Summary

The incumbent will serve as part of the New Mexico VA Health Care System Dental Service - main hospital as a Staff Dental Assistant at the full performance level with the ability to perform a full range of duties and perform assigned selected procedures with some independence. They receive guidance from more experienced staff members for complex patient issues for which they require direct supervision and daily contact with the supervisor at the work site.

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: 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 - Candidates must be proficient in spoken and written English in accordance with 38 USC 7403(f)
• 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)]
• OR - 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 GS-06 - and is required for all positions above the full performance level
• English Language Proficiency
• Dental assistants must be proficient in spoken and written English
• 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-06 Staff Dental Assistant (Full Performance Level) Experience Requirement: In addition to meeting the basic requirements - to qualify for the GS-06 you must possess at least one (1) year of experience equivalent to the next lower grade level (GS-05)
• Knowledge - Skills and Abilities (KSAs)
• In addition to the experience above - the candidate must demonstrate the following KSAs: 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 procedures
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Long periods of standing - walking - sitting - and bending are required
• Pushing dental equipment and carts are necessary to deliver items to the operatory or procedure site
• It is necessary to climb onto lifts to retrieve or store supplies - or to help the dentist carry out a surgical or dental procedure
• Lifting of patients from gurneys or wheelchairs into the dental chair is required to position them for radiographs or dental examination and treatment.

Duties

• Major Duties Include: Shows courtesy - respect - and a positive attitude for patients - co-workers - and the public Assists customers with questions or concerns
• provides service recovery
• 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 using concepts of four-handed dentistry
• Assists in specialized dental procedures - such as oral surgery - endodontics - periodontics - prosthodontics - implant placement and restoration
• Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards
• Exposes both standard and specialty dental imaging (i.e
• TMJ - ceph - cone beam) in traditional and/or digital formats
• Modifies settings to achieve the images as requested by the provider
• 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
• 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
• Maintains patient confidentiality per HIPAA with written and verbal information
• Follows computer security regulations
• 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 Joint Commission requirements
• Monitors patient condition during treatment - being alert for signs of physical distress
• Complies with Employee Education requirements
• Completes mandatory annual safety training sessions
• 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
• Monitors patient vital signs (BP - pulse - pulse oximeter) and condition during invasive treatment and during recovery period following procedure
• Applies topical anesthetic at the injection site
• Applies topical fluoride
• Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
• Removes plaque and soft debris from removable prostheses
• Provides patient preventative education and oral hygiene instruction
• Provides post-operative and other appropriate patient education
• Performs additional duties as assigned
• Work Schedule: 7:00am to 3:30pm from Monday through Friday Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized