Medical Instrument Tecnician - (Electrophysiology Cardiac Catherization/EP Clinc
The incumbent must have thorough knowledge and be fully functional in the Cardiac Electrophysiology arena including outpatient and inpatient cardiac device management, electrophysiology procedures in the cardiac EP studies, ablations, pacemaker, ICDs and Bi-V device implantations. The incumbent will scrub, circulate, monitor, and operate equipment on complex examination and treatment procedures for critically ill patients in the laboratory. The incumbent will assist the physician and team members during a variety of highly complex, potentially life threatening invasive cardiovascular procedures on stable and unstable patients throughout the lifespan continuum to include both diagnostic and interventional invasive cardiac procedures. Additionally, the incumbent must be efficient in understanding processes and procedures related to Diagnostic and Interventional Cardiac Catheterizations, Trans-esophageal Echocardiography, Cardioversion. The incumbent will provide technical assistance to the physicians during all procedures performed in the laboratory; independently monitor the progression of procedures; accurately monitor and record intravascular pressures and electrocardiography tracings; operate digital radiologic and monitoring computer systems; assist in preparation of patients prior to procedures, and care for patients during and post procedures; assists with training and mentoring other technicians, nurses, and students in the cardiac catheterization/EP laboratory and outpatient clinic setting; perform a variety of routine to complex noninvasive/invasive diagnostic studies to identify and record anomalies indicative of disease, injury or other medically significant conditions. Additionally, the incumbent must have an intimate have an extensive knowledge of vascular and coronary anatomy and physiology related to cardiovascular function and electro-cardiology. The duties of the position include, but are not limited to:
Outpatient Clinics:
Assembles pre-evaluation data, interprets medical record information, and conducts physical evaluation of patients in collaboration with the EP Cardiologist and EP Nurse Practitioner to develop and implement a treatment plan. Assists with workload entry, evaluations, treatment interventions, and re-evaluation with the EP Team. 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. Other duties as assigned. Cardiac Catheterization/EP Laboratory:
Monitors the patient's vital signs and records pressure measurements needed to complete the study. Identify and appropriately reports EKG/rhythm abnormalities. Completes diagnostic studies ordered by, and in collaboration, with physician on all tours of duty with minimal or no direct supervision. Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include intravascular ultrasound, Angiojet, filter wires, permanent pacemaker insertions and AICD insertions; and other device implantations. 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. Sets up for procedures including MEDRAD power injector, Innova systems and MAC-Lab systems. Other duties as assigned. Work Schedule:
Monday-Friday 7:
00am to 3:
30pm. Tour of duty subject to change based on agency needs. Financial Disclosure Report:
Not required 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. Certification:
Registration by Cardiovascular Credentialing International (CCI) as a registered Cardiovascular Invasive Specialist (RCIS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Physical Requirements:
Must pass pre-employment physical exam. English Language Proficiency:
Medical Instrument Technician must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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). Preferred
Experience:
2-3 years of Cardiac Cath/EP Clinic experience. Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiovascular Invasive Specialist (RCIS). Basic and Advanced Cardiac Life Support certifications are desirable. Grade Determinations:
GS-9:
At least 1 year of experience comparable to the next lower grade level (GS-8), which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates possession of the knowledge required in order to provide all aspects of cardiac catheterization technician services. Examples of GS-8 qualifying experience include:
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. 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 in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to the Cardiac Catheterization Laboratory. 2. Knowledge of JCAHO and other regulatory requirements.3. Ability to communicate effectively and professionally with employees at varying grade levels. 4. Ability to manage and supervise employees. 5. Ability to provide, or provide for, staff development and training. References:
VA Handbook 5005/15, Part II, Appendix G27, Medical Instrument Technician Qualification Standards, dated March 17, 2006.The full performance level of this vacancy is GS-9 Physical Requirements:
Moderate lifting (45 pounds and over); Moderate carrying (15-44 pounds), Straight pulling (1 hour), Reaching above shoulder, use of fingers; both hands required; walking (4 hours) standing (6 hours); Repeated bending (1 hour), both legs required; Ability to rapid mental and muscular coordination simultaneously, Near vision correctable to 13 to 16 to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception, ability to distinguish basis colors; ability to distinguish shades of colors; mental and emotional stability.
Estimated Salary: $20 to $28 per hour based on qualifications.
Outpatient Clinics:
Assembles pre-evaluation data, interprets medical record information, and conducts physical evaluation of patients in collaboration with the EP Cardiologist and EP Nurse Practitioner to develop and implement a treatment plan. Assists with workload entry, evaluations, treatment interventions, and re-evaluation with the EP Team. 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. Other duties as assigned. Cardiac Catheterization/EP Laboratory:
Monitors the patient's vital signs and records pressure measurements needed to complete the study. Identify and appropriately reports EKG/rhythm abnormalities. Completes diagnostic studies ordered by, and in collaboration, with physician on all tours of duty with minimal or no direct supervision. Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include intravascular ultrasound, Angiojet, filter wires, permanent pacemaker insertions and AICD insertions; and other device implantations. 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. Sets up for procedures including MEDRAD power injector, Innova systems and MAC-Lab systems. Other duties as assigned. Work Schedule:
Monday-Friday 7:
00am to 3:
30pm. Tour of duty subject to change based on agency needs. Financial Disclosure Report:
Not required 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. Certification:
Registration by Cardiovascular Credentialing International (CCI) as a registered Cardiovascular Invasive Specialist (RCIS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Physical Requirements:
Must pass pre-employment physical exam. English Language Proficiency:
Medical Instrument Technician must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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). Preferred
Experience:
2-3 years of Cardiac Cath/EP Clinic experience. Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiovascular Invasive Specialist (RCIS). Basic and Advanced Cardiac Life Support certifications are desirable. Grade Determinations:
GS-9:
At least 1 year of experience comparable to the next lower grade level (GS-8), which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates possession of the knowledge required in order to provide all aspects of cardiac catheterization technician services. Examples of GS-8 qualifying experience include:
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. 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 in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to the Cardiac Catheterization Laboratory. 2. Knowledge of JCAHO and other regulatory requirements.3. Ability to communicate effectively and professionally with employees at varying grade levels. 4. Ability to manage and supervise employees. 5. Ability to provide, or provide for, staff development and training. References:
VA Handbook 5005/15, Part II, Appendix G27, Medical Instrument Technician Qualification Standards, dated March 17, 2006.The full performance level of this vacancy is GS-9 Physical Requirements:
Moderate lifting (45 pounds and over); Moderate carrying (15-44 pounds), Straight pulling (1 hour), Reaching above shoulder, use of fingers; both hands required; walking (4 hours) standing (6 hours); Repeated bending (1 hour), both legs required; Ability to rapid mental and muscular coordination simultaneously, Near vision correctable to 13 to 16 to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; depth perception, ability to distinguish basis colors; ability to distinguish shades of colors; mental and emotional stability.
- Department:
0649 Medical Instrument Technician - Salary Range:
$52,905 to $68,777 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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