Med Inst Tech (Echocardiography)
The Medical Instrument Technician (Echocardiography) executes leadership experience and creative approaches to managing complex systems and individuals. The incumbent will complete the following duties:
Performs diagnostic quality images and Doppler frequency shift recordings using M mode, 2-D, pulsed and continuous wave Doppler spectral display and color flow Doppler imaging. Performs complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardia! effusion, thrombus and pressure gradients across obstructed valves. Performs transesophageal echocardiograms, dobutamine and exercise stress echocardiograms, and 3D echocardiograms. Adapts transducer positioning, instrument controls and examination techniques to the individual patient and to the problem being evaluated. Monitors patient's condition during procedures. Triages inpatient procedure requests daily. Ensures that inpatient exams are completed in a timely manner. Accurately documents information in CPRS, Xcelera, and any other clinical or administrative applications. Technical expert in the operation, calibration and maintenance of the specialized equipment in the echocardiogram lab. Performs digital image management and acts as superuser for imaging storage system. Assists billing and coding with interpretation of exams and follow-up on outstanding billing and coding issues. Completes encounters on all echocardiograms performed, using the correct CPT codes, diagnosis, service connection status and other field as required and assists management in overall encounter practices in the echocardiography section. Performs quality assurance reviews on echocardiogram equipment and processes. Participates in facility conferences, task forces and committees as assigned. Communicates effectively and professionally with employees at varying grade levels, patients and their families, and customers from outside facilities. Performs Dys-synchrony evaluations and assist in the timing delays for Bi-Ventricular pacing. Work Schedule:
Monday-Friday (hours will be based on the needs of the Service) Financial Disclosure Report:
Not required. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Requirement for:
GS-9 Experience. At least 1 year experience comparable to the next lower grade level, 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 in order to provide all aspects of echocardiography services. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk ( ):
Demonstrated Knowledge, Skills, and Abilities. KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment. 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 Echocardiography. 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 Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. . Assignment; For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Special Assignments. Non-supervisory echocardiography technicians may have assignments that because of their nature substantially exceed the full performance level. The Professional Standards Board will review proposed non-supervisory special assignments for the GS-9 level and make a determination regarding their appropriateness. These assignments are expected to be relatively few in number and must represent substantial additional responsibility over the full performance level. References:
A Handbook 5005/15 Part II Appendix G27. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS9. The actual grade at which an applicant may be selected for this vacancy is in the range of GS9. Physical Requirements:
is position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent will be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations:
able to shift priorities based on patient needs. See VA Directive and Handbook 5019.
Estimated Salary: $20 to $28 per hour based on qualifications.
Performs diagnostic quality images and Doppler frequency shift recordings using M mode, 2-D, pulsed and continuous wave Doppler spectral display and color flow Doppler imaging. Performs complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardia! effusion, thrombus and pressure gradients across obstructed valves. Performs transesophageal echocardiograms, dobutamine and exercise stress echocardiograms, and 3D echocardiograms. Adapts transducer positioning, instrument controls and examination techniques to the individual patient and to the problem being evaluated. Monitors patient's condition during procedures. Triages inpatient procedure requests daily. Ensures that inpatient exams are completed in a timely manner. Accurately documents information in CPRS, Xcelera, and any other clinical or administrative applications. Technical expert in the operation, calibration and maintenance of the specialized equipment in the echocardiogram lab. Performs digital image management and acts as superuser for imaging storage system. Assists billing and coding with interpretation of exams and follow-up on outstanding billing and coding issues. Completes encounters on all echocardiograms performed, using the correct CPT codes, diagnosis, service connection status and other field as required and assists management in overall encounter practices in the echocardiography section. Performs quality assurance reviews on echocardiogram equipment and processes. Participates in facility conferences, task forces and committees as assigned. Communicates effectively and professionally with employees at varying grade levels, patients and their families, and customers from outside facilities. Performs Dys-synchrony evaluations and assist in the timing delays for Bi-Ventricular pacing. Work Schedule:
Monday-Friday (hours will be based on the needs of the Service) Financial Disclosure Report:
Not required. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Requirement for:
GS-9 Experience. At least 1 year experience comparable to the next lower grade level, 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 in order to provide all aspects of echocardiography services. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk ( ):
Demonstrated Knowledge, Skills, and Abilities. KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment. 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 Echocardiography. 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 Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. . Assignment; For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Special Assignments. Non-supervisory echocardiography technicians may have assignments that because of their nature substantially exceed the full performance level. The Professional Standards Board will review proposed non-supervisory special assignments for the GS-9 level and make a determination regarding their appropriateness. These assignments are expected to be relatively few in number and must represent substantial additional responsibility over the full performance level. References:
A Handbook 5005/15 Part II Appendix G27. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS9. The actual grade at which an applicant may be selected for this vacancy is in the range of GS9. Physical Requirements:
is position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent will be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations:
able to shift priorities based on patient needs. See VA Directive and Handbook 5019.
- Department:
0649 Medical Instrument Technician - Salary Range:
$64,987 to $84,484 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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