Emergency Drugs and Equipment for Domiciliary Dental Treatment
It is preferable to deliver care in a dental surgery setting, where possible, and domiciliary visits should be undertaken only in cases of genuine patient need rather than dictated solely by convenience .
Risk assess every potential episode of domiciliary care to determine if emergency drugs and equipment are required. Assign a risk category taking into account:
- The nature of the dental care. Some dental procedures such as examinations and the construction of dentures are essentially non-invasive and will carry a much lower risk;
- The patient’s medical history and any possible/likely causes of collapse or reaction to treatment;
- The physical environment and any possible risks related to this.
Low risk: If it is thought that the dental procedure presents a low risk to the patient then emergency drugs and equipment need not be taken on the domiciliary visit.
Moderate Risk: Where the care provided is deemed to be of moderate risk, the following recommended emergency drugs and equipment must be available to the dental team in the domiciliary setting.
- Emergency drugs kit and single-use sterile syringes.
- Portable oxygen with flow-meter, tubing and a face mask capable of delivering high concentrations of oxygen.
(See also Guidelines for the Transport of Medical Gas Cylinders)
- Oro-pharyngeal airways and bag-valve-mask.
- Portable independently powered suction machine with appropriate suction tips and tubing.
- Spacer device for inhaled bronchodilators.
Significant risk: If the risk assessment determines that there would be a significant risk of patient collapse or reaction to the dental procedure in a domiciliary setting, the dental team should refer the patient to the Public Dental Service or local hospital dental department as appropriate.
Sources of Information
- Emergency Drugs and Equipment in Primary Dental Care. National Dental Advisory Committee (2015) www.scotland.gov.uk/Publications/2015/01/8495