Dental Hygienist

Summary

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. They provide direct patient care and receive guidance from higher‑level or supervisory staff members for only the most complex patients.

• 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
• 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…