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Ask the advisors: maintaining professional boundaries

A healthy relationship between a client and an RDH includes elements of trust, respect, confidence, sensitivity and empathy. The presence of a power imbalance and variable client experiences of vulnerability also inform the relationship. With these factors at play, it is essential for RDHs to lead the way in establishing and maintaining a professional client/hygienist relationship with appropriate boundaries.

With the intimacy and vulnerability associated with Dental Hygiene treatment, a sense of familiarity may arise, leading to violation of professional boundaries. 

For example, you may be treating a new client who is on their phone while you update their clinical notes. The client begins discussing details of their activity with dating apps. You recognize this as a violation of a professional boundary and that it is your responsibility to protect the professional relationship. 

What are your options in this situation?

In this situation, the RDH can:

  1. Redirect the conversation back to one with a professional focus;
  2. Avoid disclosing or sharing any intimate personal information; and
  3. Document these types of interactions, if they occur repeatedly, or as necessary

Maintaining professional boundaries is challenging. Other things to consider:

  • Avoid any comments that could be interpreted as suggestive.
  • Avoid making any comments about your client that are not directly related to clinical care.
  • Avoid raising or discussing any topics that may be controversial or could be interpreted as offensive.
  • Never date a client.

Navigating the client/dental hygienist relationship can be tricky! Check out some of our resources on professional boundaries and sensitive practice, or feel free to get in touch with a Practice Advisor: