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.
Education. There are no specific educational requirements for this occupation.
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.
Grade Determinations:
Medical Instrument (Cardiac Catheterization)
GS-5 Trainee
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. In addition, the candidate must demonstrate the following KSAs:
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 Knowledge, Skills, and Abilities
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.
Assignment. Medical Instrument Technicians (Trainee) at this level operate and monitor commonly used equipment performing routine procedures under normal supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties would be performed under closer supervision.
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. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities
1. Knowledge of cardiac anatomy, physiology, and basic electrocardiography.
2. Knowledge of sterile techniques, catheterization laboratory supplies, and equipment used in the procedures.
3. Ability to circulate, assist, monitor, and document hemodynamics and electrocardiograms during the procedure.
4. Knowledge of and ability to prepare intra-aortic balloon catheters.
Certification. Basic Cardiac Life Support (BCLS) certification is desirable.
Assignment. The cardiac catheterization technician at this level aids physicians in aspects of cardiac catheterization and related invasive procedures such as coronary angioplasty, pulmonary angioplasty, and intra-aortic balloon insertion. The technician must be able to recognize cardiac arrhythmias and take appropriate action.
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. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities
1. Ability to assist with insertion of temporary transvenous pacemaker catheters.
2. Ability to maintain intra-aortic balloon pump equipment during procedures.
3. Ability to complete individual cases by pulling sheaths and holding pressure to obtain hemostasis.
4. Ability to assist with closure devices.
5. Ability to appropriately educate patients and patient families regarding procedures and post catheterization care.
Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable.
Assignment. Cardiac catheterization technicians at this level aid physicians in all aspects of standard cardiac catheterization and related invasive procedures such as coronary angioplasty, pulmonary angioplasty, and intra-aortic balloon insertion. They select, set up, and calibrate surgical instruments, catheters, radiographic contrast injectors, and radiographic imaging devices. They prepare cardiac medication for administration by the physician and must be able to recognize cardiac arrhythmias and take appropriate action.
GS-8 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 of the positions to be filled. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities
1. Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include rotoblation, intravascular ultrasound, RADI or wave-wire, angiojet, filter wires, myocardial biopsies EPS, permanent pacemaker insertions, AICD insertions, and biventricular pacemaker insertion.
2. Advanced knowledge of equipment, medications, and supplies used in the Cardiac Catheterization Laboratory and the ability to set-up, calibrate, operate, and troubleshoot this equipment.
3. Knowledge and understanding of wave forms from the great vessels and all chambers of the heart including the ability to recognize and distinguish normal from abnormal, artifact from abnormality, and forewarn the physician of an impending life-threatening situation.
4. Knowledge of quality control and performance improvement indicators for the Cardiac Catheterization Laboratory and ability to prepare and analyze quality control of test results.
Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable.
Assignment. This represents the full performance level. Cardiac catheterization technicians at this level function as full members of the Cardiac Catheterization Laboratory Team. They scrub, circulate, operate equipment, etc., on the most complex examination and treatment procedures including procedures such as endocardial biopsy, radio frequency ablation procedures, and intra-aortic balloon pump therapy for very critical patients. They prepare and administer cardiac medications as directed by the attending physician. They mentor and train lower graded technicians, nurses, nursing students, and cardiopulmonary technology students on cardiac catheterization laboratory procedures and assist the supervisor/manager with quality control and performance improvement activities.
Titles and Certification/Registration: All individual assigned to this occupation at the GS-6/7/8 level should have an approved parenthetical title in Cardiac Catheterization-Submit Documentation if Applicable.
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.