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Summary Medical Instrument Technicians (EKG) will operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing and ambulatory monitoring of arrhythmias. They monitor tracings to identify arrhythmias and possess knowledge to identify gross abnormalities, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Major duties include, but not limited to: Performing Electrocardiograms, Exercise Stress Test, Holter Monitors, scanning Holter Monitors, Signal Average (Late Potential) Electrocardiograms, Echo Ultrasounds, Dobutamine Stress Echo, Stress Echo's and Arterial Plethysomograms. Dealing with critically ill, isolated, and routine patients. Recognizing abnormalities for arrhythmias; acute Mi's and contacts the appropriate physician. Obtain and calculate accurate arterial blood flow. Maintaining all reports and editing all procedures for all sites. Instructing nursing students, respiratory students, medical students and hospital staff on obtaining electrocardiograms, maintaining and operating the electrocardiogram machines. Performing clerical transcription of all physician interpretations of all procedures including seven sites into the MUSE System and VISTA database. Entering CPT coding on all procedures done on every patient including checking every patient in and out in appointment management for all Central Texas VA sites. Performing highly technical specialized procedures such as T-Wave alternans (TWA) and Tilt Table testing. These tests require superior coordination between physician and technician. Responsible for independently monitoring blood pressure, heart rate, rhythm strips and alerting the appropriate physician of any abnormalities and/or arrhythmias. Obtaining and maintaining BLS certification and responding to all cardiac emergencies. Performing clerical transcription of all physician interpretation of all procedures, including seven sites into the MUSE System and VISTA database Vista Imagining. Work Schedule: Monday - Friday, 7:30am - 4:00pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Permanent Change of Station (PCS): Not Authorized Requirements 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. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. 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. Grandfathering Provision. The following is the standard grandfathering policy for all Title 38 Hybrid qualification standards. Some of these provisions may not apply to this occupation. 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: GS-08 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. Examples of experience are: operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing, ambulatory monitoring of arrhythmias, and indirect carotid pulse tracings on chronic patients; monitor tracings to identify arrhythmias and when gross abnormalities appear, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician; evaluate test results to determine appropriate machine adjustments and use alternative techniques and procedures when established procedures do not accomplish acceptable results; adapting equipment and accessories to yield the best results during the examination; edit and select an appropriate sample portion of the tracing for further interpretation by the physician. In addition to the experience, candidates must have demonstrated Knowledge, Skills, and Abilities: Knowledge of pharmacology related to specialized procedures. Ability to provide briefings and orientations to hospital staff including physicians. Knowledge of a variety of related acute disorders and diseases, their effects on organs, and methods of treatment. Ability to perform more complex procedures such as SAECG (Signal Averaged ECG), Tilt table monitoring, electrophysiology monitoring, and event monitoring. Certification. No certification or registration is required. Certification is offered by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technician (CCT). Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Preferred Experience: Certification Desired Certified Cardiographic Technician, Certified EKG Tech 3 or more years experience performing in EKG Field or Cardiology Currently employed as an EKG Technician or Cardiology Technician Reference: VA Handbook 5005/54, PART II, Appendix G27, Appendix E, GS-649; Medical Instrument Technician (EKG). For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-08. Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Reaching above shoulder; Both hands required; Walking; Standing; Repeated bending; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Hearing without aid. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: If your school has changed names, or is no longer in existence, you must provide this information in your application. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.