A medical instrument technician at this level performs both routine and complex procedures as it relates to Cardiac Implanted Electronic Devices (CIED) remote cardiac monitoring, placement of short-term monitors, performing electrocardiograms, treadmill stress testing, and dobutamine stress testing. Basic Requirements: Citizenship. Citizenship of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) Education. There are no specific educational requirements for this occupation. Education may be substituted for experience only at the GS-4 and GS-5 levels. See the grade requirements part of this standard for information regarding educational substitutions. 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. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable. Training which does not result in official certification does not meet this definition. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. Grandfathering Provision. 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: GS-9. In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. Experience. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): Demonstrated Knowledge, Skills, and Abilities. KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment. 1. Knowledge of the more complex examination and treatment procedures and techniques such as SAECG, ETT, Tilt table monitoring, electrophysiology monitoring, and event monitoring in order to provide training and supervision in these procedures, to develop analysis interpretation formats, and to receive inquiries concerning results. *2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. *4. Ability to provide, or provide for, staff development and training. *5. Ability to manage and supervise employees. Certification. Certification by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technician (CCT) is highly desirable at this level. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Special Assignments. Non-supervisory medical instrument technician (EKG) may have assignments that because of their nature substantially exceed the GS-8 level. The Professional Standards Board will review proposed non-supervisory special assignments for the GS-9 level and make a determination regarding their appropriateness. These assignments are expected to be few in number and must represent substantial additional responsibility. Preferred Experience: Basic Life Support (BLS) is required, and Advanced Cardiac Life Support (ACLS) is encouraged. Demonstrated ability to establish effective interpersonal relationships with all levels of medical center personnel. Demonstrated leadership ability including self-direction, problem-solving and small project management. Certification through Cardiovascular Credentialing International for CCT, RCES (Certified Cardiographic Technician) or related specialty preferred. Advanced certification in the field of cardiac electrophysiology encouraged. Formal cardiovascular training program (technical college program) preferred. References: VA Handbook 5005, Part II, Appendix G27 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-9 to GS-9. ["Duties include, but limited to: This position is that of a medical instrument technician Device Interrogation Specialist/Cardiac Electrophysiology/EKG. This includes covering Cardiac Implanted Device (CIED) clinic, outpatient arrhythmia monitoring and exercise treadmill laboratory. Services performed by the MIT ECG include the performance of electrocardiograms, managing ECGs on the MUSE, treadmill exercise and dobutamine stress echo testing with 12 lead electrocardiographic monitoring, placing two-week arrhythmia monitors and supporting long-term ECG monitoring (Veterans with implanted loop recorders) as well as registering Veterans for the home monitoring program for VA National ICD/Pacemaker Surveillance Center. The Medical Instrument Technician also holds device clinic for patients who have Cardiac Implanted Device (CIED) in the form of an implanted pacemaker or defibrillator. This clinic evaluation includes device interrogation and reporting on the operating characteristics of permanently implanted cardiac devices, event history, rhythm capture, threshold testing, lead impedance testing, setting parameters for the specific implanted device and battery life using device programmers. The information obtained during the patient visit is documented in the Electronic Medical Record (EMR). The person who functions in this role is also responsible for providing the Cardiologists with accurate and relevant information as it pertains to CIED interrogation and recognizes clinically urgent situations that necessitate immediate intervention. The Medical Instrument Technician ECG will communicate findings with the Cardiology Attending and Physician Assistant to ensure that patient reports are entered into CPRS in a timely manner. This person will also make program changes to the implanted devices under the direction of the attending cardiologist. The Medical Instrument Technician ECG will also support Veterans requiring MRI with CIED, coordinating care between departments, pre-screening veterans to understand baseline device data as it pertains to acceptance criteria for MRI with CIED (Cardiac Implanted Electronic Device). The incumbent in this role will work directly with the electrophysiology physicians to develop a device setting plan for the scanner and accompany Veterans to MRI for the actual procedure to program the device for the magnet and return the device to original settings post magnet. The duties of the Medical Instrument Technician also includes assigning ECG tracings to physicians for reading (MUSE Inbox), entering interpretation edits into the MUSE (for ECGs read on paper) finalizing the edits made in a timely manner. The duties also include correcting end user ECG demographic errors, eliminating duplicates and providing detailed reports to Cardiology Nurse Manager/Section Chief pertaining to MUSE issues, early identification of \"back-log\" issues and concrete feedback with regards end user issues. The Medical Instrument Technician at this level provides direct staff education and training as it pertains to obtaining a 12 lead ECG. Work Schedule: Monday - Friday 7:30 AM - 4:00PM\nVirtual: This is not a virtual position.\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.