Summary

The Medical Instrument Technician (Vascular) at the Lebanon VAMC performs vascular ultrasound procedures including the most complex and non-routine - making appropriate adjustments to obtain results required for clinical diagnosis and documentation and will perform all examinations - as needed - in the cardiovascular lab.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

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
• 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: In addition to the basic requirements for employment - the criteria discussed in the applicable headings - or that defined in the appendices - must be met when determining the grade of candidates
• GS-8 Experience
• At least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge - skills - abilities (KSAs) - and other characteristics related to the duties of the position to be filled
• This would be experience which demonstrates the knowledge - skills - and abilities to perform noninvasive vascular ultrasound procedures as a senior technician
• In addition - the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels - anatomical planes and tissue structures - physiologic effects of disease entities that impact the vascular system - signs and symptoms of acute and chronic vascular disease - and the characteristic appearance of aneurysms - pseudoaneurysms - thromboses - stenoses - occlusions - AV fistulae - and morphology of atherosclerotic plaque formulation
• Ability to provide Doppler information of peripheral vessels
• demonstrate characteristic differences related to the organs they supply
• accurately quantify carotid artery stenoses
• and identify and correlate specific waveform analysis - plethysmographic tracings - velocity changes - and pressure gradients characteristic of normal - obstructed - or occluded vessels or grafts
• Ability to perform intracranial (transcranial) vascular examinations
• Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume
• Ability to provide objective data to document progression or regression of disease
• Preferred Experience: Registration by Cardiovascular Credentialing International (CCI) as a Registered Vascular Sonographer (RVS) of by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019
• This examination is administered by VA Occupational Health
• This position requires: light to moderate lifting (15 - 44 lbs.)
• light carrying (15 lbs
• and under)
• reaching above shoulder
• use of fingers
• both hands required
• walking (up to 2 hours)
• standing (up to 2 hours)
• kneeling (up to 1 hour)
• ability for rapid mental and muscular coordination simultaneously
• near vision correctable at 13" to 16"
• far vision correctable in one eye to 20/20 and to 20/40 in the other
• depth perception
• ability to distinguish basic colors
• ability to distinguish shades of colors
• hearing (aid permitted)
• emotional stability
• mental stability
• working closely with others
• and working alone.

Duties

• Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Medical Instrument Technician (Vascular) Duties: Functions independently performs studies - and records results of patient testing for physician review
• Setup - operate and maintain cardiovascular equipment to include vascular ultrasound machine - electronic Doppler - duplex scanner and other monitoring devices that are available for Cardiovascular procedures
• Perform Doppler echocardiograms and echo stress testing if trained to do so
• Independently sets up inpatient appointments
• Gathers brief history and physical pertinent to a peripheral vascular disease with familiarity with the associated signs and symptoms
• Shows capability of recognizing indications for further studies beyond established and standardized procedures - and discusses with the providers as appropriate
• Gives preliminary interpretations of the above-mentioned studies subject to final approval of supervising physician
• Obtains familiarity with the computer system and scanner used to generate laboratory reports - uses the computer independently - and recognizes and report malfunctions
• Develops processes - new test forms - etc
• as new procedures are instituted
• Familiar with the protocol established by the approving committees such as Medical Records Committee for the approval of forms for the patient's permanent medical record
• Devises and maintains a protocol and procedure manual regarding the function of the Cardiovascular Laboratory and makes revisions and additions when necessary
• Prepares patient education materials pertinent to vascular disease and related surgical procedures
• Performs necessary patient teaching
• Orders and maintains supplies as needed for the Vascular Lab
• Cleans and maintains equipment per VHA policy and manufactures guidelines
• Provides in-service sessions regarding Vascular Lab procedures to house staff - medical students - nursing students - hospital nursing personnel - and other groups as requested
• Trains others in the performance of the above techniques and procedures
• Receives sales representatives as necessary for the consideration of purchase of new equipment - supplies - and accessories
• Responsible for record keeping of all procedures performed in the Vascular Lab.- Minor troubleshooting on all equipment used in the lab
• When equipment needs repair - contacts appropriate biomedical Engineering staff
• Provide other incidental services deemed appropriate by supervisor or lead technologist
• Work Schedule: Monday - Friday - 8:00 AM to 4:30 PM Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position
• Functional Statement #: Relocation/Recruitment Incentives: Not authorized
• EDRP Authorized: Not authorized
• Permanent Change of Station (PCS): Not authorized
• Pay: Competitive salary and regular salary increases When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year)Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) PCS Appraised Value Offer (AVO): Not authorized.