What must be documented in the patient record for procedures done under general supervision?

For procedures performed under general supervision, it is essential to document the prescribed treatment in the patient record. This documentation serves multiple vital purposes, including ensuring continuity of care and providing a comprehensive account of the patient's treatment plan. It also plays a crucial role in legal and regulatory contexts, as it demonstrates that the dental hygienist has planned and executed appropriate treatments based on professional judgment and patient needs.

In dental practice, especially under general supervision, clear documentation of the prescribed treatment allows for effective communication among healthcare providers and helps to safeguard against potential disputes related to the care provided. Moreover, it aligns with best practices in patient care, ensuring every decision and action taken is traceable and accountable.

Other aspects like the patient's insurance information, medical history, and the dental assistant's credentials may be important in their own contexts, but they do not pertain directly to the documentation required specifically for procedures performed under general supervision. Therefore, the inclusion of prescribed treatment in patient records is a fundamental requirement that ensures both the legal integrity of the practice and the well-being of the patient.