharge.

    Bottom line is this though. If you need to be treating a patient in the hospital, they are probably too sick/medically compromised and you are best to have a Hospitalist or Internal Medicine doctor on-board to manage their medications, fluids, electrolytes etc... Stick to doing the dentistry. There is no glory in having to manage all those headaches and complications. Your patients won't think any less of you...
     
  16. MAXFAC

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    There are some surgical specialties try to stay away from having very sick patients on their service, orthopods for example,They are notoriously known for getting patients on internal medicine service, at least in my hospital, so why a general dentist wanna worry about admitting a sick patient and manage fluids, meds and other stuff , just get an internist to take care of that, that's their job, they are getting paid for it.
     

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