Medical Instrument Technician (Vascular)

Employer
USAJobs
Location
Richmond, Virginia
Posted
Oct 05, 2022
Closes
Oct 12, 2022
Hours
Full Time
Duties

The duties of this position include but are not limited to:
  • Performs highly specialized/complex or difficult examinations utilizing B-mode, 2 dimensional ultrasound, Color Doppler and Pulsed Wave Doppler measurements.
  • Performs studies such as, ABIs/arterial waveforms, carotid duplex, peripheral arterial duplex of native arteries and bypass grafts, AAA studies, EVAR duplex, AV Fistula/graft duplex, renal mesenteric duplex and venous studies.
  • Triage vascular lab order/procedure request, patient condition to ensure appropriate vascular examination.
  • Obtain a brief history and physical pertinent to a peripheral vascular disease with familiarity with the associated signs and symptoms.
  • Independently make standard examinations and makes more in-depth examinations when abnormalities are present.
  • Advises the vascular physician and ordering provider of preliminary results of the exam, recognizing significant findings that require emergent care and relaying information to insure proper treatment.
  • Correlates findings of non-invasive examinations with findings of other radiologic diagnostic procedures.
  • Ensures the accurate evaluation of results of ultrasound studies and appropriate recommendations for further vascular laboratory diagnostic procedures.
  • Generates accurate preliminary reports complete with supporting documentation (images) in a timely manner for reading physician's review.
  • Communicates urgent /critical, preliminary findings in accordance vascular lab policy.
  • Works with patients who are seriously ill and those who have varying degrees of physical disabilities and medical problems.
  • Assists vascular surgeon in operating room for vascular access, duplex imaging guidance for advance endovascular procedures and emergent post op procedures as requested.
  • Reviews, evaluates and participates in the continuing education programs and refers to pertinent clinical literature with regards to improving the quality of examinations.
  • Other duties as assigned.
Work Schedule: Monday - Friday, Rotating call on Nights, Weekends, and Holidays
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 000000
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required

Requirements

Conditions of Employment


  • You must be a U.S. Citizen to apply for this job.
  • 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.


Qualifications

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.
  • 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 position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform noninvasive vascular ultrasound procedures as vascular technologist .
In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs):
  • Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation.
  • Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmography tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts.
  • Ability to operate the instruments to extract the highest quality image utilizing the appropriate.
  • Ability to provide objective data to document progression or regression of disease.
Certification.
  • Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable.
  • Preferred: Registered Vascular Technologist (RVT) - American Registry for Diagnostic Medical Sonography or Registered Vascular Specialist (RVS) - Cardiovascular Credentialing International or Vascular Sonography (VS) - American Registry of Radiologic Technologies preferred or required within six months of hire date.
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: For the GS-6 position:
  • 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 position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform routine, standardized vascular ultrasound procedures where the technician is not expected to deviate from established procedures. In addition, the candidate must demonstrate the following KSAs:
  • Demonstrated Knowledge, Skills, and Abilities 1. Ability to perform standardized, routine vascular ultrasound procedures and/or examinations of upper and lower extremity, abdominal, and extra-cranial cerebrovascular vessels. 2. Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography. 3. Ability to prepare preliminary reports from the examination including documentation of procedural difficulties in the medical record.
For the GS-7 position:
  • 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 demonstrates that the technician has the knowledge, skills, and abilities to perform complex procedures requiring the ability to select appropriate equipment based on symptomology and the objective of the examination and the ability to adapt procedures and techniques to enhance diagnostic results. In addition, the candidate must demonstrate the following KSAs:
  • Demonstrated Knowledge, Skills, and Abilities 1. Ability to perform noninvasive vascular ultrasound procedures or examinations of upper and lower extremity, abdominal, and extra-cranial cerebrovascular vessels which require adaptation of procedures or instruments. 2. Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography. This would also include knowledge of physiological influences on the hemodynamics of blood flow. 3. Knowledge of pharmacology and chemistry to understand drug reactions, action, effects, and method of administration specifically related to vascular ultrasonography.
For the GS-8 position:
  • 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 position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform noninvasive vascular ultrasound procedures as a senior technician. In addition, the candidate must demonstrate the following KSAs:
  • Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. 2. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. 3. Ability to perform intracranial (transcranial) vascular examinations. 4. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. 5. Ability to provide objective data to document progression or regression of disease.
Preferred Experience: Bachelor's Degree or two years college course work in Business/Healthcare or graduate of approved program in Ultrasound Technology vascular specific. Preferred Experience: The vascular lab technologists will assist the vascular surgeons at the VA Medical Center in the diagnosis and treatment of a wide variety of disorders affecting the vascular system. The vascular lab technicians provide carotid studies, consistent diagnosis criteria and quality control for venous duplex scans, venous reflux determinations, assess for stenosis or occlusion of the mesenteric and renal arteries, assess for DVT of the upper extremities, preoperative vein mapping, intraoperative assessment of carotid endarterectomies and lower extremity vein bypasses, surveillance of vein bypass grafts, and segmented arterial pressure and waveform analysis with formal interpretation. The vascular lab technologists are an integral part of the vascular surgery program.

References: VA HANDBOOK 5005/15 PART II APPENDIX G27

The full performance level of this vacancy is a GS-8.

Education

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: 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

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. Please carefully review the qualification standard to determine the specific education and/or licensure/certification/ registration requirements that apply to this occupation. All persons employed in VHA in this occupation on the effective date of this qualification standard 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: Such employees in an occupation that does not require a licensure/certification/registration, may be reassigned, promoted, or demoted within the occupation. Such employees in an occupation that requires a licensure/certification/registration, may be reassigned, promoted up to and including the full performance (journey) level, or demoted within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Such employees in an occupation that requires a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher grade levels. Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.

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.

Physical Requirements: The work requires standing or walking for a major portion of the work day. The walking will often require carrying supplies or pushing carts and equipment. Standing will require holding patients or stocking supplies. This may occupy half of the work day and will hence be considered demanding physical activity. A certain mechanical dexterity is required in the replacement of parts and the repair of equipment to restore or maintain operability after faults are identified. Performance of duties will require a great amount of repetitive motion during the performance of the procedure.

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. 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 .