Medical Instrument Technician Electrocardiograph/EKG (Pacemaker Technician)

Richmond, Virginia
Jun 20, 2019
Jun 27, 2019
Full Time


The Medical Instrument Technician is assigned to Medical Service at the McGuire VA Medical Center in Richmond, VA. The incumbent will serve as an electrophysiology technician in the Cardiac Pacemaker Prosthesis Referral Program (CPPRP), Implantable Cardioverter Defibrillator (ICD) Clinic and the Electrophysiology (EP) Laboratory.

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Duties include but not limited to:
Pacemaker and ICD Clinic :

The incumbent is responsible for the immediate, operative and postoperative assessment of pacemaker and ICD generators and lead functions. The incumbent is responsible for running the cardiac device clinic (Pacemaker and ICD Clinic). He/she must be able to test all models of pacemakers, old and current, with the appropriate programmer. The technician must be able to do this without the supervision of a physician and must be able to identify problems with pacemaker function which require revision/reprogramming or optimization. The position requires that considerable individual responsibility be taken in pacemaker interrogation and programming due to the complexity of these devices. He/she will be expected to perform these tests on patients when they return to the Device Clinic. At the Device Clinic, the incumbent is expected to perform intricate testing of the device and lead system, to determine patients' specific cardiac threshold, and to perform calculations to determine output settings to ensure capture while maximizing battery longevity.In addition to threshold testing, the incumbent must assess the intrinsic sensing thresholds of the device to ensure that there is adequate sensing of intrinsic rhythms without oversensing which can cause device malfunction. In addition to the threshold testing, the incumbent must assess the patient's chronotropic competence by interpreting histogram data, event counters and the quality of life. The incumbent must interrogate episodes of mode switching for rapid arrhythmias and correlate these with patient's symptoms and interpret data and seek physician assistance when judged necessary. The incumbent must assess intrinsic conduction to determine whether programming of longer AV delays would be worthwhile to increase battery longevity or help with management of heart failure.

The incumbent must assess the operation of specific algorithms such as rate drop function to determine whether these are functioning appropriately, both in terms of patient symptoms and in terms of histogram recordings. Pacemaker data must be examined for events and the clinical significance estimated and reviewed by physicians. The incumbent must determine the battery status by applying magnets, scrutinizing ECG strips, electrical outputs and other data per pacemaker manufacturer specifications. He/she must identify when the pacemaker elective replacement is indicated. Incumbent must advise on the care of pacemaker patients when they in other hospital scenarios. The incumbent will often be called to troubleshoot and reprogram pacemakers in the emergency room, the intensive care unit and on the wards. It is particularly important when pacemaker patients go for surgical procedures, to advise the surgical team regarding any precautions that need to be taken preoperatively. If the patient's pacemaker needs to be converted to a fixed output mode preoperatively, then the incumbent should do this before the procedure and restore normal function following the procedure. The incumbent will assist with perioperative management of device patients who undergo inpatient or outpatient procedures that may affect the device function or operation. Examples are surgery or GI, neurology, radiation oncology or MRI procedures.

He/she must have a complete knowledge of implantable defibrillators (ICD). These devices have also become highly complex. This includes knowledge of the interrogation and programming of these devices, the generator characteristics and lead system. The multi-programmable devices have several different functions and zones that need to be programmed. The technician must undertake autonomous interrogation and limited programming of these devices. The technician must be able to independently detect abnormal functioning of the device.

The incumbent will follow and evaluate remote device transmission data and transtelephonic monitoring in appropriate patients. He/she will troubleshoot device malfunction and engage in patient education. He/she is responsible for designing and updating the pacemaker database for the medical center. This includes frequent correspondence with the National Pacemaker Surveillance Center in Washington, D. C. and the appropriate pacemaker manufacturers. He/she is responsible for tracking all product device recalls according to guideline recommendations by the Heart Rhythm Society and the VA National Cardiac Device Surveillance Program and as directed by the Cardiac Electrophysiology physician staff members.

Work Schedule: Monday - Friday, 8:00am-4:30pm
Functional Statement Title/#: Medical Instrument Technician-Electrocardiograph (Pacemaker), Electrophysiology (EP) Laboratory GS -0649-09
Bargaining Unit Position: Yes.
Recruitment/Relocation Incentives: Not authorized
Relocation Expenses: Not authorized
Financial Discloser Report: Not required

Travel Required

Not required

Supervisory status

Promotion Potential


Conditions of Employment

  • You must be a U.S. Citizen to apply for this job
  • Designated and/or random drug testing may be required
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Must be proficient in written and spoken English
  • Selected applicants will be required to complete an online onboarding process


To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 06/27/2019.

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. 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.

Grade Determination:GS-09:
At least 1 year of 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 experience must demonstrate possession of the knowledge required in order to provide medical instrument technician services in the functional specialties supervised. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*):

1. Knowledge of the more complex examination and treatment procedures and techniques such as SAECG, ETT, Tilt table monitoring, electrophysiology monitoring, and event monitoring in order to provide training and supervision in these procedures, to develop analysis interpretation formats, and to receive inquires concern results.
*2 Knowledge of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and other regulatory requirements.
3 Ability to communicate effectively and professionally with employees at varying grade levels.
*4. Ability to manage and supervise employees
*5 Ability to provide or provide for staff development and training.

References: QUALIFICATION STANDARDS CAN BE FOUND IN VA HANDBOOK 5005, Part II, Appendix G27D, Medical Instrument Technician (Electrocardiography/EKG).The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is a GS-09.

Preferred Experience: Certification by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technicians (CCT) is highly desirable. Basis Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at tis level..

Physical Requirements: Physical requirements for this position include light lifting of 15-44 pounds, light carrying, under 15 pounds, pushing up to 2 hours a day, walking up to 6 hours a day, standing for 2 hours a day, use of both legs required, ability for rapid mental and muscular coordination simultaneously, far vision correctable to 20/20 in one eye and 20/40 in the other eye and ability to hear. Incumbent will be exposed to electrical energy and working closely with others.


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

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

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.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online view the following link for information regarding an Alternate Application .

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE: The Professional Standards Board (a peer-review group) will review the selected candidate's education and experience and recommend the grade and salary at which the candidate will be placed. For internal selectees eligible for promotion, the board will recommend grade and HR will determine step in accordance with policy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Background checks and security clearance

Security clearance

Drug test required

Position sensitivity and risk
Non-sensitive (NS)/Low Risk

Trust determination process

Required Documents

To apply for this position, you must provide a complete Application Package which includes:
  • Resume
  • VA Form 10-2850c Application for Associated Health Occupations can be found at: . (required at time of application)
  • Responses to the Occupational Questionnaire.
  • Unofficial transcripts (required if education is used to qualify) An official college transcript will be required before being selected.
  • If applicable, current Federal employees should submit a copy of their latest /last Notification of Personnel Action SF-50 (Non-Award).
  • If applicable, veteran eligibility documentation such as DD-214 or equivalent, SF-15 and VA letters, as appropriate.
  • Any other documentation of education/awards/training, etc. which would enhance your qualifications to this position.

  • The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

    • Cover Letter
    • DD-214/ Statement of Service
    • Executive Core Qualifications (ECQs)
    • OF-306
    • Other (1)
    • Other (2)
    • Resume
    • SF-15
    • SF-50/ Notification of Personnel Action
    • Transcript

    Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit .

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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