Medical Instrument Technician (Polysomnography)

Clarification from the agency

Open to current permanent Department of Veterans Affairs employees, current permanent Federal employees of other agencies and all US Citizens. Eligible applications will be reviewed and referred in the following order: 1. Current permanent VA employees of the facility. 2. All other VA employees. 3. All other applicants.

Polysomnography (PSG) Technicians perform a wide range of standard, routine examinations including overnight sleep studies, MSLT (Multiple Sleep Latency Test), MWT (Maintenance of Wakefulness Test), and PAP (Positive Airway Pressure Titration). Duties include, but are not limited to:

• Prepares patients for nocturnal polysomnographic testing;
• Provides instruction to the patient;
• Performs the sleep study which includes adjusting oxygen dose and CPAP or BiPAP levels as necessary to maintain adequate oxygenation and ventilation during sleep;
• Monitors patients for adverse reactions, taking corrective action based on established policy and past experience and notifying the physician as required;
• Collects the data obtained from the sleep study;
• Stages sleep architecture and scores sleep abnormalities;
• Provides physicians with timely reports;
• Ensures that all machines and equipment are in compliance with all safety codes;
• Uses equipment required for patient care using hospital policies and procedures, including appropriate cleaning and disinfection of reusable medical equipment in accordance with manufacturer's guidelines; and
• Performs other duties as assigned.

Work Schedule: This position is intermittent. The Providence VA Healthcare system operates 24/7 and shifts will vary based upon the needs of the facility.
Compressed/Flexible: Not available.
Recruitment Incentive (Sign-on Bonus): Not authorized.
Permanent Change of Station (Relocation Assistance): Not authorized.
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Telework: Available on an ad-hoc basis only at the supervisor's discretion.
Virtual: This is not a virtual position
Functional Statement #: F08393, F08394, F08367, F08368, F08369
Permanent Change of Station (PCS): Not authorized.

Notifications:

• This position is a LIUNA Bargaining Unit position.
• This position is covered by locality-based comparability pay.
• Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment.
• Due to a critical staffing shortage, 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference for this job announcement.

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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.
• Grandfathering Provision: MITs employed in VHA on the effective date of the qualification standard 06/07/12 are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation.

Grade Determinations:

Medical Instrument Technician (Trainee) GS-04:

Experience. At least 1 year of experience comparable to the next lower grade level (GS-03) 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. The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level.

OR,

Education. Successful completion of two years of education above high school or an associate's degree with a major field of study directly related to the medical instrument technician occupation. (Transcripts must be uploaded)

AND

Demonstrated Knowledge, Skills, and Abilities. In addition to the Education/Experience requirement, the candidate must demonstrate the following KSAs at the GS-04 Grade Level:

• 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.

Medical Instrument Technician (Trainee) GS-05:

Experience. At least 1 year of experience comparable to the next lower grade level (GS-04) 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. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level.

OR,

Education. Successful completion of 4 academic years above high school leading to a bachelor's degree with courses related to the occupation, or a bachelor's degree in a major field of study appropriate to medical instrument technician functions. (Transcripts must be uploaded)

AND

Demonstrated Knowledge, Skills, and Abilities. In addition, the candidate must demonstrate the following KSAs at the GS-05 Grade Level:

• 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.

Medical Instrument Technician (Polysomnography) GS-06:

Experience. At least 1 year of experience comparable to the next lower grade level (GS-05) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled.

AND

Demonstrated Knowledge, Skills, and Abilities. In addition, the candidate must demonstrate the following KSAs at the GS-06 Grade Level:

• 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 polysomnographic 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.

Medical Instrument Technician (Polysomnography) GS-07:

Experience. At least 1 year of experience comparable to the next lower grade level (GS-06) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position 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.

AND

Demonstrated Knowledge, Skills, and Abilities. In addition, the candidate must demonstrate the following KSAs at the GS-07 Grade Level:

• 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.

Medical Instrument Technician (Polysomnography) GS-08: Full Performance Level

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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders.

AND

Demonstrated Knowledge, Skills, and Abilities. In addition, the candidate must demonstrate the following KSAs at the GS-08 Grade Level:

• 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.

Preferred Experience:

• RST or RPGST credentials (If obtained, please upload as "professional certification" to the application)

References: VA HANDBOOK 5005/54 PART II APPENDIX G27, MEDICAL INSTRUMENT TECHNICIAN QUALIFICATION STANDARD GS-649The 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-04 to GS-08.

Physical Requirements: See VA Directive and Handbook 5019.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Resume Reminder: Your resume must include the following information each job listed:
1. Job title
2. Duties (be as detailed as possible)
3. Month & year start/end dates (e.g. June 2007 to April 2008)
4. Full-time or part-time status (include hours worked per week).

Please be aware that your answers will be verified against information provided on your résumé. Be sure that your résumé clearly supports your responses to all of the questions by addressing your work experience in detail.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

To apply for this position, you must provide a complete Application Package which includes:

• Resume

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

• Cover Letter
• DD-214/ Statement of Service
• Disability Letter (VA)
• Resume over 2 pages
• Professional Certification
• Resume
• SF-50/ Notification of Personnel Action
• Transcript

Next steps