The Medical Instrument Technician (MIT) works in the Cardiology Department performs non-invasive cardiovascular diagnostic procedures, and all associated administrative workload, for the Cardiology Support Services Lab. The incumbent is required to perform a full range of diagnostic procedures using complex and technical monitoring equipment, including cardiac stress testing, electrocardiograms, ambulatory cardiac monitoring and any related non-invasive cardiopulmonary exam as necessary. 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. Education. There are no specific educational requirements for this occupation. Licensure or Certification. Licensure or Certification is not required for this occupation; however it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English. 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). Grade Determinations: Basic Developmental Levels GS-4 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields. The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level. In addition, the candidate must demonstrate the following KSAs: OR, Education. Successful completion of two years of education above high school or an associate's degree with a major field of study directly related to the medical instrument technician occupation. Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of basic medical terminology. 2. Ability to learn the components, operating characteristics, and settings of the equipment to be used. 3. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress. 4. Ability to learn the standard positions for the procedure being conducted. 5. Ability to communicate orally and in writing. GS-5 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience in operating equipment related to the particular specialization for which application is made or in related functional areas. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level. In addition, the candidate must demonstrate the following KSAs OR, Education. Successful completion of [4 academic years above high school leading to a bachelor's degree with courses related to the occupation, or] a bachelor's degree in a major field of study appropriate to medical instrument technician functions. Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of standard medical terminology to interpret physician orders or instructions. 2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. 3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. 4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures. 5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine. GS-6 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills and Abilities 1. Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure. 2. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests. 3. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment. 4. Ability to monitor the patient for adverse reactions and take appropriate action. 5. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification. GS-7 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge of the equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias. 2. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures. 3. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue. 4. Ability to act as a mentor or preceptor to lower graded technicians. 5. Ability to conduct in-service training on the EKG equipment and related instrumentation. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. References: VA Handbook 5005/15, Part II, Appendix G27 The full performance level of this vacancy is GS-7. Applicants can be selected between the grades GS-04 thru GS-07. Physical Requirements: Applicants must be able to meet the physical demands of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. While performing duties of this job, the Electrocardiograph Technician is frequently required to stand, walk, and bend and reach. Must be able to lift and/or move over 50 pounds. They must have good dexterity and keyboarding skills. Must be able to express or exchange ideas by means of the spoken word. Must be able to view and read information on computer screens. ["Duties performed include, but are not limited to the following: Properly identifies patient using facility-wide established method and enters all pertinent patient information into equipment Initiates, and terminates, non-invasive cardiac exams performed in the Non-Invasive Cardiology Lab, under direction of provider Possesses knowledge of non-invasive cardiac exams, including stress tests, electrocardiogram exams, and the full range of non-invasive ambulatory cardiac monitoring Uses correct lead placement for all exams to accurately obtain diagnostic tracings on all exams a. Assigns non-invasive exams to interpreting physician within 24 hours of receipt if the provider is reading off-line, or daily if the provider is reading on-line. Completes event capture for exam interpretation within 48 hours of receipt Provides patient education regarding cardiac monitoring process, application, and completion Interacts with all outside vendor software to classify rhythms and documents symptomatic episodes Interacts and communicates as a liaison between cardiac monitoring vendor, MEDVAMC, and patient to ensure diagnostic results are obtained, proper education and assistance provided, and to ensure proper in-house inventory of equipment. Provides support to provider performing exercise stress testing by patient education, documentation of any patient vitals collected, documentation of symptoms, and provide other assistance as needed. Operates all lab equipment to collect specific data, including the ability to make adjustments to align with the multitude of physical and physiologic patient variations and provides guidance and education regarding calibration. Uses proper infection control policies when performing duties. Demonstrates compliance with all infection control practices, including the use of personal protective equipment, hand washing, and following facility reusable medical equipment policies. Performs other related duties as assigned. Work Schedule: Monday - Friday 7:30am - 4:00pm (Subject to change based on the needs of the agency) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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