Summary

The Dental Assistant performs a wide range of intra-oral dental procedures associated with various phases of restorative - prosthetic - periodontal - endodontic - oral surgery - implant placement and restoration procedures and provides chairside assistance fully anticipating the dentist's needs for all instruments - materials - and services using four-handed techniques. Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover.

Qualifications

Basic Requirements:

• All applicants must meet the requirements of the position by the time the position closes
• 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.) 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
• Loss of Credential
• An employee in this occupation who fails to obtain licensure/certification/registration within the required time frame - or who fails to maintain the required licensure/certification/registration must be removed from the occupation - which may also result in termination of employment
• English Language Proficiency
• Dental assistants must be proficient in spoken and written English in accordance with chapter 2 - section D - paragraph 5a - this part
• 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: Knowledge of Current Professional Dental Assistant Practices
• To be creditable - the experience must have required the use of knowledge - skills - abilities [(KSAs)] - and other characteristics (also referred to as "core competencies") associated with current professional dental assisting practice
• Evidence of such experience includes graduation from a certified dental assisting training program - experience in private practice - VHA - Department of Defense (DoD) - or other federal - state - community or charitable health care agency
• Quality of Experience
• Experience is only creditable after the training program certifies that the individual has completed all required courses - an internship if it is part of the program - and graduated with passing grades
• Part-Time Experience
• Part-time experience as a dental assistant is credited according to its relationship to full-time workweek
• For example - a dental assistant would receive 1 week of full-time credit for each 2 weeks of half-time work
• GS-3: Experience or Education
• None beyond the basic requirements
• Assignment
• Employees at this level serve in dental assistant career development positions
• It is expected that they receive guidance from more experienced staff members for more complex patient issues - and require daily close supervision
• 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)]
• In addition - the candidate must demonstrate the following KSAs: Demonstrated 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
• 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
• In addition to meeting the above - the applicant must demonstrate the following KSA's: Demonstrated 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
• GS-6 Staff Dental Assistant (Full Performance Level) 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 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.8
• Ability to perform dental assistant-appropriate laboratory procedures
• References: VA Handbook 5005/46 - Part 2 - Appendix G 36.The full performance level of this vacancy is at the GS-6 level
• 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: See VA Directive and Handbook 5019.

Duties

• Chairside assisting: Performs a wide range of intra-oral dental procedures associated with various phases of restorative - prosthetic - periodontal - endodontic - oral surgery - implant placement and restoration procedures and provides chairside assistance - fully anticipating the dentist's needs for all instruments - materials - and services using four-handed techniques
• Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover
• Passes instruments safely - accurately - and efficiently
• Performs a variety of techniques and skilled - detailed workmanship to complete placement of temporary crowns and bridges
• In completing intricate procedures - the assistant must carefully consider detailed aspects of dental anatomy
• The product of these procedures must be functionally compatible with the dental anatomy of each patient
• Triages dental emergencies requiring immediate evaluation as well as immediate intervention and arrangement for veterans to be seen by appropriate clinical staff
• Triages medical emergencies appropriately and coordinates with appropriate clinical staff as well as performs all necessary administrative processing and in unusual situations - initiates appropriate codes - for example - cardiac arrest - or psychiatric intervention
• Fully performs complex intra-oral procedures such as fabricating temporary crowns and bridges to relieve the dentist of time-consuming tasks
• Highly developed skill in performing this procedure has a significant impact on the well-being of the patient and the productivity of the clinic
• Dental Imaging: Operates dental X-ray equipment for intra- and extra- oral radiographs
• Images are of diagnostic quality and accurately oriented and exposed
• Dental imaging safety techniques are utilized - and retakes are minimized
• Imaging requests are accomplished within the desired time frame
• Modifies settings to achieve the images as requested by the provider
• Records dental images accurately and efficiently in patient's records
• 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
• Infection Control and Equipment Sterilization: Demonstrates proper infection control procedures in setting up and cleaning operatories
• Disinfects oral appliances to prevent cross contamination
• Debrides and decontaminates instruments - materials and equipment
• Prepares instruments in a manner that does not delay clinical care
• Properly prepares instruments for transfer to SPS for sterilization
• Clerical Functions: Assists patients in scheduling appointments - makes appointments - and handles telephone calls
• Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments
• Initiates computerized progress notes
• Records information related to the Medical and Dental history as relayed by the dentist or patient
• Assists dentist in charting findings and treatment plans in patient record
• Maintains supply levels and communicates with logistic to orders supplies when the inventory is low
• Information Management: Maintains patient confidentiality per HIPAA with written and verbal information
• Follows computer security regulations
• Patient Safety: Modify position if patient cannot self-transfer
• reposition patient as needed
• Provides accurate and understandable instructions to patients
• Participates in patient identification and time out per Joint Commission requirements
• Instructs patients in preventive dental care measures - general nutrition as related to dental health - the common causes of tooth decay - and the care of prosthodontic appliances - provides post-operative and other appropriate patient education
• Monitors patient condition during treatment - being alert for signs of physical distress
• Employee Education: Complies with Employee Education requirements
• Completes mandatory annual safety training sessions
• Dental Laboratory Functions: Pours impressions - prepares - and trims study models
• Makes final denture impression trays and prepares bite rims
• Fabricates athletic mouth guards and custom trays if needed
• Performs other dental laboratory functions as time and skill levels allow
• Direct Patient Care: Obtains patient vital signs (BP - pulse - pulse oximeter - temporal temperature) as needed
• Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
• Removes temporary crowns/bridges and cleans tooth preparation of debris
• Applies desensitizing agents - tissue conditioners - topical fluorides - and other topical agents prescribed by the dentist to specified area of the oral cavity
• Other duties as assigned
• Work Schedule: Monday through Friday: 7:30 am to 4:00 pm Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: FS-21M62A