SPF P1.2. Maintaining and Protecting Patient Information for Dental Nurses

GDC Safe Practitioner Framework outcome P 1.2

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Safe Access, Records and Data Minimisation

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Maintaining patient information means keeping it available, accurate and useful for care while preventing unauthorised access or disclosure. Data minimisation means using only the information needed to complete the task; it does not justify withholding details required for safe treatment.

Dental nurses may need to check records for legitimate reasons such as preparing a surgery, confirming allergies, updating a medical history, checking an appointment, preparing referral material or responding to a patient query. Access becomes unsafe when it is driven by curiosity, convenience or another person's login.

Safe access habits

  • Use your own login and lock screens when leaving a workstation.
  • Open only the record needed for the task.
  • Check patient identifiers before entering or using information.
  • Keep paper records, printouts and forms away from public view.
  • Dispose of confidential waste through the approved process.

Accuracy is part of protection. Incorrect, out-of-date information or records attached to the wrong patient can cause harm. Amend patient information using the proper process so the audit trail remains clear.

Scenario

A receptionist is busy and asks a dental nurse to log in under the receptionist's account to print a medical history form. The nurse has their own access but it takes longer to switch users.

What is the safer response?

 

Data minimisation means using enough information for safe care, but no more than the task genuinely needs.

Ask Dr. Aiden


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