Dental Hygienist
What you'd do
The Dental Hygienist (Advanced Clinical) position is in the James E. Van Zandt Veterans Affairs Medical Center in Altoona, PA, under the Dental Surgical Service. Conducts patient medical assessments, manages diseases and treatments, provides denture care and adjustments, performs scaling and root planning, and provides patient or group education.
Major duties
Major duties include, but are not limited to: Responsible for obtaining and recording comprehensive medical-including vitals, medications, and social history-dental, and dietary histories. Performs dental charting, caries detection, and assessment of abnormalities and periodontal conditions. Prepares the operatory for planned procedures and maintains efficient turnover, ensuring safe handling of instruments. Delivers routine oral prophylactic care, including fluoride application, with awareness of appropriate indications and safe use. Conducts gross debridement, deep scaling, curettage, and root planing with skilled instrumentation. Detects plaque, calculus, inflammation, and dental pathologies, and adapts care based on patients' medical histories, anxiety, phobias, medications, comorbidities, and age-related factors to maximize safety and comfort. Cleans dental prostheses and assists the dentist during the absence of the dental assistant. Applies desensitizing and sealant materials, places sedative/temporary restorations, recements crowns/bridges, performs minor dental prostheses adjustments and enameloplasty, makes study model impressions, removes sutures, and ensures all procedures follow infection control protocols. Provides individualized education tailored to Veterans' oral health needs, including post-procedure instructions, tobacco cessation, and caries and periodontal disease prevention strategies. Clearly explains hygiene procedures, anticipated outcomes, complications, and indications. Develops and delivers individual and group oral health instruction to inpatients, outpatients, and caregivers on periodontal disease, wellness, maintenance, oral hygiene practices, parafunctional habits, and the effects of illness, addiction, medications, and tobacco on oral health. Produces diagnostic-quality dental images with accurate orientation and exposure. Adheres to stringent infection control measures when preparing and cleaning operatory spaces. Prepares instruments for sterilization in accordance with SPD standards, ensuring no delay in clinical care. Supports appointment scheduling and helps fill schedule gaps caused by cancellations or missed appointments. Maintains patient confidentiality in accordance with HIPAA regulations for both written and verbal information. Adheres to computer security protocols. Other duties as assigned. Work Schedule: 7:00 am - 3:30 pm; Monday - Friday Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 000000 / Dental Hygienist Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized
What you need to qualify
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/Certification: 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 meets the requirement for certification as dental radiographers. English Language Proficiency: Dental hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f). Foreign Education: To be creditable, education completed outside the U.S. must be deemed at least equivalent to that gained in a conventional U.S. program by a private organization specializing in the interpretation of foreign educational credentials. Grade Determinations: Dental Hygienist, GS-10 (Advanced Clinical) Experience: At least one year of experience equivalent to the next lower grade level that is directly related to the position being filled fully meets the KSAs at that level. Demonstrated Knowledge, Skills and Abilities: In addition to meeting the KSAs for the GS-09 level, the candidate must demonstrate the following KSAs: Knowledge of medical assessment techniques including interviewing and evaluating clinical findings (e.g. normal and critical lab values) to adapt treatment based on medical and psychological issues. Advanced knowledge of oral and dental anatomy including root anatomy, common pathologies and anomalies, and indications for advanced radiographic imaging and proper technique to detect potential abnormalities. Knowledge of medical treatment adjuncts and indications and the ability to safely administer medicaments (e.g. intrasulcular medicaments, local anesthesia, sulcular lavage, applying and removing periodontal surgical dressing). Knowledge of advanced adjunctive diagnostic and therapeutic equipment, indication for use and ability to utilize safely (e.g. sonic, magnetostrictive ultrasonic, and piezo ultrasonic scalers). Skill in providing safe and thorough prophylaxis, root planing and soft tissue curettage for complex periodontal and/or restorative cases and skill in providing safe care for patients with complex medical/psychiatric issues. Ability to apply adult education techniques/methods, organize curriculum, judge cognitive ability, and provide healthcare education regarding relationships between medical and dental pathologies to groups, interdisciplinary staff, and other outside contacts. Preferred Experience: Experience with the administration of local anesthesia is preferred, but not required. 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-10. The actual grade at which an applicant may be selected for this vacancy is GS-10. Physical Requirements: . See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
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