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, per VA Handbook 5005, Qualification Standards.
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.
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 required.
- NOTE: For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable.
GRADE REQUIREMENTS:
Echocardiography technicians at GS-08 grade level identify and record anomalies indicative of disease, injury, or other medically significant condition from ultrasound imaging and simultaneous recordings of the Doppler. They incorporate the causes and results of a variety of symptoms and conditions into a plan of ultrasonic diagnostic examination. They change and develop sounding techniques to accommodate such variables as limited patient mobility, variation in physical condition or dimension of the patient, presence of prosthesis or foreign objects, and ultrasonic response of different body parts. They produce diagnostic quality images and Doppler frequency recordings using M-mode, two-dimensional, and Doppler ultrasound.
Experience. At least 1 year of experience comparable to the next lower grade level (GS-07) 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. Experience at the GS-07 grade level includes, but not limited to: performs a range of standard, but complex, echocardiographic examinations with responsibility for calibrating all instruments prior to the procedure; expected to keep an accurate record of tests, daily logs, and videotapes; and maintain cidex logs. The knowledge, skills, and abilities at the GS-07 grade are listed below:
- Ability to scan transthoracic echocardiograms in all views with colorflow and some Doppler.
- 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.
Demonstrated Knowledge, Skills, and Abilities. In addition to the experience listed above, the candidate must demonstrate the following technical KSAs listed below:
- 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.
While we no longer require essay-style responses to our Knowledge's Skills, Abilities, and Other Characteristics (KSAOs), you must be able to demonstrate that you possess the (below) competencies which are necessary to perform the work of the position.
Please ensure your resume/CV/application contains sufficient information to support the level of experience/education/training; otherwise, we will not be able to award you credit for the experience/education/training you claim.
Preferred Certification - must submit documentation:
- Registration by Cardiovascular Credentialing International (CCI) as a registered Cardiovascular Invasive Specialist (RCIS) is highly desirable.
- Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications
- ARRT certification
Reference: For more information on this qualification standard, please visit
https://www.va.gov/ohrm/QualificationStandards/. VA Handbook 5005/54 dated June 7, 2012.
The full performance level of this vacancy is 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).