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Conflict in the clinic

Most jobs deal with people, and when you deal with people, you’re likely going to have workplace conflicts.

Something many people notice about the dental field is how gossipy it is… Maybe it’s the fact that the majority in each clinic is female? Either way, a colleague and I got into a conversation and started trading stories about clinics.

Here are a few of the more common conflicts found at the clinic:

Boss throws a tantrum

Now, the worst thing about having your boss chucking tantrums is just that… they’re your boss. If they were a friend or family member, I’ld smack them on the side of the head and tell them to grow up …. or maybe not, but you get the point! There’s no other way to handle it (unless you don’t mind getting the sack) but to smile and ignore their jibes directed at you.

Boss bitches about you to a patient… in front of you

The worst thing a boss could do is talk down to their staff in front of a patient. Seriously, what’s the point of that? I mean, the staff is pretty much trapped in that room with you … why make it even worse than it already is?
Do you seriously think that we enjoy being in your presence?

Doesn’t the boss realise how completely unprofessional it is to question the competency of staff in front of the patient when they’re in the middle of treatment?? It’s like the doctor saying to the nurse, “Don’t kill the patient when I’m gone” whilst she’s adjusting the patients’ IV.

If someone has worked with you for 5 freaking years and you’re still questioning their competency, then why the heck didn’t you bring it up earlier?!?

Boss discloses detailed information about you to a patient… without consent

A staff member had to take sick leave for surgery and during the whole time she was away, my boss would tell patients (in detail) why my colleague was not working regardless of whether or not the patient even asked about it. When my colleague came back to work, everyone knew.

Just because staff are obligated to tell you WHY they have to take sick leave, it does not obligate you to let the whole freaking world know too!

Colleagues playing mind games

You know the types, they’re the ones who weedle their way into everyones’ good-books and then cunningly get individuals into trouble or even sacked. You won’t even know what hit you.

I know of all the staff quitting because the practice manager has the dentist wrapped around their little finger, and oblivious to the boss, they bully other staff.

Workplace politics

I’m not very good with politics, and I do my best to avoid it like the plague. But when you’ve been approached in your work room, then there’s not much choice but to listen to the arguments. When war breaks out, I like to think of myself as Switzerland – neutral to the flaw.

Busy at work… with the family

I’ve entered the rat race.

Work. Cook. Eat. Clean. Sleep. Repeat

They say work is your second home.

giggle If the above statement is true… then this must be my family

GC Tooth Mousse Cows are so CUTE! I admit it’s a great marketing tactic, and I don’t think any of the other dental companies have collectible mascots for their products like these Tooth Mousse cows. Of course, if the product itself wasn’t good, then it wouldn’t sell no matter how cute the mascots are.

sweatWe actually have more cows, but they’re all spread out in the clinic and I couldn’t find them…. plus I didn’t want the boss to think I was spending my time so unproductively. heH…

giggle On a side note, I heard GC only gave out their keyring cow ‘Penelope’ to the dental hygienists? hAHa! maybe I shouldn’t have showed it to everyone at work

Dental Code of Conduct

twistedlover…under Washington Administrative Code 246-16-100, they [health professionals] “shall not engage, or attempt to engage, in sexual misconduct with a current patient.” Sexual misconduct “includes but is not limited to” sex, kissing, “hugging . . . of a romantic . . . nature,” “suggesting or discussing the possibility of a dating, sexual or romantic relationship after the professional relationship ends,” “terminating a professional relationship for the purpose of dating or pursuing a romantic or sexual relationship,” or “making statements regarding the patient['s] . . . body, appearance, sexual history, or sexual orientation other than for legitimate health care purposes,” among many other things.

