3(b)_SOW Dental Assistant.docx

Note: The use of the terms Contractor, Contract Provider and Dental Assistant refers to the provider of care throughout this document.

1. Scope of Work. The Contractor shall provide an individual to provide personal Dental Assistant services to all eligible beneficiaries within the capabilities normally granted to a Dental Assistant.

A. The Dental Assistant shall meet or exceed the industry standards in accordance with established principles, practices and ethics of the American Dental Association standard of practice. The standards of performance for all employees provided by the contractor shall reflect the degree and care, skill and learning expected of a reasonably prudent health care provider in the Dental Assistant profession in the state of their practice.

B. The Contractors will provide professional services to U.S. Coast Guard locations specified in the Performance Work Statement (PWS).

2. Qualifications. The health care worker of Dental Assistant services shall possess and maintain for the duration of this agreement:

A. Certificate or Associate degree as a dental assistant/technician from a state accredited program and 12 months experience within the preceding 36 months, or;

B. Certification from a military dental technician or dental assistant ''A'' school and 12 months experience within the preceding 36 months, or;

C. Certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months, or;

D. 36 months experience within the preceding 60 months as a dental assistant in a private practice, or;

E. Membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience with in the preceding 36 months, or;

F. Graduated from a state-accredited program for dental assistants or dental technology within the preceding 12 months;

G. Certification or permit for use of dental x-ray equipment;

H. A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

3. Credential Review. The contractor shall submit with the proposal the following credentials in order to be evaluated for technical acceptability.

A. A current resume including AT LEAST the following information:

(1) Degrees earned;

(2) Professional Experience;

(3) Social Security Number;

(4) Date of birth;

(5) Career history;

(6) Professional Training/Courses attended in the past two years;

(7) Professional organization affiliations and memberships;

ATTACHMENT 3( )

Page of

DENTAL ASSISTANT

SERVICES

Rev. 11/1/18

(8) Previous work references including name of organization, number of years rendered, address and name of point of contract with telephone number;

(9) Awards and certifications received.

B. Copies of:

(1) A certificate or Associate Degree from an accredited school of Dental Assistant/Technician (a “Polaroid” picture is acceptable as a copy);

(2) Evidence of immunity to Hepatitis “A” and “B” and evidence of freedom from chronic communicable disease(s) i.e., HIV, TB and Sexual transmitted diseases (within 3 months of start of work);

(3) A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP);

(4) At least three (3) letters of recommendation from recent employers addressing dental assistant services.

4. Professional Services. The Contractor shall perform a full range of comprehensive Dental Assistant/Technician procedures and practices on site, using Government furnished facilities, equipment and supplies to a variety of patients. All aspects of Dental Assistant/Technician service shall be commensurate with the capabilities of the healthcare worker and the Dental Clinic including but not limited to the items listed below and in the PWS.

A. Routine workload will be in response to government demand in the form of Dental Officer prescription and the regularly scheduled dental checkups and maintenance program of all residents. Primary workload is a result of appointments for outpatient and inpatient clients in response to the dental clinic's approved dental treatment schedule.

B. The work environment involves risks typically associated with the performance of clinical dental procedures. The health care worker will maintain the concept of universal precautions.

C. The healthcare worker is responsible for a full range of dental assistant procedures in support of the Dental Office: examinations, delivery of treatment under the "four handed dentistry" format within the personnel and equipment capabilities and limitations imposed by the Dental Assistant Practice Acts, or similar regulations, of the state of the facility. Additionally; the healthcare worker shall aid in the provision, and within the limitations imposed by the Dental Assistant Practice Acts, or similar regulations, of the State where services provided, of mandated dental surveillance and preventive services and the quality and timeliness of treatment records and reports required to document procedures performed and care provided. The healthcare worker shall refer patients who present with a complaint to staff dentists for evaluation and continuation of care and shall attend multidisciplinary treatment team meetings on behalf of the dental officers.

D. To treat all Active Duty beneficiaries presented for care.

E. Actual healthcare worker clinical activity will be a function of the overall demand for dental assistant services. Healthcare worker productivity is expected to be comparable to that of other dental assistants assigned to the same facility and authorized the same scope of practice.

F. Provide for the examination, treatment, and disposition of patients compatible with the Dental Clinic's operating capacity and equipment.

G. Coordinate with other health care departments and the clinic staff to provide complete care to patients.

H. Provide training to staff for routine dental assistant activities and procedures so that the benefit of routine care can be accrued.

I. Maintain patient records in accordance with external accreditation organizations and established Coast Guard dental records maintenance requirements.

J. Select and arrange instruments and prepare setups for patient treatment.

K. Assist during patient examination and treatment.

L. Assist during administration of anesthesia.

M. Assist in placement and removal or sutures.

N. Instruct in basic oral hygiene care.

O. Prepare restorative and impression materials.

P. Dispose of contaminated waste in accordance with the standard procedures of the Dental clinic.

Q. Load and unload radiographic film cassettes.

R. Expose bitewing, periapical and occlusal film utilizing bisecting angle or paralleling radiographic techniques.

S. Perform digital radiology procedures to include radiograph image management on computer software program T. The healthcare worker shall maintain his or her operatory to meet the clinic's standards, and may be assigned other duties as directed by the Clinic Administrator.

U. Inventory medicine and drug stocks to ensure adequate supplies and controls.

V. Greets and receives patients and directs them to appropriate care.

W. Receives and screens telephone calls.

X. Files and maintains Healthcare records.

Y. Files healthcare reports in health records.

Z. Maintains Health Record checkout file.

AA. Inputs daily patient information into Clinic's healthcare information systems.

BB. Schedules and tracks consultations for specialty care.

CC. Maintains referral log and notifies patients of appointments.

DD. Reviews and verifies patient eligibility for care in accordance with Defense Eligibility Enrollment Reporting System (DEERS) computer system guidelines.

EE. Prepare and submit appropriate documentation as specified in applicable regulations.

FF. Provides immediate evaluation and management of emergent problems as they occur in addition to regular scheduled appointments.

5. Hours of Performance. The contractor shall provide all aspects of personal Dental Assistant services at locations in the PWS (Attachment 3) and hours specified by the Clinic Administrator.

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