When treating a homebound patient, what level of supervision is required for the dental hygienist?

In Washington State, the level of supervision required for dental hygienists when treating a homebound patient is defined as general supervision. This means that while the dental hygienist operates independently, they must provide their services under a dentist's overall direction and responsibility.

In practical terms, general supervision allows the dental hygienist to perform certain procedures without the dentist being physically present. However, it does necessitate that the hygienist has the necessary training and is practicing within the scope of their licensure. This is particularly relevant for homebound patients, as it emphasizes the importance of ensuring that care is provided appropriately while maintaining a responsible connection to the supervising dentist.

The other levels of supervision either imply a closer level of oversight or complete independence, which do not align with the regulations governing dental hygiene practice in this context. Close supervision, for instance, would require a dentist to be on-site, which is not practical in a home setting. Complete autonomy and independent supervision suggest that a hygienist could operate entirely without oversight, which does not comply with the legal framework established for their practice.