Employees at this level serve at staff dental assistants independently performing more complete work in assigned specialties while receiving general administrative supervision. Employees at this higher level of competency provide a higher scope of complexity and range of variety of duties more than 25% of the time. The Dental Assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision.

Duties

Major Duties assigned, but not limited to: Customer Service Shows courtesy, respect, and a positive attitude for patients, co-workers and the public Provides assistance to customers with questions or concerns, provides service recovery Chair side Assisting Sets up operatory for planned dental procedure and cleans dental unit for timely turnover Passes instruments safely, accurately, and efficiently Keeps operative field clear of debris and retracts oral tissues effectively and comfortably Prepares dental medicaments and impression materials per manufacturer's instructions Accomplishes all intra-operative procedures within standard infection control protocols Assists in routine general dental procedures Assists in specialized dental procedures, such as oral surgery, endodontics, and periodontics Dental Imaging Images are characterized by diagnostic quality, accurately oriented and exposed Dental imaging safety techniques are utilized, and retakes are minimized Imaging requests are accomplished within the desired time frame Imaging requests not accompanied by a consult will have a consult Initiated and processed according to VA guidelines Infection Control and Equipment Sterilization Demonstrates proper infection control procedures in setting up and cleaning up operatories Instruments are properly prepared for sterilization by SPS standards Instruments are prepared in a manner that does not delay clinical care Demonstrates proper infection control procedures in exposing images Clerical Functions Assists patients in scheduling appointments Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments Assists dentist in charting findings and treatment plans in patient records Information Management Maintains patient confidentiality per HIPAA with written and verbal information Follows computer security regulations Patient Safety Modifies care as necessitated by patient's age and abilities (patient transfer and position) Provides accurate and understandable instructions to patients Participates in patient identification and time out per The Joint Commission requirements Monitors patient condition during treatment, being alert for signs of physical distress Employee Education Complies with Employee Education requirements Completes mandatory annual safety training sessions Dental Laboratory Functions Performs dental laboratory functions as time and skill levels allow Pours impressions and prepares study models Makes final denture impression trays and prepares bite rims Direct Patient Care Remove sutures Impressions for diagnostic casts and preliminary impressions for prosthetic fabrication Remove temporary crown/bridge and clean tooth preparation of debris Recement and fabricate temporary crowns Coronal polishing of teeth Place rubber dams and matrix bands Provides post-operative and other appropriate patient education Work Schedule: Monday-Friday; 8:00 a.m. - 4:30 p.m. Telework: Not Available 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: a. Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with VA Policy) b. Experience and Education: (1) Experience. Six months experience that demonstrates the applicant's ability to perform the work, or provides familiarity with the work. OR, (2) Education. Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on Dental Accreditation (CODA). (3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. c. Certification: Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, 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. (1) Provisions for Certification of Radiologic Competence (a) Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.; OR, (b) Successful completion of the Principles and Practice of Dental Radiology and Radiographic Safety courses and examinations developed by the Assistant Under Secretary for Health for Dentistry. OR, (c) Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD). (2) Non-certified applicants who otherwise meet the eligibility requirements for certification of radiologic competence may be given a temporary appointment as a graduate dental assistant under the authority of 38 U.S.C. § 7405 (a) (1) (D). Failure to obtain certification during that period is justification for termination of the temporary appointment. This will result in removal from the GS-681 series and] may result in termination of employment. (3) Certification in basic life support methods is highly desirable. (4) Certification by the Dental Assisting National Board (DANB). The American Dental Association (ADA) recognizes DANB as the national certification for Dental Assistants. DANB certification is not required, but highly desirable for the appointment of Dental Assistants up to and including the full performance level, and is required for all positions above the full performance level. d. Grandfathering Provision. All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including certification (for positions above the full performance level) that are part of the basic requirements of the occupation. e. Physical Requirements. See VA Directive and Handbook 5019 f. English Language Proficiency. Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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 for employment, the following criteria must be met when determining the grade of candidates. GS-3 (a) Experience or Education. None beyond the basic requirements. (b) Assignment. Employees at this level serve in dental assistant career development positions. It is expected that they receive guidance from more experienced staff members for more complex patient issues, and require daily close supervision. GS-4 (a) Experience or Education. In addition to the basic requirements, 1 year of experience at the next lower level, OR 2 years of education above high school that included completion of a dental assistant program accredited by the American Dental Association's Commission on [Dental] Accreditation [(CODA)]. In addition, the candidate must demonstrate the following KSAs: (b) Demonstrated Knowledge, Skills, and Abilities:1. Basic knowledge of infection control and safe instrument handling.2. Basic knowledge of dental procedures and medical emergencies.3. Ability to perform basic radiographic image capture and processing/retrieval.4. Basic knowledge of maintenance, care and storage of dental equipment.5. Basic knowledge of patient privacy requirements. (c) Assignment. Employees at this level serve as developmental staff dental assistants. It is expected that they receive guidance from more experienced staff members for more complex patient issues and require daily and direct contact at the site of work from the assigned supervisor. Assignments at this level include but are not limited to: receiving and preparing patient for treatment including seating, positioning chair, placing napkin, performing disinfection and sterilization procedures; performing basic chair side assisting with direct instruction from treating dentist; reporting medical emergencies to dentist; preparing procedural trays/armamentaria set-ups; exposing and processing basic dental radiographs with direct supervision; mounting and labeling dental radiographs and/or saving digital images to the electronic medical record with direct supervision; complying with standard recommendation for equipment maintenance; retrieving all pertinent patient records prior to seating the dental patient; directing patient to appropriate staff for the intent of scheduling visits. GS-5 (a) Experience or Education(1) In addition to the requirements listed at GS-4 above, applicants must demonstrate at least 1 year of experience [equivalent to] at the next lower grade level that demonstrates the core competencies described at that level. OR,(2) Successful completion of a full 4-year course of study that included or was supplemented by completion of a dental assistant program by CODA.(3) In addition to meeting paragraph (1) or (2) above, the applicant must demonstrate the following KSA's: (b) Demonstrated Knowledge, Skills, and Abilities1. Knowledge of anatomy and ability to evaluate diagnostic quality.2. Broad knowledge of common medical emergencies and vital signs measurement.3. Basic knowledge of instruments, materials and standardized dental procedures.4. Ability to learn and utilize software programs used within VHA.5. Basic communication skills to provide patient instructions according to established protocol. Grade Determination continued in Education Section below. Preferred Experience: Employee has completed a Dental Assistant Certification program. Employee has experience in various areas of Dentistry (Endo, Restorative, Oral Surgery, Implants, Periodontics, etc.). Employee can expose and produce acceptable diagnostic radiographs. References: VA Handbook 5005/46, Part II, Appendix G36, Dental Assistant Qualification Standard dated April 19,2011 Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Pushing; Reaching above shoulder; Use of fingers; Both hands required; Walking (4-8 hours); Standing (4-8 hours); Repeated bending (2 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted)

