Dental Hygienist provides direct patient care under the supervision of the dentist and receives daily and direct guidance at the site of work from higher-level or supervisory staff members.

Duties

Major duties include but not limited to: a. Customer Service: Shows courtesy, respect, and a positive attitude for patients, co-workers and the public. Provides assistance to customers with questions or concerns. b. Patient Care Sets up operatory for planned dental procedure and cleans dental unit for timely turnover. Handles instruments safely, accurately, and efficiently. Provides routine oral prophylactic care to include application of fluoride solutions. Provides gross debridement, scaling and root planning procedures. Cleans dental prostheses, fixed and removable. Manages dental recall system, consulting with the doctor for additional care. Administers topical anesthetic agents. Accomplishes all procedures within standard infection-control protocols. c. Patient Education Provides patient education appropriate to the Veteran's needs and oral condition. Provides individual and group oral health care instruction to patients and caregivers. d. Dental Imaging Takes radiographic images characterized by diagnostic quality, accurate orientation and proper exposure. Retakes are minimal and at the direction of the dentist. Utilizes dental-imaging safety techniques. e. Infection Control and Equipment Sterilization Demonstrates proper infection-control procedures in setting up and cleaning up operatory. Properly prepares instruments for sterilization by SPS standards. Prepares instruments efficiently in a manner that does not delay clinical care. Demonstrates proper infection-control procedures in exposing images. f. Clerical Functions Assists patients in scheduling appointments. Assists in filling gaps in the schedule due to late cancellations and failed appointments. Charts findings and treatment provided in patient records. g. Information Management Maintains patient confidentiality per HIPAA with written and verbal information. Follows computer security regulations. h. Patient Safety Modifies care as appropriate for patient's age and abilities (patient transfer and position). Provides accurate and understandable instructions to patients. Participates in patient identification and time out per TJC requirements. Monitors patient condition during treatment, being alert for signs of physical distress. i. Employee Education Complies with Employee Education requirements. Completes mandatory annual training sessions. Complies with all CE requirements for licensing. Work Schedule: Monday through Friday, 7:30 am - 4:00 pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Dental Hygienist/00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. Be a Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C § 7407(a), Administrative Provisions for Section 7405 and 7406 Appointments. b. 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-05 Experience. None, beyond the basic requirements. Assignment. Employees at this level serve in entry level dental hygienist positions. They receive guidance from more experience staff members for patient issues and require daily supervision at the site of work. Dental Hygienist, GS-06 Experience. At least one year of experience at the next lower grade level. Assignment. Employees at this level serve as developmental level 1 dental hygienists. It is expected that they receive guidance from more experienced staff members for complex patient issues and require daily and direct contact at the site of work from the assigned supervisor. Demonstrated Knowledge, Skills and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs: i. Knowledge of oral prophylactic, therapeutic, and preventive procedures for periodontal diseases, or inflammation, or on patients with other medical and/or dental problems. ii. Knowledge of dental methods and techniques used in performing intra and extra oral procedures. iii. Ability to use communication techniques to encourage and inform individuals and groups. Dental Hygienist, GS-07 Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level. Assignment. Employees at this level serve as developmental level 2 dental hygienists. It is expected that they perform more complex work while receiving less frequent supervision that at the GS-6 level. Demonstrated Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: i. Knowledge of oral pathology to include disease of the hard and soft tissues, disorders of tooth structure, developmental and congenital anomalies, salivary gland disorders, symptoms of infectious disorders, and appropriate protocols. ii. Practical knowledge of medical diseases, conditions, and chronic degenerative diseases as they relate to dental health and treatment. iii. Knowledge of radiographic exposure techniques to produce radiographs of high diagnostic quality. Dental Hygienist, GS-08 Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level Assignment. Employees at this level serve as developmental level 3 dental hygienists with the ability to perform direct patient care under the general supervision of the dentist. It is expected that they receive guidance from higher-level or supervisory staff members for only the most complex patients. Assignments at this level include, but are not limited to: patients assessments (e.g. risk assessments, oral health assessments), prevention recommendations, prophylaxis, periodontal treatment for mild to moderate disease (e.g. scaling and root planing, full mouth debridement), Periodontal Screening and Recording (PSR) radiograph/image capture, fluoride treatment application, topical anesthesia administration and management of stable medically compromised patients (including risk factors). Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-07 level, the candidate must demonstrate the following KSAs: i. Knowledge of state-of-the-art preventive dentistry measures for patient instruction and training. ii. Knowledge of anatomy and physiology in order to interpret the examination request accurately; to understand the functioning and interrelationship of the various anatomical structures appearing on the radiographic image and the various stages of the examination to judge the acceptability of the radiograph for diagnostic use; and to present for viewing. iii. Knowledge of The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters. iv. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc. GRADE DETERMINATION CONTINUED IN EDUCATION SECTION BELOW. Preferred Experience: Advanced knowledge of dental assisting across multiple areas of practice, and the demonstrated ability to provide guidance to staff dental assistants. Skill in coordinating clinical workflow and assignments. Ability to assist the Chief in Dental Clinic operations related to policy development, equipment requests and workload analysis. Ability to establish and maintain effective and cooperative work relationships. Ability to analyze clinically appropriate data effectively to optimize quality, performance, and productivity within section. Ability to perform supervisory functions such as assessing competency, providing performance appraisals and managing training. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-9. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-9. Physical Requirements: The work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds.

Education

GRADE DETERMINATION CONTINUED:

Dental Hygienist, GS-09
Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
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), instrumental sharpening, inter-service communication.
Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs:
i. Knowledge of hygiene procedures to explain the process and indication, complications and expected treatment outcomes for each.
ii. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films.
iii. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application.
iv. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure.
v. 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.
vi. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer safe patient care.
vii. 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.

EDUCATION:

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

Accreditation Information: 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

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

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]