End of Day Sheet
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End of Day Report-Hygiene
Name:_______________________ Date:_______________
Gratitude:
Daily Production Goal $___________ Actual Daily Production (Production X .6) $______________
Same Day Conversions (ortho consult, SRP, NG, retainers, etc):
Total Fl ______ Total Cervitec ______ Total Cervitec F ______ LBR _______
Total pts _______ Perio pts _______ New Patients _______ N2O _________
SRP completed ______________ Total iTero Scans _______ 4346 ___________
Reappointment _____/_____
End of Day Checklist
__ Chart notes complete
__ Log out of Open Dental, restart computer
__ Wipe Chairs with soap/water
__ Run water through lines
__ Trash from all Hygiene Ops
__ Pumps turned off, if last to leave
__ End of Day sheet complete and turned in