Hi all, I recently joined a private practice. I have only worked for corporates so far so my first experience with private. It has not been the best experience so far so I wanted to reach out for some help.

Consents: I'm used to a general consent form where patient will initial next to fillings, anesthesia, etc and then major consent forms for extractions, RCT, crowns. My owner feels like anesthesia and fillings don't need consents. What is your opinion?

BP: I want to know how often do you get BP in your office. Do you take it before you numb up a patient or once in a while? My employer does not want me to take BP before procedures unless patient has a history of hypertension. He says take it once in 6 months and thats how his assistants are trained. I've been trained to take it anytime I have to give anesthesia.

Getting a periapical radiograph: How old of a PA works when doing a crown prep? I like a get atleast a new PA if the old PA is over a year old since I'm not sure what happened to that tooth in the past year. Again, I receive some criticism from the owner and his DA's because they say that insurance won't pay for a PA so just use the old one you have. I'm really confused and having a hard time in this job.

Pano: if FMX or pano is covered once in 5 years and I need both then my last office would waive off the pano cost. But in my new practice, the DA gets mad at me for asking her to take a pano because insurance won't pay. For example, we have an FMX from 2018 for a patient planned for full mouth extraction. Would you take a pano before you extract teeth 3 years later to make sure nothing has changed or would you use that old FMX?

Thanks all. Hope I can understand if I need to change my thoughts or my job!!