Dental assistants at this level serve at the full-performance level with the ability to perform a full range of duties and perform assigned selected procedures with some independence. They receive guidance from more experienced staff members for complex patient issues for which they require direct supervision and daily contact with the supervisor at the work site. Full-performance dental assistants assist the dentist in many aspects of direct patient care.

Duties

Duties include, but are not limited to: Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover. Possesses advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic, and periodontal care. Assists in routine general dental procedures using concepts of four-handed dentistry. 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. Monitors and performs basic interpretation of patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure. Applies topical anesthetic at the injection site. Takes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication. Pours impressions and prepares study models. Makes final denture impression trays and prepares bite rims. Removes plaque and soft debris from removable prostheses. Provides procedure-specific, patient-preventative education and oral hygiene instruction. Provides post-operative and other appropriate patient education. Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement, and restoration. Fabricates athletic mouth guards and bleaching trays. Performs other dental laboratory functions as needed. Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards. Relays patient concerns to treating dentist. Possesses ability to identify normal anatomy. Exposes both standard and specialty dental imaging (i.e., TMJ, cephalometric, cone beam) in traditional and/or digital formats. Modifies settings to achieve the images as requested by the provider. Captures images characterized by diagnostic quality and accurately oriented and exposed. Demonstrates proper infection control procedures in setting up and cleaning up operatories. Disinfects oral appliances to prevent cross contamination. Properly prepares instruments for transfer to SPS for sterilization. Follows all Standard Operating Procedures for Reusable Medical Equipment. Works closely with SPS to ensure availability of instruments so that clinical care is not delayed. Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments. Initiates computerized progress note. Assists dentist in charting findings and treatment plans in patient records. Maintains patient confidentiality per HIPAA with written and verbal information. Follows computer security regulations. 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. Work Schedule: TBD Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 544-531166F 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. Experience/Education: Experience - Six months experience that demonstrates the applicant's ability to perform the work or provides familiarity with the work. OR; Education - Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on Dental Accreditation (CODA). If you select this option, you must provide a copy of your transcripts with your application. OR; Experience/Education Combination. Equivalent combinations of experience and education are qualifying. If you select this option, you must provide a copy of your transcripts with your application. 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. Provisions for Certification of Radiologic Competence: Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.; OR, 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 Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD). 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). NOTE: 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. English Language Proficiency. Must be proficient in spoken and written English as required by VA Regulations. Certification in basic life support methods is highly desirable. 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. 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: GS6 Experience/Education: At least 1 year of experience the next lower grade level (GS-5) that demonstrates the core competencies described at that level. At the GS-5 grade level, employees 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-5 Knowledge, Skills and Abilities (KSAs): Knowledge of anatomy and ability to evaluate diagnostic quality. Broad knowledge of common medical emergencies and vital signs measurement. Basic knowledge of instruments, materials and standardized dental procedures. Ability to learn and utilize software programs used within VHA. Basic communication skills to provide patient instructions according to established protocol. In addition to the experience above the candidate must demonstrate all of the following GS-6 Knowledge, Skills and Abilities (KSAs): Ability to identify normal oral anatomy. Advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care and procedures. Ability to monitor and perform basic interpretation of vital signs. Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist. Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats. Ability to perform maintenance on dental equipment used for routine and specialty dentistry. Ability to enter and retrieve data utilizing electronic dental records. Ability to perform dental assistant-appropriate laboratory procedures. References: VA Handbook 5005, Part II, Appendix G36 - Title 38 Hybrid Dental Assistant Qualifications Standards The full performance level of this vacancy is GS-6. Physical Requirements: Long periods of standing, walking, sitting, and bending are required. Sitting at computers for long periods. Utilization of the telephone to place and receive phone calls from patients, staff members, and others is required. Pushing dental instrumentation and equipment on carts down the hallway and lifting instruments and equipment from the carts to the dental delivery unit. Standing on stools and lifting overhead to retrieve and store supplies and equipment. Deliver clean instruments to the clinic at least twice a day from SPS dental service. This involves pushing carts with instruments down hallways and elevators. Lifting of patients from gurneys or wheelchairs into the dental chair for exams, x-rays, and treatment is required.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Columbia VA Health Care System 6439 Garners Ferry Road Columbia, SC 29209 US
• Name: Leslie Hawkins
• Email: [email protected]