The Primary Purpose of the Position is: The Dental Assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. Dental assistants at this level serve as staff dental assistants at the full performance level for more routine patient care and perform some complex patient procedures under general supervision of more experienced dental assistants or dental supervisor. 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). Experience/Education Combination: Equivalent combinations of experience and education are qualifying. Certification. 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. 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). Grandfathering Provision. All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including certification for positions above the full performance level that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: Such employees may be reassigned, promoted up to and including the full performance journey level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Such employees MUST meet the certification requirement before they can be promoted to those higher grade levels Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. If an employee who was retained under this provision leaves the occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. Grade Determinations: GS-3: Experience or Education. 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: 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. 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 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 applicant must demonstrate the following KSA's: 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. 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: 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. Preferred Experience: 3-5 years of dental assistant experience Advanced knowledge of instruments, materials, and standard dental procedures used in dental procedures. Ability to monitor and perform basis 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 enter and retrieve data utilizing electronic dental records. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-06. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-03 to GS-06. Physical Requirements: Light lifting, under 15lbs Light carrying, under 15lbs Straight pulling (.5 hours) Pushing (.5 hours) Reaching above shoulder Use of fingers Both hands required Walking (1 hours) Standing (4 hours) Repeated bending ( 3 hours) Both legs required Ability for rapid mental and muscular coordination simultaneously Both eyes required Depth perception Ability to distinguish basic colors Ability to distinguish shades of colors Hearing (aid permitted) ["Duties include but are not limited to: 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 Chair Side 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 medicaments 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, and prosthodontics. - Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards Dental Imaging - Exposes both standard and specialty dental imaging in a digital format. - Modifies setting 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 operatory - Disinfects oral appliances to prevent cross contamination - Properly prepares instruments for transfer to SPD for sterilization - Follows all Standard Operating Procedures for Reusable Medical Equipment - Works closely with SPD to ensure availability of instruments so that clinical care is not delayed - Demonstrates proper infection control procedure in exposing images Clerical Functions - Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments - Initiates computerized progress notes - 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 - Monitor patient condition during treatment, being alert for signs of physical distress Employee Education - Complies with Employee Education requirements - Complies mandatory annual safety training sessions Dental laboratory Functions - Pours impressions and prepares study models - Makes final denture impression trays and prepares bite rims - Fabricates athletic mouth guards and bleaching trays - Performs other dental laboratory functions as time and skill levels allow Direct patient Care - Monitor 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 - Provides post-operative and another appropriate patient education Reusable Medical Equipment (RME) - The incumbent will have knowledge of the processes for Reusable Medical Equipment (RME) as required by this position. The incumbent will be required to maintain current knowledge of the Standard Operating Procedures (SOPs) which document the processes and procedures for cleaning, disinfection, sterilization and preparation of RME appropriate to this position. The incumbent will be able to demonstrate their ability to utilize an acceptable proficiency in the use of RME appropriate to this position. Work Schedule: Monday - Friday, 7:30am - 4:00pm 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"]

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