Dental Hygienist

01Basic 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 Hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). Education. Applicants must possess an Associate degree or higher from an accredited dental hygiene program.

The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved programs are: Dental hygiene programs accredited by the American Dental Association's Commission on Dental Accreditation (CODA).

Education completed outside of the United States must be considered at least equivalent to that gained in CODA accredited United States programs and would enable the candidate to sit for the National Board Dental Hygiene Examination, which is administered by the Joint Commission on National Dental Examinations. Licensure/Certification Licensure.

Applicants must be currently licensed to practice as a Dental Hygienist with a full, current and unrestricted license in a State, Territory or Commonwealth of the United States, or the District of Columbia. Certification. P.L. 97-35, Omnibus Budget Reconciliation Act Of 1981, requires persons who administer radiologic procedures meet the credentialing standards in 42 C.F.R. Part 75, Standards for the Accreditation of Educational Programs for and the Credentialing of Radiologic Personnel.

To meet this requirement, 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. Accredited dental hygiene programs contain curriculum addressing radiologic procedures meets the requirement for certification as dental radiographers.

Exceptions for Non-Certified Dental Hygienist: (a) Non-certified applicants who otherwise meet the eligibility requirements for licensure, may be given a temporary appointment as a Graduate Dental Hygienist under the authority of 38 U.S.C. § 7405(c)(2)(B), Temporary Full-Time Appointments, Part-Time Appointments and Without-Compensation Appointments for a Period Not to Exceed Two Years. (b) Non-certified individuals shall only provide care under the supervision of a certified Dental Hygienist at or above the Full Performance Level. (c) Non-certified individuals may only be appointed at the entry level and may not be promoted/converted until certification is obtained. (d) Temporary appointments of non-certified Dental Hygienists may not be extended beyond two years or converted to a new temporary appointment. (e) Failure to Obtain Certification.

In all cases, Dental Hygienists must actively pursue meeting requirements for certification starting from the date of their appointment.

02Grade Determinations

GS-09 Experience. At least one year of experience at the next lower grade level (GS-08) that meets the Knowledge, Skills, and Abilities (KSAs) at that level. the clinical competencies described at that level. Resume must include average hours worked per week for work experience credit. GS-08 Demonstrated KSAs: i. Knowledge of state-of-the-art preventive dentistry measures for patient instruction and training. ii.

Knowledge of anatomy and physiology in order to interpret the examination request accurately; to understand the functioning and interrelationship of the various anatomical structures appearing on the radiographic image and the various stages of the examination to judge the acceptability of the radiograph for diagnostic use; and to present for viewing. iii.

Knowledge of The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters. iv. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc. GS-09 Demonstrated KSAs. In addition to meeting the KSAs for the GS-08 level, the candidate must demonstrate the following KSAs: 1.

Knowledge of hygiene procedures to explain the process and indication, complications and expected treatment outcomes for each. 2. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films. 3. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application. 4.

Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure. 5. Skill in educating patients and caregivers on periodontal disease, wellness, health maintenance, oral hygiene practices, parafunctional habits, and effects of illness, addictions, medications and tobacco on the oral cavity. 6. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer safe patient care. 7.

Ability to assess the impact of patient's medical and dental condition on maintaining oral health, recognize age-related changes in individual patients, adapt patient environment, and maximize patient's physical comfort. 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).

03Preferred Experience

Minimum of two years of experience in specialty care preferred. Experience providing dental hygiene for medically complex patients preferred. Minimum of two years of experience in a high-volume clinic setting preferred. 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-09.

04Physical Requirements

Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position. May require standing, lifting, carrying, sitting, stooping, bending, puling, and pushing. May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment.

Work Environment: Work is performed in an office/clinic setting with minimal risks that requires normal safety precautions; the area is adequately lighted, heated, and ventilated. However, the work environment requires someone with the ability to handle several tasks at once in sometimes stressful situations.

The duties of the Dental Hygienist include, but are not limited to: Patient Care: Sets up operatory for planned dental procedure and cleans dental unit for timely turnover. Handles instruments safely, accurately, and efficiently. Provides routine oral prophylactic care to include application of fluoride solutions. Provides gross debridement, deep scaling, and curettage and root planning procedures. Cleans dental prostheses, fixed and removable.

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 (per State license). Administers local anti-infective agents per direction of dentist. Accomplishes all procedures within standard infection control protocols. Customer Service: Shows courtesy, respect, and a positive attitude for patients, co- workers and public.

Provides assistance to customers with questions or concerns provides service recovery. Patient Education: Provides patient education appropriate to the veteran's needs and oral condition. Prepares and provides individual and group oral health care instruction to inpatients outpatients, and caregivers. Dental imaging: Images are characterized by diagnostic quality, accurately oriented and exposed. Dental imaging safety techniques are utilized, and retakes are minimized.

Infection Control and Equipment Sterilization: Demonstrates proper infection control procedures in setting up and cleaning up operatory 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 in filling gaps in the schedule due to late cancellations and failed appointments, charts findings, treatment plans, and treatment provided in patient records. Information Management: Maintains patient confidentiality per HIPAA with written and verbal information. Follows computer security regulations. Patient Safety: Modifies care as appropriate for patient's age and abilities (patient transfer and position). Provides accurate and understandable instructions to patient.

Participates in patient information and time out per JCAHO requirements. Monitors patient condition during treatment, being alert for signs for physical distress. Employee Education: Complies with Employee Education requirements. Completes mandatory annual safety training sessions. Prepares and present monthly Safety training to Dental Service Line Staff. Work Schedule: Monday - Friday, 7:30am - 4:00pm; Subject to change based on facility needs. Telework: Not available. Virtual: This is not a virtual position.

Functional Statement #: 580-02428F Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized.