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PLEASE READ THIS ANNOUNCEMENT IN ITS ENTIRETY BEFORE BEGINNING THE APPLICATION PROCESS TO ENSURE YOU SUBMIT ALL THE REQUIRED DOCUMENTS. This Job Opportunity Announcement will be used to fill a Medical Instrument Technician-EKG, GS-0649-4/5/6/7 position in Specialty Service at the Eastern Oklahoma VA Health Care System. 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: 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. Electrocardiograph Technicians (EKG) operate instruments used to record electrocardiograms, exercise tolerance tests, 24-48 heart monitoring and scanning, and pacemaker evaluations. Certification is offered by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technician (CCT). 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: 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: 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. Demonstrated Knowledge, Skills, and Abilities Knowledge of basic medical terminology. Ability to learn the components, operating characteristics, and settings of the equipment to be used. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress. Ability to learn the standard positions for the procedure being conducted. Ability to communicate orally and in writing. 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: 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. Demonstrated Knowledge, Skills, and Abilities Knowledge of standard medical terminology to interpret physician orders or instructions. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. 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. Non-Supervisory positions at GS-6 and above. Electrocardiograph Technician (EKG) 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 Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment. Ability to monitor the patient for adverse reactions and take appropriate action. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification. 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. This would be experience which provided knowledge of the equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities. Demonstrated Knowledge, Skills, and Abilities: In addition, the candidate must demonstrate the following KSAs: Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue. Ability to act as a mentor or preceptor to lower graded technicians. Ability to conduct in-service training on the EKG equipment and related instrumentation. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. References: VA HANDBOOK 5005/54 PART II APPENDIX G27 The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7. Physical Requirements: Employee understands that the Medical Instrument Technician (Trainee) endures prolonged periods of sitting, bending, reaching, crouching, stooping, and stretching. Much of the work is sedentary, but can involve walking, pushing, bending, standing, moderate lifting and carrying light items such as books, papers, files and supplies as needed. The Employee must be able to lift items up to 50Ibs. The employee understands that the use of proper body mechanics is imperative to provide safety for both self and patient population. ["The position is located within the Patient Care Services. This position is located with the Eastern OK VA Healthcare System (EOVAHCS). The Medical Instrument Technician (MIT)/Electrocardiography (EKG) at this level is responsible for continuous monitoring of telemetry patients as assigned and will function as a trainee in continuous comprehensive evaluation and documentation of the patient cardiac monitoring system (telemetry). Utilizing a thorough technical knowledge of the principles, techniques, and methodology echocardiography, the position is established as the sole technician responsible for performing non-invasive waves to humans for diagnosis of cardiovascular disease. Performs imaging examinations to visualize and determine organ position form and/or structure and function. Operates computerized ultrasound imaging system, auxiliary components, (e.g., transducer, M-mode, Doppler, etc.) to accomplished examinations. Examinations required constant interaction between technician, patient and equipment. Examination results used for visualization and determination of organ position, form, structure and function; to assist cardiologist/attending physician in their use, interpretation, diagnosis and treatment. Areas in which care is provided are: Stress Lab, EKG Lab, ICU-MED/SURG, Recovery, WARD-MED/SURG, and Behavioral Health. Work Schedule: FT, 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 #: 55333-O, 55332-O, 55331-P, 55330-O Financial Disclosure Report: Not required"]

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