RFDS dental health services
Currently, RFDS offers dental services in the South Eastern Section. Other RFDS Operating Sections are planning to implement these services in the near future.
Information about South Eastern Section’s dental services can be found here.
As well as treating patients, RFDS dentists try to focus on preventative oral health and educate their patients on good oral hygiene (tooth brushing, etc.) as well as having initiatives such as promoting mouthguards for young sports players to help preserve their teeth. RFDS dentists bring portable X-ray equipment to clinics with them and use electronic records.
Operation of dental services in remote locations presents special challenges for RFDS dentists. Some of these are described below.
Transport of equipment
In some locations that RFDS visits, suitable dental equipment and facilities are already set up. However, in others, RFDS dentists have to bring everything with them. Equipment can weigh up to 100kg and needs to be transported on small aircraft, with resulting impacts on fuel consumption and space available.
Infrequency of services
RFDS sends its dentists out as often as is practical. In some communities this is monthly, while in others it is every 2 months or even every 12 months. Because people can have problems with their teeth at any time, patients often need to wait some weeks before they can see the dentist. RFDS dentists tailor their treatments to allow for this.
Inability to provide all services in all locations
While dentists in larger centres can specialise more in certain types of treatment, RFDS dentists need to be all-rounders. They need to be able to do all the main kinds of dental procedures as they don’t have the ability to refer patients in remote areas to more specialised types of dentists. Even then, though, there are some services that are particularly challenging for dentists to perform in RFDS situations. For example, fitting of dentures can be very difficult as it takes many visits over a long period of time, and this is not always practical in RFDS communities.
RFDS GP Clinics
General practice clinics are held on a regular basis in remote locations, the frequency of visits depending on local needs. Locations range from small towns with a mixed population, to mine sites, stations and road houses, or predominantly Aboriginal and Torres Strait Islander communities.
The flying doctor's role includes:
- Provision of quality general medical care at remote clinic locations, including the diagnosis and treatment of acute conditions and ongoing management of chronic medical problems
- Minor surgical and screening procedures
- Routine screening and disease prevention activities in accordance with published RACGP Standards
- Consultation with remote area nurses and health workers in the diagnosis and treatment of patients
- Liaison with Public Health Units and participation in screening and surveillance programs as requested
- Contribution to the maintenance and review of disease registers and medical management of patients on such registers
- Working as a member of a multi-disciplinary team with other agencies and health care providers as required
- Provision of feedback to Royal Flying Doctor Service of Australia management on the adequacy of health care services, including frequency and duration of primary medical services and the nature of other health services required
RFDS GPs are alert for risk factors associated with the key diseases in our communities, and conduct tests where appropriate. Referral to a specialist may be required.
GPs encourage patients at risk of diseases affected by lifestyle to address lifestyle issues such as losing weight or stopping smoking.
Treatment for disease will be provided where possible.
For more information on RFDS GP Clinics visit:
http://www.flyingdoctor.org.au/Health-Services/Clinic-Services/General-Practice/
RFDS Emergency Services
When people think of the RFDS, whether in Australia or overseas, they imagine an RFDS aircraft, staffed by emergency health personnel, heading to a remote destination to retrieve a critically injured or unwell patient. This core ‘Traditional Service’ activity has been occurring 24/7 since the service was first established in 1928.
An emergency call is received and an assessment made as to whether the patient needs to be evacuated and flown to the nearest appropriate hospital.
Patients are treated at the scene of pick-up and during the flight by trained medical and nursing staff. Once at the destination, patients are then transferred to hospital by ambulance.
RFDS can also be involved in flying patients back to their home and then following them up through regular RFDS clinic services.
Further information on RFDS Emergency Services program can be found at the following link:
http://www.flyingdoctor.org.au/Health-Services/Emergency-and-Transport-Services/
It is suggested that you look particularly at Emergency/retrieval services in Western Australia, where there is comprehensive information on all aspects of this RFDS work.