Dental Assistant (Clinical Expanded Function)

Full Job Description

The Dental Assistant (Expanded Function) performs advanced clinical duties in support of dental care, assisting dentists and specialists in a variety of procedures while independently performing expanded-function duties.

The incumbent provides direct patient care, ensures infection control standards, and supports efficient dental clinic operations.

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: Citizenship - You must be a citizen of the United States English Language Proficiency - Candidates must be proficient in spoken and written English in accordance with 38 U.S.C.

7403(f).

Experience and Education - To fulfill this requirement, you must meet one of the following: Experience: Six months experience that demonstrates your 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 combinations 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.

You must have successfully completed an educational program that meets or exceeds the standards described in this 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).

Certification in basic life support methods is highly desirable. Certification by the Dental Assisting National Board (DANB).

DANB certification is required for all positions above the full performance level. DANB CERTIFICATION IS REQUIRED FOR THIS POSITION.

Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates.

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).

Clinical Expanded Function Dental Assistant, GS-07: In addition to meeting the basic requirements, to qualify for the GS-07 you must possess one (1) year of experience at the next lower grade level (GS-06).

Knowledge, Skills and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs: a.

Advanced knowledge of dental assisting across multiple areas of practice, and demonstrated ability to provide guidance to staff dental assistants. b.

Skill in coordinating clinical work flow and assignments. c. Ability to assist in dental program development, outcome management, and strategic planning. d.

Skill in acting as liaison between staff dental assistants and the supervisor. e. Ability to provide professional oversight and consultation for staff dental assistants.

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 Dental Assistants employed in VHA on the effective date of the qualification standard (04/19/2011) are considered to have met all qualification requirements for the title, series and grade held, including certification 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: 1.

Dental Assistants grandfathered under this provision 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. 2.

Dental Assistants 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.

3.

Dental Assistants 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.

4.

If a Dental Assistant who was retained under this provision leaves the occupation, they lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.

Preferred Experience: Must maintain current Dental Assisting National Board (DANB) certification.

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-07.

Physical Requirements: Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Moderate carrying, 15-44 pounds; Use of fingers; Both hands required; Standing, 3 hours; Repeated bending, 8 hours; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Depth perception; Hearing (aid may be permitted); Works with radiation.

Major Duties:

Duties included but not limited to: Expanded Function Performs mouth mirror inspection of the oral cavity, coronal polishing of teeth and pulp vitality testing Gathers diagnostic information Charts existing restoration and conditions Selects shades for fixed and removable prostheses Places and removes rubber dams, retraction cord, intracoronal temporary restoration, surgical dressings, and matrix bands Removes temporary crown/bridge and clean tooth preparation of debris, hard accretions from and polishes removable prostheses, and sutures Customer Service Shows courtesy, respect, and a positive attitude for patients, co-workers and the public Assists customers with questions or concerns and provides service recovery Chairside Assisting Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover Possesses advanced knowledge of instruments, materials, and standardized dental procedures used in all phases of restorative, surgical, endodontic and periodontal care Monitors, and performs basic interpretation of, patient vital signs (BP, pulse, oximeter) and condition during invasive treatment and during recovery period following procedure Assists in routine general dental procedures using concepts of four-handed dentistry; 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 Dental Imaging Possesses comprehensive knowledge of advanced imaging techniques in order to provide instruction (e.g.

cone beam, cephalometric, advanced panoramic imaging, TMJ, etc.) Captures images characterized by diagnostic quality and accurately oriented and exposed Utilizes dental-imaging safety techniques and retakes are minimized Infection Control and Equipment Sterilization Demonstrates proper infection-control procedures in setting up and cleaning up operatories Disinfects oral appliances to prevent cross contamination Properly prepares instruments for transfer to SPS for sterilization 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 The 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 and prepares bite rims Removes plaque and soft debris from removable prostheses Fabricates athletic mouth guards and bleaching trays Performs other dental laboratory functions as needed and requested Other duties assigned Total Rewards of a Allied Health Professional Work Schedule: 4 x10's; 7:00 a.m.

5:30 p.m., 4 days per week.

Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): Not Available Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases.

When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).

Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.

Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.

Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position.

Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized