The Dental Hygienist performs at the full performance level. Incumbent provides oral prophylaxis, scaling and root planning, topical application of drugs, and one-on-one instruction in proper preventative dental procedure and nutritional information and receives guidance from higher-level or supervisory staff for only the most complex patients and requires only general supervision from a 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. English Language Proficiency. Dental Hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. 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: (1) Dental hygiene programs accredited by the American Dental Association's Commission on Dental Accreditation (CODA). (2) 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: (1) 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. Exceptions for Non-Certified Dental Hygienist. (a) 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), Temporary Full-Time Appointments, Part-Time Appointments and Without-Compensation Appointments for a Period Not to Exceed Two Years. (b) Non-certified individuals shall only provide care under the supervision of a certified dental hygienist at or above the full performance level. (c) Non-certified individuals may only be appointed at the entry level and may not be promoted/converted until certification is obtained. (d) Temporary appointments of non-certified dental hygienist may not be extended beyond two years or converted to a new temporary appointment. (e) Failure to Obtain Certification. In all cases, dental hygienists must actively pursue meeting requirements for certification starting from the date of their appointment. At the time of appointment, the dental hygienist supervisor will provide the dental hygienist with the written requirements for licensure/certification, including the time by which the licensure/certification must be obtained and the consequences for not becoming certified by the deadline. Management officials will remove dental hygienists from their positions who fail to obtain licensure/certification during this time period, which may result in termination of employment. (4) Loss of Credential. Management officials will remove dental hygienists from their positions who fail to maintain the required licensure/certification, which may also result in termination of employment. Physical Requirements. Long periods of standing, walking and bending are required. 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 outlined in paragraph 3.b., the following criteria must be met when determining the grade of candidates. Experience. At least 1 year of experience at the next lower grade level (GS-08) or equivalent that demonstrates the core competencies described at that level. In addition, the candidate must demonstrate the following technical KSAs: Demonstrated Knowledge, Skills and Abilities. GS-08 level Knowledges, Skills and Abilities. 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. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs at the GS-09 level: 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, Part II, Chapter 2, Appendix G36,requires that applicants meet the following basic requirements. The full performance level of this vacancy is GS-09. The actual grade at which an applicant may be selected for this vacancy is the GS-09. ["The incumbent performs the duties listed below: Customer service Relationships with all customers are consistently courteous, respectful, and cooperative in nature. Employee will have a cooperative attitude and will work together to implement the organization's mission, Employee will ensure productivity is maintained at the established level. Patient care Sets up operatory for planned dental procedure and cleans the dental unit . Completes preliminary dental examinations. The hygienist reviews patient's medical and dental history for evidences of past and present conditions. Examines the teeth and surrounding tissues for evidences of plaque and periodontal disease and charts findings; Inspects the mouth and throat for evidence of disease such as oral cancer; interprets routine X-rays to identify tooth structures, calculus, and abnormalities such as cavities and deep periodontal pockets. Refers abnormalities such as cavities to the dentist. Prepares dental hygiene treatment plans for patient . Performs a complete oral prophylaxis on patients. Performs deep subgingival scaling, root planning, and curettage under local anesthesia. Polishes the teeth and applies stannous fluoride for hypersensitivity. Gives home care instructions to patients. Provides bedside prophylactic treatment using specialized procedures for comatose patients, neurosurgical patients, and other types of patients. In postoperative care of oral surgery and periodontal surgery patients, performs suture removal, changes dressings, applies topical anesthetics, and provides home care instructions. In oral cancer patients, takes impressions for construction of mouth guards, applies fluoride, and maintains recall system for careful follow-up of each patient. Educates patient on need for daily oral health and fluoride treatment. Assists the dentist by making repairs and adjustments to the teeth. Handles instruments safely. Cleans dental prosthesis, fixed and removable. Manages dental recall system, referring patients to the dentist. Provides patient education appropriate to the veteran's needs. Accomplishes all procedures within standard infection control protocols. Preventative Dentistry Instructs patients at chairside in oral hygiene, brushing and flossing techniques, and periodontal aids Plans and adapts instructions in home care techniques. Explains to patients the causes of periodontal disease and tooth decay, Presents demonstrations in oral health care to various patient groups. Regularly instructs nurses and nursing assistants in the proper techniques of oral hygiene. Provides adequate stock of oral hygiene supplies and instruction pamphlets. Dental Imaging Images are characterized by diagnostic quality, accurately oriented and exposed. Dental imaging safety techniques are utilized. Exposes radiographs on patients including bite wing, periapical and panoramic x-rays. Adjusts voltage, amperage, and timing of x-ray equipment. Positions film and machine to insure coverage of area to be x-rayed. Infection Control Demonstrates proper infection control procedures in setting up and cleaning. Ensures Instruments are properly pre-treated for pick-up. Demonstrates proper infection control procedures. 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. 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 Clerical Functions 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 in a concise and understandable manner. Employee Education Complies with Employee Education requirements Completes mandatory annual safety training sessions Work Schedule: Monday to Friday - 07:30am - 04:00pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #91519729 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military and for their families, caregivers, and survivors" - by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate whole health care to Veterans?Readying Warriors and Caring for Heroes! This position is located within Surgical Services at the CAPT James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. The FHCC is a first-of-its-kind partnership between the Department of Veterans Affairs (DVA), and Department of Navy (DoN)/Department of Defense (DoD). It is larger than just a single facility, but rather it is a fully-integrated medical care facility with a single combined VA and Navy mission. The combined mission of the FHCC means active duty military and their family members, military retirees, and eligible veterans receive health care at this facility.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. Join the FHCC team of energetic, career-minded professionals! For additional information, click onhttp://www.lovell.fhcc.va.gov/index.asp.