Add to this paper a PLAN the requirements to do the plan are the following:
A .GENERATE A LIST OF POSSIBLE DECISIONS/SOLUTIONS ( AT THIS STAGE DO NOT CENSOR, CONSIDER ALL POSIBLE COURSE OF ACTION, NO MATTER HOW WILD/ CRAZY/ INNAPROPIATED THEY SEEM)
B. USING THIS LIST, ELIMINATE ANY OPTIONS THAT ARE CLEARLY UNETHICAL, ILLEGAL OR CLINICALLY INAPPROPIATED, USING THE ASSESTMENT ABOVE AS A GUIDE
C. ENMUMERATE, CONSIDER AND WEIGHT THE CONSEQUENCES OF EACH OF THE REMAIN ACTIONS
This ethical dilemma took place in a dental office last year. Everything seemed fine at first until a patient came into the clinic to do an SRP. One of the dental assistants was asked out of curiosity where the Hygienist was, and the answer given was “here we do not have dental hygienist” so it was asked again, who is going to do the deep cleaning? The dental assistant replied that she was the one that did the cleaning. It was a surprising and confusing moment because dental assistants are not supposed to do an SRP legally. Later on, it was clear that the dentist in the dental office was doing these unprofessional traits for many years. He was using dental assistants and making them do the dental hygienist work and only for 13 dollars an hour.
According to the book Ethics and Law in Dental Hygiene, the founding principles of all the health professions is nonmaleficience. We as professionals according to nonmaleficient our first obligation is to do no harm the patients. This dentist did not care about his workers nor his patients. Instead of paying a hygienist, he used the assistant as hygienist without caring about the patient’s safety, and without thinking if the whole procedure the assistant was doing was right or wrong.
Another code of ethics that this dentist broke was Respect for patients and colleagues. He was not respectful to the patients nor his colleagues. Of course, those patients did not know what was happening. They thought that the one that did the cleaning was the hygienist. When the patients had questions about whether the assistants were also a hygienist the answer the dental assistants had to give was that they were dental assistants with expanded functions which was not true at all. After that answer, the patients did not ask any more questions because they are not well informed and did not know what any of that means. In addition to that, this dentist charged each patient $150 per quadrant.
What should I do with respect to that situation?