The Dental Hygienist provides direct patient care under the general supervision of the dentist and performs other clinical and clerical functions. Employees 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. Work closely with, and under the general supervision of, a dentist or periodontist. independently of direct supervision. 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. Education: Applicants must possess an Associate degree or higher from an accredited dental hygiene program. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved programs are: Dental hygiene programs accredited by the American Dental Association's Commission on Dental Accreditation (CODA). Education completed outside of the United States must be considered at least equivalent to that gained in CODA accredited United States programs and would enable the candidate to sit for the National Board Dental Hygiene Examination, which is administered by the Joint Commission on National Dental Examinations. Licensure: 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: P.L. 97-35, Omnibus Budget Reconciliation Act Of 1981, requires persons who administer radiologic procedures meet the credentialing standards in 42 C.F.R. Part 75, Standards for the Accreditation of Educational Programs for and the Credentialing of Radiologic Personnel. To meet this requirement, 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 meets the requirement for certification as dental radiographers. English Language Proficiency. Dental hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). Grade Level Requirements Dental Hygienist GS-9 Experience. At least one year of experience at or equivalent to the next lower grade level (GS-8) that demonstrates the clinical competencies described at that level which includes, but not limited to: 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; Knowledge of The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters; and Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc. AND Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs: Knowledge of hygiene procedures 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. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure. 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. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer 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. References: VA HANDBOOK 5005/146, Part II, Appendix G37 The full performance level of this vacancy is GS-9. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. This is an OPEN CONTINUOUS ANNOUNCEMENT. Eligible applications will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Major Duties: 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 Patient Care Sets up operato1y for planned dental procedure and cleans dental unit for timely turnover Handles instruments safely, accurately, and efficiently Provides routine oral prophylactic care to include application of fluoride solutions Provides 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 anesthetic agents Administers local anesthetic (per state license) Administers local anti-infective agents per direction of dentist Accomplishes all procedures within standard infection control protocols Patient Education 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 care givers Dental Imaging Images are characterized by diagnostic quality, accurately oriented and exposed Dental imaging safety techniques are utilized, and retakes are minimized Infection Control and Equipment Sterilization Demonstrates 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 Demonstrates proper infection control procedures in exposing images Clerical Functions Schedules appointments in accordance with the business rules spelled out in the VA Directive 1230 Must be able to interpret and communicate requirements of VHA Scheduling Directives and Complete accurate scheduling responsibilities. Schedules appointments and utilize the EWL accurately in a timely manner. All appointments will be made with the patients input, either in person or by phone. Assists patients in scheduling appointments Assists in filling gaps in the schedule due to late cancellations and failed appointments Charts findings, treatment plans, and treatment provided in patient records Information Management Maintains patient confidentiality per HIPAA with written and verbal information Follows computer security regulations Patient Safety Modifies care as appropriate for patient's age and abilities (patient transfer and position) Provides accurate and understandable instructions to patients Participates in patient identification and time out per JCAHO requirements 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 Prepares and presents monthly Safety Training to Dental Service Staff Work Schedule: Full Time Monday through Friday, Days Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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