Dental Service Performs a higher level, scope, complexity and variety of dental assisting duties representing the clinical assignment and applies advanced clinical skills. Performs the full range of duties for routine patient care with indirect supervision from the lead or supervisory dental assistant or the treating dentist. Clinical expanded function dental assistants perform assigned selected procedures with some independence.

Duties

Functions: a. Expanded function duties: Duties listed in this section (a) comprise at least 25% of the clinical expanded function dental assistant's time. Exact duties depend upon the dental specialty to which the Clinical Expanded Function Dental Assistant is assigned: - Performs mouth mirror inspection of the oral cavity - Gathers diagnostic information - Performs pulp vitality testing - Charts existing restoration and conditions - Selects shades for fixed and removable prostheses - Places and removes rubber dams and matrix bands - Places and removes retraction cord - Places and removes intracoronal temporary restoration - Removes temporary crown/bridge and clean tooth preparation of debris - Fabricates, adjusts and cements temporary crowns - Removes permanent cement from supragingival surfaces - Removes sutures - Places and removes surgical dressings - Monitors nitrous oxide/oxygen analgesia - Performs coronal polishing of teeth - Removes hard accretions from and polishes removable prostheses b. 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 c. Chairside Assisting - Sets up operatory and/or surgery suite 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 using concepts of four-handed dentistry - Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration - Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards d. Dental Imaging - Exposes both standard and specialty dental imaging (i.e. TMJ, ceph, cone beam) in traditional and/or digital formats - Modifies settings to achieve the images as requested by the provider - 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 Work Schedule: Monday-Friday, 7:30am - 4:00pm 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 PCS Appraised Value Offer (AVO): 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. English Language Proficiency: Dental assistants must be proficient in spoken and written English. Education and/or Experience: 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). Experience/Education Combination. Equivalent combinations of experience and education are qualifying. 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). 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 required for all positions above the full performance level. This is an above full performance grade 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). 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: Lead Dental Assistant GS-07 Experience: At least 1 year of experience at the next lower grade level that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs: a. Advanced knowledge of dental assisting across multiple areas of practice, and demonstrated ability to provide guidance to staff dental assistants. b. Skill in coordinating clinical work flow and assignments. c. Ability to assist in dental program development, outcome management, and strategic planning. d. Skill in acting as liaison between staff dental assistants and the supervisor. e. Ability to provide professional oversight and consultation for staff dental assistants. Assignment. The Lead Dental Assistant works with the supervisor or Chief Dental Service to monitor and make work assignments, provide input on performance, resolve daily workplace issues, and maintain efficient flow of patient care; may approve brief periods of leave, provide training to staff dental assistants, students and/or trainees; may recommend special advancements and promotions, disciplinary actions, etc. Assignments at this level include but are not limited to: provides instruction to other assistants in achieving diagnostic quality radiographs, provides instruction in maintenance of all dental service equipment, provides primary support to the chief for the daily delivery of department programs, reporting, staffing and scheduling, coordinates the patients' care plans to reduce redundancies and delay in patient treatment. Lead Dental Assistants generally would be found in Complexity Level 1 (High Complexity) or Complexity Level 2 (Medium Complexity) facilities, or in facilities of lesser complexity levels where large dental services are found. Individuals may perform ancillary assignments, including program management duties on an occasional basis. Preferred Experience: At this level, dental assistants serve either as a Clinical Expanded Function Dental Assistant or Lead Dental Assistant. For all positions above the full performance level, duties must be assigned to the position at least 25% of the time. (a) Clinical Expanded Function Dental Assistant 1. Experience: At least 1 year of experience at the next lower grade level or equivalent that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs: 2. Demonstrated Knowledge, Skills, and Abilities: a. Ability to perform dental assisting expanded functions. b. Comprehensive working knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc). 3. Assignment: In this position, the employee performs a higher level, scope, complexity and variety representing the clinical assignment, and applies advanced clinical skills. Representative duties at this level include, but are not limited to: gathering diagnostic information, pulp vitality testing, charting of existing conditions, placing of rubber dam and matrices, selecting shades, placing retraction cord, placing and removing temporary restorations, fabricating temporary crowns and removing permanent cement from supragingival surfaces. In addition, the expanded function assistant may place and remove surgical dressing, monitor nitrous oxide analgesia, and perform coronal polishing and the cleaning and polishing of removable prostheses. References: VA HANDBOOK 5005/46, PART II, APPENDIX G36The full performance level of this vacancy is 07. Physical Requirements: See VA Directive and Handbook 5019. CODA | Commission on Dental Accreditation CODA accredits dental schools and dental education programs as well as schedules and oversees site visits for dental education programs.

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 San Francisco VA Medical Center 4150 Clement Street San Francisco, CA 94121 US
• Name: Lizbeth Torres
• Phone: (415) 221-4810 X24760
• Email: [email protected]