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The Dental Hygienist provides direct patient care under the general supervision of the dentist and performs other clinical and clerical functions independently of direct supervision. The Dental Hygienist provides direct patient care under the general supervision of the dentist 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: Must be a citizen of the United States. Education. Associate Degree or higher in an accredited dental hygiene program. This program must be accredited by the American Dental Association's Commission on Dental Accreditation (CODA). 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. 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. Accredited dental hygiene programs contain curriculum addressing radiologic procedures which will meet the requirement for certification as dental radiographers. 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). Grade Determinations: GS-9 Dental Hygienist (a) Experience. At least 1 year of experience at the next lower grade level that demonstrates the clinical competencies described at that level. (b) Assignments. Employees at this level serve as staff dental hygienists at the full performance level. It is expected that they provide direct patient care and receive guidance from higher-level or supervisory staff members for only the most complex patients and require only general supervision from a dentist. Assignments at this level include but are not limited to: patient medical assessment (e.g. medical/dental history, social history, vital signs, full periodontal assessment and charting), disease and treatment management recommendations, denture care, scaling and root planing, radiographs/image interpretation, patient education (e.g. post-procedure, tobacco cessation, caries and perio-disease prevention), behavior management, management of stable medically compromised patients (including risk factors), instrument sharpening, inter-service communication. (c) Demonstrated Knowledge, Skills, and Abilities. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs: 1. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities for safe patient care; 2. 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; 3. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure; 4. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application; 5. Knowledge of hygiene procedures in order to explain the process and indication, complications and expected treatment outcomes for each; 6. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films; and 7. 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. References: VA Handbook 5005/73, Part II, Appendix G37 The full performance level of this vacancy is GS 09. Physical Requirements: Long periods of standing, walking, sitting and bending are required. ["Serves as dental hygienist planning and administering a hospital-wide preventive dentistry program. Performs oral prophylaxis on inpatients and outpatients. Screens patients' health histories to detect conditions requiring modification of treatment plans. Provides preventive dentistry instruction to inpatients and outpatients. Examines the oral cavity of each patient and notes any abnormal pathology. Assists a dentist by performing such activities as suctioning and passing instruments in cases where a dentist needs an assistant and one is not available. Maintains a clean, organized operatory free of unnecessary clutter and unused equipment and supplies. Handles sharps in a safe manner. Disinfects dental equipment when appropriate following the Dental Department policies and procedures. Wears protective barrier protection including gloves, mask and protective eyewear when appropriate. Provide direct customer/patient service & consistently responds to patients, families, visitors and co-workers requests for assistance promptly and in a friendly and cooperative manner. All other duties as assigned. Work Schedule:7:30am-5:00pm Monday-Friday compressed tour, every other Friday off\nPosition Title/Functional Statement #:Dental Hygienist/PD000000"]