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You will be assigned as Medical Instrument Technician (Diagnostic Ultrasound) at the Surgical Service, South Texas Veterans Health Care System, San Antonio TX. You will operate diagnostic equipment using ultrasound to record vascular information such as vascular blood flow, blood pressure, limb volume changes, oxygen saturation, cerebral circulation, peripheral circulation, and abdominal circulation. Perform examinations which are routine and standardized in nature. 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. Physical Requirements. See VA Directive and Handbook 5019 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). Diagnostic Ultrasound Technicians operate diagnostic ultrasonic scanning equipment to produce cross sectional and two-dimensional pictures of internal organs and body structures used to diagnose diseases and other medical conditions. Registration is offered by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS). Grade Determinations for GS-8 MIT: (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 the overall knowledge, skills, and abilities to conduct diagnostic ultrasound examinations in complex and unusual cases. In addition, the candidate must demonstrate the following KSAs: (b) Demonstrated Knowledge, Skills, and Abilities 1. Ability to perform diagnostic ultrasound examination on multiple areas of the body, including, but not limited to, the abdomen, pelvis, transvaginal, chest, small parts, thyroid, breast, and scrotum. 2. Ability to perform vascular studies such as vertebral, renal artery, aortic aneurysm, portal-systemic shunts, etc. 3. Ability to assist radiologists with biopsy procedures determining the location, depth, and required needle angle for the lesion to be sampled. 4. Ability to assist in surgical procedures and fluid aspirations. (c) Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable. (d) Assignment. This represents the full performance level for medical instrument technician (diagnostic ultrasound). At this level the technician is required to perform a full range of procedures including special complicated examinations for which there are no standard instructions or procedures. They perform independent portable ultrasound examinations in the intensive care units, emergency room, surgery, and throughout the Medical Center when required. They also work independently on evenings, nights, and weekend tours of duty as scheduled and/or when on call. Preferred Experience: Basic Cardiac Life Support (BCLS) certification Advanced Cardiac Life Support (ACLS) certification American Registry of Diagnostic Medical Sonographers (ARDMS) References: VA Handbook 5005/15, Part II, Appendix G27 dated March 17, 2006. The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS-8. Physical Requirements: The work is sedentary. Some work may require movement between offices, hospitals, warehouses, and similar areas for meetings and to conduct work. Work may also require walking/standing, in conjunctions with travel to and attendance at meetings and/or conferences away from the work site. Incumbent may carry and lift light items weighing less than 15 pounds. ["You will position the patient as needed for the best test results, set up and adjust the ultrasound equipment to meet the condition of the examination and patient, move and adjust depths and types of scan in accordance with procedures, perform operator preventive maintenance and care of equipment, and assist higher graded technicians in performing more complicated examinations. Participate in all aspects of the mission of the medical center, including clinical service, education, and research, as needed. Assists the management team with the collection of statistical data needed to monitor and improve the clinical service. Operate and maintain the treadmill, photoplethysmography, electronic Doppler, duplex scanner and other monitoring devices that are available for these procedures. Obtain a brief history and physical pertinent to a peripheral vascular disease with familiarity with the associated signs and symptoms. Obtain familiarity with the computer system and scanner used to generate laboratory reports, use the computer independently, and recognize and report malfunctions. Be responsible for ordering and maintaining supplies as needed for the Vascular Lab. Be responsible for the minor troubleshooting on all equipment used in the lab. When equipment needs repair, will contact appropriate biomedical Engineering staff. Ability to communicate effectively and professionally with employees at varying grade levels. Provide other incidental services deemed appropriate by supervisor and the Director, Diagnostic Vascular Laboratory. Work Schedule: Monday-Friday, 8:00 am to 4:30 pm Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 000000-Medical Instrument Technician (Diagnostic Ultrasound) Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required"]

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