What steps should a dental hygienist take if they suspect fraud in a patient record?

• A. Do nothing and hope it resolves itself.
• B. Report to the supervising dentist and to the Board as required; document findings.
• C. Alter the record to reflect what should have occurred.
• D. Discuss privately with a patient about the issue.

Answer: (B)

If you suspect fraud in a patient record, your action should be to report the concern through the proper channels and keep careful records of what you observed. The responsibility here is to protect patients and uphold professional integrity. Start by notifying the supervising dentist so the practice can review the record internally and take appropriate steps. If required by law or board rules, also report the issue to the Louisiana State Board of Dentistry or the relevant licensing authority. Along with reporting, document all findings clearly: what was observed, dates, names, any supporting documents or codes, and the steps you took to verify or clarify the situation. This documentation provides an objective basis for any investigation and protects you as well as the patient.

Why this approach fits best: it follows a chain of command within the practice and ensures a competent, authoritative review. It also satisfies legal and ethical obligations to report suspected misconduct rather than ignoring it, which could allow harm to occur or undermine public trust. By documenting thoroughly, you create a precise record that supports proper investigation and action.

Avoiding other options: doing nothing bypasses responsibility and could allow harm or further misconduct; altering the record amounts to falsification and is illegal and unethical; discussing the issue privately with a patient doesn’t address the record itself and could compromise confidentiality or investigative processes.