The Surgical Technician is a member of the surgical team and provides assistance to the surgeon and other members of the team during surgical procedures. The Surgical Technician participates with the surgical team members in planning and implementing complex procedures under the general supervision of the surgical team. Graduate of Surgical Technology Program or military training equivalent. Certification in ORT (preferred but not required). To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-07 grade level: One year of specialized experience (equivalent to the GS-06 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: The incumbent must possess knowledge of highly technical surgical instruments, human anatomy, physiology, and aseptic technique to prepare and protect the sterile field during surgery. Knowledge of sterile technique must include sterilizer operations and tests to determine the effectiveness of sterilization package storage, and shelf life. Also includes the proper cleaning techniques, as well, as the proper handling and rotation of sterile supplies, handling of contaminated items, quality control, and personal hygiene. Must have in depth knowledge of universal precautions and know how to implement infection control policies and procedures. The incumbent must possess knowledge of a wide variety of complex surgical procedures and possible complications in order to prepare for the procedure, to anticipate the needs of the surgical team, to respond with speed and accuracy, and to report observations and immediate procedural needs to the RN circulator. Must have a thorough knowledge of all appropriate names, uses, physical characteristics, function, and processing procedures for the full range of all medications administered from the sterile field. In order to prepare for the surgical procedure, the incumbent must have sufficient knowledge of anatomy, physiology, and protocol to select the correct instruments for a procedure, anticipate the needs of the surgeon during the procedure, and on a regular and recurrent basis recognize and respond to a variety of critical situations, including emergency and life-threatening conditions. Incumbent must have a technical knowledge on the use and effects of anesthesia in order to recognize the hazards of anesthetic agents and to recognize and respond to adverse conditions during the course of the procedure. Knowledge of pathology care and handling of specimens correctly are essential for the prevention of damage to or the loss of specimens and eventual diagnosis. During procedure in which implantable devices are used, incumbent must display knowledge and skills necessary for the proper handling of the prosthesis, i.e., intraocular lenses, total joint, vascular grafts, and pacemakers. Incumbent must possess knowledge of operation and function of all surgical instruments and equipment, testing procedures to assure all equipment works, and proper postoperative decontamination procedures. Must know how to prepare instruments for sterilization and the proper sterilization methods for them, i.e., steam, sterrad, or cold sterilization. Responsible for the proper storage of instruments and supplies to maintain their sterility. Must possess knowledge of proper patient positioning depending on the types of procedure, be able to provide emotional support to patients, and be able to recognize adverse reactions when he/she assists the anesthesiologist with pain clinic procedures. The incumbent must possess an in-depth knowledge of the surgical package in the DHCP program to accurately document Perioperative care. Must possess advanced knowledge of medical terminology to be able to understand written requests and provide proper documentation of procedures. While functioning as a Genito-Urinary Health Technician, the incumbent must have knowledge about urological instrumentation and equipment, and diagnostic procedures commonly used in urological setting to include urological radiological studies. Must know signs, symptoms, and appropriate treatment of allergic reactions to any contrast used during procedures. Must have working knowledge to cryotherapy, ultrasound and uroflow machines. Must understand the proper operation of the urology table and radiology equipment in the GU room. Must be knowledgeable about and thoroughly understand the concepts and applicability of Joint Commission on Accreditation of Hospital Organizations (JCAHO), Occupation Safety Health and Administration (OSHA), and VA safety and occupational health regulations to assure compliance with applicable regulations. Must possess effective communication skills in order to interact with physicians, co-workers, patients, patient's families, manufacturer representatives, and other medical center personnel. OR One full year of graduate education meets the requirements for GS-7. OR Applicants may also combine education and experience to qualify at the GS-07 level. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-07. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. ["Function as a Primary Scrub Person 50% Responsible for handling instruments, supplies, and equipment during all surgical procedures such as: thoracic, major vascular and total joint surgery. Sets up a sterile field with all required items for each procedure i.e., air powered, fiber optic, Laparoscopic, arthroscopy, and urologic equipment, microscopes, recording devices and other operating room supplies and equipment. Plans and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure. Prepares, organizes, and maintains highly complex surgical setups. Observes and responds promptly to each stage of the surgical procedure and anticipated the needs of the surgeon by maintaining a high level of concentration for extended periods of time. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, and equipment. Assists team members with care of the patient i.e., positioning, prepping, and obtaining supplies. Handles all specimens appropriately. In conjunction with the circulating Registered Nurse performs sponges, sharps, and instrument counts to verify accuracy. Responsible for the accountability of all surgical instruments and equipment used during the surgical procedure. Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors and cutting sutures. Prepares prostheses and surgical devices during procedures. Fully participates in the \"Time Out\" and other patient safety programs. Assists in training students and new operating room staff in the operation of equipment, sterile technique, handling of instruments, and OR procedures to include the scrub role in surgical procedures. Functions as a second circulator for complex surgical procedures Maintains Environment, Equipment and Specific Supply Items 25% Monitors and maintains OR area including overall cleanliness, temperature, humidity, crash cart and other emergency equipment and supply items. Ensures cleanliness and performs non-technical maintenance of equipment to prevent malfunction. Assesses equipment needs and maintains adequate stock of supplies and materials. Recognizes potentially hazardous situations, i.e., frayed cords. water on floor and takes corrective action. Provides Guidance/Supervision 20% Provides guidance and support to students and new operating room staff Indirectly supervises non-surgical team members, students, and other personnel. Other Duties as Assigned 5% Assists surgical team members in quality improvement activities. Updates personal knowledge regarding current trends in surgical technology through continuing education. Performs duties as assigned including on-call/call back tours as required. Performs other duties as assigned. Work Schedule: Full Time (varies) Physical Requirements: Duties regularly require providing manual assistance in lifting and positioning patients, most of which are in stages of unconsciousness. There are extensive periods of regular and recurring standing, walking, bending, lifting, pushing, reaching, and prolonged stretching to provide easy accessibility of instruments and supplies for the surgeon. Incumbent must be dexterous in passing instruments to surgeons without compromising principles of aseptic technique and in a manner requiring little or no effort from the surgeon. Work Environment: Duties are performed in the operating rooms which require special OR attire with regular and recurring exposure to toxic and noxious gases, exposure to x-rays, pure oxygen, and blood and body fluids which are often infectious requiring special safety precautions. Appropriate scrub attire is required, including sterile gown and gloves, surgical cap to cover incumbent's hair, and surgical mask in order to provide aseptic environment in the operating room. The incumbent is often required to wear special attire such as a \"space helmet\" or hood used during total joint replacements. Incumbent must wear protective eyewear, such as goggles or face shield, to prevent inadvertent splash injuries to his/her eyes. Incumbent must frequently wear a 20-30pound lead apron as protection from radiation during various procedures. The operating room can be an extremely stressful work environment. Good mental and emotional health is required in order to function at an optimum level."]
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.