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:
- Citizenship: Citizenship of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)
- 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.
- 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"
Grade Determination:
GS-6
(a) 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:
(b) Demonstrated Knowledge, Skills, and Abilities
- Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters
- Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts.
- Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc.
- Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.).
- . Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies.
GS-7
(a) 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 polysomnography examinations. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated Knowledge, Skills, and Abilities
- Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices.
- Ability to independently titrate and document PAP level to achieve therapeutic goals.
- Knowledge of indications, complications, and contraindications of CPAP therapy.
- Knowledge of Bi-Level pressure titrations.
- Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings.
GS-8
(a) 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated Knowledge, Skills, and Abilities
- Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders.
- Ability to summarize and report polysomnographic data in narrative form.
- Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action.
- Ability to provide briefings and orientation to hospital staff including physicians.
Basic Life Support or Advance Cardiac Life Support certification is desirable
References: VA Handbook 5005 Part II Appendix G27 (Appendix I) Medical Instrument Technician (Polysomnography)The full performance level of this vacancy is GS-8.
Physical Requirements: All Medical Instrument Technicians must be able to perform the following physical requirements:- Heavy lifting, 45 pounds and over- Heavy carrying, 45 pounds and over- Pushing- Reaching above shoulder- Use of fingers/ Both hands required- Walking/ Standing /Kneeling- Repeated bending