Dental Assistant (Fee Basis)

Summary

This is a Fee Basis Provider position. Fee basis appointments are temporary - excepted appointments of persons in professional and technical occupations under the authority of Title 38 of the United States Code - specifically section 7405(a)(2). Fee basis appointments provide services on a facility's premises when health services are otherwise readily available - cost effective - based on services provided rather than on an hour or tour basis - and when determined to be cost effective to the agency.

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
• Experience and Education: Experience
• Six months experience that demonstrates the applicant's 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 - (3) 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
• 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
• Provisions for Certification of Radiologic Competence (a) Successful completion of the Dental Radiation Health and Safety Examination administered by the Dental Assisting National Board - Inc.
• OR - (b) 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 - (c) Successful completion of a radiation health and safety program or examination approved by a state board of dentistry or the Department of Defense (DoD)
• English Language Proficiency
• Dental assistants must be proficient in spoken and written English in accordance with VA Handbook 5005 - chapter 2 - section D - paragraph 5a
• 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: The candidate must demonstrate the following technical KSAs: 1
• Ability to identify normal oral anatomy
• 2
• Advanced knowledge of instruments - materials - and standardized dental procedures used in all phases of restorative - surgical - endodontic and periodontal care and procedures
• 3
• Ability to monitor and perform basic interpretation of vital signs
• 4
• Ability to independently provide procedure-specific patient education and appropriate referral of patient concerns to treating dentist
• 5- Ability to capture standard and special dental images of good diagnostic quality in traditional or digital formats
• 6
• Ability to perform maintenance on dental equipment used for routine and specialty dentistry
• 7
• Ability to enter and retrieve data utilizing electronic dental records
• 8
• Ability to perform dental assistant-appropriate laboratory procedures Preferred Experience: Certification in basic life support methods is highly desirable
• Certification by the Dental Assisting National Board (DANB)
• The American Dental Association (ADA) recognizes DANB as the national certification for Dental Assistants
• DANB certification is not required - but highly desirable for the appointment of Dental Assistants
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Handbook 5019 - Employee Occupational Health Service
  
  

Duties

• Total Rewards of a Allied Health Professional Dental assistants at this level serve as staff dental assistants at the full performance level for more routine patient care and perform some complex patient procedures under general supervision of more experienced dental assistants or dental supervisor
• The dental assistant assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision
• Dental Imaging: Exposes both standard and specialty dental imaging (i.e
• TMJ - ceph - cone beam) in traditional and/or digital formats Modifies settings to achieve the images as requested by the provider - Images are characterized by diagnostic quality - accurately oriented and exposed Dental imaging safety techniques are utilized - and retakes are minimized - Imaging requests are accomplished within the desired time frame
• Infection Control and Equipment Sterilization: Demonstrates proper infection control procedures in setting up and cleaning operatories
• Disinfects oral appliances to prevent cross contamination
• Properly prepares instruments for transfer to SPD for sterilization
• Follows all Standard Operating Procedures for Reusable Medical Equipment
• Works closely with SPD to ensure availability of instruments so that clinical care is not delayed
• Demonstrates proper infection control procedures in exposing images
• Clerical Functions: Assists patients in scheduling appointments
• This includes clerical functions such as receiving and making telephone calls - scheduling appointments from RTC orders - and entering RTC orders when necessary
• Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments
• Assist 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 Joint Commission 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
• Dental Laboratory Functions: Pours impressions and prepares study models
• Makes final denture impression trays and prepares bite rims
• Fabricates athletic mouth guards and bleaching trays
• Performs other dental laboratory functions as time and skill levels allow
• Direct Patient Care: Monitors patient vital signs (BP - pulse - pulse oximeter) and condition during invasive treatment and during recovery period following procedure
• Applies topical anesthetic at the injection site - Applies topical fluoride
• Makes impressions for diagnostic casts and preliminary impressions for prosthetic fabrication
• Provides postoperative and other appropriate patient education
• Rate of Pay and Work Schedule: Rate is set per unit - unit is equivalent to the initial set up and preparation of a dental treatment room - support to the Dentist during procedure - and RMD disassembly - pre-treatment - and transport
• Per unit rate is determined to be $35.00
• An annual limitation of pay for services is limited to $70 -000
• Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: PD60151F Permanent Change of Station (PCS): Not Authorized