The Supervisory Dental Hygienist is responsible for the supervision, administrative management and direction of the dental hygienists at the Datapoint Dental Clinic, Audie L. Murphy (ALM) Dental Clinic, Randolph Dental Clinic and North West Health Care Clinic (NWHCC). The candidate at this grade level is a senior-level clinical practitioner in assigned areas. The higher duties consist of significant scope, complexity and range of variety and are performed at least 20% of the time. Typical duties include preparing work assignments, monitoring clinical performance of dental hygienist conducting performance appraisals, and other clinical and administrative responsibilities to ensure that the mission of the service and the medical center has been satisfied. The supervisor assures compliance with accrediting agencies and regulatory requirements, establishes and monitors the quality of the pre-analytical processes as part of the overall dental service quality management program, and assures action is initiated as needed. The supervisor assures orientation and competency assessment of assigned hygiene staff. Develops policies and procedures, manages document control, develops performance standards, position descriptions, and functional statements, and is responsible of an assigned area. The supervisor maintains inter departmental relationships with other services to accomplish medical center goals. Senior level clinical duties comprise at least 25% of the senior clinical hygienist's time. Duties include but are not limited to: Performs comprehensive medical assessments and appropriate adaptation techniques to provide safe and effective periodontal care in severely compromised patients Dental screenings independently outside of the dental clinic at inpatient residential areas and adapt treatment based on findings of medically/mentally/physically compromised patients Uses more advanced adjunctive, diagnostic tools and techniques for monitoring clinical disease processes Designs customized adaptive aids based on assessment of patients' abilities and disabilities Manages advanced medical and behavioral risk factors for medically/mentally/physically compromised patients including indication of administration of adjunctive therapies Provides oral/written tobacco cessation education and works with the tobacco cessation coordinator Provides oral/written training protocols for the dental hygienist, and dental hygiene students Analyzes clinical data and makes recommendations to optimize quality, efficiency, performance, and productivity within the dental service Performs a full range of supervisory duties including staff selection; work assignments; employee scheduling and timekeeping; competency assessments; performance evaluations, recommendation for awards, advancement, and when appropriate, disciplinary actions Shows courtesy, respect, and a positive attitude to patients, co-workers and the public Helps customers with questions or concerns; provides service recovery Delivers care that reflects the Veteran's and the family's personal goals, personal preferences, and freedom of choice Demonstrates knowledge and application of patient and family centered care in written care plans, instructions to patients. Demonstrates non-judgmental understanding of the Veteran's and family's knowledge, values, beliefs, and cultural backgrounds Demonstrates collaborative orientation to working with patients and families Sets up operatory for planned dental procedure and cleans dental unit for timely turnover Assesses clinical findings, including normal and critical lab results, and adapt care based on findings Interviews patient and assesses patient's medical, dental, anxiety/phobias, medications and comorbidities Assesses the impact of patient's medical and dental condition on maintaining oral health Recognizes age-related changes in individual patients, adapts patient's environment, and maximizes patient's physical comfort Provides routine oral prophylaxis, gross debridement, soft tissue curettage, and deep scaling and root planing procedures to patients with complex periodontal/restorative conditions and complex medical/psychiatric issues Uutilizes advanced adjunctive diagnostic and therapeutic equipment (e.g. sonic, magnetostrictive ultrasonic, and piezo ultrasonic scalers) Cleans dental prostheses, fixed and removable Performs advanced adjunctive treatment such as dietary analysis for caries risk and nutritional counseling to control and prevent caries, and applies appropriate fluoride solutions Manages dental recall system, referring patients to the doctor for additional care when needed Applies desensitizing and sealant materials Makes impressions for fluoride carrier trays Administers topical anesthetic agents Administers local anesthetic (with current licensure and certification) Administers local anti-microbial agents per direction of dentist Develops a plan for management of xerostomia especially in patients receiving chemotherapy and/or head and neck radiation. Accomplishes all procedures within standard infection control protocols Work Schedule: Monday - Friday, 8:00 am to 4:30 pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.