Dental Hygienist

Veterans Health Administration•Grand Island, NE
•Onsite

About The Position

The Dental Hygienist provides direct patient care under the general supervision of the dentist and performs other clinical and clerical functions independently of direct supervision. This is not a virtual position and telework is not available. The work schedule is Monday-Friday, 7:30 am to 4:00 pm. Relocation and recruitment incentives are not authorized, and Permanent Change of Station (PCS) is not authorized.

Requirements

  • Must be a U.S. Citizen to apply for this job.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
  • Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Acceptable form(s) of identification will be required to complete pre-employment requirements.
  • Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.
  • As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
  • 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.
  • 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).
  • 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.
  • 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.
  • English Language Proficiency: Dental hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. § 7403(f).
  • 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).
  • Knowledge of oral prophylactic, therapeutic, and preventive procedures for periodontal diseases, or inflammation, or on patients with other medical and/or dental problems.
  • Knowledge of dental methods and techniques used in performing intra and extra oral procedures.
  • Ability to use communication techniques to encourage and inform individuals and groups.
  • Knowledge of oral pathology to include disease of the hard and soft tissues, disorders of tooth structure, developmental and congenital anomalies, salivary gland disorders, symptoms of infectious disorders, and appropriate protocols.
  • Practical knowledge of medical diseases, conditions, and chronic degenerative diseases as they relate to dental health and treatment.
  • Knowledge of radiographic exposure techniques to produce radiographs of high diagnostic quality.
  • Knowledge of state-of-the-art preventive dentistry measures for patient instruction and training.
  • 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.
  • Knowledge of The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters.
  • Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc.
  • Knowledge of hygiene procedures to explain the process and indication, complications and expected treatment outcomes for each.
  • Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films.
  • Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application.
  • Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure.
  • 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.
  • Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer safe patient care.
  • 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.

Nice To Haves

  • 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), Temporary Full-Time Appointments, Part-Time Appointments and Without-Compensation Appointments for a Period Not to Exceed Two Years.
  • Non-certified individuals shall only provide care under the supervision of a certified dental hygienist at or above the full performance level.
  • Non-certified individuals may only be appointed at the entry level (GS-5) and may not be promoted/converted until certification is obtained.
  • Temporary appointments of non-certified dental hygienist may not be extended beyond two years or converted to a new temporary appointment.

Responsibilities

  • Sets up operatory for planned dental procedure and cleans dental unit for timely turnover.
  • Handles instruments safely, accurately, and efficiently.
  • Perform dental prophylaxis and periodontal maintenance procedures.
  • Manages dental recall system, referring patients to the doctor for additional care when needed.
  • Accomplishes all procedures within standard infection control protocols.
  • Conducts hand and neck examinations and complete intraoral inspection of the hard and soft tissue and seeks consultation with dentist on abnormal findings.
  • Makes impression for fluoride carrier trays.
  • Prepares and provides individual and group oral health care instruction to inpatients, outpatients and caregivers.
  • Dental imaging safety techniques are utilized, and retakes are minimized.
  • Demonstrates proper infection control procedures in setting up and cleaning up operatory.
  • Instruments are properly prepared for sterilization by SPS standards.
  • Demonstrates proper infection control procedures in exposing images.
  • Assists patients in scheduling appointments.
  • Assists in filling openings in the schedule due to late cancellations and failed appointments.
  • Chart findings, treatment plans, and treatment provided in patient records.

Benefits

  • A career with the U.S. government provides employees with a comprehensive benefits package.
  • As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
  • Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.
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