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:
- Citizenship. Citizenship of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
- 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.
- 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".
NOTE: 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.
- 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 Determinations:
GS-8 Lead Medical Technicians - Gastroenterology:
In addition to meeting the basic requirements must have:
Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled.
- (GS-07 Experience: This represents the full performance level. Technicians at this level function with minimal instruction, assisting the staff with complex specialized procedures such as ERCP and endoscopic ultrasound (EUS). They are proficient with GI endoscopic equipment and ensure proper performance of endoscopic equipment; select alternate equipment or adjust equipment settings to accommodate patient needs and produce high quality technique. They collect, process, and label all specimens; train other technicians in basic endoscopic procedures; work in and outside the GI unit offering technician support during emergent and on-call endoscopic cases; and assist the nurse in patient care duties such as obtaining vital signs, dressing and documenting all pertinent information in the patient's records. They inventory and maintain par levels of specialty equipment for the endoscopy unit.)
Certification. No certification is required; however, it is desirable that employees at this level have SGNA core level one and two certifications (BLS and ACLS).
Knowledge, Skills and Abilities (KSAs). In addition to meeting the experience requirements for this grade level, the candidate must fully demonstrate the following KSAs:
- Knowledge of complex gastroenterology procedures, such as ERCP with spy glass, ablation procedures, mucosal resection procedures, fine needle aspiration procedures and capsule studies.
- Ability to provide briefings and orientations to hospital staff including physicians.
- Knowledge of regulatory and advisory agencies such as Joint Commission, Occupational Safety and Health Administration (OSHA), Society of Gastroenterology Nurses and Associates (SGNA), American Society for Gastrointestinal Endoscopy (ASGE), and applicable laws such as the Health Insurance Portability and Accountability Act (HIPPA).
- Knowledge of medical terminology related to GI and biliary systems used to identify pathology or for specimen identification and procedure documentation and knowledge of advanced anatomy and physiology to recognize obvious abnormalities during procedures.
- Ability to provide staff development and training.
Assignments. 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.
- Lead GI Technician. In certain programs, either because of size and scope or because of a lack of specific supervisory positions, lead positions may be appropriate to provide daily guidance to the GI technicians. Lead Technicians will be the "superusers" responsible for answering questions for all staff on the endoscopic equipment. They will have the responsibility for daily workload assessments, assigning work, and assuring proper staffing coverage; provide performance input for evaluation and award purposes; evaluate training records; and determine educational needs of the technician staff. They assist the practitioner with the most complex and non-standard procedures consisting of difficult endoscopic intubation through strictures. They assist special needs patients through the endoscopic procedure, ensuring those with physical or mental limitations are given the necessary physical or non- medicinal interventional support measures. They participate in quality improvement measures, recommending and implementing practice changes when indicated.
Preferred Experience: At least 5 years of experience as GI MIT; position including expertise in providing assistance with advanced procedures, such as, ERCP and EUS, and experience in supply management.
Reference: For more information on this qualification standard, please visit
https://www.va.gov/ohrm/QualificationStandards/.
The full performance level of this vacancy is
GS-07.
Physical Requirements: Work pace ranges from sedentary to a very rapid pace to include walking, standing, bending, and reaching. Includes lifting and positioning patients in/onto exam position or on/off gurney, and or wheelchair. Work requires specific, but common, physical abilities such as agility and dexterity to position patients for examination or treatment in usual alternate positions for patients. Heavy lifting occasionally may be required to relocate clinic equipment or patients.