Current, permanent VA employees or Federal employees from another agency should apply under CBST-11721493-23-AK. The Clinical Expanded Function Dental Assistant performs the full range of duties for routine patient care. The incumbent assists the general dentist and dental specialist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. 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 to be appointed as authorized by 38 U.S.C. § 7403(f). 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). 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. Certification in basic life support methods is highly desirable. 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. Grade Determinations: Clinical Expanded Function Dental Assistant, GS-7 Experience. At least 1 year of experience at the next lower grade level or equivalent that demonstrates the core competencies described at that level. Demonstrated Knowledge, Skills, and Abilities. In addition, the candidate must demonstrate the following technical KSAs: - Ability to perform dental assisting expanded functions. - Comprehensive working knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc). Preferred Experience: None. References: VA Handbook 5005/46, Part II Appendix G36, Dental Assistant Qualification Standard. This can be found in the local Human Resources Office. The actual grade at which an applicant may be selected for this vacancy is GS-7. Physical Requirements: Light lifting (under 15 pounds), reaching above shoulder, use of fingers, walking, standing, repeated bending, both legs required, both eyes required, depth perception (See VA Directive and Handbook 5019, Employee Occupational Health Services). ["The duties of the Clinical Expanded Function Dental Assistant in the Dental Service include but not limited to: a. Expanded Function Duties: (Must comprise at least 25% of the incumbent's workload.) 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; Places and removes surgical dressings; Monitors nitrous oxide/oxygen analgesic; Performs coronal polishing of teeth; b. Customer Service Shows courtesy, respect, and a positive attitude for patients, co-workers and the public; Assists customers with questions or concerns and provides service recovery. c. Chairside Assisting 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; Monitors, and performs basic interpretation of, patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure; 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; 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; d. Dental Imaging Possesses comprehensive knowledge of advanced imaging techniques in order to provide instruction (e.g. cone beam, cephalometric, advanced panoramic imaging, TMJ, etc.); Possesses ability to identify 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. e. 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. f. 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. g. Information Management Maintains patient confidentiality per HIPAA with written and verbal information; Follows computer security regulations. h. Patient Safety 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. i. Employee Education Complies with Employee Education requirements; Completes mandatory annual training sessions;Maintains DANB certification as required for above full-performance-level dental assisting positions. j. Dental Laboratory Functions Pours impressions and prepares study models; Makes final denture impression trays and prepares bite rims; Removes plaque and soft debris from removable prostheses; Fabricates athletic mouth guards and bleaching trays; Performs other dental laboratory functions as needed and requested. Work Schedule: Monday - Friday, 8:00am-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 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.