Intermediate Care Technician (Emergency Department)
Veterans Affairs, Veterans Health Administration
Location: Las Vegas, Nevada
Internal Number: 676619800
The Intermediate Care Technician, GS-0640-07, is assigned to the Southern Nevada Health Care System and is located at the Las Vegas VA Medical Center. This position serves as an advanced technician for the Emergency Department for patients who are present for treatment. They provide treatment and interventions as directed by the licensed staff, for a wide range of patient conditions. To qualify for this position, applicants must meet all requirements by the closing date of this announcement. English Proficiency: In accordance with 38 U.S.C. 7402(d), No person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. GS-07 grade level: One year of specialized experience (equivalent to the GS-06 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: Ability to collect vital signs, perform 12-lead EKG, phlebotomy, Point-of-care (POC) testing including Abbott hand-held blood analyzer (I-STAT) and glucometer, wound care, and equipment and surgical instrumentation set up; respond to medical emergencies as part of rapid response or code blue team; practical knowledge of the major body systems, i.e., skeletal, muscular, nervous, respiratory, circulatory, digestive and genitourinary, to perform patient examination and to provide prompt and efficient patient care and appropriate patient handling.; working knowledge of topographic anatomy, e.g., right/left, surface, proximal/distal, superior, inferior, to accurately transmit location information about the body; Working knowledge of diagnostic signs, e.g., pulse, respiration, blood pressure, temperature, skin color, pupils of the eyes, state of consciousness, ability to move on command, reaction to pain, etc. to complete any/all questioners and templates in support of the patient evaluation, to provide patient care, and to ensure appropriate patient mobility and handling; skill in emergency techniques to determine the best approach (this is typically determined by the work location or based on facility policy and, evidenced by certification in cardiac or trauma life support); skill in emergency communication techniques and the operation of communications equipment to be able to accurately obtain and relay information to and from health care providers; knowledge sufficient to understand the legal considerations of emergency care, e.g., actual/implied consent, Good Samaritan laws, Emergency Medical Treatment & Labor Act (EMTALA), etc. to limit exposure to lawsuits, while maintaining the legal standards of care. There is no educational substitution for the GS-07 level. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Physical Requirements: The work requires a level of physical fitness that allows for standing for extended periods, heavy lifting to position patients, and manual dexterity to perform clinical procedures. The work will require recurrent bending, lifting, stooping, standing, squatting, stretching, sitting and walking. Work Environment: On a regular and recurring basis, employee is exposed to infection and contagious diseases requiring the use of universal precautions. As part of an emergency response or transport team the incumbent may be exposed to all types of weather conditions, and face risks and discomforts at the scene of accidents, to include the possibility of noxious fumes and dangerous substances, requiring the employee to comply with special safety and health precautions and/or to use protective gear. ["Work Schedule: Full Time; Sunday - Saturday; Variable tour of duties to include weekends and holidays; Subject to change to meet the needs of the Agency.\nPosition Description Title/PD#: Intermediate Care Technician (Emergency Department)/ S0031-A Duties for the position include but are not limited to: Patient Screening: Duties include performing observation-based screening and collecting patient information in collaboration with licensed personnel. This may involve obtaining patient health history for chief complaints, medication history, and information about health-related or high-risk conditions that may impact the patient's health status. Mental Health Services: Assists in behavioral/psychiatric situations in an emergency setting. This can include assisting licensed personnel with crisis intervention, assists with the management of aggressive or suicidal psychiatric patients, by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB). Clinical Tasks: Assists ED licensed personnel with the delivery of care to patients with complex, specialized, and potentially life-threatening situations. Clinical responsibilities include but are not limited to: Vital signs. Examples: vital signs, 12-lead electrocardiogram (EKG). Point-of-care (POC). Examples: Abbott hand-held blood analyzer (I-STAT), glucometer. Equipment and surgical instrumentation set up . Examples: chest tube insertion, filling water chambers, handing instruments in a sterile field, and hooking up to suction when ordered . Observations and interventions. Examples: oxygen therapy and splinting. Wound care. Examples: bandaging, application of dressings and wound measurements. Specimen collection and Preparation. Examples: collecting and labeling venous blood samples and mucous specimens. Geriatric-specific care. Example: screening for depression, elder abuse, consults, phone follow-up, in-person follow-up and assisting with ambulation, fall prevention. Assisting with patient exams and screening. Examples: gynecology exams, Brief Confusion Assessment Method (bCAM) screening. Patient transport. Examples: Can transport patients without cardiac monitor. Assists licensed clinical professionals with patients who need continues cardiac monitoring, to and from diagnostic tests or admissions, and outpatient campus response teams. Cardiovascular monitoring. Examples: central station or bedside cardiac monitoring Emergency Care: In addition to ongoing ED duties, may be asked to respond to medical emergencies on the facility grounds, and sometimes encounters situations which may be life threatening as part of the Rapid Response Team (RRT), Code Blue, or medical transport team. Medication Administration: Medication administration will comply with national and local directives and policies. Administration methods may include intramuscular, oral, topical, eye drops, ear drops, intranasal, rectal suppositories, local anesthetics, nebulized medications, subcutaneous, and intradermal. Other Duties: Conducts or assists with the training of personnel in CPR, and advanced emergency medical care techniques if appropriately trained, certified and/or qualified, for example: facility formal preceptors and BLS instructors. Can conduct or assist with stand-downs, community health programs, health care screenings, and immunizations. Performs other related duties as assigned."]
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.