The VA Northeast Ohio Healthcare System is recruiting for Medical Instrument Technologists (Polysomnography). The Medical Instrument Technologists (Polysomnography) will function in Medicine Service. 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. 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. 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 5005/45, Part II, Appendix G27 The full performance level of this vacancy is GS-8. Physical Requirements: Considerable walking/standing may be required. Frequent lifting, positioning, pushing/pulling may be required when moving equipment or supplies or other infrequent needs. Frequent, prolonged extensive or considerable sitting is often required. Manual dexterity and mobility are required. The work may require specific physical characteristics and abilities such as above-average dexterity to perform intricate respiratory therapy procedures. Frequent reaching, stooping, bending, kneeling, or crouching may be necessary. Moderate physical effort (ability to lift/carry up to 50 pounds) may be occasionally required. Intermittent exertion is possible. Subject to interruptions and stress from multiple calls, patient needs and/or inquiries from others, whether in-person, on the telephone or via computer. Sound judgement and ability to function under stress is required. Inappropriate actions/judgment, especially those during emergency or crisis situations, may result in injury or death. ["This announcement will remain open until December 29, 2024. All qualified applications will be forwarded to the selecting official for a review based on the hiring needs of the service. A selection may be made at any time during the open period of the announcement. Understands etiology, anatomy, pathology, diagnosis, and treatment of common sleep-disordered breathing conditions. Demonstrates knowledge of testing procedures used in the diagnosis and treatment of sleep disorders, including, but not limited to: in-lab and in-home overnight polysomnography testing, Multiple Sleep Latency Testing (MSLT) and positive airway pressure (PAP) therapy. Identifies common patient surveys/questionnaires used in the screening process for sleep disorders, including the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS) and the STOP-BANG questionnaire. Identifies limitations or common issues encountered with polysomnography testing & treatment initiation/titration Demonstrates ability to perform comprehensive patient assessment including assessment of heart rate and respiratory rate & effort, oxygen saturation, transcutaneous carbon dioxide measurements and electroencephalogram (EEG). Identifies the indications, contraindications and hazards of frequently performed procedures, including in-lab overnight polysomnography testing & scoring, in-home overnight testing & scoring, MSLT testing, application and titration of Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP) therapies, pulse oximetry & transcutaneous carbon dioxide monitoring. Identifies critical information that must be communicated during testing and procedures. Properly and completely documents all assessments, results, interventions, issues, and any other pertinent information in the patient's medical record. Assists the Sleep Program Manager/Assistant Chief of Sleep Disorders with training, policy/procedure creation/revision and other performance improvement projects, as directed. Communicates effectively and professionally with patients, families, coworkers, and other staff. Provides patient education related to the purpose of study, the time required and instructions for use, ensuring adequate teach-back and understanding. Ensures a safe patient environment at all times. Work Schedule: Night Shift, 12 hour shifts with one 8 hour shift every two weeks, alternating weekends. Telework: Not Available Virtual: This is not a virtual position Functional Statement #: 92199A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.