Medical Instrument Technician (Cardiac Cath)

The Marion VA Health Care System is actively recruiting a full-time Medical Instrument Technician (Cardiac Cath) to join the Cardiology Department within Nursing Service located in Marion, IL.

This position provides technical assistance to the Cardiologist during all procedures occurring in the Catheterization Lab.

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The incumbent will primarily be assigned to the Cardiac Catheterization Lab and Cardiology Clinic.

The incumbent demonstrates knowledge and competency in hemodynamic monitoring and early recognition of cardiac lethal dysrhythmias.

These duties include, but are not limited to, left heart catheterization, right heart catheterization, and temporary pacemakers.

The incumbent monitors the progression of procedures; assist the manager in improving technical training of new employees and students as well as directing patient inquiries to appropriate person.

This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. The incumbent may be required to rotate tours and duties during low/high census or complete administrative tasks established by the immediate supervisor.

Not all duties listed, so others may be assigned:

• The incumbent is responsible to ensure the highest possible quality of care is achieved and that a safe therapeutic environment is provided.
• The incumbent communicates with patients, family members, internal and external co-workers, and customers in a courteous, tactful, helpful, and understanding manner.
• The incumbent is administratively responsible to the Nurse Manager of Medicine Specialty and responsible for other team members. The incumbent is required to be BLS and ACLS certified and position is not eligible for telework.

PLEASE NOTE: These positions require Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications. If selected, Applicants will provide proof of current certifications prior to employment. Only BLS certification which included Automated External Defibrillator (AED) and ACLS certification obtained from either the American Heart Association (AHA) or the Military Treatment Training Network (MTN) will be accepted.

Work Schedule: Monday through Friday, 7:00 a.m. to 3:30 p.m., excluding Federal holidays.
Recruitment Incentive (Sign-on Bonus): Not Authorized
Permanent Change of Station (Relocation Assistance): Not Authorized
Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
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 #: 000000
Permanent Change of Station (PCS): Not Authorized

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. 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".
• 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:

• Education/Training. To be creditable education must have been gained in an accredited Community College, College, or University
• Training. Completion of appropriate training such as in-service training programs, on the job training, training acquired while in the Armed Forces, government sponsored developmental training programs, and/or training under physicians certified in the functional area will be allowed on a month-for- month basis through the GS-5 level.
• Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. Specialized developmental experience obtained under supervision of appropriately certified individuals may be credited at higher levels and is addressed in individual appendices

Medical Instrument Technician (Cardiac Cath): Basic Developmental LevelsGS-4:Experience: At least 1 year of experience comparable to the next lower grade level GS-03 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. In addition, the candidate must demonstrate the following KSAs:

OR

• Education. Successful completion of two years of education above high school or an associate degree with a major field of study directly related to the medical instrument technician occupation.

Demonstrated Knowledge, Skills, and Abilities (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.

Assignments: At this level assignments are trainee in nature. The medical instrument technician trainee is performing limited routine assignments of a developmental nature under close supervision.

GS-5:

• Experience. At least 1 year of experience comparable to the next lower grade level GS-04 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. In addition, the candidate must demonstrate the following KSAs:

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 functions.

Demonstrated Knowledge, Skills, and Abilities.

• 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.

Assignment: Medical Instrument Technicians (Trainee) at this level operate and monitor commonly used equipment performing routine procedures under normal supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties would be performed under closer supervision.

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

Demonstrated Knowledge, Skills, and Abilities:

• Knowledge of the anatomy and physiology of the heart and basic electrocardiography.
• Knowledge of sterile techniques, catheterization laboratory supplies, and equipment used in the procedure.

• Ability to circulate, assist, monitor and document hemodynamics and electrocardiograms during the procedure.
• Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for standardized, routine procedures.
• Knowledge of and ability to prepare intra-aortic balloon catheters.

Certification. Basic Cardiac Life Support (BCLS) certification is desirable.

Assignment: The cardiac catheterization technician at this level aids physicians in aspects of cardiac catheterization and related invasive procedures such as coronary angioplasty, pulmonary angioplasty, and intra-aortic balloon insertion. The technician must be able to recognize cardiac arrhythmias and take appropriate action.

*****QUALIFICATION STANDARDS CONTINUED BELOW ON THE "EDUCATION TAB" OF THIS ANNOUNCEMENT**

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. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities:

• Ability to assist with insertion of temporary transvenous pacemaker catheters.
• Ability to maintain intra-aortic balloon pump equipment during procedure.
• Ability to complete individual cases by pulling sheaths and holding pressure to obtain hemostasis.
• Ability to assist with closure devices.
• Ability to appropriately educate patients and patient families regarding procedures and post-catheterization care.
• Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable.

Assignment: The cardiac catheterization technician at this level aids physicians in aspects of cardiac catheterization and related invasive procedures such as coronary angioplasty, pulmonary angioplasty, and intra-aortic balloon insertion. They select, set up, and calibrate surgical instruments, catheters, radiographic contrast injectors, and radiographic imaging devices.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 of the positions to be filled. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities:

• Ability to scrub, circulate, and monitor advanced procedures (including electrophysiological) to include rotoblation, intravascular ultrasound, RADI or wave-wire, angiojet, filter wires, myocardial biopsies EPS, permanent pacemaker insertions, AICD insertions, and biventricular pacemaker insertion.
• Advanced knowledge of equipment, medications, and supplies used in the Cardiac Catheterization Laboratory and the ability to set-up, calibrate, operate, and troubleshoot this equipment.
• Knowledge and understanding of wave forms from the great vessels and all chambers of the heart including the ability to recognize and distinguish normal from abnormal, artifact from abnormality, and forewarn the physician of an impending life-threatening situation.
• Knowledge of quality control and performance improvement indicators for the Cardiac Catheterization Laboratory and ability to prepare and analyze quality control of test results.

Assignment: This represents the full performance level. Cardiac catheterization technicians at this level function as full members of the Cardiac Catheterization Laboratory Team. They scrub circulate, operate equipment, etc., on the most complex examination and treatment procedures including procedures such as endocardial biopsy, radio frequency ablation procedures, and intra-aortic balloon pump therapy for very critical patients. They prepare and administer cardiac medications as directed by the attending physician. They mentor and train lower graded technicians, nurses, nursing students, and cardiopulmonary technology students on cardiac catheterization laboratory procedures and assist the supervisor/manager with quality control and performance improvement activities.

Preferred Experience: Two (2) years of recent Cardiac Catheterization Lab experience from a hospital setting within the last 5 years and BLS/ACLS certification and Registration by Cardiovascular Credentialing International (CCI) as a Registered Invasive Specialist (RCIS) is highly desirable.

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-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8.

Physical Requirements: Must be able to communicate effectively with Veterans and staff via phone and in person (with or without adaptive equipment), unusual fatigue factors (emotional stress), protracted or irregular hour of work, work closely with others, light lifting (under 15 pounds), prolonged close computer work, prolonged work in a surgical mask, reading and writing (prolonged periods with or without adaptive equipment, bright artificial lighting, constant noise (shared workplace), ability to rapidly switch between tasks.???????

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.