Summary The Dental Assistants will be assigned to Dental Service at the Fayetteville and Goldsboro NC VA Health Care System and will perform a wide range of intra-oral dental procedures and provides chairside assistance in the dental clinic. He/she will perform reversible intra-oral procedures associated with various phases of restorative, prosthodontic and maxillofacial prosthetic, periodontal, endodontic, implantology, and surgery procedures. Responsibilities 1. Major Duties and Responsibilities: a. Serves as staff dental assistant at the full performance level for routine patient care and performs a full range of duties with indirect supervision from the lead or supervisory dental assistant or the treating dentist. Performs assigned selected procedures with some independence. Some complex patient procedures are performed under indirect supervision of more experienced dental assistants or dental supervisor. b. Assists the dentist in many aspects of direct patient care and performs other clinical and clerical functions independently of direct supervision. 2. Functions: a. Customer Service: Shows courtesy, respect, and a positive attitude for patients, co-workers and the public Provides assistance to customers with questions or concerns, provides service recovery b. Chairside Assisting Sets up operatory and/or surgery suite for planned dental procedure and cleans dental unit for timely turnover Passes instruments safely, accurately, and efficiently Keeps operative field clear of debris and retracts oral tissues effectively and comfortably Prepares dental medicaments and impression materials per manufacturer's instructions Accomplishes all intra-operative procedures within standard infection control protocols Assists in routine general dental procedures using concepts of four-handed dentistry Assists in specialized dental procedures, such as oral surgery, endodontics, periodontics, prosthodontics, implant placement and restoration Maintains both routine and specialty dental equipment per manufacturer instructions and dental service standards c. 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 d. 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 Utilizes all proper PPE per national and local policies Follows all hospital infection control protocols including hand hygiene e. Clerical Functions Assists in filling gaps in the doctor's schedule due to late cancellations and failed appointments Initiates computerized progress note Assists dentist in charting findings and treatment plans in patient records Locates/tracks all pending patient lab cases for use during patient appointments Properly completes all dental laboratory cards f. Information Management Maintains patient confidentiality per HIPAA with written and verbal information Follows computer security regulations g. 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 h. Employee Education Complies with Employee Education requirements Completes mandatory annual safety training sessions i. 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 j. 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 Removes plaque and soft debris from removable prostheses Provides patient preventative education and oral hygiene instruction Provides post-operative and other appropriate patient education Completes medication reconciliation and TBI screenings as appropriate Work Schedule: Monday - Friday; Compressed Schedule; May have rotating days off Financial Disclosure Report: Not required Requirements Conditions of Employment You 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. You may be required to serve a trial period. 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification 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). 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. English Language Proficiency. Dental assistants must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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 a) Experience. At least 1 year of experience [equivalent to] the next lower grade level (GS-05) that demonstrates the core competencies described at that level. 1. Knowledge of anatomy and ability to evaluate diagnostic quality. 2. Broad knowledge of common medical emergencies and vital signs measurements. 3. Basic] knowledge of instruments, materials and standardized dental procedures. 4. Ability to learn and utilize software programs used within VHA]. 5. Basic communication skills to provide patient instructions according to established protocol]. In addition, the candidate must demonstrate the following technical KSAs: Demonstrated Knowledge, Skills, and Abilities 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] References: VA HANDBOOK 5005/46 PART II APPENDIX G36 Physical Requirements: See VA Directive and Handbook 5019. Stand for long periods of time, use hands to handle, control, or feel objects, tools, or controls. Education Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP at The Fair Chance Act.