The purpose of this position is to serve as a Dental Hygienist and provide direct patient care under the general supervision of a Dentist within the VA Northern Indiana Healthcare System Dental Service and to perform other clinical functions independently of direct supervision.

Duties

Major duties and responsibilities include: The Dental Hygienist sets up operatory for planned dental procedure by cleaning dental unit for timely turnover and handles instruments safely, accurately, and efficiently. Incumbent provides routine oral prophylactic care to include application of fluoride solutions, gross debridement, deep scaling, and curettage and root planning procedures. Cleans dental prostheses, fixed and removable, manages dental recall system, referring patients to the Dentist for additional care when needed. Applies desensitizing and sealant materials, makes impressions for fluoride carrier trays, administers topical and local anesthetic agents, and provides patient education appropriate to the veteran's needs and oral condition. Performs dental imaging which consists of taking digital and/or conventional radiographs of in-patients and outpatients according to prescription, including periapical, bitewing, occlusal, panoramic, cephalometric, and 3D imaging. Images are characterized by diagnostic quality, accurately oriented and exposed. Dental imaging safety techniques are utilized, and retakes are minimized, therefore, imaging requests are accomplished within the desired time frame. Responsible for Infection Control by demonstrating proper infection control procedures in setting up and cleaning up operatory as well as safety procedures in exposing images. Instruments are properly prepared for sterilization by SPD standards and in a manner that does not delay clinical care. Enters ADT orders into CPRS with information about future appointments and assists in filling gaps in the schedule to minimize missed opportunities. Annotates chart findings, treatments plans, and treatment provided in Computerized Patient Record System (CPRS). Maintains patient confidentiality per Health Insurance Portability and Accountability Act (HIPAA) with written and verbal information and follows computer security regulations. Incumbent observes and complies with all established safety practices. Modifies care as necessitated by patient's age and abilities and provides accurate and understandable instructions to patients. Participates in patient identification and time out per The Joint Commission (TJC) requirements, assures Material Safety Data Sheets (MSDS) are updated and monitors patient condition during treatment being alert for signs of physical distress. Responsible for reporting any work-related injuries, illnesses, and diseases immediately to your supervisor. Ensures that working conditions and work practices within the worksite are such that the possibilities of on-the-job injuries are minimized. Work Schedule: Monday - Friday, 7:45 am - 4:30 pm Telework: Not authorized Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Applicants must possess an Associate degree or higher from an accredited dental hygiene program. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved programs are: (1) Dental hygiene programs accredited by the American Dental Association's Commission on Dental Accreditation (CODA). (2) [Education completed outside of the United States must be considered at least equivalent to that gained in CODA accredited United States programs and would enable the candidate to sit for the National Board Dental Hygiene Examination, which is administered by the Joint Commission on National Dental Examinations.] Licensure/Certification: (1) Licensure. Applicants must be currently licensed to practice as a dental hygienist with a full, current and unrestricted license in a State, Territory or Commonwealth of the United States, or the District of Columbia. (2) Certification. P.L. 97-35, Omnibus Budget Reconciliation Act Of 1981, requires persons who administer radiologic procedures meet the credentialing standards in 42 C.F.R. Part 75, Standards for the Accreditation of Educational Programs for and the Credentialing of Radiologic Personnel. To meet this requirement, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the Department of Education and be certified as radiographers in their field. Accredited dental hygiene programs contain curriculum addressing radiologic procedures meets the requirement for certification as dental radiographers. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: In addition to the basic requirements outlined in paragraph 3.b., the following criteria must be met when determining the grade of candidates. Dental Hygienist, GS-09 (a) Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level. (b) Assignments. Employees at this level serve as staff dental hygienists at the full performance level. They provide direct patient care and receive guidance from higher-level or supervisory staff members for only the most complex patients and require only general supervision from a dentist. Assignments at this level include but are not limited to patient medical assessment (e.g. medical/dental history, social history, vital signs, full periodontal assessment and charting), disease and treatment management recommendations, denture care, scaling and root planing, radiographs/image interpretation, patient education (e.g. post-procedure, tobacco cessation, caries and perio-disease prevention), behavior management, management of stable medically compromised patients (including risk factors), instrument sharpening, inter-service communication. VA Handbook 5005/146 July 23, 2021 PART II APPENDIX G37 II-G37-7 (c) Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs: Knowledge of hygiene procedures to explain the process and indication, complications and expected treatment outcomes for each. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure. Skill in educating patients and caregivers on periodontal disease, wellness, health maintenance, oral hygiene practices, parafunctional habits, and effects of illness, addictions, medications and tobacco on the oral cavity. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer safe patient care. Ability to assess the impact of patient's medical and dental condition on maintaining oral health, recognize age-related changes in individual patients, adapt patient environment, and maximize patient's physical comfort. References: VA Handbook 5005, Part II, Appendix G37 The full performance level of this vacancy is GS-9. Physical Requirements: Moderate lifting, 15-44 pounds; moderate carrying, 15-44 pounds; reaching above shoulders; use of fingers; use of both hands; walking 4 hours; standing 4 hours; sitting 4 hours; repeated bending 4 hours, body in awkward positions while performing dental work; ability for rapid mental and muscular coordination simultaneously.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Northern Indiana HCS 1700 East 38th Street Marion, IN 46953 US
• Name: Amanda Richmond
• Phone: 214-857-2293
• Email: [email protected]