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Summary The incumbent serves as a Polysomnography/Electroencephalogram Technician for Medicine Specialty Care Pulmonary and Neurology division and is subject to being on call at the Southern Arizona VA Health Care System in Tucson, AZ. Responsibilities Duties and responsibilities include, but are not limited to: Responsible for reviewing patient history as it relates to sleep disorders and other medical conditions which may affect the diagnosis of sleep disorders. Independently performs the following tests or procedures as assigned: diagnostic PSG, titration PSG, Split-night PSG, MSLT, MWT, HST, Oximetry, and actigraphy. Independently performs sleep monitoring on individuals with possible sleep apnea or other breathing related sleep disorders and/or arterial desaturations secondary to chronic obstructive pulmonary disease or other medical conditions. Independently performs sleep monitoring on individuals with other potential sleep disorders including, but not limited to, narcolepsy and periodic limb movement disorder. Independently applies continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) and other advanced modalities to appropriate levels per established protocols. Applies oxygen therapy as needed per established protocols Responsible for the safe and proper operation of all equipment used in the Sleep Center. Verifies correct instrument calibration and operation using established procedures. Identifies the cause of common problems and notifies engineering service when appropriate. Obtains technical or factory assistance to utilize the equipment to its full potential. Accurately scores sleep studies, MSLTs, MWTs, HSTs, and prepares reports when assigned. Assists with CPAP clinic for equipment initiation and instruction, follow-up, and compliance monitoring when assigned. Utilizes sleep software: Sleep ware G3, Noxturnal, nVision, Encore Anywhere, Resmed Rescan, and Actiware in the performance of polysomnography, HST, oximetry, actigraphy and CPAP compliance when assigned. Provides patient education during the performance of sleep studies, when assisting with CPAP clinic, and may assist with sleep education classes. Utilizes CPRS for documentation in the patient record. Utilizes VetLink for patient check-in for appointments.. Utilizes VistA for viewing scheduled appointments. Assists with covering the office/telephones in the absence of the MSA and secretary when assigned. Keeps inventory of supplies and initiates purchase requests in a timely fashion to avoid disruption of scheduled studies when assigned. Interacts with staff physicians regarding the diagnosis and treatment of sleep disorders and may provide briefings and orientation to hospital staff including physicians. Assists with maintaining department spread sheets for department performance measures. Mentors lower grade technicians. Work Schedule: Monday through Friday, 0800a.m. - 4:30p.m Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure: Not Authorized 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. Must pass pre-employment physical examination. 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Must be proficient in the English Language Grade Determinations GS-05: Medical Instrument Technician (Polysomnography) At least 1 year of experience comparable to the next lower grade level (GS-04) 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities: Provide customers with consistent information according to established policies and procedures. Ensures proper cleaning and performs minor adjustments and maintenance. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. Uses a practical knowledge of location and function of major body organs and structures in order to position the patient and/or connect monitoring equipment to take optimum advantage of equipment capabilities. Certification: No certification or registration is required. Basic Cardiac Life Support (BCLS) certification are also desirable for employees at this level. Grade Determinations GS-06: Medical Instrument Technician (Polysomnography) At least 1 year of experience comparable to the next lower grade level (GS-05) 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities: Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters. Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc. Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.). Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies. Certification: No certification or registration is required. Basic Cardiac Life Support (BCLS) certification are also desirable for employees at this level. Grade Determinations GS-07: Medical Instrument Technician (Polysomnography) At least 1 year of experience comparable to the next lower grade level (GS-06) 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities: Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices. Ability to independently titrate and document PAP level to achieve therapeutic goals. Knowledge of indications, complications, and contraindications of CPAP therapy. Knowledge of Bi-Level pressure titrations. Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings. Certification: No certification or registration is required. Basic Cardiac Life Support (BCLS) certification are also desirable for employees at this level. Grade Determinations GS-08: Medical Instrument Technician (Polysomnography) At least 1 year of experience comparable to the next lower grade level (GS-07) 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities: Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders.. Ability to summarize and report polysomnographic data in narrative form. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. Ability to provide briefings and orientation to hospital staff including physicians. Certification: No certification or registration is required. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Assignment: This represents the full performance level. At this level Polysomnographic Technicians are able to interact fully with the patient and physician to diagnose sleep disorders including those that are uncommon or rare. They are able to conduct full sleep studies including overnight studies and evaluate the relationship of events, sleep stages, and possible medical conditions which influence or result from events occurring during sleep. They anticipate problems likely to occur during the sleep study and prepare for such situations, make changes in established procedures, or recommend alternative courses of action. They are able to mentor lower graded technicians. References: VA Handbook 5005/53, Part II, Appendix G27. The full performance level of this vacancy is GS-08. 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 Receiving Service Credit or 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 annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. 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. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.