Medical Instrument Technician (Polysomnography)

This Medical Instrument Technician (Polysomnography) position is located within the Sleep Disorders Laboratory at the Michael E. DeBakey VA Medical Center, Houston, Texas.

Qualifications:

Basic Requirements:

• United States Citizenship: Citizenship of the United States. (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. See the grade requirements part of this standard for information regarding educational substitutions.
• 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. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations".

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 Technician (Trainee), GS-4

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.
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.

In addition, the candidate must demonstrate the following KSAs:

• Knowledge of basic medical terminology.
• Ability to learn the components, operating characteristics, and settings of the equipment to be used.
• Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress.
• Ability to learn the standard positions for the procedure being conducted.
• Ability to communicate orally and in writing.

Medical Instrument Technician (Trainee), GS-5

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.
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 function.

In addition, the candidate must demonstrate the following KSAs:

• Knowledge of standard medical terminology to interpret physician orders or instructions.
• Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
• Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities.
• Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures.
• 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:

• Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters.
• 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.
• Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc.
• Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.).
• 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.

Medical Instrument Technician (Polysomnography), 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:

• Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices.
• Ability to independently titrate and document PAP level to achieve therapeutic goals.
• Knowledge of indications, complications, and contraindications of CPAP therapy.
• Knowledge of Bi-Level pressure titrations.
• 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.

Medical Instrument Technician (Polysomnography), 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:

• Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders.
• Ability to summarize and report polysomnographic data in narrative form.
• Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action.
• 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.

Qualifications continued in Education section below.

Responsibilities:

If you are not a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-12924928-26-JA.

Total Rewards of a Allied Health Professional

Duties include (but are not limited to):

• Explains procedures and protocols to patients to insure patient comfort for optimal sleep recording tests.
• Operates polysomnographic recording instruments to obtain an electroencephalographic record of the patient sleep, Recognizes and annotates normal sleep stages respiratory events, sleep movements, nocturnal seizure, parasomnias and REM behavior disorders.
• Conduct respiratory related treatment with nasal continuous positive pressure (PAP) in patients per sleep laboratory protocol or as instructed by the physician.
• Completes patient assessments through direct contact, charts reviews and other means as appropriate and share the information with health care team members.
• Responsible for selecting and adapting equipment and techniques to individual patients to comply with the physician's instructions.
• Collects, analyzes and integrates patient information to identify and meet the patient-specific needs.
• Prepares and calibrates Nocturnal and Home Sleep Testing equipment required for testing to determine proper functioning and adjust if necessary.
• Performs appropriate physiologic calibrations to ensure proper signals and makes adjustments if necessary.
• Follows procedural protocols for Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), adaptive servo-ventilation (ASV), and parasomnia studies, PAP, oxygen titration and Inspire ® Device Activation, etc. Inspire device titration to ensure collection of appropriate data.

Work Schedule: Intermittent; subject to change based on the needs of the facility
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases.
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 580-02133-F; 580-02134-F; 580-02118-F; 580-02119-F; 580-02120-F
Permanent Change of Station (PCS): Not Authorized

Salary : $417