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Summary The Electrocardiograph (EKG) Medical Instrument Technician (MIT) functions as a member of the Cardiology multidisciplinary team. EKG technicians at this level receive and interpret physician's requests for diagnostic procedures and/or treatments; explain the procedure to the patient; document the patient's record; independently perform standardized testing, monitoring the patient for adverse reactions; and operate, calibrate, and clean and/or sterilize commonly used equipment Responsibilities Technical duties: Perform electrocardiograms. Conducts routine and emergency electrocardiogram tests using EKG machines. Accurately records patient's name and examination date electronically on the EKG machine. Prepares patient for EKO by assisting patient to disrobe, positioning patient on examination table and instructing patient as to procedure to be accomplished. Attaches electrodes and connects electrodes to machine cable. Observes EKG recording and corrects for any artifacts such as wandering or irregular baseline due to loose electrodes; somatic tremor due to patient movement or respiration; and alternating current interference. Varies test procedures as needed to adjust to patient's medical condition and to assess the adequacy of results obtained under less-than-ideal conditions. Transmits EKG to MUSE system and assigns to Physicians for interpretation. Participates in treadmill tests with a physician. Instructs patient and demonstrates use of treadmill. Prepares patient by shaving appropriate area and attaching electrodes to patient's shoulders and chest. Connects electrodes to machine cable. Performs routine EKG prior to treadmill. Conducts Zio Holter Monitor procedure. Preps patient and attaches electrodes to patient's chest and connects electrodes to Holter Monitor Tape Recorder. Scans the tape for recognizable abnormalities. Recognizes and deletes artifacts and prepares a summarized Holter report for interpretation by the physician. Explains the use of the event monitor to the patient. Applies the event monitor and explain to the patient when it should he removed. Performs duties in support of pacemaker and ICE clinic. Records vital information including patient data, pacemaker model and serial numbers and date of pacemaker implantation in medical record. Applies established procedures in order to run EKG testing on patients with a pacemaker; monitors their heart rate. Performs basic maintenance on the equipment per current operator's manual. Transports EKG machine to bedside on non-ambulatory patients. Administrative Duties: Communications: The technician will interact with other healthcare professionals to discuss the indications, value, possible outcomes, and limitations of testing. The technician will proficient in communication, both orally and in writing with patients, visitors. non-healthcare and a variety of healthcare professionals. They will utilize computer systems to access patient information, receive memoranda, and send and receive work related e-mail. Clerical functions: Schedules patients for procedures. Schedules outpatient clinic appointment using the computer system scheduling options. Sends procedure specific instruction letters for scheduled appointments. Utilizes computer systems and Electrocardiogram specific medical equipment to complete administrative duties with each procedure. Medical Terminology: The technician will understand more advanced medical terminology, and how it relates to the cardiac diagnostic testing being performed. The technician will have knowledge of acute cardiac disorders and their effects on organs and methods of treatment. Employee Education: The technician complies with employee education requirements and is encouraged to attend Electrocardiogram related educational opportunities. Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Work Schedule: 7:30AM - 4PM or 8AM - 4:30PM, Monday - Friday Compressed/Flexible: Not Authorized 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 Authorized Virtual: This is not a virtual position. Functional Statement #:00000 Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. 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. 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. 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. 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-6 Medical Instrument Technician - Electrocardiograph Technician (EKG) 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 Knowledge, Skills, and Abilities (KSAs): 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. 2. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests. 3. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment. 4. Ability to monitor the patient for adverse reactions and take appropriate action. 5. 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 Medical Instrument Technician - Electrocardiograph Technician (EKG) 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 Knowledge, Skills, and Abilities (KSAs): 1. Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias. 2. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures. 3. 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. 4. Ability to act as a mentor or preceptor to lower graded technicians. 5. 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. 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: Heavy lifting (45 lbs. and over), pushing, reaching above shoulder, use of fingers, walking, standing, repeated bending, visual acuity 20-30 corrected , ability to distinguish basic colors, and hearing (aid may be permitted). Environmental factors include working with hands in water, and working closely with others. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.