Education

Grade Determination continued:

• (c) Assignment. Employees at this level serve as staff dental assistants for routine dental procedures. Direct supervision is given for any complex patient procedures from more experienced dental assistants or the treating dentist. Assignments at this level include but are not limited to: responds to basic medical emergencies; measures and records vital signs; provides pre- and post-operative instructions; maintains a field of operation during dental procedures through the use of retraction, suction, irrigation, drying, placing and removing cotton rolls; using the concepts of four-handed dentistry, assists with basic restorative procedures; mixes basic dental materials; assists in preparation of laboratory prescription forms; applies pressure indicator paste to removable prostheses; exposes and processes basic dental radiographs; mounts and labels dental radiographs and/or saves digital imaging to electronic medical records; evaluates radiographs for diagnostic quality; maintains routine dental equipment per manufacturer and dental service standards.

GS-6 Staff Dental Assistant (Full Performance Level)

• (a) Experience. At least 1 year of experience equivalent to the next lower grade level that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs:
• (b) Demonstrated Knowledge, Skills, and Abilities1. Ability to identify normal oral anatomy.2. Advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care and procedures.3. Ability to monitor and perform basic interpretation of vital signs.4. Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist.5. Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats.6. Ability to perform maintenance on dental equipment used for routine and specialty dentistry.7. Ability to enter and retrieve data utilizing electronic dental records.8. Ability to perform dental assistant-appropriate laboratory procedures
• (c) Assignment. Employee serves at the full performance level with the ability to perform full range of duties with some independence in assigned specialties, with indirect supervision from the lead dental assistant, dental assistant supervisor or treating dentist. Assignments at this level include, but are not limited to: using the concepts of four-handed dentistry; assists with specialty procedures including oral surgery, periodontal therapy, endodontic, prosthodontic and implant placement and restoration; anticipates surgeons/specialists needs at each stage of treatment; takes preliminary impressions; selects and manipulates a variety of gypsums and waxes; pours, trims and evaluates the quality of diagnostic casts; fabricates custom trays.

The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6.

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

NOTE: If your school has changed names, or is no longer in existence, you must provide this information in your application.

NOTE: If your school was accredited by CODA at the time of graduation but is no longer listed on the CODA website, you must provide documentation of accreditation with your application packet.

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 VA Central Texas Health Care System 1901 Veterans Memorial Drive Temple, TX 76504 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]