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Summary The Primary Purpose of the Position is: To perform the functions of a Medical Instrument Technician (MIT) in the Cardiac Catheterization and/or Electrophysiology/Special Procedures (EP) Lab in a full performance capacity. The Organizational Location of the Position is: The MIT will work in the area(s) assigned by the supervisor and the area(s) assigned maybe modified to meet the needs of the organization. Responsibilities This is an open continuous announcement and will remain open until 9/18/2024. Applications will be accepted on an ongoing basis and qualified candidates will be considered as vacancies become available. The first cut-off date is August 7, 2024. A Relocation Incentive may be authorized for a Highly Qualified Individual. Applicant must have knowledge of Cardiac Electrophysiology including outpatient and inpatient cardiac device management, electrophysiology procedures in the cardiac EP studies, ablations, pacemaker. The applicant will scrub, circulate with a Registered Nurse, monitor, and operate equipment on complex examination and treatment procedures for critically ill patients in the laboratory. They will assist the physician and team members during a variety of highly complex, potentially life threatening invasive cardiovascular procedures on stable and unstable patients to include both diagnostic and interventional invasive cardiac procedures. The applicant must also be efficient in procedures related to Diagnostic and Interventional Cardiac Catheterizations, Trans-esophageal Echocardiography, and Cardioversion. The applicant must have knowledge of vascular and coronary anatomy and physiology related to cardiovascular function and electro-cardiology. Duties include: Assists with the preparation and testing of a variety of complex cardiac diagnostic procedures. Prepares and operates specialized cardiac monitoring equipment. Provide patient and family education within scope of practice. Monitors the patient's vital signs and records pressure measurements needed to complete the study. Identify and appropriately reports EKG/rhythm abnormalities. Knowledge and understanding of waveforms from the great vessels and all chambers of the heart including the ability to recognize and distinguish normal from abnormal, artifact from abnormality, and forewarn the physician of an impending life-threatening situation. Cardiac Catheterization Technicians perform, under a physician's direction, diagnostic tests, both invasive and noninvasive, of the pulmonary system (lung) and the cardiovascular system (heart and circulation). They operate, monitor, and collect data from instruments used in procedures such as cardiac catheterization, angiography, valvuloplasty, angioplasty, electrophysiology studies, cardiac pacing, or cardiac pacemaker or leadwire insertion. Registration is offered by Cardiovascular Credentialing International (CCI) as a Registered Cardiovascular Invasive Specialist (RCIS). Work Schedule: 8 & 10 hour shifts, between 7:00am - 8:00pm May be required to work other shifts, be on call, work weekends and/or holidays as patient care and needs of the service require. Should operational needs dictate, candidates must be willing to work within other units (including community based outpatient clinics for example) to assist and support continuation of the provision of care/services. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation Incentives: Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): 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 probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English. Grade Determinations: 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: 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. 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. 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: 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. 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. 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. Knowledge of cardiac anatomy, physiology, and basic electrocardiography. 2. Knowledge of sterile techniques, catheterization laboratory supplies, and equipment used in the procedures. 3. Ability to circulate, assist, monitor, and document hemodynamics and electrocardiograms during the procedure. 4. Knowledge of and ability to prepare intra-aortic balloon catheters. Certification. Basic Cardiac Life Support (BCLS) certification is desirable. 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. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities 1. Ability to assist with insertion of temporary transvenous pacemaker catheters. 2. Ability to maintain intra-aortic balloon pump equipment during procedures. 3. Ability to complete individual cases by pulling sheaths and holding pressure to obtain hemostasis. 4. Ability to assist with closure devices. 5. Ability to appropriately educate patients and patient families regarding procedures and post-catheterization care. Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable. GS-8 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics of the positions to be filled. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities 1. Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include rotoblation, intravascular ultrasound, RADI or wave-wire, angiojet, filter wires, myocardial biopsies EPS, permanent pacemaker insertions, AICD insertions, and biventricular pacemaker insertion. 2. Advanced knowledge of equipment, medications, and supplies used in the Cardiac Catheterization Laboratory and the ability to set-up, calibrate, operate, and troubleshoot this equipment. 3. Knowledge and understanding of wave forms from the great vessels and all chambers of the heart including the ability to recognize and distinguish normal from abnormal, artifact from abnormality, and forewarn the physician of an impending life-threatening situation. 4. Knowledge of quality control and performance improvement indicators for the Cardiac Catheterization Laboratory and ability to prepare and analyze quality control of test results. Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable. Preferred Experience: 2 years recent MIT experience Previous EP/Cath Lab experience Skills in EKG and Vital Sign monitoring ACLS RCIS certification preferred 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-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-08. Qualifications continued under Additional Information Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on 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 Physical Requirements: 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 Cardiac Catheterization Lab Technician is frequently required to stand (4 hours), walk (6 hours), and bend and reach (1 hour). Must be able to lift and/or move over 50 pounds. They must have good manual 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. Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Hearing (aid permitted). 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. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. 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 (TJO). Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), va.gov/EMPLOYEE/docs/The-Fair-Chance-to-Compete-Act.pdf for more information.