OK, you say, no problem; you should just switch to a different dental hygienist or optician, and then start dating. Perhaps banning optician-client relationships is going a bit far, but it’s hardly a big burden on people’s romantic, sexual, or marital choices.

contractNo dice! Subsection (3) of the provision states that “a health care provider shall not engage, or attempt to engage” in any of these activities “with a former patient, client or key party within two years after the provider-patient/client relationship ends.” Two years is not a short time. If you do want to date your former dental hygienist or optician, you can’t even kiss her until two years after you leave her practice. Or, to be precise, you can kiss her, and she can kiss you back–if she is willing to risk professional discipline and possibly loss of her livelihood, a pretty serious burden….

….Of course medical relationships offer room for various kinds of abuses. In some situations, it may be proper to interfere with people’s right to marry, and their sexual and romantic autonomy, in order to prevent those abuses….

..…But the trouble here is that the rules go vastly further than these special situations, and vastly undervalue the countervailing reasons to limit regulation–people’s right to choose whom to date, have sex with and marry, even including their dental hygienists, opticians, and the like. So much for the right to marry; so much for sexual autonomy; so much for consenting adults deciding whom to love, without the fear of losing their livelihood.

The Lonely Optician
by EUGENE VOLOKH
Source: WSJ Opinion Journal

After reading this article, I did a quick google of the Australian Dental Code of Conduct. The best document I found was from the Dental Practice Board of Victoria, and it didn’t have all those extra subsections *phew* Not that I’ve got anything to worry about, but you really never know what people will sue you for nowadays!

What I don’t like about the Code of Conduct is how it really strips the power from the practitioner or health care worker. I’ve had a number of patients who have made me feel uncomfortable with their innuendos, and all I can really do is tell the patient to stop…. and they would then just claim innocence.

The main problem comes with trying to distinguish between those patients who are just naturally flirtatious and don’t mean any harm, and the sleaze of the world…

I’m A Dentist – Little Shop of Horrors

I’m a Dentist is exactly how the media loves to portray the Dentist as. A cruel, evil, sadistic dude. That’s why I like to dissociate myself by emphasising the fact I’m a hygienist =)

Anyhow, I’ll probably just be tweeting for a while because not only do I have the Dental Congress this weekend, I’ve got a lot of loose ends to tie up.

Reminder to self:

  • YSC – newsletter
  • Chase up itinerary: call J
  • Dig up Commerce books/notes/assignments: call C
  • Skim the market: call E
  • Check account
  • Call C (sms/persist if still can’t get through)
  • Burn CD of photos and images for mum
  • Give mum a crash course on how to use the lumix
  • Make another list of things to do while mum is gone

(Orin) When I was young and just a bad little kid,
My momma noticed funny things I did.
Like shootin’ puppies with a BB-Gun.
I’d poison guppies, and when I was done,
I’d find a pussy cat and bash in its head.
That’s when my momma said…
(What did she say?)
She said my boy, I think someday
You’ll find a way
To make your natural tendencies pay…

You’ll be a dentist.
You have a talent for causing things pain!
Son, be a dentist.
People will pay you to be inhumane!

You’re temperament’s wrong for the priesthood,
And teaching would suit you still less.
Son, be a dentist.
You’ll be a success.

(Ronette) Here he is, girls, the leader of the plaque.
(Chiffon) Watch him suck up that gas! Oh my God!
(Crystal) He’s a dentist and he’ll never ever be any good!
(All Three) Who wants their teeth done by the Marquis de Sade?
(Patient) Oh, that hurts! I’m not numb!
(Orin) Eh, Shut Up! Open Wide! Here I Come!

I am your dentist.
And I enjoy the career that I picked.
I’m your dentist.
And I get off on the pain I inflict!

I thrill when I drill a bicuspid.
It’s swell, though they tell me I’m mal-adjusted.

And though it may cause my patients distress.
Somewhere…Somewhere in heaven above me…
I know…I know that my momma’s proud of me.
Oh, Momma…

‘Cause I’m a dentist…
And a success!

Say ahh… (ahh)
Say AHhhh…(ahhhh)
Say AAARRRHHHH!!! (aaarrrhhhh!!!)
Now Spit!

