The clinic's dental team should keep an accurate, full and up-to-date record of
all aspects of the patients care. It should use and store it in a manner that ensures
confidentiality, and is in line with current legislation and standards.
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The patient care record:
- should be confidential;
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should be used by members of dental team to make sure there is continuity in care
and treatment;
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should contain up-to-date information recorded by members of the dental team about
every aspect of care on each visit; andq
- should be kept in line with best practice guidelines.
- All the patients personal information should be stored securely.
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Only the patient and the people involved in care, or other people agreed by the
patient should have access to information held, unless there is a lawful basis for
disclosure.
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If there is no clarity about any part of patient care record, the patient can ask
for, and get, an explanation.
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There should be clear and effective communication about the patient care among dental
team and with other healthcare professionals involved in care.
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The patient should be made aware of the statutory arrangements for the safe storage
and retrieval of the record if the dental clinic closes.
