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In our outpatient oral surgery section, nurses have performed such nursing activities as guidance and consultation for outpatients. The present survey was conducted to clarify the actual situation of nursing activities, and that of claims for medical fees during fiscal year 2000, the year the claim for medical fees was started. At that time, the problems involved were examined to further improve nursing activities for outpatients. The nurses gave guidance on alimentation, oral hygiene, and breast feeding, from the nurse's record which were classified and totalled according to each disease, guidance item, and time required (less than 30 minutes or more than 30 minutes). The total numbers of patients were 172 persons and 357 cases. Major guidance items were alimentary guidance (179 cases), oral hygiene guidance (105 cases), and breast feeding guidance (73 cases). The items claimed for medical fees were two: "Athrocytosis function therapeutics" (9 cases) and "the guidance fee for the treatment of specific dental disease" (32 cases). The problems that discouraged claiming a fee for performed chargeable nursing activities are listed as 1. there are no exclusive guidance rooms, 2. insufficiency in securing staff, 3. the instructions and the requests by dentists have not been made exactly and smoothly. Thus, the problems to be considered hereafter would be 1. review and improvement in the guidance environment to an appropriate level, 2. make regulations for securing necessary staff, 3. construction of a system for exact and smooth instruction and requests, and 4. promotion to enrich the content of guidance and to make the results public.

A Study on the Relationship between the Actual Situation of Nursing Activities, in the Outpatient Section of Oral Surgery, and Medical Fees