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:
- 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, this part.
- 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 or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". 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.
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: In addition to meeting the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates.
GS-06 Medical Instrument Technician (Echocardiography)
- 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
- Knowledge of the anatomy and physiology of the heart and great vessels.
- Knowledge of cardiac arrhythmias and their relationship to hemodynamic conditions of the cardiac cycle.
- Knowledge of basic cardiac ultrasound physics and the acoustic mechanisms by which high quality cardiac images are obtained.
- Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for standardized, routine procedures.
- Ability to interact with patients explaining procedures and positioning the patient for the procedure.
GS-07 Medical Instrument Technician (Echocardiography)
- 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.
In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities
- Ability to scan transthoracic echocardiograms in all views with colorflow and some Doppler. 28
- Ability to conduct cardiac testing to determine the severity and variety of cardiac problems, i.e., valvular dysfunction, myocardial wall kinesia, effusions, endocardial lesions, etc.
- Knowledge of the set-up for transesophageal echocardiograms.
- Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for more complex, but standardized procedures.
GS-08 Medical Instrument Technician (Echocardiography)
- 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 overall knowledge, skills, and abilities to conduct diagnostic echocardiography examinations in complex and unusual cases.
In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills and Abilities
- Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging.
- Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases.
- Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc.
- Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography.
- Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings.
Reference: For more information on this qualification standard, please visit
https://www.va.gov/ohrm/QualificationStandards/.
Preferred Experience: Echocardiography experience.
Highly Desirable: Basic Cardiac Life Support (BCLS) and/or Advanced Cardiac Life Support (ACLS) certification(s) and Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS).
The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to GS-08.
Physical Requirements: Light lifting, under 15 pounds; Light carrying, under 15 pounds; Walking, 3 hours; Standing, 3 hours; Repeated bending, 2 hours; Ability for rapid mental and muscular coordination simultaneously; Specific visual requirement, good distant vision in one eye; Hearing aid permitted. Able to meet the physical demands of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. While performing duties of this job the technician is frequently required to stand, walk, bend and reach. It may require long periods of standing and wearing of lead apron, gloves, mask, gown and eye shields during diagnostic procedures in the catheterization lab. Must be able to lift and/or move up to 15 pounds, have rapid mental and muscular coordination simultaneously, have good distant vision in at least one eye, and have adequate hearing (aid permitted).