Which of the following actions is NOT a duty to report?

The choice of low productivity as NOT a duty to report reflects the understanding of what constitutes a violation in the context of professional practice in dental hygiene. While impairment, unprofessional conduct, and gross incompetence directly impact patient safety and the integrity of the practice, low productivity does not inherently indicate a risk to patient care or ethical breaches.

Impairment refers to a dental hygienist being unable to perform their duties due to substance abuse or mental health issues, which must be reported to protect patients. Unprofessional conduct encompasses behaviors that undermine the trust and professionalism expected in the practice, warranting reporting due to potential negative impacts on patient interaction and care. Gross incompetence implies a severe lack of necessary skills or knowledge, presenting a significant threat to patient safety and necessitating reporting to ensure standards are upheld.

Therefore, while low productivity can be a concern for practice management and finances, it doesn’t reflect unethical behavior, an inability to safely practice, or threats to patient health, making it the correct choice as an action that does not require mandatory reporting in the dental hygiene profession.