Dental assistants at the full-performance level (FPL) of the position have the ability to perform a full range of clinical duties and perform assigned selected procedures with independence, as allowed by state law. Duties and procedures may be assigned by the lead or supervisory dental assistant or dentist. Full-performance dental assistants assist the dentist in all aspects of direct patient care and perform other clinical and clerical functions with independence. To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. Basic Requirements: Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.) English Language Proficiency. Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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). (TRANSCRIPT REQUIRED if qualifying via education) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. (TRANSCRIPT REQUIRED if qualifying via education) Provisions for Certification of Radiologic Competence Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board, Inc.; (DOCUMENTATION REQUIRED) 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. (DOCUMENTATION REQUIRED) 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). (DOCUMENTATION REQUIRED) 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. 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-6 Experience. At least 1 year of experience equivalent to the next lower grade level that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs Demonstrated Knowledge, Skills, and Abilities 1. Ability to identify normal oral anatomy. 2. Advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care and procedures. 3. Ability to monitor and perform basic interpretation of vital signs. 4. Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist. 5. Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats. 6. Ability to perform maintenance on dental equipment used for routine and specialty dentistry. 7. Ability to enter and retrieve data utilizing electronic dental records. 8. Ability to perform dental assistant-appropriate laboratory procedures. Assignment. Employee serves at the full performance level with the ability to perform full range of duties with some independence in assigned specialties, with indirect supervision from the lead dental assistant, dental assistant supervisor or treating dentist. Assignments at this level include, but are not limited to: using the concepts of four-handed dentistry; assists with specialty procedures including oral surgery, periodontal therapy, endodontic, prosthodontic and implant placement and restoration; anticipates surgeons/specialists needs at each stage of treatment; takes preliminary impressions; selects and manipulates a variety of gypsums and waxes; pours, trims and evaluates the quality of diagnostic casts; fabricates custom trays. 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. Physical Requirements: Light lifting (under 15 pounds), use of fingers, both hands required, repeated bending, mental and emotional stability. Environmental factors include outside and inside, constant noise, and working closely with others. ["Duties at the FPL include, but are not limited to: Customer Service Shows courtesy, respect, and a positive attitude for patients, coworkers, and the public Responds to patients, families, visitors, and staff requests for assistance in a prompt, friendly, and cooperative manner. Chairside Assisting Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover Obtains and records vital signs in the medical record 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 with guidance from more experienced Dental Assistants (including Lead and/or Supervisory Dental Assistants) Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards Dental Imaging Exposes both standard and specialty dental imaging (e.g., TMJ, ceph, cone beam) in traditional and/or digital formats Modifies settings to achieve the images as requested by the provider 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 operatories Disinfects oral appliances to prevent cross contamination Properly prepares instruments for transfer to SPD for sterilization Follows all Standard Operating Procedures (SOP) for Reusable Medical Equipment (RME) Works closely with SPS to ensure availability of instruments so that clinical care is not delayed Demonstrates proper infection control procedures in exposing images Utilizes all proper PPE per national and local policies Follows all hospital infection control protocols including hand hygiene Manages the waterline with ICX tablet as directed Changes traps on dental unit as directed Participates and manages dental waterline testing program Transportation of soiled linen to soiled linen utility closet on daily basis 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 Locates/tracks all pending patient lab cases for use during patient appointments Properly completes all dental laboratory cards Information Management Maintains patient confidentiality per HIPAA with written and verbal information Follows computer security regulations 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 VA/Joint Commission requirements Monitors patient condition during treatment, being alert for signs of physical distress Monitors patient vital signs (BP, pulse, pulse oximeter) and condition during invasive treatment and during recovery period following procedure Employee Education Complies with Employee Education and TMS requirements Completes mandatory annual safety training and RME sessions Dental Laboratory Functions Pours impressions and prepares study models Makes final denture impression trays and prepares bite rims Fabricates athletic mouth guards and bleaching trays Performs other dental laboratory functions as time and skill levels allow Direct/ Independent Patient Care Removes sutures and removes periodontal surgical dressing Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication Removes temporary crown/bridge and clean tooth preparation of debris Recements and fabricates temporary crowns - Conducts coronal polishing of teeth Places rubber dams and matrix bands Provides post-operative and other appropriate patient education Work Schedule: Monday-Friday, 0800-1630 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"]

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