Summary The Harry S. Truman VA in Columbia, MO, is recruiting for an Intermediate Care Technician. The Intermediate Care Technician will function in the Emergency Department within Ambulatory Care Nursing Service. Responsibilities The incumbent assists ED licensed personnel with the delivery of care to patients with complex, specialized, and potentially life-threatening situations. This may include setting up equipment and passing instruments in the event of: cardioversions, insertion of thoracostomy tubes, or initiation of mechanical ventilation to restore normal physiological function or prevent deterioration of patient's condition. The incumbent must possess the knowledge to recognize life threatening situations and act to correct these emergent situations according to established national or local protocols. The incumbent initiates cardiopulmonary resuscitation (BLS) and use of automatic external defibrillator(AED) once trained and certified and where appropriate according to American Heart Association (AHA) protocols and policies.Assists with airway management using bag-valve-mask (BVM), oral airway or nasal airway. May use pulse oximetry, capnometry, capnography, and/or other secondary confirmation methods to ensure correct placement of an emergency advanced airway. Operates specialized medical equipment such as defibrillators, electrocardiographs, and oxygen apparatus in accordance with applicable training and standards. Observes patient status and keeps licensed personnel informed of any change in condition.The incumbent provides support, relief, and coverage as needed to central station telemetry. The incumbent documents in the telemetry record and reports all observed electrocardiographic (ECG) changes in the patient's condition to the licensed staff. Incumbent performs measurements of PR,QRS, QT, RR, and QTC intervals, interprets rhythm, and prints rhythm strip every 8 hours or as required for events and informs appropriate staff. Incumbent recognizes lethal rhythms/arrhythmias (i.e. ventricular fibrillation and asystole) and immediately notifies appropriate staff. Incumbent admits, discharges, and assigns telemetry equipment to patients in central monitoring automated system. Work Schedule: 3 p.m. to Midnight, rotating weekends and holidays Virtual: This is not a virtual position. Position Description/PD#: Intermediate Care Technician (ED)/PDS0031A Relocation/Recruitment Incentives: Not Authorized References: Please provide "References" with application. At a minimum two current or former supervisors or from individuals who were in a position of a professional nature. indicated if the Hiring manager may contact. 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. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications GS-7 grade level: One year of specialized experience (equivalent to the GS-6 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: Recognizing life threatening situations and act to correct these emergent situations according to established national or local protocols; understanding the legal/ethical considerations of critical care (e.g., actual/implied consent, patient rights, advanced directives, etc); taking and recording diagnostic signs to perform patient evaluations and screenings; assisting in behavioral/psychiatric situations; and assisting licensed personnel with complex, specialized, and potentially-life threatening situations. OR, Education: Successfully completed one (1) year of graduate education or internship directly related to the position at the next lower grade level. This education must have been obtained in an accredited college or university. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent one (1) year of full-time study. If that number cannot be obtained from the school, 18 semester hours will be considered an academic year of graduate study. Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended. If using education to qualify, a copy of your transcript is required. OR, Combination: Equivalent combinations of creditable specialized experience and education as described above to meet the total experience requirements for the position. This education must have been obtained in an accredited college or university. Only education beyond a one-half year (e.g. 6 months; 9 semester hours) of graduate level education may be used to qualify applicants for the GS-07 level. NOTE: If using education combined with specialized experience to qualify, a copy of your transcript is required. 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. 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. 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.