CSI: Perth

giggle hAHa sorry, we’re not having any CSI (Crime Scene Investigation) tv drama based in Perth. The CSI: Perth that I’m talking about is the Clinical Scientific Innovative… say what? You can click away now before I bore you with my ramblings of dental conventions and what not.

The 33rd Australian Dental Congress and Exhibition in Perth is just around the corner, yaY!? I know that there’s actually not much to get excited over, I mean who wants to sit in on lectures during the weekend?

I don’t mind though, because I know that I have a long way to go before I can confidently say that I’m the best at what I’m doing.read There’s so many articles, research journals and new products, to read up on. Even after you finish one, you realise that there’s a whole stack of other articles contradicting the one you’ve just read…. sigh-glass it’s just never ending!

So anyway, I’ve looked through the Programme quite thoroughly and I have a fair idea of what I’m sitting in on (or in some cases what I’m NOT sitting in on). yawnI just wish there was a little more detail into the presentations, I’ld rather not listen in on something that bores me to tears… I think I would rather have a monotone lecturer with an interesting topic than an animated lecturer with a boring topic.

Download the Scientific Programme heresmackdown

I think Sunday is the one I’m most looking forward to, geriatrics and paediatrics… not exactly sure why because those patients aren’t exactly my favourites yeahright I suppose it’s because it’s most rewarding when you finally convince the stubborn 70yo or bratty 6yo to brush their teeth. Obviously I haven’t quite mastered the right way in handling these types of patients plot

Well, hopefully the other days won’t drain my brain too much…

How to Scare a Patient

whistleI accidentally discovered a [no so] great method on how to scare the crap out of a kid in the dental chair, and very possibly scar them for life to the point that they refuse to return until they have pus pouring out of the multiple abscesses they have!

The ingredients needed for this concoction is:

  • 1x patient. Preferably around 6 years of age. This is the ideal age because they’re unlikely to have had any hardcore dental work done before [unless they're the type to suck on lollies 24/7], won’t know what to expect, and they are also old enough to remember the dreaded experience.
  • 1x dentist/therapist/hygienist. For ideal conditions, make sure they are running behind and pressed for time, which will hopefully cause them to rush through the procedure without fully explaining and buttering up the patient.
  • A nurse/assistant. Or preferably not, since not having one will make things a lot more difficult. In this case I had an inexperienced assistant… I guess it partially counts?
  • 1x set up…. er duh!?

Method:

  1. deviousStart as per usual, inviting the patient into the room and into the dental chair. It may be good to still be in the process of setting up as it will make lots of noises, and allows the patient to see all the instruments and imagine the worst-case scenario. Note: Be sure to use the gel etch and fissure sealant in syringe with the tips looking awfully sinister.
  2. The dentist/therapist/hygienist needs to talk as little as possible. The aim is to make the whole experience as cold and sterile as possible. No smiles allowed.
  3. Begin procedure as per usual. Be sure the wave the handpiece around the patients face.
  4. ninjaWhen etching and applying sealant, move fast, silently and directly so to make the poor kid jump in surprise thinking they’re getting jabbed by a needle.
  5. Finish up as per usual. Be sure to be as mean as possible by ignoring the patient’s tears and kicking them out the door pronto~!


hrmm… alright, so that wasn’t exactly how things actually turned out. Step 4 however is inspired by what happened when I was doing a fissure seal on a little patient of mine. She was so good as well… and I had to apologise multiple times because I felt terrible for scaring the crap out of her.

bakaHow did it happen? Well… I was completely in my own zone that I didn’t even realise how scared she was until she gasped out loud when I first applied the etch. When in the zone, a set of teeth is just another set of teeth, I forgot that this particular set of teeth was actually attached to a patient who has never had a sealant.

sigh-glass Thankfully the little patient was super-mature about the whole scarred for life process and forgave me just a little bit…. I can only imagine what she really thought of me….