Veterans Affairs, Veterans Health Administration Dental Hygienist in Kansas City, Missouri
Summary This position is open to current federal employees, all others should apply to announcement CBSS-11129155-21-PC-JLT. Responsibilities The staff dental hygienist performs at the fullest level. They plan, coordinate and conduct preventive oral health programs for various patient groups; develop and modify instructional methods; and develop methods for evaluating the effectiveness of the preventive dentistry program. Dental Hygienist provides direct patient care under the general supervision of the dentist and performs other clinical and clerical functions independently of direct supervision. Duties include but are not limited to: Sets up operatory for planned dental procedure and cleans dental unit for timely turnover Provides routine oral prophylactic care to include application of fluoride solutions, gross debridement, deep scaling, and curettage and root planning procedures; cleans dental prostheses, fixed and removable Manages dental recall system, referring patients to the doctor for additional care when needed Applies desensitizing and sealant materials; makes impressions for fluoride carrier trays Administers topical and local anesthetic agents Provides patient education appropriate to the veteran's needs and oral condition; prepares and provides individual and group oral health care instruction to inpatients, outpatients, and caregivers Images are characterized by diagnostic quality, accurately oriented and exposed Demonstrates proper infection control procedures and follows all RME SOP protocols Instruments are properly prepared for sterilization by SPS standards and prepared in a manner that does not delay clinical care Assists patients in scheduling appointments and assists in filling gaps in the schedule due to late cancellations and failed appointments Charts findings, treatment plans, and treatment provided in patient records Maintains patient confidentiality per HIPAA with written and verbal information Instruct and supervise dental hygiene students as needed. Work Schedule: Monday - Friday, 8 hour shift between the hours of 7:00am and 5:00 pm Financial Disclosure Report: Not required Requirements Conditions of Employment 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: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Dental hygienists must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education: Must possess an 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). License: 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. (1) Exception. Non-certified applicants, who otherwise meet the eligibility requirements for licensure, may be given a temporary appointment as a graduate dental hygienist under the authority of 38 U.S.C. § 7405(c)(2)(B) for a period not to exceed 2 years. Failure to obtain certification during this time period may result in termination of employment. (2) Loss of Credential. A dental hygienist who fails to maintain the required licensure/certification must be removed from the occupation, which may also result in termination of employment. 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-09 grade level: To qualify for this level, applicants must have one year of directly related experience at the GS-08 grade level that demonstrates the following clinical competencies: Knowledge of state of the art preventive dentistry measures for patient instruction and training. Knowledge of anatomy and physiology in order to interpret the examination request accurately; to understand the functioning and interrelationship of the various anatomical structures appearing on the radiographic image and the various stages of the examination to judge the acceptability of the radiograph for diagnostic use; and to present for viewing. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc. Knowledge of VA, The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters. In addition to the experience listed above, candidates must demonstrate the following KSAs: Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities for safe patient care. 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. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application. Knowledge of hygiene procedures in order to explain the process and indication, complications and expected treatment outcomes for each. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films. 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. Assignment: 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. References: VA Handbook 5005/73, Part II, Appendix G37, Dental Hygienist Qualification Standard, dated May 12, 2014.The full performance level of this vacancy is GS-09. Physical Requirements: Physical demands usually include moderate lifting of 15-44 pounds, reaching above shoulder; use of fingers, walking, repeated bending, vision and depth perception, hearing (aid permitted), and mental/emotional stability. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.