Career Center

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. 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. (NOTE: This applies to the past, current, and upcoming VA Health Professional Trainees (HPT) only. HPT is an individual appointed to temporary positions in one or more VHA medical facilities performing clinical or research training experiences to satisfy program or degree requirements or receiving VA Health Professional Scholarship Program. HPTs can be either VA-paid or Without Compensation (WOC).) 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: In accordance with 38 U.S.C. 7402(d), no person shall serve in a direct patient care position unless they are proficient in basic written and spoken English. Licensure or Certification: Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities. Basic and Advanced Cardiac Life Support certifications are desirable. Training which does not result in official certification does not meet this definition. 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 (GS-7) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience performing a full range of standard, but complex, polysomnography examinations with responsibility for properly and accurately calibrating all instruments prior to the beginning of the PSG tracing and selection of appropriate electrode montages and sensitivity and filter settings to elicit the best possible tracings. Independently determines the need for CPAP during all night sleep studies for sleep apnea. Administer nerve conduction velocity tests. 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. References: VA Handbook 5005 Part II Appendix G27 Medical Instrument Technician (Polysomnography) The full performance level of this vacancy is GS-8. Physical Requirements: The position requires extensive sitting for shifts 10-13 hours in length. On a shift basis it is required to set-up patients with monitoring equipment and requires extended lengths of time walking, standing, bending, stooping, and / or lifting. Must assist patients in and out of beds, litters and wheelchairs as well as transport patients via wheelchair. Many patients having sleep studies are obese. The chart below provides greater detail regarding the physical demands of the position. ["The primary duty of the Medical Instrument Technician (Polysomnography) is to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices as well as scoring and analyzing sleep stages and events in clinical polysomnographic recordings (PSG), Multiple Sleep Latency Tests (MSLT), Maintenance of Wakerfulness Tests (MWT), home sleep test recordings (HST), nocturnal oximetries (SpO2). The Medical Instrument Technician (Polysomnography) summarizes and prepares reports of polysomnographic data. The Medical Instrument Technician (Polysomnography) anticipates problems likely to occur during the sleep study and prepares for such situations, makes changes in established procedures, or recommends alternative courses of action. The Polysomnography Technician is knowledgeable in more complex procedures as well as uncommon and/or rare sleep disorders. The Polysomnographic Technician assists with patient education and other departmental activities to include the CPAP program. Duties include but not limited to: Responsible for reviewing patient history as it relates to sleep disorders and other medical conditions which may affect the diagnosis of sleep disorders. Responsible for explaining the various procedures to the patient and independently performs the following tests or procedures as assigned: diagnostic PSG, titration PSG, Split-night PSG, MSLT, MWT, HST, Oximetry, and actigraphy. Independently performs sleep monitoring on individuals with possible sleep apnea or other breathing related sleep disorders and/or arterial desaturations secondary to chronic obstructive pulmonary disease or other medical conditions. Independently performs sleep monitoring on individuals with other potential sleep disorders including, but not limited to, narcolepsy and periodic limb movement disorder. Independently applies continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) and other advanced modalities to appropriate levels per established protocols. Applies oxygen therapy as needed per established protocols. Responsible for the safe and proper operation of all equipment used in the Sleep Center. Verifies correct instrument calibration and operation using established procedures. Identifies the cause of common problems and notifies engineering service when appropriate. Obtains technical or factory assistance in order to fully utilize the equipment to its full potential. Accurately scores sleep studies, MSLTs, MWTs, HSTs, and prepares reports when assigned. Assists with CPAP clinic for equipment initiation and instruction, follow-up, and compliance monitoring when assigned. Utilizes sleep software: Sleepware G3, Noxturnal, nVision, Encore Anywhere, Resmed Rescan, and Actiware in the performance of polysomnography, HST, oximetry, actigraphy and CPAP compliance when assigned. Provides patient education during the performance of sleep studies, when assisting with CPAP clinic, and may assist with sleep education classes. Possess computer skills to access and input typed data on each patient into the computerized patient record system (CPRS), VetLink for patient check-in for appointments, Visual Aid for viewing scheduled appointments and Microsoft Outlook for communication. Keeps inventory of supplies and initiates purchase requests in a timely fashion to avoid disruption of scheduled studies when assigned. Interacts with staff physicians regarding the diagnosis and treatment of sleep disorders and may provide briefings and orientation to hospital staff including physicians. Assists with maintaining department spread sheets for department performance measures. Other duties as assigned by supervisor, or Section Chief, or Service Chief or designee. Work Schedule: Monday - Friday 7:30am - 4:00pm Telework: Not Available Virtual: This is not a virtual position. Position Description #: PD 50861F Relocation/Recruitment Incentives: Not Authorized EDRP Authorized: Contact --------------------, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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