Medical Instrument Technician (EKG)

4 days left

Washington, D.C
Feb 21, 2021
Mar 01, 2021
Full Time


The EKG Tech is a position that is integral to the safety of the patients admitted for care at the Washington DC VAMC. The incumbent will be stationed on the Main Campus of the DC VAMC and work closely with the entire interdisciplinary team.
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The EKG Tech provides direct monitoring of the clinical system in-use throughout the Medical Center. These systems include highly complex cardiac rhythm monitoring where instant recognition of critical changes in the patient condition is paramount to assure a safe patient care environment.
Continuous cardiac monitoring : The EKG Tech remains present at the central console where the cardiac rhythms are being transmitted to a single location. The EKG Tech may not leave the console unattended and must assure that an equally qualified EKG Tech, registered nurse, or other staff member relieves them of duty. The EKG Tech is responsible for immediate and accurate recognition of cardiac rhythms determining if any change has occurred in the patient's condition. Should any changed be discovered, it is the responsibility of the EKG Tech to notify the appropriate staff in accordance with Medical Center Policy. Elements of cardiac monitoring include but are not limited to analysis of the patient's rate, conduction pattern, and final rhythm analysis. Failure to accurately perform these functions can lead to clinical decompensation of a patient's condition and potentially patient death.

The EKG Tech is responsible for accurate communication with the appropriate staff in accordance with Medical Center Policy assigned to the patient and must practice clear concise communication skills to assure that the patient has received intervention and potentially emergency resuscitation if necessary. The EKG Tech must communicate with the appropriate staff in accordance with Medical Center Policy in the event that the patient is no longer being monitored for any number of reasons including but not limited to failure of the leads to be properly placed on the patient, failure of the monitor to properly transmit a signal, a patient wandering away from a covered area of the monitoring system.

The EKG Tech maintains a record of the patient's cardiac rhythm record throughout the time they have been placed on the monitoring system. This record will include the changes identified to the patient's cardiac rhythm, any abnormal cardiac rhythms, patient's electrical conduction (PR interval, QRS interval, QT interval, etc.). The cardiac rhythm will be incorporated into the patient's electronic medical record.

Additional description of duties: The EKG Tech will have:
  • Knowledge of standard medical terminology to interpret physician orders or instructions.
  • Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
  • Knowledge of the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. Possess the ability to interpret patient cardiac rhythms and determine if intervention is required. Communicate any abnormalities efficiently and accurately to the appropriate staff in accordance with Medical Center Policy
  • Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassembles, and calibrates the machine.
  • Knowledge of the elements of a patient-driven holistic care plan for life and skill sufficient to provide appropriate verbal information and written facts.
  • Knowledge of medical terminology sufficient to apply to practice in order to assure the appropriate/safe care and instruction to patients.
  • Knowledge of patient admission and outpatient processing eligibility and procedures to provide the proper procedures and customer service when processing patients.
  • Knowledge of practical anatomy and physiology, medical techniques, and disease processes, procedures, and tests sufficient to collaborate with Medical Center staff on the patient's current condition and treatment plan.
  • Knowledge of and skill in patient care procedures, medical terminology, use of equipment, and manual dexterity, sufficient to position equipment and assist nursing staff as needed with applying equipment.
  • Knowledge of environmental safety, security and privacy of the patient and privileged information to ensure patient's safety and rights.
The EKG Tech is responsible for cleaning and maintaining all equipment for the remote monitoring systems that are in-use in their area. The EKG Tech cleans and disinfects the reusable equipment after patient use and inspects the equipment for needed repair. Should repair or dysfunction of the equipment be identified, the EKG Tech will follow the identified procedures in the Medical Center for repair and/or replacement of the equipment. In the event that equipment for the remote monitoring systems drop below a critical par level as established by departmental procedures, then the EKG Tech is responsible for communicating with their immediate supervisor or designee for resolution.

Work Schedule: Rotating shifts and days to include days, nights, weekends and holidays.
Financial Disclosure 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
  • All employees of the VA Maryland Health Care facility are deemed to be providing critical services. Incumbents of these positions are required to be at work regardless of emergency situations or any general dismissal authorization.
  • All VA properties are now a smoke and vape free environment.


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.
  • Education: None
  • License or Certification: Not Required
  • 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.
  • Physical Requirement: Must be physically, mentally and emotionally fit to perform the duties of the Medical Instrument Technician (EKG).
  • English Proficiency: Must be proficient in spoken and written English in accordance with chapter 3, section A, paragraph 3j, 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).

Preferred Experience: Three years of EKG (Monitoring and Interpretation) experience within the last 5 years.

Grade Determinations:
(a) 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. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated Knowledge, Skills, and Abilities
1. Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure.
2. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests.
3. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment.
4. Ability to monitor the patient for adverse reactions and take appropriate action.
5. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing.

(a) 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 provided knowledge of the equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated Knowledge, Skills, and Abilities
1. Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias.
2. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures.
3. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue.
4. Ability to act as a mentor or preceptor to lower graded technicians.
5. Ability to conduct in-service training on the EKG equipment and related instrumentation.

References: VA HANDBOOK 5005/15 PART II APPENDIX G27

The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-7.

Physical Requirements: The work requires at various intervals, long periods of sitting to monitor patients and or EKG monitors. Technicians must be able to visualize monitors, various equipment, and computer screens. Technicians must be able to remain alert and astute in monitoring EKG rhythms for long periods of time.


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. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. 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.

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.

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: . The application is required at the time you apply and must be current within the last 6 months.

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
  • Disability Letter (VA)
  • Other (1)
  • Resume
  • SF-50/ Notification of Personnel Action

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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