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: For all specialties identified in this standard, Basic Life Support certification required and Advanced Cardiac Life Support certification is 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: Individual Occupational Requirements
Specialized Experience
For positions at GS-4 and above: Experience in operating, supervising the operation of, or instructing in the operation of equipment related to the particular specialization for which application is made. Experience gained in the operation of equipment in a specialization directly related to the specialization may be credited through the GS-5 level.
Experience gained in the operation of equipment for animal diagnosis or treatment may be credited as specialized experience for that particular specialization through the GS-5 level.
OR
Education and Training
For GS-3: Successful completion of (a) an approved program in practical nursing or in operating room or surgical technician work of at least 9 months in length, or (b) l year of study with at least 6 semester hours in any combination of scientific subjects such as biology, anatomy, physiology, chemistry, medical technology, or physics.
For GS-4: Successful completion of 2 years of study that included at least 12 semester hours in any combination of subjects such as those listed for GS-3. At least 6 of the 12 semester hours of the courses must have been directly related to the specialization of the position.
For GS-5: Successful completion of a full 4-year course of study leading to a bachelor's degree in a major field of study appropriate to the specialization of the position, or that included at least 24 semester hours in courses such as those listed for GS-3. Of the 24 semester hours, at least 12 must have been in a field directly related to the specialization of the position.
GS-4 Medical Instrument Technician (Trainee)
- Specialized Experience: At least 6 months which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields, operating diagnostic and therapeutic equipment covered by this occupation. -OR-
- Education: 2 years above high school with courses related to the occupation, if required
- Candidate must demonstrate the following KSAs:
- Knowledge of basic medical terminology.
- Ability to learn the components, operating characteristics, and settings of the equipment to be used.
- Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress.
- Ability to learn the standard positions for the procedure being conducted.
- Ability to communicate orally and in writing.
GS-5 Medical Instrument Technician (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. -OR-
- Education: 4-year course of study above high school leading to a bachelor's degree with courses related to the occupation, if required
- Candidate must demonstrate the following KSAs:
- Knowledge of standard medical terminology to interpret physician orders or instructions.
- Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
- Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities.
- Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures.
- Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine.
GS-6 Medical Instrument Technician (Developmental)
- 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.
- Education: Typically not applicable but Graduate education or an internship meets the specialized experience required above GS-5 only in those instances where it is directly related to the work of the position.
- Candidate must demonstrate the following KSAs:
- Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions to prepare and position the patient for the prescribed procedure.
- Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests.
- Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment.
- Ability to monitor the patient for adverse reactions and take appropriate action.
- Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing.
GS-7 Medical Instrument Technician (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 related to the duties of the positions to be filled. This would be experience which provided the individual with the knowledge, skills, and abilities to independently conduct difficult but standardized echocardiographic examinations.
- Education: Graduate education or an internship meets the specialized experience required above GS-5 only in those instances where it is directly related to the work of the position. One full year of graduate education meets the requirements for GS-7. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school, 18 semester hours should be considered as satisfying the 1 year of full-time study requirement. Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended.
- Candidate must demonstrate the following KSAs:
- Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias.
- Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures.
- 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.
- Ability to act as a mentor or preceptor to lower graded technicians.
- Ability to conduct in-service training on the EKG equipment and related instrumentation.