Correcting a Dental Assistant Who Chronically Cross-Contaminates in a Dental Office

Cross-contamination in a dental office poses serious risks to both patients and staff.

By: Ronda Holman

When a dental assistant frequently engages in behaviors that lead to cross-contamination, it’s crucial to address the issue promptly and constructively.

Here’s how to effectively manage and correct this situation:

Assess the Knowledge Gap

Start by identifying whether the issue stems from a lack of understanding or inadequate training. Schedule a private meeting with the assistant to discuss infection control protocols.

Use this opportunity to assess their knowledge and pinpoint specific areas of deficiency. If needed, provide additional training to reinforce fundamental concepts like sterilization, proper glove use, and instrument handling.

Make watching “If Saliva Were Red” an annual requirement. 

Reinforce Office Protocols

Make sure the dental assistant is fully aware of your office’s infection control standards. Review guidelines for handling instruments, using personal protective equipment (PPE), and preventing the spread of contaminants.

Sometimes, reminders or visual aids, like posters in sterilization areas, can reinforce proper procedures. 

Provide Hands-On Training

Practical, hands-on demonstrations can be more effective than theoretical training alone. Walk through common tasks with the assistant, highlighting moments where cross-contamination risk is high.

Demonstrate correct techniques and have them practice until their performance consistently meets the standard. 

Use Constructive Feedback

Address mistakes as soon as they occur, but do so with tact. Immediate, constructive feedback is essential for behavior correction. Instead of simply pointing out errors, explain the potential consequences and why the correct method is critical.

For example, you might say, “When you touch surfaces with contaminated gloves, it puts everyone at risk. Let’s go over how to safely remove gloves and sanitize before touching anything.” 

Monitor Progress

After the initial correction, monitor the assistant’s performance closely. Encourage them when improvements are made and continue to correct behavior if cross-contamination persists.

A progress log can help track specific instances and improvements, providing a basis for follow-up conversations.

Foster Accountability and Ownership

Engage the assistant in a discussion about their role in maintaining a sterile environment. Encourage them to take pride in adhering to high standards.

Cultivate a culture of accountability where every team member understands that their actions directly impact patient safety.

Involve the Entire Team

Cross-contamination is a team-wide issue, and a single weak link can jeopardize everyone’s efforts. Periodically review protocols during team meetings and encourage open communication.

If the assistant sees others consistently following protocols, it can create a sense of peer accountability and reinforce the importance of proper procedures. 

Consider Disciplinary Measures if Needed

If repeated training and feedback don’t lead to improvement, it might be necessary to escalate the situation. Have a candid conversation about potential consequences, ranging from formal warnings to reassignment.

Consistent breaches in the protocol after corrective measures may warrant a serious discussion about the individual’s fit for the role. 

In Conclusion

Conclusion Correcting chronic cross-contamination behavior requires a blend of education, clear communication, and consistent monitoring.

By addressing the root cause, reinforcing proper techniques, and fostering a culture of accountability, you can guide your dental assistant toward maintaining the highest standards of infection control, ensuring a safer environment for everyone involved.

If you see something…say something!

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Photo by Karolina Kaboompics

Ronda Holman

Ronda Holman

Ronda Holman found her passion for dental assisting while in the Air Force. She assisted in oral surgery, general dentistry, and ended her four-year service as a prophy tech, the military’s version of a dental hygienist. She married and spent 13 years traveling the country while her husband served in the Air Force. Each time Ronda relocated she got the opportunity to work in a new dental office, where she picked up pearls that have helped her become an expert in educating dental assistants. Her interests are immediate denture/partial fabrication, CEREC technology, patient education, and striving for optimal chairside skills. Ronda believes that every dental assistant has the potential to be a rock star assistant if given the right tools and guidance.