Summary

Incumbent works independently and is responsible to the Invasive Cardiology MIT supervisor and the Chief - Cardiology Section. This position supports the clinical and administrative components of Cardiology testing.

Qualifications

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
• 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
• however - it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge - skills - and abilities
• 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: Medical Instrument (Cardiac Catheterization) GS-9( a) Experience
• At least 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 possession of the knowledge required in order to provide all aspects of cardiac catheterization technician services
• In addition - the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): (b) Demonstrated Knowledge - Skills - and Abilities
• KSAs 1 - 2 - and 3 are appropriate for all positions at this level
• KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment
• 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 the Cardiac Catheterization Laboratory
• *Knowledge of JCAHO and other regulatory requirements
• Ability to communicate effectively and professionally with employees at varying grade levels
• *Ability to manage and supervise employees
• *Ability to provide - or provide for - staff development and training
• (c) Certification
• Registration by Cardiovascular Credentialing International (CCI) as a registered Cardiovascular Invasive Specialist (RCIS) is highly desirable
• Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level
• Preferred Experience: Previous Cath Lab experience in Cardiac Catheterization and Electrophysiology (EP) Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-9. Physical Requirements: Physical Requirements
• Moderate Lifting (15-25 lbs.)
• Moderate Carrying (15-25 lbs.)
• Straight Pulling (up to 2-3hours)
• Pushing (up to 2-3 hours)
• Reaching above shoulder
• Walking (up to 1-2 hours);Kneeling (up to 1 -2 hours)
• Repeated bending (up to 1 to 2 hours)
• Ability for rapid mental and muscular coordination simultaneously
• Near vision correctable
• Far vision correctable
• Depth perception
• Ability to distinguish basic colors
• Hearing (aid permitted).

Duties

• Performs special/invasive procedures and exams for the patients of this medical center within the cardiology section
• Examinations include - but are not limited to: cardiac catheterizations - percutaneous coronary interventions - coronary stent placement - coronary atherectomy - coronary flowevaluation - TAVR & valvuloplasty - fluoroscopic imaging - intravascular coronary ultrasound - ventriculography - electrophysiology testing - radiofrequency ablation - endomyocardial biopsy - temporary and permanent pacemaker implantation - automated cardioverter-defibrillator implantation - swan Ganz catheter placement - pericardiocentesis - tilt table testing - transesophageal testing - renal - carotid - iliac - visceraland peripheral angiography - and venograms interventional radiography.The incumbent will also: Perform duties of those of a Medical Instrument Technologist in the Cardiac Catherization Suite and sometimes in the Operating Room during procedures such as diagnostic cardiac catherization - balloon angioplasties - Electrophysiology Studies - Device implantation - Ablation procedures - TAVR and valvuloplasties
• The incumbent may also be required to perform those duties anywhere else in the hospital where such procedures are performed
• Share weekend and afterhours \"on-call\" responsibilities/schedules with other MITs for emergency and after-hours procedure
• Will be required to arrive at the hospital within 30-45 minutes of being called whenever on-call
• Assist in the performance of advanced invasive testing and radiological imaging in an all-encompassing cardiac testing including the EP laboratory
• Set up Cath tray - manifold - preparation of patients - operation and maintenance and recording of hemodynamic data using a specialized multichannel - multifunctional electronic recorder
• Help with coordinating - supervising - as well as operating and monitoring diagnostic/intervention instruments and equipment associated with cardiac testing
• Assist with preparation and operation of various other equipment using in obtaining physiologic measurements in the Cardiac Catherization Suite and sometimes in the Operating Room such as cardiac pressure transducers - thermodilution cardiac output computers - blood gas oximeters and oxygen consumption computers
• The incumbent may also be required to perform those duties anywhere else in the hospital where such procedures are performed
• The incumbent is trained in the performance of advanced invasive testing and radiological imaging in an all-encompassing cardiac testing laboratory
• The incumbent must be able to perform the following cardiac testing procedures: Operate fluoroscopic equipment used in angiographic testing Measurement and analysis of cardiac electrocardiogram waveforms Identification and analysis of electrocardiogram intervals - segments - and complexes Application of oxygen therapy and analysis of pulse oximetric measurement Intravenous access for IV therapy and phlebotomy sampling Performance and analysis of standard 12 lead electrocardiogram Data input - editing and analysis of the Hemodynamic Monitoring Unit Data input - troubleshooting - and analysis of the digital X-ray Unit Performance of non-invasive blood pressure measurements with the identification of normal/abnormal values
• The incumbent must be able to differentiate \"acceptable rhythms\" and \"reportable rhythms\" i.e
• a controlled atrial fibrillation rate and a fast R to R rate that warrants intervention/admission to the ICU or Emergency Room
• Operation of a variety of medical equipment including video equipment - CD archiving system - ECHO archiving system - contrast media injectors - EKG recorders - pressure transducers - intra-aortic balloon pumps - intravascular ultrasound (IVUS) machine - flow wires (FFR) - Rotablator unit - Dash portable monitors - EP monitoring station - EP mapping unit - oxygen equipment - suction equipment - CD recording units - defibrillators (Life Pack) - Bovie cautery unit - power injectors - TEE and any additional equipment used in Cardiology
• The incumbent will be able to transfer patients from stretcher or wheelchair to radiographic table
• Prepare room - equipment and material needed for patient procedures Follow prescribed protocols required to perform procedures Work Schedule: Monday - Friday (8:00am -4:30pm) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 50183-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized