Dental Hygienist

Summary 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. Learn more about this agency Duties Duties include but are not limited to: Relationships with management, co-workers, patients, and the general public are consistently courteous, respectful, and cooperative in nature. Employee will display a cooperative attitude and will effectively work together to implement the organization's mission and goals and support performance measures. Employee will ensure productivity is maintained at the established level utilizing recommended Central Office Relative Value Unit (RVU) requirements. Sets up operatory for planned dental procedure and cleans the dental unit for timely turnover. Completes preliminary dental examinations on dental service patients. Performs a complete oral prophylaxis on ambulatory and non-ambulatory patients. Performs deep subgingival scaling, root planing, and curettage under local anesthesia. Polishes the teeth and applies stannous fluoride for hypersensitivity and caries prevention. Gives home care instructions to patients after curettage. Provides bedside prophylactic treatment using specialized procedures for comatose patients, neurosurgical patients, and other types of non-ambulatory 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 by smoothing rough edges of restorations, removing overhanging margins of fillings, reducing sharp edges of fractured teeth, polishing and finishing amalgam restorations, and inserting temporary fillings in teeth. Handles instruments safely. Cleans dental prosthesis, fixed and removable. Manages dental recall system, referring patients to the dentist for additional care when needed. Provides patient education appropriate to the veteran's needs and oral condition. Accomplishes all procedures within standard infection control protocols. Instructs patients at chairside in oral hygiene, brushing and flossing techniques, and periodontal aids which increase the amount of stimulation to the teeth. Plans and adapts instructions in home care techniques, tailoring them to the oral hygiene needs and oral problems of individual patients. Explains to patients the causes of periodontal disease and tooth decay, and the importance of diet as it relates to oral and systemic health. Presents demonstrations in oral health care to various patient groups such as diabetics, hemodialysis patients, and drug or alcohol dependent patients using dental education materials and aides. Regularly instructs nurses and nursing assistants in the proper techniques of oral hygiene to be applied to the bedridden, handicapped, disabled and chronically ill patient. Provides adequate stock of oral hygiene supplies and instruction pamphlets for clinic patients. Images are characterized by diagnostic quality, accurately oriented and exposed. Dental imaging safety techniques are utilized, and retakes are minimized. Exposes radiographs on patients including bite wing, periapical and panoramic x[1]rays. Adjusts voltage, amperage, and timing of x-ray equipment. Positions film and machine to insure coverage of area to be x-rayed. Demonstrates proper infection control procedures in setting up and cleaning dental operatories Ensures Instruments are properly pre-treated for pick-up by SPS personnel Demonstrates proper infection control procedures in exposing images Maintains patient confidentiality per HIPAA with written and verbal information Follows computer security regulations 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 JCAHO requirements Monitors patient condition during treatment, being alert for signs of physical distress 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. Complies with Employee Education requirements Completes mandatory annual safety training sessions Work Schedule: Monday - Friday 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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. 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 3 programs contain curriculum addressing radiologic procedures meets 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-9 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 https://www.va.gov/ohrm/QualificationStandards/. 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 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional information Whole Health is an approach to health care that empowers and equips people to take charge of their health and well-being and live their life to the fullest. The VA is committed to Whole Health and values Veteran and Employee health and well-being. As a VA employee, you will practice Whole Health in an environment that supports personalized and proactive care. 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? The VA has adopted Core Values and Characteristics that apply universally across the Department. The five Core Values define "who we are," our culture, and how we care for Veterans, their families, and other beneficiaries. The Values are Integrity, Commitment, Advocacy, Respect, and Excellence ("I CARE"). As a VA professional, your opportunities are endless. With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. For more information on the Department of Veterans Affairs, go to http://www.vacareers.va.gov/. Serve those who have served our country. Receiving Service Credit for 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. 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. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. Expand Hide  additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.