Lead Medical Instrument Technician

Washington, D.C
Dec 07, 2022
Dec 14, 2022
Full Time

Duties include but are not limited to:
  • Functions as a primary person responsible for knowledge and handling instruments, supplies, and equipment during GI procedures, such as but not limited to: argon plasma cautery, colonoscopy, cytology, digestive tract biopsies, endoscopic retrograde cholangiopancreatography (ERCP) endoscopic ultrasound (EUS) enteroscopy, esophageal banding, esophageal biopsy, esophageal dilation, esophagogastroduodenoscopy (EGD), percutaneous endoscopic gastrostomy (PEG), polypectomies, sigmoidoscopy, BARRX (RFA), and endoscopic mucosal resections (EMR). Able to place Maximo requests or contact Biomed for equipment issues and notifying GI manager as issues arise.
  • Prepares procedural rooms for the performance of GI procedures, including the set-up/ testing of the video imaging system, ERCP and EUS equipment, computers and monitors, cautery units, pill cameras, data collectors, appropriate endoscope for procedure, specialized accessories and supplies.
  • Turns procedure rooms over within an average of ten-minute time frame. Turnover time represents the time from which a patient leaves the procedure room to the time the room is ready for the next patient.
  • Responsible for demonstrating and maintaining full competency in the use, pre-cleaning and/or reprocessing of reusable medical equipment. The employee must ensure that the appropriate Standard Operating Procedure (SOP) and manufacturer's instructions are followed for any step in the use of RME and RME storage (pre-cleaning, reprocessing, disinfection, sterilization, maintenance) in which he/she is involved.
  • Plans and discusses each procedure with the GPT professionals and assures that all supplies and equipment are available prior to the GI procedures.
  • Prepares, organizes, and maintains highly complex GI set-ups.
  • Observes and responds promptly to each stage of the GI procedures and anticipates the needs of the physician and/or registered nurse by maintaining a high level of concentration for extended periods of time. 8. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, equipment, as well as follows all RME and RME storage SOP.
  • Recognizes potentially hazardous situations (i.e. frayed cords, water on floor, etc.) and takes corrective action.
  • Assists the GPT members with the care of the patient, i.e., positioning, and obtaining supplies.
  • Applies various monitoring equipment, i.e. BP/O2 sat/ ECG, etc., when assisting with patient preparation.
  • Responsible for the accountability of all GI instruments and equipment during the procedure. Assesses equipment needs and maintains adequate stock of supplies and materials. Restocks procedure room at the end of the procedure day, rotates stock in order to assure usage before outdated, assuring that the room is ready for procedures at all times.
  • Assists the physician, and/or registered nurse with instrumentation necessary to perform the required procedure and treatment such as obtaining biopsies, brushings, performing polypectomies, inflation of balloon dilators, injection of contrast solutions and other agents during GI procedures. Prepares diagnostic biopsy specimens, assesses the adequacy of each, properly orientating the biopsy and placing in appropriate specimen bottle with appropriate labeling to meet pathology laboratory specifications during procedures. Responsible for performing final biopsy check with the endoscopist post-procedure, verifying that patient labels on the specimen are correct.
  • The MIT is responsible for moving the endo cart and all endoscopes and accessory equipment to the ICU, assist the physician with the procedure, perform RME bedside cleaning, and ensure that SPS is notified to pick up used endoscopes.
  • Other duties as assigned.

Work Schedule: Full Time, 8:00am-4:30pm
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: FS#91180-O
Relocation/Recruitment Incentives: Not Authorized
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: Must be proficient in spoken and written English.

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-8 Experience: Must have at least 1 year of experience comparable to the next lower grade level (GS-7) 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 the overall knowledge, skills, and abilities to conduct diagnostic echocardiography examinations in complex and unusual cases. Experience includes:
  • Knowledge of endoscopic equipment and use in basic complex endoscopic procedures.
  • Knowledge of anatomy and physiology related to the GI system, with the ability to recognize and report obvious abnormalities during procedures.
  • Ability to assist physician with specialized, complex procedures.
  • Knowledge of universal precautions and disinfection techniques and ability to follow SOP's to clean reusable medical equipment (RME).
  • Ability to collaborate, communicate, and demonstrate customer service skills and interpersonal skills with all healthcare professionals to ensure quality and continuity of care.
  • Ability to use basic computer systems and programs to record patient and endoscopic date, adhering to patient privacy and information security policies.
  • Ability to deliver patient care, including vital sign measurements and medication administration.
GS 08-In addition, you must also demonstrate the following KSA's:
  • Knowledge of complex gastroenterology procedures, such as ERCP with spy glass, ablation procedures, mucosal resection procedures, fine needle aspiration procedures and capsule studies.
  • Ability to provide briefings and orientations to hospital staff including physicians.
  • Knowledge of regulatory and advisory agencies such as Joint Commission, Occupational Safety and health Administrations (OSHA), Society of Gastroenterology Nurses and Associates (SGNA), American Society for Gastrointestinal Endoscopy (ASGE), and applicable laws such as the Health Insurance Portability and Accountability Act (HIPPA).
  • Knowledge of medical terminology related to GS and biliary systems used to identify pathology or for specimen identification and procedure documentation and knowledge of advanced anatomy and physiology to recognize obvious abnormalities during procedures.
  • Ability to provide staff development and training.
Preferred Experience:
Minimum 5 years experience as a GI medical instrument technician.
Experience with advanced GI procedures (ERCP, EUS, EMR, etc.)
Experience with supply management .
Leadership experience.

References: VA HANDBOOK 5005/54 PART II APPENDX G27

The full performance level of this vacancy is GS 08. The actual grade at which an applicant may be selected for this vacancy is GS 08.

Physical Requirements: Work pace ranges from sedentary to a very rapid pace to include walking, standing, bending, and reaching. Includes lifting and positioning patients in/onto exam position or on/off gurney, and or wheelchair. Work requires specific, but common, physical abilities such as agility and dexterity to position patients for examination or treatment in usual alternate positions for patients with common disabilities. Heavy lifting occasionally may be required to relocate clinic equipment or patients.


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 .

Additional information

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 to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application .