Q: What type of dentist uses your service?

A: The dentist who puts the safety of both patients and employees ahead of profits. The dentist who is proactive when it comes to infection control. The dentist who sees value in yearly employee training. The dentist who’s standard is delivering the highest quality of care and the highest level of safety. Unfortunately only a very small percentage of dentists fit the profile!

Q: We get children who have problems with keeping the x-ray sensor in their mouth because of gagging or discomfort. A staff member  is required to stay in the room with the patient and hold the sensor in place while another staff member presses the button to take the x-ray. The staff has discussed concerns about radiation exposure with the employer, the employer suggest that we wear a radiation apron when in the room while holding the sensor. Is this safe?

A: NO it is not safe and it is a violation of OSHA, Department of Health Services and Consumers Affairs regulations. I would advise your employer to purchase the proper sensor for children, the cost would be cheap compared to the citations, fine and potential lawsuit by employees!

If you received “OSHA” training, you only received five percent of the needed information to be compliant and reduce risk to yourself and patients. OSHA training is not,

• The Dental Practice Act
• Sterilization
• Patient Safety
• Dental Board Infection Control
• HIPAA
• Radiation Safety
• Environmental Heath Management
• Human Recourses

Dental Professionals must look beyond the “OSHA mentality” and take responsibility to find out what they need in order to be competent in their duties. They also need to change their mindset from doing only the minimum to adding value in everything they do.

Before using chemical products or any product for that matter, first read the label. If you do not understand the instructions ask management before using the product. Take the time and steps necessary to be safe!

General and Cosmetic Dentistry – located at 1331 Medical Center Dr., Rohnert Park CA, 94925, Phone: 707.585.2525

Drs. David & Philip Terribilini and their team of Dental Professionals knows what it takes the maintain a Patient Compliant office. “Excellence in Patient Safety and Infection Control” should be etched on the door to this office!

Visit their website: www.rohnertparkdentists.com

It is amazing how often I am asked “What’s new with OSHA?  When the question should be “What’s new with Dental Compliance?”

Why?  its simple; Dental Offices are regulated by more than OSHA, depending on the county and city your practice is located in; it can be as many as seven agencies!

However, if you look beyond your OSHA training and gain an understanding of the compliance makeup you will also gain an appreciation that compliance regulation is an essential part of your business operations, both in growing your practice and maintaining your practice, not to mention reducing financial risk. Today compliance has taken on a whole new meaning, it is no longer a back office issue; it is a “total” practice philosophy.  Compliance is good – good for the staff, good for the patient and good for the practice.  So think “Dental Compliance” and not just OSHA.

Employee turnover is hitting the dental profession hard and will continue for many more years, but turnover is no reason for not staying compliant with regulations, especially when it comes to hiring and training.  So let’s focus on being proactive, here are some suggestions,

Hiring - The candidate should complete an Employment Application and should submit a current resume along with a list of personal and business references. Asking the following questions in a face-to-face interview should provide an overview of the candidate’s qualifications and experiences.

• Education & Training
• Work Experience
• Expectations (relating to employment)
• Career Goals

Background & Reference Check - Because of the increasing issues surrounding employment verification and background checks I highly recommended engaging the service of a firm that specializes in background checks, however if you conduct the background yourself verify the following,

• Date of hire
• Date of departure
• Positions & Titles
• Rehire Status

Don’t be surprised that the previous employer declines to answer your questions over the phone, but instead request a letter for employment verifications be sent, this is becoming a standard.

Personnel File (or Employee File) - There should be a Personnel File setup for every employee on your staff.  The following is the “basic” documents that should be maintained in the Personnel File,

• Employment Application (Original)
• Employment Eligibility Verification form (I-9)
• Copy of Driver’s License (or State ID)
• Copy of Social Security Card (not just the number)
• Completed “Hepatitis B Vaccination” form
• Copy of current professional license issued by licensing board  (if licensed)
• Copy of current CPR card (if applicable)
• Copy of license support documents (i.e. radiation safety certificates)

The Personnel File must be kept in a locked filing cabinet.

Employee Training - All employees including managers and supervisors should receive training on general and job-specific safety practices.  Training and instructions should be provided,

• When policies are established or changed.
• New staff members should receive compliance orientation training within the first 10 days of employment.
• Staff members who are given new assignments for which training has not been previously provided.
• When new substances, processes, procedures or equipment are introduced to the workplace.
• When new or previously unrecognized hazards are discovered.
• To supervisors to familiarize them with safety and health hazards to which staff members under their immediate direction and control may be exposed.
• All staff members with respect to hazards specific to there job assignment.
• A “refresher” training session for all staff members of the primary training topics are conducted a minimum of twice a year.

Core Training Topics - Core training topics should be the key sections of your Compliance Manual,

• Prevention Program
• Hazard Communications
• Infection Management
• Exposure Management
• Emergency Protocols
• Safety Protocols

Never over look the importance of training and meetings, both will keep employees advancing forward while promoting a safe and injury-free work environment. Make Compliance work for you!

Staff and patient safety must be blended into the daily activities and responsibilities. Safety isn’t something that is add-on when it is convenient or cost effective. The mindset of the Dental Profession towards safety in general must change otherwise staff and patient casualties will be astronomical.

Assuming that new hires both experience and inexperienced know what to do to maintain the standard of your office is risky business. Take the time and orientate all new hires to the policies and procedures of your office and constantly test their understanding of your standard. I suggest conducting a New Employee Orientation for the first ten days of employment and longer if needed, the areas of focus should be patient safety, patient information security, infection control, OSHA, Consumer Affairs and office policies & procedures. The key to successfully maintaining a standard is making sure everyone is on the same page. By the way, employee training should be conducted a minimum of once a year and for maximum results onsite!

Training is a process that improves knowledge and skills and information is the key ingredient for all training. Information must be current, specific to the job, presented by a qualified instructor and conducted yearly. Reducing employee training or looking to cut training costs by doing it yourself is ludicrous. Investing in employee training will payoff many times over and it is a critical element for a Patient Compliant office!