Veterans Affairs, Veterans Health Administration Medical Instrument Technician (Vascular) in Kansas City, Missouri
Summary This position is in the Vascular section of the Surgery Service Line. Vascular technicians operate diagnostic equipment using ultrasound to record vascular information such as vascular blood flow, blood pressure, limb volume changes, oxygen saturation, cerebral circulation, peripheral circulation and abdominal circulation. The technician must be competent in the production and analysis of images, anatomy, hemodynamics and doppler color flow used for patient diagnosis and treatment. Responsibilities Duties of the position include but are not limited to: Performs vascular examinations with full knowledge of cross sectional and longitudinal anatomy for normal and abnormal vessels such as carotid arteries, peripheral arterial and venous system. Recognizes aneurysms, thromboses, stenosis, occlusions, AV fistulae, plaque formations and the physiologic effects, signs, and symptoms of acute and chronic vascular disease. Recognizes and properly generate true Doppler signals in the region of the critical artery systems, bilaterally and in the peripheral arteries and veins as well as surgical grafts and arterial venous dialysis grafts. Performs evaluations of vertebral and renal artery, aortic aneurysms, and portal- systemic shunts. Assesses patient information and risk factors to determine satisfactory completion of appropriate study without direct supervision. Performs independently in a hospital setting all ultrasound examinations ranging from routine to highly specialized. Sets up and adjusts all equipment and manually maneuvers the transducer to perform the exam. Performs infection control procedures for transducers and all equipment, following established Standard Operating Procedures. Maintains appropriate technique/universal precaution protocols in dealing with infectious patients. Advises radiologist, surgeon or ordering physician on preliminary results of examination. Maintains quality assurance program of all ultrasound equipment, monitors, videotape machines. Recognizes malfunction. Schedules preventative maintenance as necessary. Forecasts supply, equipment needs and associated expenditures. Performs other duties as assigned Work Schedule: 8 hour day shift starting between 7:00am - 8:00am Financial Disclosure Report: Not required Requirements Conditions of Employment 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 VA Handbook 5005, Part II, chapter 2, section D, paragraph 5a, this part. Grade Determinations: GS-6 Experience. To qualify for this grade level, you must have at least 1 year of experience comparable to the next lower grade level (GS-5) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform routine, standardized vascular ultrasound procedures where the technician is not expected to deviate from established procedures. In addition, the candidate must demonstrate the following KSAs: Ability to perform standardized, routine vascular ultrasound procedures and/or examinations of upper and lower extremity, abdominal, and extra-cranial cerebrovascular vessels. Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography. Ability to prepare preliminary reports from the examination including documentation of procedural difficulties in the medical record. GS-7 Experience. To qualify for this grade level, you must have at least 1 year of experience comparable to the next lower grade level (GS-6) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which demonstrates that the technician has the knowledge, skills, and abilities to perform complex procedures requiring the ability to select appropriate equipment based on symptomology and the objective of the examination and the ability to adapt procedures and techniques to enhance diagnostic results. In addition, the candidate must demonstrate the following KSAs: Ability to perform noninvasive vascular ultrasound procedures or examinations of upper and lower extremity, abdominal, and extra-cranial cerebrovascular vessels which require adaptation of procedures or instruments. Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography. This would also include knowledge of physiological influences on the hemodynamics of blood flow. Knowledge of pharmacology and chemistry to understand drug reactions, action, effects, and method of administration specifically related to vascular ultrasonography. Knowledge of disease entities that impact the vascular system and their influence on the test results to select the appropriate procedures. Ability to obtain a patient history and perform and appropriate physical assessment based on patient presentation and type of exam to include observation, inspection, auscultation, and palpation. GS-8 Experience. To qualify for this grade level, you must have at least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform noninvasive vascular ultrasound procedures as a senior technician. In addition, the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. Ability to perform intracranial (transcranial) vascular examinations. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Ability to provide objective data to document progression or regression of disease. References: VA Handbook 5005, Part II, Appendix G27 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-8. Salary Ranges: GS-6 : $39,711 - $51,623 GS-7: $44,128 - $57,368 GS-8: $48,870 - $63,534 Physical Requirements: The work requires regular and recurring physical exertion. It may involve walking, frequent bending, reaching and stretching to set up and take apart equipment; lifting and positioning patients; and carrying, pushing, or pulling moderately heavy objects. Duties may require above average dexterity 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.