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The Dental Assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. Work location is Fort Harrison VHA and Billings CBOC.
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: Must be a US Citizen
Experience and Education 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
English Language Proficiency: Dental assistants must be proficient in spoken and written English
Grade Determinations
In addition to the basic requirements for employment - the following criteria must be met when determining the grade of candidates
Dental Assistant - GS-3 Experience or Education
None beyond the basic requirements
Dental Assistant - GS-4 Experience or Education
In addition to the basic requirements - 1 year of experience at the next lower level - OR 2 years of education above high school that included completion of a dental assistant program accredited by the American Dental Association's Commission on [Dental] Accreditation (CODA)
-AND-In addition - the candidate must demonstrate the following Knowledge - Skills - and Abilities: Basic knowledge of infection control and safe instrument handling
Basic knowledge of dental procedures and [medical emergencies
Ability to perform basic radiographic image capture and processing/retrieval
Basic knowledge of maintenance - care and storage of dental equipment
Basic knowledge of patient privacy requirements
Dental Assistant - GS-5 Experience or Education
In addition to the requirements listed at GS-4 above - applicants must demonstrate at least 1 year of experience equivalent to at the next lower grade level that demonstrates the core competencies described at that level - OR Successful completion of a full 4-year course of study that included or was supplemented by completion of a dental assistant program by CODA
-AND-In addition - the candidate must demonstrate the following Knowledge - Skills - and Abilities: Knowledge of anatomy and [ability to evaluate diagnostic quality
Broad knowledge of common medical emergencies and vital signs measurement
Basic knowledge of instruments - materials and standardized dental procedures Ability to learn and utilize software programs used within VHA
Basic communication skills to provide patient instructions according to established protocol
At least 1 year of experience equivalent to the next lower grade level that demonstrates the core competencies described at that level
-AND-In addition - the candidate must demonstrate the following technical Knowledge - Skills - and Abilities: Ability to identify normal oral anatomy
Advanced knowledge of instruments - materials - and standardized dental procedures used in all phases of restorative - surgical - endodontic and periodontal care and procedures
Ability to monitor and perform basic interpretation of vital signs
Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist
Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats
Ability to perform maintenance on dental equipment used for routine and specialty dentistry
Ability to enter and retrieve data utilizing electronic dental records
Ability to perform dental assistant-appropriate laboratory procedure
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
The full performance level of this vacancy is GS-6. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-3 to GS-6. Physical Requirements: Physical movements involve completion of basic pharmacy functions which include but are not limited to: packaging mail - restocking shelves - maintenance of office supplies and interactions with patients and staff
Certain tasks are repetitive in nature and require multiple steps performed in succession for success
The incumbent should be able to lift and carry up to 50 pounds without significant difficulty
Incumbent must be able to stand or sit in one place for considerable time during completion of tasks.
Duties
Total Rewards of a Allied Health Professional 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
Provides assistance to customers with questions or concerns - provides service recovery
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
Assists in specialized dental procedures - such as oral maxillofacial surgery - endodontics - and surgical periodontics
Dental Imaging: 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
Infection Control and Equipment Sterilization Demonstrates proper infection control procedures in setting up and cleaning up operatories
Instruments are properly prepared for sterilization by SPD standards
Instruments are prepared in a manner that does not delay clinical care
Demonstrates proper infection control procedures in exposing images
Clerical Functions: Assists patients in scheduling appointments
Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments
Information Management: Maintains patient confidentiality per HIPAA with written and verbal information
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 JCAHO requirements
Monitors patient condition during treatment - being alert for signs of physical distress
Obtain and records patient vital signs: BP - pulse - and pulse oximeter at the beginning of the dental appointment
Dental Laboratory Functions: Pours impressions and prepares study models
Makes final denture impression trays and prepares bite rims
Direct Patient Care: Remove sutures and removal of periodontal surgical dressing
Impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
Remove temporary crown/bridge and clean tooth preparation of debris
Recement and fabricate temporary crowns
Coronal polishing of teeth
Place rubber dams and matrix bands
Provides post-operative and other appropriate patient education Work Schedule: Monday - Friday - 8:00a.m
- 4:30p.m
Compressed/Flexible: Available for highly qualified applicants
Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases
When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position
Functional Statement #: 436-53270-A - 436-53271-A - 436-53272-A - 436-53273-A Permanent Change of Station (PCS): Not Authorized
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.