The Medical Instrument Technician Echocardiography position is in the Cardiology Section within the Medicine Service. The Advanced medical Instrument Technician (MIT) Echocardiographer performs complex specialize procedure at a highly specialized and technical level. 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.) 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. 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. Physical Requirements. See VA Directive and Handbook 5019. 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: Medical Instrument Technician (Electroencephalography) GS-9. In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. Experience. At least 1 year experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates possession of the knowledge required in order to provide all aspects of echocardiography services. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): (b) Demonstrated Knowledge, Skills, and Abilities. KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment. 1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to Echocardiography. 2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. (c) Certification. 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) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. (d) Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. References: VA Handbook 5005/54, Part 2, Appendix G27. The full performance level of this vacancy is at the GS-9 level. Physical Requirements: See VA Directive and Handbook 5019. ["He/She/They operates diagnostic equipment to graphically record the position and motion of the heart walls or the internal structure of the heart and neighboring tissue by the echo obtains from beams of ultrasonic waves directed through the chest wall. He/She/They identifies and records anomalies indicative of heart disease, injury or other medically significant condition(s) from ultrasound imaging and simultaneous records of the Doppler. The Medical Instrument Technician (ECHO) has specialized knowledge of normal echocardiographic findings and deviations produced by a wide range of cardiovascular diseases. Knowledge of typical patient reactions and signs of distress Able to recognize & report lethal arrhythmias Able to accommodate patient variables as limited mobility, variation in physical condition or dimension of the patient, presence of prosthesis or foreign objects, and ultrasound response to different parts of anatomy Able to independently carry out complex laboratory procedures such as 3D cardiac ultrasounds utilizing on -line and off -line computer enhancement and reconstruction technologies and 3D images to specified parameters. Work Schedule: Monday through Friday: 8 am to 4:30 pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement: MIT (ECHO) Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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