End of Day Sheet

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