When should a dental nurse escalate safeguarding concerns?

• A. Immediately to the dentist or designated safeguarding lead; follow local policies; document.
• B. Only after the patient leaves.
• C. Never.
• D. Only after a report is filed.

Answer: (B)

Safeguarding concerns must be acted on immediately when there is suspicion or disclosure of abuse or neglect. A dental nurse should promptly inform the dentist or the designated safeguarding lead and follow the practice’s safeguarding policy, while documenting what was observed or heard in a factual, time-stamped manner. Do not wait until the patient leaves; raising concerns while the situation is ongoing allows for immediate assessment and protective actions to begin without delay. If there is an immediate risk, contact emergency services. This quick, documented step protects the patient and ensures the right people can respond promptly, rather than waiting and potentially missing critical opportunity to intervene.