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 aren't specific educational requirements for this occupation. Education can only be substituted for experience at the GS-4 & GS-5 level.
- 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.
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-4
Experience: At least 1 year experience comparable to next lower grade demonstrating KSAs & characteristics related to position duties. 6 months of experience may have been in medically related fields: nursing assistant, practical nursing, or similar fields. The other 6 months must have been operating diagnostic & therapeutic MIT equipment. Experience gained operating MIT equipment for animal diagnosis/treatment may be credited at this level.
OR
Education. Successful completion of 2 years of education above high school or associate's degree w/ major field study directly related to MIT occupation
Demonstrated KSAs:
1. Knowledge of basic medical terminology.
2. Ability to learn the components, operating characteristics, and settings of the equipment to be used.
3. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress.
4. Ability to learn the standard positions for the procedure being conducted.
5. Ability to communicate orally and in writing.
GS-5
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 position to be filled. This would be experience in operating equipment related to the particular specialization for which application is made or in related functional areas. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level.
OR
Education: Successful completion of [4 academic years above high school leading to a bachelor's degree with courses related to the occupation, or] a bachelor's degree in a major field of study appropriate to medical instrument technician functions.
Demonstrated KSAs:
1. Knowledge of standard medical terminology to interpret physician orders or instructions.
2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities.
4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures.
5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine.
GS-6
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.
Demonstrated KSAs:
1. Skill in setting up, operating, and performing calibrations as required on a variety of dialysis equipment.
2. Skill in performing and interpreting test results (dialysate chemistries, water treatment testing for contaminates, etc.) including the ability to analyze deviations from the expected norm and responding appropriately.
3. Knowledge of American Association of Medical Instrumentation (AMMI) standards and unit policies as they relate to water treatment.
4. Knowledge of physiological and psychological changes and conditions related to end stage renal disease.
5. Ability to calculate dialysis baths according to the physician's orders per patient by mixing critical concentrates, i.e., calcium, potassium, and bicarbonate.
6. Knowledge of Basic Cardiac Life Support (BCLS).
GS-7
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 the equipment, standard procedures, and typical machine problems and/or patient reactions to treatment.
Demonstrated KSAs:
1. Ability to assist the physician in more complex procedures such as central venous catheter insertion.
2. Ability to assist in training patients in home/self-care by teaching components of machine operation including water treatment and monitoring patients for compliance.
3. Ability to act as a mentor or preceptor to lower graded technicians.
4. Ability to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings.
GS-8
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 more complex procedures, the pharmacology related to this occupation, and knowledge of related acute disorders and diseases and their effects on organs and methods of treatment.
Demonstrated KSAs:
- Ability to interpret testing data to evaluate critical information for surgeons and other medical staff during testing procedures.
- Knowledge of anatomy and physiology of the nervous system and the ability to understand the relationship of EEG and evoked potential testing in detecting states of disease and health.
- Knowledge of behavior assessment during seizure attacks in order to insure adequacy of recordings during seizure discharges.
- Knowledge of a variety of advanced EEG equipment and peripheral equipment such as equipment for brain mapping, video EEG telemetry systems with seizure detection computers, and spike analysis software.
- Knowledge of anticonvulsant medications and their effects on the EEG as well as other frequently used pharmaceuticals. 6. Ability to adapt neurodiagnostic devices, parameters, and procedures to complex, unusual, and often critical situations.
Preferred Experience: Hemodialysis Experience, Reverse Osmosis knowledge including portable WRO and MRO
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-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-08.
Physical Requirements: This position requires visual acuity, including color blindness screening, keen hearing, clear distinctive speech, and manual dexterity. The incumbent will be required to carry/push bulky equipment or supplies that usually do not exceed fifty (50) pound weight. Assist in handling patients with a variety of impairments and disabilities, which may involve lifting, positioning or restraining patients, or assisting them with such tasks as walking, sitting, standing, or using the scale. Work requires regular and recurring periods of standing and walking through the Dialysis area. Stand, crouches or kneels for prolonged periods while working with equipment the transporting of equipment. The incumbent must be able to demonstrate care procedures requiring technical skills. The incumbent is required to set up, manage, and operate highly technological equipment. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, requiring the shifting of priorities based on emerging and changing patient/ unit needs.