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Summary
The incumbent serves as a Medical Instrument Technician (MIT) (Electrocardiograph/EKG) in the Bay Pines acute care nursing units. The MIT (EKG) monitors the cardiac rhythm and rate of both medical and cardiac patients from a remote location using sophisticated diagnostic cardiac electrocardiography equipment. The MIT monitors the health status of each telemetry patient.
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
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
Physical Requirements
See VA Directive and Handbook 5019
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
Training which does not result in official certification does not meet this definition
Grade Determinations: In addition to the basic requirements for employment - candidates must meet the following grade-determining criteria for placement at grade levels specified 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)
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 1
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
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
In addition - the candidate must demonstrate the following KSAs: Demonstrated Knowledge - Skills - and Abilities 1
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
Preferred Experience: Preferred candidate will have one year of cardiac telemetry technician experience
BLS and ACLS required
National Heart Association (NHA) Certified Electrocardiograph is accepted & Certified Rhythm Analysis Technician (C-RAT) is preferred for the full performance level by Cardiovascular Credentialing International (CCI)
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
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 6 to GS 7
Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
Transferring patients and objects may be required
The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
The MIT must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment
These physical requirements will be consistent with VA Directive Handbook 5019.
Duties
The incumbent will be assigned to the central telemetry monitoring unit working a rotating tour of duty
Responsibilities include cardiac monitoring and direct and indirect patient care for an adult and/or geriatric male/female patient population
The incumbent will be responsible for the development and demonstration of increasing skills in the performance of a variety of tasks
Provides assistance of a technical - specialized - or supportive nature to health and medical personnel in the diagnosis or treatment patient with cardiac conditions
Provides continuous monitoring of cardiac rate - rhythm - and patterns of conduction at a central monitoring station for telemetry patients within the Acute Care Service nursing units including the Emergency Department
Admits and discharges patient to/from the central telemetry monitoring system per protocol or provider orders
Continuously observes patient cardiac rhythms at a central monitoring station and responds to alarms based on telemetry protocols
Interprets and documents cardiac rhythm strips in the patient record for telemetry patients within the Acute Care Service nursing units - including the Emergency Department - every eight (8) hours and PRN (as needed)
Recognizes abnormal rhythms and contacts appropriate healthcare personnel
Identifies emergency situations and notifies appropriate personnel
Troubleshoots telemetry monitoring system and equipment
Provides hand-off report to maintain continuity of care and safety
Work Schedule: 7:30pm - 8:00am ( Rotating schedules - including weekends) Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): 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) Telework: Not Available Virtual: This is not a virtual position
Permanent Change of Station (PCS): Not Authorized
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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
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
Physical Requirements
See VA Directive and Handbook 5019
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
Training which does not result in official certification does not meet this definition
Grade Determinations: In addition to the basic requirements for employment - candidates must meet the following grade-determining criteria for placement at grade levels specified 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)
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 1
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
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
In addition - the candidate must demonstrate the following KSAs: Demonstrated Knowledge - Skills - and Abilities 1
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
Preferred Experience: Preferred candidate will have one year of cardiac telemetry technician experience
BLS and ACLS required
National Heart Association (NHA) Certified Electrocardiograph is accepted & Certified Rhythm Analysis Technician (C-RAT) is preferred for the full performance level by Cardiovascular Credentialing International (CCI)
Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
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 6 to GS 7
Physical Requirements: This position requires visual acuity - keen hearing - clear distinctive speech - and manual dexterity
This position requires potentially long periods of continued walking - standing - stooping - sitting - bending - pulling - and pushing
Transferring patients and objects may be required
The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures
The incumbent may occasionally be exposed to patients who are combative secondary to delirium - dementia - or psychiatric disorders
The incumbent must be a mature - flexible - sensible individual capable of working effectively in stressful situations - able to shift priorities based on patient needs
The MIT must complete annual Employee Health requirements - such as annual TB screening or testing - as a condition of employment
These physical requirements will be consistent with VA Directive Handbook 5019.
Duties
The incumbent will be assigned to the central telemetry monitoring unit working a rotating tour of duty
Responsibilities include cardiac monitoring and direct and indirect patient care for an adult and/or geriatric male/female patient population
The incumbent will be responsible for the development and demonstration of increasing skills in the performance of a variety of tasks
Provides assistance of a technical - specialized - or supportive nature to health and medical personnel in the diagnosis or treatment patient with cardiac conditions
Provides continuous monitoring of cardiac rate - rhythm - and patterns of conduction at a central monitoring station for telemetry patients within the Acute Care Service nursing units including the Emergency Department
Admits and discharges patient to/from the central telemetry monitoring system per protocol or provider orders
Continuously observes patient cardiac rhythms at a central monitoring station and responds to alarms based on telemetry protocols
Interprets and documents cardiac rhythm strips in the patient record for telemetry patients within the Acute Care Service nursing units - including the Emergency Department - every eight (8) hours and PRN (as needed)
Recognizes abnormal rhythms and contacts appropriate healthcare personnel
Identifies emergency situations and notifies appropriate personnel
Troubleshoots telemetry monitoring system and equipment
Provides hand-off report to maintain continuity of care and safety
Work Schedule: 7:30pm - 8:00am ( Rotating schedules - including weekends) Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): 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) Telework: Not Available Virtual: This is not a virtual position
Permanent Change of Station (PCS): Not Authorized
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