Lead Medical Instrument Technician (Polysomnography)
Veterans Affairs, Veterans Health Administration
Location: Fayetteville, Arkansas
Internal Number: 675739200
Current permanent VA employees and Federal employees from another agency should apply under CBST-11637774-22-ML. The Lead Medical Instrument Technician (Polysomnography) position is located at the Sleep Laboratory in the Cardiopulmonary Section of Medical Services. The Polysomnographer performs a full range of standard, but complex, examinations and sleep study procedures. May require occasional travel to the Springfield Community Based Outpatient Clinic as needed. 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. Education. There are no specific educational requirements for this occupation. Education may be substituted for experience only at the GS-04 and GS-05 levels. Licensure or Certification. Licensure or certification is not required for this occupation; however, it is strongly desirable at GS-06 or above as evidence of possession of the essential knowledge, skills, and abilities (KSAs). Registration by the Board of Registered Polysomnographic Technologists (BRPT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Preferred Experience: Registered Polysomnographic Technologist (RPSGT) or Registered Sleep Technologist (RST) credential 3-5 years of experience in Sleep Medicine Current BLS/BCLS certification Tech and Lead experience Grade Determinations: Medical Instrument Technician (Polysomnography), GS-09 Experience. At least 1 year of experience comparable to the next lower grade level (GS-08), which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates possession of the knowledge required to provide all aspects of polysomnography services. Resume must include average hours worked per week for work experience credit. Demonstrated KSAs. In addition to the experience above, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): 1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to Polysomnography. 2. *Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. 4. *Ability to manage and supervise employees. 5. *Ability to provide, or provide for, staff development and training. Certification. Registration by the BRPT is highly desirable. BCLS and ACLS certifications are also desirable for employees at this level. References. VA Handbook 5005/15, Part II, Appendix G27, Medical Instrument Technician Qualification Standard, dated March 17, 2006. The position is above Full Performance Level (GS-09). Physical Requirements. The work requires moderate lifting and carrying (15-44 pounds); straight pulling (0.5 hours) and pushing (1 hour); use of both hands and fingers; walking (4 hours); standing (1 hour); kneeling (0.5 hours); repeated bending (0.5 hours); climbing using legs only (0.5 hours); both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; glasses permitted; both eyes required; depth perception; ability to distinguish basic colors and shades of colors; ability to read printed material without strain (glasses permitted); ability to hear conversations/voices (hearing aid permitted); ability to wear closed toe non-slip shoes; mental and emotional stability. (See VA Directive and Handbook 5019, Employee Occupational Health Services) Environmental Factors. The work conditions include exposure to dust, working alone and closely with others, working around machinery with moving parts, and protracted or irregular hours of work. (See VA Directive and Handbook 5019, Employee Occupational Health Services) ["The duties of the Lead Medical Instrument Technician (Polysomnography) in the Medical Service include, but are not limited to: Works independently without supervision while recording physiological data during night studies and day studies. Prepares patients and calibrates sleep equipment and physiological calibrations on patients. Responsible for monitoring patient safety parameters in the sleep lab for all emergencies. Recognizes emergent situations, provides competent care, cardiopulmonary resuscitation, and notifies the Rapid Response/Code Blue Teams in these events. Must be current in Basic Life Support (BLS). Responsible for proper articulation of the study details, times, respiratory rates, heart rates, cardiac arrhythmias, supplemental oxygen therapy, Myoclonus, sleep breathing disorders, neurologic events, parasomnias, SPO2 readings, and Rem behavior disorders. Reviews the patients medical history, physician notes, and orders in patients medical chart. Stage scores the patients sleep study and event score study, based off the American Academy of Sleep Medicine scoring parameters and standards. Utilizes problem solving skills to optimize the raw data in all channels to allow for accurate and comprehensive data for scoring and interpretation. Follows procedural protocols for overnight sleep studies, Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), Polysomnograms, and Positive Airway Pressure (PAP) titration studies. Interprets sleep study and Continuous Positive Airway Pressure (CPAP) download reports. Provides briefings to supervisory staff as well as physician. Operates the controls of the CPAP machines distributed to patients. Utilizes all montage signals for EEG, EOG, EKG, EMG, respiratory channels, snore channel, and SpO2 channel. Uses the 10-20 neurological measuring system for proper EEG placements. Prepares and calibrates Home Sleep testing devices in the Sleep Center, to include uploading and downloading information, belts, cannulas, and SpO2 adapters included in the Home Sleep study. Utilizes a variety of mechanical equipment in patient care such as mechanical lifts, sit to stand, wheelchair, sling lift , and mechanical bed controls. Employs proper ergonomic movements to assist patients in sitting up, standing from sitting, and using the handicap rails. Provides back up coverage for the Supervisor and will have daily operating knowledge of the Sleep Laboratory. Work Schedule: Monday to Friday; 9:00 a.m. to 5:30 p.m. Night shift coverage may be required based on patient care needs. May require occasional travel to the Springfield Community Based Outpatient Clinic as needed.\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 564-00149-F\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not Required"]
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.