Ask Kara RDH: Patients Complain I Talk too Much

When I am uncomfortable, running late, stressed out, fill-in the blank—–, I talk too loud and tend to talk too much. This “she talks too much” has inspired two patients complaining this last year in our reviews. I really try not to, but sometimes I misread the patient and pow! Any advice? This can be a tough one because you...

Ask Kara RDH: Inadequate Instruments when Temping

I am a new grad working as a temp hygienist with an agency. I’m noticing more and more that the offices I’m temping in do not have sufficient instruments at all! I know I was spoiled in school to have like 5 of everything, but now I’m working in offices that don’t have any curettes at all - no...

Ask Kara RDH: Holding X-ray Sensor While Exposing Radiographs

I work in a pediatric office, and the doctor won’t buy a size 0 sensor. Because of this, to “get the shot” we are having to hold the sensor while exposing radiographs multiple times per day because of our patients’ small mouths. How do you address exposure concerns with the doctor? This is a tough one because guidelines for operator...

Ask Kara RDH: PSA Block Injection Complication

I recently administered a right PSA block on a patient. Seconds after, my patient expressed that it hurt more than when I had numbed the left side a week prior. She kept expressing that her cheek felt puffy and hard. I attempted to massage the anesthetic into the nerve, but the patient continued to tell me that it felt...

Ask Kara RDH: Patient with Severe Sensitivity when Scaling

I have a patient with extreme thermal and tactile sensitivity but has great probing depths. She qualifies for a prophy but needs to be anesthetized due to her sensitivity. Therefore, we do 1/2 mouth one visit, and the other half another visit. What insurance code would we use to bill this out as? Any suggestions besides local anesthesia to...

Ask Kara RDH: Rumors Being Spread About Work Ethic

I recently graduated from dental hygiene school and will be returning to my hometown to find a job. I’m from a small town with about 20-30 dental offices, and I have worked at two of them. In the process of trying to find a job, I have discovered an untruthful statement about my work ethic, specifically, my punctuality. A...

Ask Kara RDH: Should I Stay at My Current Office or Move On?

I’m a new grad. When I first was hired, my employer promised me 3-4 days a week, if not more. There are currently two hygienists, and they hired me as the third. I was filling in for a maternity leave, but since the office was expanding, he was going to keep me. Now that the other hygienist is back...

Ask Kara RDH: Co-worker Underdiagnosing & I Have to Explain to Patient

What do you do if you have a patient that’s been coming to the same practice for 15 years as is treated by the same hygienist, but I am now seeing them due to a scheduling conflict, and the patient presents with moderate subgingival calculus and slight bone loss on X-rays?  Because of this, it is recommended to the...

Ask Kara RDH: Is the office legally covered with signed informed refusal forms?

The new office I work for has informed refusal forms for everything; radiographs, perio chart, SRP, etc. To me, this is supervised neglect for over two years of no radiographs and one year for perio chart. I had one patient who had not had a perio chart in several years due to refusal. I explained to the patient why...

Ask Kara RDH: Do I really need to sterilize slow-speed handpieces after every patient?

I read one of your articles regarding infection control. Do slow-speed handpieces really need to be sterilized after every patient when using a disposable prophy angles? We are currently sterilizing at the end of each workday. Yes, slow-speed handpieces must be heat-sterilized in between every patient. Even though you use disposable prophy angles, and slow-speed handpieces are considered semi-critical devices,...

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