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This occupational series is eligible for the Student Loan Repayment Program (SLRP). Repayment is limited to $10,000 annually, up to $60,000 in lifetime awards. Participants must sign a service agreement and maintain an acceptable level of performance to remain eligible for this program. Medical Instrument Technician (Polysomnography) is under the Respiratory Care and Sleep Services located at the Minneapolis VAHCS. 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; Basic and Advanced Cardiac Life Support certifications are desirable. 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. 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-4 (Basic Developmental Level): 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. Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields. The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level. In addition, the candidate must demonstrate the following KSAs OR, Education. Successful completion of two years of education above high school or an associate's degree with a major field of study directly related to the medical instrument technician occupation. Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of basic medical terminology. 2. Ability to learn the components, operating characteristics, and settings of the equipment to be used. 3. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress. 4. Ability to learn the standard positions for the procedure being conducted. 5. Ability to communicate orally and in writing. GS-5 (Basic Developmental Level): 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 in operating equipment related to the particular specialization for which application is made or in related functional areas. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level. In addition, the candidate must demonstrate the following KSAs: OR, Education. Successful completion of 4 academic years above high school leading to a bachelor's degree with courses related to the occupation, or a bachelor's degree in a major field of study appropriate to medical instrument technician functions. Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of standard medical terminology to interpret physician orders or instructions. 2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. 3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. 4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures. 5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine. Medical Instrument Technician (Polysomnography) GS-6: 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: Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters. 2. Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts. 3. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc. 4. Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.). 5. Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies. Certification. No certification or registration is required at this level. Basic Cardiac Life Support (BCLS) certification is desirable. GS-7: 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 the individual with the knowledge, skills, and abilities to independently conduct difficult but standardized polysomnography examinations. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices. 2. Ability to independently titrate and document PAP level to achieve therapeutic goals. 3. Knowledge of indications, complications, and contraindications of CPAP therapy. 4. Knowledge of Bi-Level pressure titrations. 5. Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings. Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) certification is desirable. GS-8: 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities 1. Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders. 2. Ability to summarize and report polysomnographic data in narrative form. 3. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. 4. Ability to provide briefings and orientation to hospital staff including physicians. Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. References: VA Handbook 5005/15 PART II APPENDIX G27 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8. Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. ["The primary duties of the RPSGT are to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices, score and analyze sleep stages in clinical polysomnographic (PSG) recordings, and perform interventions, such as positive airway pressure and oxygen therapies, with minimal supervision. Duties of this position include, but are not limited to, the following: - Receives and acts on assignments for a variety of difficult examinations on compromised patients for planned, urgent, and emergent tests - Performs the full range of complex procedures using specialized equipment that requires precise adjustments to respond to individual patient needs, conditions or test sequences - Performs sleep monitoring (PSG) on individuals with a variety of sleep disorders, including but not limited to; possible sleep apnea, arterial desaturations secondary to chronic obstructive pulmonary disease or other medical conditions, narcolepsy, parasomnias and periodic limb movement disorder - Demonstrates knowledge of respiratory, neuroanatomy and physiology, basic electronics and electrical safety, general knowledge of PSG instruments, pattern recognition, and various medical and pharmacological conditions that influence the PSG - Sets up PAP equipment, performs quality checks to ensure readiness for use during the procedure; applies positive airway pressure (PAP) devices and titrates settings to appropriate levels per established protocols - Explains procedures and positions patient to insure comfort during a variety of tests, taking into account the patient's age, mental and physical status- Applies electrodes according to recognized standards; electroencephalogram (EEG) electrodes based on the International 10-20 electrode placement system; electro-oculogram (EOG), electromyogram (EMG) and electrocardiogram (ECG). - Applies thoracic and abdominal transducer; pulse oximeter finger or ear probe; respiratory effort belts; nasal/oral sensors; and, other diagnostic electrodes and equipment - Recognizes sleep apnea, sleep movements, nocturnal seizures, and parasomnias such as nocturnal myoclonus and rapid eye movement (REM) behavior disorder; makes adjustments in recording parameters to optimize performance of sleep studies - Annotates seizures, abnormal sleep behavior and significant respiratory events on the electroencephalographic records in real time (i.e., as the test is occurring - Recognizes artifacts, patient movements and diagnostic findings and makes changes in recording techniques and parameters to optimize display of the phenomenon in question - Monitors patient, diagnostic equipment, recording and video equipment throughout the study; obtains artifact-free data and tracings; records significant observations such as sleep stage, heart rate, respiration rate, oxygen saturation level, body position; presence and/or absence of sleep apnea, snoring, myoclonus, bruxism, cardiac arrhythmias, sleep terrors, etc. - Analyzes approximately 1000 pages of information per PSG for sleep stages; heart rate and arrhythmias; respiration rate and pattern; oxygen saturation level; pH level; myoclonic activity; seizure activity; thoracic and abdominal movement pattern; tidal volume changes, tumescence activity; EOG activity; bruxism; specific EEG patterns; awakenings/ arousals. Work Schedule: Nights **NOTE: Salary listed does not include weekend, holiday and night pay shift differential. Shift Differential for employees who perform work during regularly scheduled hours between the hours of 6:00 p.m. and 6:00 a.m. shall receive 10 percent of basic pay for those hours. Premium pay equal to 25 percent of the employee's basic hourly rate of pay is given for hours worked between midnight Friday or midnight Sunday. Employees who are required to perform regularly scheduled non-overtime work on a designated holiday shall receive pay at the rate of two times their hourly rate for actual hours worked on their tour, but not less than at least two hours. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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