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 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.
- 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-7, Medical Instrument Technician (EKG).
(a) Experience. At least 1 year of experience comparable to the next lower grade level, GS-6, 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 equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated Knowledge, Skills, and Abilities.
1. Knowledge of typical patient reactions and signs of distress including the ability to recognize, re port and treat potentially lethal arrhythmias.
2. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures.
3. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue.
4. Ability to act as a mentor or preceptor to lower graded technicians.
5. Ability to conduct in-service training on the EKG equipment and related instrumentation.
References: VA Handbook 5005/54, Part II, G27
Physical Requirements: The Medical Instrument Technician (EKG)must be able to help move equipment, transfer and position patients, and perform delicate manipulations as needed to obtain accurate and complete studies. Work is in a clinical cardiac non-invasive laboratory on general patient floors and in intensive care unit environments as required to obtain ECG studies on a all patients. Radioisotopes may be present for nuclear studies during exercise. Nuclear medicine personnel will assist in all studies involving radioisotopes. The Medical Instrument Technician (EKG) will wear a radiation badge.
KNOWLEDGE REQUIRED:
1. Knowledge of the operation, adjustment and routine servicing of a wide array of computerized ECG equipment is required. This includes the proper procedure for obtaining the routine portion of each examination.
2. Knowledge of electrocardiography interpretation is required. The Medical Instrument Technician (EKG) must recognize significant arrhythmias on holter and event monitors, during stress tests or routine EKGs, and to take appropriate action.
3. Knowledge of the proper technique for obtaining blood pressures during exercise is essential for accurate data acquisition and patient safety.
4. Knowledge of various electrocardiography lead placements, including Lewis leads to locate atrial activity, right sided chest leads and proper lea d placement for Holter and event monitoring is required. Knowledge of the EKG patterns requiring further elaboration by special lead placement is needed.
5. Knowledge of pacemaker function to obtain proper electrocardiograms for complete analysis.
6. Clinical judgement is essential since tests may be long and fatiguing to the patient. The technician must be aware of clinical changes and must be prepared to discontinue or modify a test when it is appropriate.
7. The technician must understand the underlying theory and basic interpretation of the tests he/she performs. The Medical Instrument Technician (EKG) shall instruct residents, fellows. and medical students in testing procedures and basic interpretation.
8. The technician must be fully trained in basic cardiopulmonary resuscitation.