Summary A Medical Instrument Technician performs routine procedures (Holter Monitor, EKG, and routine implanted pacemaker and defibrillator evaluation) w/o direct supervision of a Physician or Provider The person incumbent understands when physicians need to be consulted immediately. The EKG Technician utilizes knowledge of anatomy and physiology including an understanding of cardiac anatomy and physiology to interpret requests and to recognize the need for additional tests and intervention. Responsibilities Medical instrument technicians (EKG) at this level receive and interpret physician's requests for diagnostic procedures and/or treatments; explain the procedure to the patient to secure the patient's confidence and cooperation; 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. Assignments at this level require knowledge of standard medical terminology as well as common diseases and their specific affects. Functions: a. Collect, analyze and integrate patient information to identify and meet patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history), and to determine final testing parameters/procedures in conjunction with the ordering physician and protocols. b. Complete and verify documentation. c. Explain pre-testing, testing, and post-testing procedures to the patient. d. Informs the provider of the action taken and directs the results to him/her in a timely manner. e. Enters test results and other pertinent patient information into the computer on a timely basis as directed by the cardiologist. f. Gather and Analyze Patient Information. g. Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments if necessary. h. Perform EKG data acquisition while monitoring study-tracing quality to ensure signals are artifact-free and make adjustments, if necessary. i. Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of adult and geriatric patents. j. Generate accurate reports and clinical event data. k. Upon request for an emergency procedure with an immediate report, the results will be shown to the interpreting physician as soon as the test is completed and often must convey the report to the requesting physician. l. Although not responsible for interpretation of the results, the incumbent must know through experience how to recognize abnormalities and promptly bring them to the attention of the supervisor. m. Recognizes cardiac arrhythmias and makes extended or multiple recordings when the cardiac rhythm is abnormal. n. Recognizes cardiac emergencies from unread or interpreted tracings, Takes appropriate action including notification of a physician so that emergency measures may be instituted as quickly as possible. o. The incumbent manages distribution and application of ambulatory EKG monitoring devices. This requires knowledge of the equipment, including lead placement to the correct anatomical areas after proper preparation of the: patient, and instruction of the patient in his/her role in the procedure and operation. p. Obtains and records patients' vital signs. q. Enters note in CPRS. r. Assist with controlled exercise tests to evaluate the status of selected patients. Both physical (treadmill) and chemical (dipyridamole, dobutamine, adenosine, etc.) forms of stress may be employed. All forms of stress are performed with electrocardiographic monitoring and may be followed by nuclear imaging (thallium, sestamibi, etc.) s. Other duties as assigned. Work Schedule: Monday - Friday 7:30 am - 4 pm Compressed/Flexible: Not Available 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. Functional Statement #: 71071-F Permanent Change of Station (PCS): Not authorized PCS Appraised Value Offer (AVO): 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 trial period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications 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: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. c. Licensure or Certification. ENGLISH LANGUAGE PROFICIENCY: Medical Instrument Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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: GS-7 (FULL PERFORMANCE LEVEL) 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 (b) DEMONSTRATED KNOWLEDGE, SKILLS, & ABILITIES: 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. (c) 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. (d) ASSIGNMENT. This represents the full performance level. Medical instrument technicians (EKG) at this level operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing, ambulatory monitoring of arrhythmias, and indirect carotid pulse tracings on chronic patients. They monitor tracings to identify arrhythmias and when gross abnormalities appear, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician. They evaluate test results to determine appropriate machine adjustments and use alternative techniques and procedures when established procedures do not accomplish acceptable results. This includes adapting equipment and accessories to yield the best results during the examination. They edit and select an appropriate sample portion of the tracing for further interpretation by the physician. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: The tasks of this position generally require sitting, standing, occasional crouching or kneeling. Moderate lifting may be required to move equipment throughout the Medical Center locations. Considerable manual dexterity and hand-eye coordination are continuously required while performing respiratory therapy procedures. This includes observation of a computer screen. Cardiopulmonary resuscitation demands coordination and stamina. 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. 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.
