Southern California Permanente Medical Group (Kaiser Permanente)
Riverside, California
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The Dental Hygienist at the VA Northern California Healthcare System(VAPAHCS) provides direct patient care under the general supervision of the dentist and performs other clinical and clerical functions independent of direct supervision. 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.
Qualifications
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:(1) Dental hygiene programs accredited by the American Dental Association's Commission on Dental Accreditation (CODA).(2) [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(1) 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.(2) 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.(4) Loss of Credential
Management officials will remove dental hygienists from their positions who fail to maintain the required licensure/certification - which may also result in termination of employment
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
Physical Requirements
See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements
English Language Proficiency
Dental hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f)
Grade Determinations: GS-09 Experience
At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level
In addition to meeting the KSAs for the GS-8 level - the candidate must demonstrate the following KSAs: i
Knowledge of hygiene procedures to explain the process and indication - complications and expected treatment outcomes for each
ii
Knowledge of proper usage of dental radiography equipment - radiation safety - assessment of proper image capture and interpretation of films
iii
Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application
iv
Skill in detecting plaque and calculus - dental abnormalities/pathologies - assessing inflammation and providing safe instrumentation for each procedure
v
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
vi
Ability to assess the patient's medical - dental - anxiety/phobias - medications and comorbidities to administer safe patient care
vii
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: 1 year of experience
References: VA Handbook 5005/146 - PART II - APPENDIX G37
DENTAL HYGIENIST QUALIFICATION STANDARD - GS-0682 - Veterans Health Administration dated July 23 - 2021.The full performance level of this vacancy is GS-09
The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-9.Physical Requirements: Moderate Lifting (15-44b lbs.)
Light Lifting (under 15 lbs.)
Moderate carrying (15-44lbs)
Light Carrying (under 15 lbs.)
Reaching above shoulder
Use of fingers
Both hands required
Standing (up to 3 hours)
Both Legs Required
Near vision correctable at 13" to 16";Hearing (aid permitted).
Duties
Duties and responsibilities include but are not limited to the following: Patient Care Sets up operatory for planned dental procedure and cleans dental unit for timely turnover
Complies with patient identification - time-out and reusable medical equipment processes
Handles instruments safely - accurately - and efficiently
Takes and records vital signs - reviews medical history
Charts oral conditions
Assesses patient's medical - dental - anxiety/phobias - medications and comorbidities
Assesses the impact of patient's medical and dental condition on maintaining oral health
Recognizes age-related changes in individual patients - adapts patient environment - and maximizes patient's physical comfort
Provides routine oral prophylactic care
Provides gross debridement - scaling and root planing procedures
Provides subgingival curettage
Cleans dental prostheses - fixed and removable
Applies appropriate topical fluoride solutions or varnishes
Manages dental recall system - referring patients to the doctor for additional care when needed
Administers topical anesthetic agents
Administers local anesthesia (check to ensure hygienist's state license allows and certification is current)
Applies desensitizing agents
Performs routine maintenance of equipment components such as suction traps - water lines - etc
Accomplishes all procedures within standard infection-control protocols
Patient Education Provides patient education appropriate to the Veteran's needs and oral condition
Explains hygiene procedures - indications - complications and expected outcomes to individual patient and caregiver
Prepares and provides education on periodontal disease - wellness - health maintenance - oral hygiene practices - parafunctional habits - and effect of illness - addictions - medications and tobacco on the oral cavity
Dental Imaging Takes diagnostic quality images that are accurately oriented and exposed
Utilizes dental-imaging safety techniques with minimal retakes
Infection Control and Equipment Sterilization Demonstrates proper infection-control procedures in setting up and cleaning up operatory and in exposing images
Properly prepares instruments for sterilization by SPS standards
Prepares instruments in a manner that does not delay clinical care
Clerical Functions Assists patients in scheduling appointments
Assists in filling gaps in the schedule due to late cancellations and failed appointments
Information Management Maintains patient confidentiality per HIPAA with written and verbal information
Follows computer security regulations
Patient Safety Modifies care as appropriate for patient's age and abilities (patient transfer and position)
Modifies care based on patient's medical - dental - anxiety/phobias - medications and comorbidities
Provides accurate and understandable instructions to patients
Participates in patient identification and time out per TJC requirements
Monitors patient condition during treatment - being alert for signs of physical distress
Employee Education Complies with Employee Education requirements
Completes mandatory annual safety training sessions
Maintains all continuing education requirements for professional licensure - certifications - etc
Work Schedule: Intermittent Telework: Not Available Virtual: This is not a virtual position
Functional Statement #: 000000 GS-9 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.