Summary

The Staff Dental Assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independent of direct supervision. They receive and prepare patients for dental treatment and assist the dentist at chairside - bedside or in the operating room. They independently perform more complex work in assigned specialties - or in lead dental assistant positions.

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:

• (a) United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• (b) Experience and Education (1) Experience
• Six months experience that demonstrates the applicant's ability to perform the work - or provides familiarity with the work
• OR (2) Education
• Successful completion of a 1-year dental assistant program accredited by the American Dental Association's Commission on [Dental] Accreditation (CODA)
• (3) Experience/Education Combination
• Equivalent combinations of experience and education are qualifying
• (c) 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
• (1) Provisions for Certification of Radiologic Competence (a) Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board - Inc.
• OR (b) 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 (c) Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD)
• (2) 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
• (3) Certification in basic life support methods is highly desirable
• (4) 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: In addition to the basic requirements for employment - the following criteria must be met when determining the grade of candidates
• (1) GS-3 (a) Experience or Education
• None beyond the basic requirements
• (b) 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
• (2) GS-4 (a) 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: (b) Demonstrated Knowledge - Skills - and Abilities 1
• Basic knowledge of infection control and safe instrument handling
• 2
• Basic knowledge of dental procedures and medical emergencies
• 3
• Ability to perform basic radiographic image capture and processing/retrieval
• 4
• Basic knowledge of maintenance - care and storage of dental equipment
• 5
• Basic knowledge of patient privacy requirements
• (3) GS-5 (a) Experience or Education (1) 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 (2) Successful completion of a full 4-year course of study that included or was supplemented by completion of a dental assistant program by CODA (3) In addition to meeting paragraph (1) or (2) above - the applicant must demonstrate the following KSA's: b) Demonstrated Knowledge - Skills - and Abilities 1) Knowledge of anatomy and [ability to evaluate diagnostic quality
• 2) Broad knowledge of common medical emergencies and vital signs measurement
• 3) Basic knowledge of instruments - materials and standardized dental procedures
• 4) Ability to learn and utilize software programs used within VHA
• 5) Basic communication skills to provide patient instructions according to established protocol
• 4) GS-6 Staff Dental Assistant (Full Performance Level) a) 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: (b) 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 Preferred Experience: At least 2 year plus experience 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-06
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06
• Physical 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.

Duties

• Total Rewards of a Allied Health Professional Duties for the Dental Assistant include but are not limited to: Direct Patient Care - Assists in Routine Dental Procedures/ Restorative Sets up operatory/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
• Accomplishes all intra-operative procedures within standard infection control protocols
• Selects - adapts and places matrix bands and wedges to normal and abnormal teeth
• Places cavity liners and bases on prepared teeth
• Prepares a wide variety of dental materials for permanent and temporary restoration of teeth
• Fabricates - places - finishes and removes all types of provisional restorations to include temporary crowns/bridges
• Applies topical anesthetics and desensitizing agents
• Accomplishes coronal polishing of teeth
• Direct Patient Care - Assists in Specialized Dental Procedures - such as Oral Surgery - Periodontics (including Laser and Implant Surgery) - Endodontics - and Prosthetics (including Implant Surgery)/Oral Surgery Prepares IMED consent appropriate to surgery procedure
• Appropriately labels and dates all medicaments placed on the sterile surgery field
• Removes sutures
• Properly trained to assist in the operating room setting
• Able to stand for long hours at a time during complex surgery procedures
• Dental Laboratory Functions Pour impressions and prepares study models
• Makes final denture impression trays (custom trays) and prepares bite rims
• Fabricates vacuum formed items such as stints - soft mouth guards and fluoride trays
• Polishes prostheses after appliance has been adjusted
• Performs other dental laboratory functions as time and skill levels allow
• Dental Imaging/Radiography Performs the full range of dental radiography by correctly positioning the patient
• Protects the patient from unwanted radiation exposure by correctly utilizing a variety of lead shields
• 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
• Maintains and cleans all developing equipment
• Infection Control and Equipment Sterilization Demonstrate 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
• Clerical Functions Assists in filling gaps in dentist's schedule due to late cancellations and failed appointments
• Assists dentist in charting findings and treatment plans in Dental Record Manager
• Information Management Maintains patient confidentiality per HIPPA 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 Joint Commission requirements
• Monitors patient condition during treatment - being alert for signs of physical distress
• Work Schedule: Monday-Friday - 8:00 am to 4:30 pm (Subject to change based on the needs of the service) Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 598-00480-F/00481-F/00482-F/00483-F Permanent Change of Station (PCS): Not Authorized