The MIT (vascular) functions as a lead and is expected to display leadership skills and behavior supporting the mission and goals of the service and agency. The MIT operates medical equipment using Doppler, B-mode, duplex ultrasound, blood pressures and photoplythesmography to obtain and record high quality, accurate data related to blood vessel anatomy and physiology. The MIT performs examinations on inpatient and outpatient Veterans within the PV lab, at the bedside, and in the operating room. 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 Vascular Sonographer (RVS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. 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-9 Grade Level: At least one (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 the knowledge, skills, and abilities to fully perform all vascular ultrasound tests and examinations and to function as a technical director of the vascular laboratory and provide oversight and/or guidance to other technicians. In addition, the candidate must demonstrate the following technical Demonstrated Knowledge, Skills, and Abilities (KSAs). 1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols, that pertain to vascular ultrasonography. 2. Knowledge of JCAHO and other regulatory requirements.3. Ability to communicate effectively and professionally with employees at varying grade levels References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G27 Medical Instrument Technician Qualification Standard. Physical Requirements: On a frequent basis during the tour this position requires the technician to endure extended periods of standing, walking, sitting, bending, lifting, and twisting. The technician is required to regularly carry and push moderately heavy items. The technician must be able to use hands to handle, manipulate, feel objects, tools, and controls The technician is required to view computer monitors and type for extended periods of time. The technician must be able to audibly detect the presence or absence of an audible signal and must be able to visualize details at close range, distinguish colors, and shades of gray ["The MIT (vascular) Lead functions as an integral part of the healthcare team by serving as a subject matter expert, effectively leading technical staff and assisting in the units' growth and development in addition to performing non-invasive diagnostic vascular examinations as requested by the healthcare provider and other technical or clerical tasks as might be required. Including, but not limited to: - Provide technical, clinical, and equipment guidance.\n-Demonstrate an understanding of vascular hemodynamics and ultrasound physics which is essential in order to perform, understand, and interpret non-invasive diagnostic vascular testing.\n- Obtain a patient history and perform an appropriate physical assessment based on patient presentation and type of exam to include observation, inspection, auscultation, and palpation.\n-Proficiently operate medical equipment to obtain the highest quality image and data utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter and sample volume.\n-Obtain audible and visual data accurately and provide accurate Doppler information obtained from peripheral vessels; demonstrate characteristic differences related to their perfusion; accurately quantify disease and identify and correlate specific waveform analysis, plethysmographic tracings, pressure gradients characteristic of: normal, obstructed, or occluded vasculature.\n- Apply advanced knowledge of the most complex and non-standard treatment and examination procedures and techniques. Proficiently perform visceral vascular and renal artery duplex examinations, postoperative endovascular surveillance, extracranial carotid artery duplex, postoperative carotid artery surveillance following endarterectomy, stenting and angioplasty, identifying flow disturbances following insitu vein bypass (AV fistula, retained valves), identify intimal hyperplasia, evaluate postoperative recurrent stenosis, quantify venous reflux in the evaluation of chronic venous insufficiency, abdominal aortic aneurysm evaluation, peripheral arterial and venous ultrasound. Preoperative and postoperative evaluation of hemodialysis access grafts, exercise treadmill testing, post-operative surveillance of visceral and peripheral bypass grafts, evaluate for pseudoaneurysm, arteriovenous fistulae, and dissection following interventions, evaluate and maintain surveillance of aneurysms and pseudoaneurysm, upper extremity and digital arterial physiologic assessment, intraoperative assessment of vasculature and intervention.\n- Produce preliminary reports to provide objective data to document pathology and disease progression or regression, including documentation of procedural difficulties in the medical record.\n-Adhere to established examination protocols while recognizing indications for further studies beyond established and standardized procedures.\n- Apply knowledge of complex examination and treatment procedures and techniques in order to provide training and supervision in those procedures, to evaluate and initiate performance improvement projects and to write policies, procedures and protocols that pertain to vascular ultrasonography.\n- Serve as clinical preceptor to students enrolled in a vascular ultrasound degree program who obtain their clinical education within the unit. Maintain appropriate professional credentials (RVT or RVS) to serve in this role and embracing its responsibilities.\n- Effectively communicate with supervisors and peers by providing information to supervisors, co-workers, and subordinates by telephone, in written form, electronically, and in person.\n- Display critical thinking knowledge and skills, using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.\n- Update and use relevant knowledge by keeping up-to-date technically and applying new knowledge to your job.\n- Proficiently operate and navigate the facilities computer system, it's software and hardware used to: electronically communicate, navigate the Veterans visit, generate requests, produce preliminary reports, and transfer/view diagnostic images.\n- Support our facilities research program by performing research protocols and collaborating as a team to complete assignments.\n- Perform low level disinfection of medical equipment and exam rooms.\n- Effectively navigate systems.-Maintain adequate supplies as needed in the PV Lab.\n- Monitor technical staff compliance.- Delegate responsibilities and direct work of technical staff. Work Schedule: Day shift. May require some evening and weekend work. May be required to work in the Toledo, OH CBOC Peripheral Vascular Lab. ON-Call Rotation\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #:Medical Instrument Technician (Vascular) 92536 -O\nRelocation/Recruitment Incentives: Yes\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.