Ask Kara RDH: Patient Refusal Forms

The new office I work for has refusal forms for everything; X-rays, perio chart, SRP, etc. To me, this is supervised neglect for over two years of X-rays and one year for periodontal charting. I’m not sure about non-surgical periodontal therapy/SRP. I had one patient who had not had a perio chart in several years due to refusal. I...

Ask Kara RDH: What should I do about doctor cutting my pay?

I’ve been a hygienist at my current office for two years now. When the doctor hired me, he told me he would pay me $30 per hour ON ONE CONDITION: he said I must have at least five patients per day. If I have less than five, he cuts my pay down to $16 an hour. I agreed only...

Ask Kara RDH: Office Doesn’t Feel Like a Good Fit

I recently moved and started working at an office last week. After taking the position, I realized that it is very unorganized and patient care is not their main focus. There is negativity in the office and I actually sometimes feel very uncomfortable with the situations I have been put in. I am too nice of a person and...

Ask Kara RDH: Asking for a Raise

I work for one doctor at 2 of his offices. They are each in 2 completely different areas and therefore have two different average salary rates for the areas. I get paid $43 at one office which is okay for the area, but then I get paid the same amount for the other office when the average salary is...

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: New Hygienist Doing Inferior Work

I have 33 years experience and have worked in my current office for 13 years. I take pride in my care of my patients. We deal with a lot of perio, have successful results with SRP, and refer when needed. The doctors hired a new hygienist. I have brought to their attention a few situations where at the four-month...

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: What is the best way to suggest perio treatment to a patient?

I just started my first dental hygiene job, and I’m having a hard time on how to suggest perio treatment and referrals. What’s the best way to explain perio to a patient and how to stress the importance not to leave deep pocket depths and bleeding untreated? With time, the more patients you see and explain the need for referrals...

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: Young Hygienist Doesn’t Scale Thoroughly

Our office has three hygienists; myself, who has been a hygienist for 35 years, my coworker “Lorna” who has been a hygienist 45 years, and our newest addition “Lucy” who graduated almost three years ago. Lucy gets done with ALL of her patients in 40 minutes. Lorna and I stay on time, but we usually aren’t as fast. The...

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