Medical Instrument Technician ( Cardiovascular Cath)

Washington, D.C
Aug 08, 2022
Aug 13, 2022
Full Time

This position supports the clinical and administrative components of the Cardiac Catheterization and Electrophysiology Labs by performing additional duties such as inventory management; staff scheduling; staff and student training and mentoring; quality improvement program initiatives, and other duties that support the immediate and ongoing needs of the department.

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 are required for employees at this level. At least 1 year of experience comparable to the next lower grade level, this is directly related to the duties of this position to be filled. A minimum of 5-7 years of experience as a Cardiovascular Technologist is recommended for this position.

Major Duties:
The incumbent is skilled to assist with diagnostic and advanced special procedure radiographic procedures in cardiac catheterization, electrophysiology and hybrid suites. The incumbent is skilled and experienced in performing the following list of procedures that are performed:

Cardiac Catheterization Lab:
  • Percutaneous coronary interventions,
  • Coronary stent placements
  • Coronary atherectomy, coronary flow evaluation,
  • Valvuloplasty,
  • Swan ganz catheter placement
  • Pericardiocentesis
  • Temporary Pacemakers (highly acute patients)
  • CTO: Chronic Total Obstruction procedures
  • Advanced knowledge of fluoroscopic imaging and the use of equipment
  • Intravascular coronary ultrasound, ventriculography

The incumbent must also have experience with the following specialized equipment for procedures that are performed in the cardiac catheterization lab:

Specialized Equipment Competency :
  • ACIST Injector
  • IABP: intra-aortic balloon pump
  • Phillips Xcelera recording system
  • TVC Imaging: (True Vessel Characterization)
  • IVUS: intravascular ultrasound
  • Rotoblator
  • Zoll Defibrillator
  • Med-Rad injector
  • Volcano
  • OCT: Optical Coherence Tomography

Electrophysiology Lab Procedures:
  • Radiofrequency ablation, endomyocardial biopsy
  • Temporary and permanent pacemaker implantation, Bi-ventricular ICD placements
  • Subcutaneous loop recorder implantation
  • Tilt table testing, trans esophageal testing, and other specialized testing
  • Left ventricular assist device placement (LVAD), renal carotid, iliac, visceral and peripheral angiography and intervention, venograms, PICC line placement.
  • Subcutaneous ICD Implantation

The incumbent must also have experience with the following specialized equipment for procedures that are performed in the electrophysiology lab:

Specialized Equipment Competency :
  • Cath lab recording and archive system
  • Intracardiac ECHO Catheter & Interface Module
  • Electro-cautery
  • Pulsar II Generator
  • EP mapping and recording systems
  • Cryoablation
  • Cardioversion
  • Defibrillation

Other Specialized Equipment Competency
This position requires the Cardiovascular Technologist (CVT) have advanced training and knowledge with the use of the X-Ray suite, utilizing specialized equipment to perform a variety of diagnostic and interventional angiographic procedures, complex vascular and nonvascular interventional and therapeutic procedures. The CVT must be knowledgeable in systems that involve radiological archiving and communication. The CVT must be skilled in sterile technique and operative standards, contrast administration, and skilled in the use of power injectors. The CVT must have knowledge and demonstrate sterile technique and adhere to standards for invasive procedures. The incumbent must also have advanced training and knowledge of specialized procedures and or equipment in the following:
  • Filter systems for coronary interventions saphenous vein grafts: SVGs.
  • The incumbent can set up a sterile cath/electrophysiology table, manifold (including flushing air out and flushing solution/contrast to appropriate lines), and preparation pre-procedure of patients, operation and maintenance and recording of hemodynamic data using a specialized multichannel, multifunctional electronic recorder.
  • The duties in this position include coordinating, supervising, as well as operating and monitoring diagnostic/interventional instruments and equipment associated with cardiac procedures.
  • Physiological measurements in the Cardiac Catheterization/Electrophysiology Suite such as cardiac pressure transducers, thermodilutional cardiac output computers, blood gas oximeters, and oxygen consumption computers.
Other Duties as Assigned

Work Schedule: Monday - Friday , 7:30am - 4:00pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00000
Financial Disclosure Report: Not required


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.
  • Must pass pre-employment physical examination.
  • 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.


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:
  • 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.
  • Certification: 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 are also desirable for employees at this level.
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 ( Cardiovascular Cath) GS-8 (a) Experience. At least 1 year of experience comparable to the next lower grade level (GS-8), 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 cardiac catheterization technician services.

In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs :

Do you demonstrate the following GS-08 Knowledge, Skills, and Abilities:
1. Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include rotoblation, intravascular ultrasound, RADI or wave-wire, angiojet, filter wires, myocardial biopsies EPS, permanent pacemaker insertions, AICD insertions, and biventricular pacemaker insertion.
2. Advanced knowledge of equipment, medications, and supplies used in the Cardiac Catheterization Laboratory and the ability to set-up, calibrate, operate, and troubleshoot this equipment.
3. Knowledge and understanding of wave forms from the great vessels and all chambers of the heart including the ability to recognize and distinguish normal from abnormal, artifact from abnormality, and forewarn the physician of an impending life-threatening situation.
4. Knowledge of quality control and performance improvement indicators for the Cardiac Catheterization Laboratory and ability to prepare and analyze quality control of test results.

References: VA Handbook 5005/15, Part II, Appendix G27The full performance level of this vacancy is GS-8.

The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-8.

Physical Requirements: 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. The duties of this job frequently requires one to stand walk, bend and reach. May require long periods of standing and wearing gloves, mask, and gown and eye shields during diagnostic procedures. Must be able to lift and/or move over 50 pounds. They must have good manual dexterity and keyboarding skills. Must be able to express or exchange ideas by means of the spoken and written word. Must be able to view and read information on computer screens.


IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

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: . 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: .

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.

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.

To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce the COVID-19 vaccination requirement pursuant to Executive Order 14043 on Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a VA job announcement includes language requiring applicants to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply to this Job Announcement. VA may request information regarding your vaccination status, if selected, for the purposes of implementing other workplace safety protocols, such as masking, physical distancing, testing, travel, and quarantine.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application .