The Primary Purpose of the Position is: The purpose of this position is to serve as a Dental Hygienist and provide direct patient care under the general supervision of a Dentist assigned the Dental Service and performs other clinical functions independently of direct supervision. The Organizational Location of the Position: Preventive and Periodontics section of the Dental Service within the VA North Texas Health Care System (VANTHCS), at Bonham, TX.

Duties

Duties include but are not limited to: 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, 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 30 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, 8:00am to 4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Reaching above shoulder; use of fingers; Both hands required; Ability for rapid mental and muscular coordination simultaneously, and Hearing (aid permitted) Environmental Factors: Excessive noise, intermittent; Working closely with others, Exposed to aerosol

Requirements

Qualifications

Basic Requirements: Citizenship. 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 2 programs contain curriculum addressing radiologic procedures meets the requirement for certification as dental radiographers. English Language Proficiency Dental Hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). Grade Determinations: Dental Hygienist, GS-05 (a) Experience. None, beyond the basic requirements. (b) Assignment. Employees at this level serve in entry level dental hygienist positions. They receive guidance from more experienced staff members for patient issues and require daily supervision at the site of work. Dental Hygienist, GS-06 (a) Experience. At least one year of experience at the next lower grade level. (b) 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. (c) 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 (a) Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level. (b) 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 than at the GS-6 level. (c) 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 (a) Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level. (b) Assignment. Employees at this level serve as developmental level 3 5 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: patient 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). (c) 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. 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. (c) 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. (Continued in Additional Information)

Education

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: 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 Dallas VA Medical Center 4500 South Lancaster Road Dallas, TX 75216 US
• Name: VISN 17 SSU USAS Group
• Email: [email protected]