VA Western New York dental service is comprised of two sites at our main campuses in Buffalo and Batavia, New York. They are hospital-based clinics offering a full complement of dental procedures to eligible in-patient and out-patient veterans. Incumbent(s) serve at the full performance level with the ability to perform full range of duties with some independence under indirect supervision from treating dentist. 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. 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. 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-3 Requirements Experience or Education. None beyond the basic requirements. GS-4 Requirements 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. Assignment. Employees at this level serve as [developmental] staff dental assistants. It is expected that they receive guidance from more experienced staff members for more complex patient issues and require daily and direct contact at the site of work from the assigned supervisor. [Assignments at this level include but are not limited to: receiving and preparing patient for treatment including seating, positioning chair, placing napkin, performing disinfection and sterilization procedures; performing basic chair side assisting with direct instruction from treating dentist; reporting medical emergencies to dentist; preparing procedural trays/armamentaria set-ups; exposing and processing basic dental radiographs with direct supervision; mounting and labeling dental radiographs and/or saving digital images to the electronic medical record with direct supervision; complying with standard recommendation for equipment maintenance; retrieving all pertinent patient records prior to seating the dental patient; directing patient to appropriate staff for the intent of scheduling visits. GS-5 Requirements 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 paragraph (1) or (2) 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. Assignment. Employees at this level serve as staff dental assistants [for routine dental procedures. Direct supervision is given for any complex patient procedures from more experienced dental assistants or the treating dentist]. [Assignments at this level include but are not limited to: responds to basic medical emergencies; measures and records vital signs; provides pre- and post-operative instructions; maintains a field of operation during dental procedures through the use of retraction, suction, irrigation, drying, placing and removing cotton rolls; using the concepts of four-handed dentistry, assists with basic restorative procedures; mixes basic dental materials; assists in preparation of laboratory prescription forms; applies pressure indicator paste to removable prostheses; exposes and processes basic dental radiographs; mounts and labels dental radiographs and/or saves digital imaging to electronic medical records; evaluates radiographs for diagnostic quality; maintains routine dental equipment per manufacturer and dental service standards. GS-6 Requirements (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. 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. References: VA Handbook 5005/46, Part II, Appendix GS36.The full performance level of this vacancy is GS06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS03 to GS06. Physical Requirements: Work is sedentary, but also demands standing, walking, bending, twisting, and carrying light items. ["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. 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. Infection Control and Equipment Sterilization: Demonstrates proper infection control procedures in setting up and cleaning operations. 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. 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. Work Schedule: Full time; Monday, Tuesday, Wednesday & Friday; 8:00am - 4:30pm Thursday 11:30am - 8:00pm Financial Disclosure Report: Not required"]