Dental Hygienist

The Dental Hygienist performs at the full performance level. They provide 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 supervisory staff for only the most complex patients. The Dental Hygienist may also become responsible for the care and treatment of veterans who participate in the Homeless Veterans Dental Program. 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. 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 that meet the requirement for certification as dental radiographers. Exceptions for Non‑Certified Dental Hygienist: 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. Non‑certified individuals shall only provide care under the supervision of a certified dental hygienist at or above the full performance level. Non‑certified individuals may only be appointed at the entry level and may not be promoted/converted until certification is obtained. 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 Specialized Experience You must have one year of experience equivalent to the GS‑8 grade level that demonstrates the clinical competencies described at that level. Examples of experience at the next lower grade are: patient assessments (e.g., risk assessments, oral health assessments), prevention recommendations, prophylaxis, periodontal treatment for mild to moderate disease (e.g., scaling and root planing, full‑mouth debridement), Periodontal Screening and Recording (PSR) radiograph/image capture, fluoride treatment application, topical anesthesia administration and management of stable medically compromised patients (including risk factors). KSA at GS‑8 level: Demonstrated Knowledge, Skills, and Abilities. The candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs) at the GS‑08 level: 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.

GS-09 KSA

In addition you must meet the Demonstrated Knowledge, Skills, and Abilities. The candidate must demonstrate the following Knowledge, Skills, and Abilities (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. Preferred Experience Minimum of five (5) years of experience practicing clinical hygiene with preference given to applicants who have experience working within a VA Medical Center. Previous training and certification in administering local anesthesia (both block and infiltration) under supervision of a dentist. Reference For more information on this qualification standard, please visit Physical Requirements Long periods of sitting and recurring bending and reaching are required while performing dental hygiene procedures. The hygienist must also demonstrate above average dexterity in manipulating dental instruments and materials. #J-18808-Ljbffr US-Department-of-Veterans-Affair