Remote Pre Anesthesia Testing Rn Jobs in Vancouver, WA

Summary
The Dental Hygienist position is located in the Portland VA Healthcare center. The Dental Hygienist provides direct patient care under the supervision of the dentist and senior hygienist and performs other clinical and clerical functions.
This announcement includes a Relocation or Recruitment Incentive
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Duties
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The duties of this position include, but are not limited to:

• Shows courtesy, respect, and a positive attitude for patients, co-workers and the public and embraces the VA's Core Values of Integrity, Commitment, Advocacy, Respect and Excellence (ICARE)
• Demonstrates knowledge and application of patient and family centered care in written care plans, instructions to patients, and in observation of the actual care provided
• Sets up operatory for planned dental procedure and cleans dental unit for timely turnover Handles instruments safely, accurately, and efficiently
• Assesses patient's medical, dental, anxiety/phobias, medications and comorbidities to allow for safe patient care
• Assesses the impact of patient's medical and dental condition on maintaining oral health
• Recognizes age-related and physical changes in individual patients and adapts patient environment to maximize patient comfort
• Skill in detecting dental plaque and calculus, oral abnormalities and pathologies, assessing inflammation and providing safe instrumentation for all dental hygiene procedures
• Provides routine oral prophylactic care
• Provides gross debridement, scaling and root planing procedures
• Selects the appropriate fluoride products and understands indications/limitations for safe and proper application
• Applies oral desensitizing and sealant materials
• Cleans dental prostheses, fixed and removable
• Manages dental recall system, referring patients to the doctor for additional care when appropriate
• Makes impressions for fluoride carrier trays
• Administers topical and local anesthetic agents (per State license)
• Performs routine dental operatory equipment care and maintenance
• Maintains dental operatory stock items and surveys routinely for expired products
• Accomplishes all procedures within standard infection control protocols
• Explains hygiene procedures, indications, complications and expected outcomes to individual patient and caregiver
• Properly utilizes dental radiographic equipment, radiation safety techniques and barriers

Work Schedule: Monday-Fridays, 7:30am to 5:00pm (8,9, or 10 hour shifts available)
Telework: Not authorized
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Authorized
Permanent Change of Station (PCS): Not Authorized
Requirements
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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.
• 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 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. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
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: Be a Citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C 7407(a), Administrative Provisions for Section 7405 and 7406 Appointments.
• English Language Proficiency. Dental hygienist candidates must be proficient in spoken and written English in accordance with 38 U.S.C. 7403(f).
• 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
  
  • 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.
• Exceptions for Non-Certified Dental Hygienist.
  
  • (a) 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.
  • (b) Non-certified individuals shall only provide care under the supervision of a certified dental hygienist at or above the full performance level.
  • (c) Non-certified individuals may only be appointed at the entry level and may not be promoted/converted until certification is obtained.
  • (d) Temporary appointments of non-certified dental hygienist may not be extended beyond two years or converted to a new temporary appointment.
• 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.

Grade Determinations:
Dental Hygienist, GS-05
Experience. None beyond the basic requirements.
Dental Hygienist, GS-06
Experience. At least one year of experience at the next lower grade level.
Demonstrated Knowledge, Skills and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate the following KSAs:

1. Knowledge of oral prophylactic, therapeutic, and preventive procedures for periodontal diseases, or inflammation, or on patients with other medical and/or dental problems.
2. Knowledge of dental methods and techniques used in performing intra and extra oral procedures.
3. Ability to use communication techniques to encourage and inform individuals and groups.

Dental Hygienist, GS-07
Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Demonstrated Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs:

1. 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.
2. Practical knowledge of medical diseases, conditions, and chronic degenerative diseases as they relate to dental health and treatment.
3. Knowledge of radiographic exposure techniques to produce radiographs of high diagnostic quality.

Dental Hygienist, GS-08
Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-07 level, the candidate must demonstrate the following KSAs:

1. Knowledge of state-of-the-art preventive dentistry measures for patient instruction and training.
2. 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.
3. Knowledge of The Joint Commission (TJC), Occupational Safety and Health Administration (OSHA), and related regulations and guidelines pertaining to dental matters.
4. Skill in providing individual and group oral health care instructions to inpatients, outpatients, Nursing Home Care Unit patients, etc.

Dental Hygienist, GS-09
Experience. At least one year of experience at the next lower grade level that demonstrates the clinical competencies described at that level.
Demonstrated Knowledge, Skills and Abilities. In addition to meeting the KSAs for the GS-8 level, the candidate must demonstrate the following KSAs:

1. Knowledge of hygiene procedures to explain the process and indication, complications and expected treatment outcomes for each.
2. Knowledge of proper usage of dental radiography equipment, radiation safety, assessment of proper image capture and interpretation of films.
3. Knowledge to select appropriate available fluoride products and indications/limitations for safe and proper application.
4. Skill in detecting plaque and calculus, dental abnormalities/pathologies, assessing inflammation and providing safe instrumentation for each procedure.
5. 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.
6. Ability to assess the patient's medical, dental, anxiety/phobias, medications and comorbidities to administer safe patient care.
7. 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.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is GS-9. 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: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
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 for 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 annu