Medical Instrument Technician (Diagnostic Ultrasound) - Recruitment/Relocation Incentive

The primary purpose of the position is to 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. Independently performs complex ultrasound examinations. Schedule patients for examinations. Evaluates the nature of critical and emergency procedures, and rearranges patients scheduled to accommodate them.

Total Rewards of a Allied Health Professional

A Recruitment/Relocation Incentive may be authorized for a Highly Qualified Individual. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until October 28, 2027. The initial cut-off date for referral of eligible applications will be November 30, 2026, with subsequent cut-off dates every month until 10/27/2027. Eligible applications will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants who are referred will be considered for 90 days, after 90 days applicants will have to reapply.

Duties include but not limited to the following:

• Performs in a hospital setting a variety of ultrasound examinations ranging from the routine to the highly specialized.
• Reviews patients' prior images to obtain additional information in order to localize organs and vessels examined.
• Receives patients, explains methods of procedure, positions patient, selects and sets technical and computer factors, selects proper transducer, selects the appropriate protocol and parameters necessary for the required procedure and make exposures to record diagnostic images.
• Assists the management team with the collection of statistical data needed to monitor and improve the clinical service.
• Independently makes standard examinations.
• Notifies radiologist of significant scans requiring their immediate attention and visualization while patients are undergoing examinations.
• Knows and understands the principles of ultrasonography and the highly specialized equipment well enough to essentially determine acceptability or rejection of each scan.
• Independently coordinates scheduling of patients for US examinations in a manner to allow for optimal flexibility of scheduling for emergency patients while maintaining high volume through-put. Modifies the examination to match the written clinical history when appropriate. Maintains records of patients treated, examinations performed, types of scans taken, etc.
• Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them.
• The incumbent maintains visual and vocal contact with the patient during the scan recognizes patient distress and intervenes or contacts physician as needed.
• As required, technologists may be called back to duty under urgent or special need situations. During these periods, no immediate supervisor is available, and he/she must be responsible for any contingencies that may arise in Radiology Service.

Work Schedule: Multiple shifts with standby call and holiday work.
Recruitment/Relocation Incentives (Sign-on Bonus): 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 #: 54529-F
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.
• Licensure or Certification. Licensure or Certification is not required for this occupation; however, it is strongly desirable as evidence of possession of the essential knowledge, skills, and abilities. Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable.
• English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English.

Grade Determinations: GS 09:
Experience: At least 1 year of experience comparable to the next lower grade level GS 08, which is directly related to the duties of the position to be filled, and must fully meet the Knowledge, Skills Abilities (KSA) at that level. This would be specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography services.

For Reference GS-8 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.

For Reference: GS-8 KSAs - 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.

In addition to the requirements listed above, candidates must demonstrate the following knowledge, skills, and abilities (KSA).

• 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 diagnostic ultrasonography.
• Knowledge of JCAHO and other regulatory requirements.
• Ability to communicate effectively and professionally with employees at varying grade levels.

Grandfathering Provision: The following is the standard grandfathering policy for all Title 38 Hybrid qualification standards.
All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation.

Preferred Experience:

1. Competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment.
2. Expert source of all ultrasound imaging, and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation.
3. Demonstrates work practice appropriate for the position. Demonstrate and verbalize proper procedures.
4. Understands, demonstrates appropriate hygiene methods of infection prevention and control.
5. Understand the functioning and interrelationship of the various organs; to use the methods and techniques which will identify organs appearing on the digital display monitor, or on film, and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician.
6. Detail-Oriented with good hand-eye coordination.

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-09.

Physical Requirements: Heavy Lifting (45 lbs. and over); Heavy Carrying (45 lbs. and over); Straight Pulling(up to 1 hour); Pushing (1 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable 13" to 16"; Hearing (aid permitted)

There is no education substitute for experience for the GS-09, Medical Instrument Technician (Diagnostic Ultrasound).

• You must be a U.S. Citizen to apply for this job.
• ll 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.
• Must pass pre-employment physical evaluation.
• 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.