Job Description
Veterans Affairs, Veterans Health Administration
Fort Harrison, Montana, Montana, Dental Assistants at this level serve staff dental assistants at the full performance level for more routine patient care and perform some complex patient procedures under general supervision of more experienced dental assistants or dental supervisor. The Dental Assistants assist the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. 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 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.
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. English Language Proficiency. Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. Grade Determinations:GS-6 Staff Dental Assistant(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 digitalformats.
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. References: 5005/46 Part II Appendix G36 The full performance level of this vacancy is GS06. Physical Requirements: Light lifting and carrying, use of both hands, fingers, reaching above shoulders, walking, standing, sitting, depth perception, rapid mental and muscular coordination.
[“Duties and skills needed to be successful in this position include, but are not limited to: Customer Service Shows courtesy, respect, and a positive attitude for patients, co-workers and the public; Assists customers with questions or concerns. Patient Care 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. Dental Imaging 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; Utilizes dental-imaging safety techniques and retakes are minimized; Accomplishes imaging requests within desired time frame. Infection Control and Equipment Sterilization 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; Demonstrates proper infection-control procedures in exposing images. Clerical Functions 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. Information Management Maintains patient confidentiality per HIPAA with written and verbal information; Follows computer security regulations. Patient Safety Page 3 of 4 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 training sessions.
Work Schedule: Monday-Friday, 7:30am-4:00pm Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position . Functional Statement #: 52373A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required”]
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