If a patient is treated by someone other than the dentist of record, who must initial the patient’s chart?

When a patient receives treatment from someone other than the dentist of record, it is vital for the records to reflect who actually provided that treatment. This is crucial for several reasons, including accountability, continuity of care, and proper documentation of services rendered. The person who delivered the treatment has firsthand knowledge of the specifics involved and is in the best position to make accurate notations in the patient's chart.

Initialing the chart by the treatment provider not only establishes a clear line of responsibility for the care provided but also ensures that any follow-up actions or referrals can be appropriately directed based on the documented interactions. This practice supports legal compliance and helps maintain the integrity of the patient's records, which is vital for any potential future review, whether it be for legal, insurance, or quality assurance purposes.

While others involved in the patient's care may have responsibilities for documentation or supervision, it is the person who delivered the treatment that must initial the chart to confirm they were the one who provided that care.