Veterans Affairs, Veterans Health Administration Dental Assistant in Bedford, Massachusetts
Summary The Dental Assistant position is located in the Specialty and Acute Care Service line at Bedford, Ma. The individual is accountable for maintaining SPS standards for the practice of all services and care lines and contributes to the fulfillment of the mission of the clinical areas. This position is a full-time at 40hrs per week. Responsibilities Serves as staff dental assistant at the full performance level for routine patient care and performs a full range of duties with direct supervision from supervisory dental assistant or the treating dentist. Performs assigned selected procedures with some independence. Some complex patient procedures may be performed under direct supervision of more experienced dental assistants or supervisory dental assistant 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 Chairside Assisting - 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 anesthetics 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 Dental Imaging - Exposes both standard and specialty dental imaging (i.e Panorex, cone beam) in digital formats - Modifies settings to achieve the images as requested by the provider - 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 Infection Control and Equipment Sterilization - Demonstrates proper infection control procedures in setting up and cleaning operatories - Disinfects oral appliances to prevent cross contamination - Properly prepares instruments for transfer to SPS for sterilization - Follows all Standard Operating Procedures for Reusable Medical Equipment - Follows assigned duties and logs to maintain cleanliness of Dental clinic (i.e. weekly wipe down of room as recommended by MFR.) - Works closely with SPS to ensure availability of instruments so that clinical care is not delayed - Demonstrates proper infection control procedures in exposing images Clerical Functions - 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 Information Management - Maintains patient confidentiality per HIPAA 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 Dental Laboratory Functions - Pours impressions and prepares study models - Makes final denture impression trays - Performs other dental laboratory functions as time and skill levels allow with direct supervision Direct Patient Care - 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 as skill level permits - Provides post-operative and any appropriate patient education - Removes sutures and periodontal surgical dressing with direct supervision from supervisory dental assistant. - Remove temporary crown/bridge and clean tooth preparation of debris - Recement and fabricate temporary crowns as skill level permits - Performs coronal polishing of teeth - Places rubber dams and matrix bands Work Schedule: Monday thru Friday, 7:45am to 4:15pm Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Dental Assistant/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required This is a NAGE bargaining unit position. This position is in the excepted service. 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 assistants must be proficient in spoken and written English 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 combination 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).; Or 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. 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 - None beyond the basic requirements. GS-4 - 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: 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. GS-5 - 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, the candidate must demonstrate the following KSAs: 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. GS-6 - 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: 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: Certification in basic life support methods is highly desirable and/or 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. References: VA Handbook 5005/3 Part II/ Appendix G36 dated April 19, 2011, Dental Assistant Qualification Standard, GS-681 series. The full performance level of this vacancy is 06. The actual grade at which an applicant may be selected for this vacancy is in the range of 03 to 06. Physical Requirements: Some light to medium lifting, light carrying, pushing, reaching above shoulders, use of fingers, both hands required, walking, standing, both legs required, ability for rapid mental and muscular coordination simultaneously, near vision (correctable), both eyes required, depth perception, ability to distinguish basic colors, ability to distinguish shades of colors, hearing (aid permitted), and emotional stability required. 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 or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.