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Dental Hygienist

Company: Veterans Health Administration
Location: Bronx
Posted on: April 9, 2021

Job Description:

Basic Requirements: Citizenship: Citizen of the United States(Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3g.
Education. Associate Degree or higher in an accredited dental hygiene program. This program must be accredited by the American Dental Association's Commission on Dental Accreditation (CODA).
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. Public Law 97-35 requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75. Essentially, 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 which will meet the requirement for certification as dental radiographers.
Exception. 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) for a period not to exceed 2 years. Failure to obtain certification during this time period may result in termination of employment.
English Language Proficiency. Ability to communicate in spoken and written English with patients and other health care personnel with sufficient fluency to satisfactorily carry out assigned responsibilities, in accordance with Public Law 95-201. The full performance level of this vacancy is GS-9. The actual grade in which this position may be filled is a GS-9. Grade Determinations:
GS-5 Dental Hygienist (Entry Level) Experience. None beyond the basic requirements.
Assignment. Employees at this level serve in an entry level position as dental hygienists. It is expected that they receive guidance from more experienced staff members for patient issues and require daily supervision at the site of work. GS-6 Dental Hygienist (Developmental Level 1)
Experience. At least 1 year of experience at the next lower grade level.
Assignment. Employees at this level serve as developmental level 1 dental hygienists. It is expected that they receive guidance from more experienced staff members for complex patient issues and require daily and direct contact at the site of work from the assigned supervisor.
Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the KSAs. GS-7 Dental Hygienist (Developmental Level 2) Experience. At least 1 year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Assignment. Employees at this level serve as developmental level 2 dental hygienists. It is expected that they perform more complex work while receiving less frequent supervision than at the GS-6 level.
Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the KSAs. GS-8 Dental Hygienist (Developmental Level 3) Experience. At least 1 year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Assignment. Employees at this level serve as developmental level 3 dental hygienists with the ability to perform direct patient care under the general supervision of the dentist. It is expected that they receive guidance from higher-level or supervisory staff members for only the most complex patients. Assignments at this level include, but are not limited to: 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, management of stable medically compromised patients (including risk factors). (c)
Demonstrated Knowledge, Skills, and Abilities. In addition to meeting the KSAs for the GS-7 level, the candidate must demonstrate the following KSAs:
1. Knowledge of state of the art preventive dentistry measures for patient instruction and training;
2. 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;
3. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc.; and
4. Knowledge of VA, The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters. GS-9 Dental Hygienist (Full Performance Level).
Experience. At least 1 year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Assignments. Employees at this level serve as staff dental hygienists at the full performance level. It is expected that they provide direct patient care and receive guidance from higher-level or supervisory staff members for only the most complex patients and require only general supervision from a dentist. Assignments at this level include but are not limited to: patient medical assessment (e.g. medical/dental history, social history, vital signs, full periodontal assessment and charting), disease and treatment management recommendations, denture care, scaling and root planing, radiographs/image interpretation, patient education (e.g. post-procedure, tobacco cessation, caries and perio-disease prevention), behavior management, management of stable medically compromised patients (including risk factors), instrument sharpening, inter-service communication. Demonstrate Knowledge, Skills and Ability: In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs: 1. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities for safe patient care;
2. 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;
3. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure;
4. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application;
5. Knowledge of hygiene procedures in order to explain the process and indication, complications and expected treatment outcomes for each;
6. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films; and
7. 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 cavitity. Reference: VA Handbook 5005, Part II, Appendix G37 Physical Demands: Work involves fine motor movement, sitting, standing (sometimes for long periods), walking, bending, twisting, and lifting and carrying light items (up to 20 lbs).

Keywords: Veterans Health Administration, New Rochelle , Dental Hygienist, Healthcare , Bronx, New York

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