Medical Instrument Technician SPU (External)
The MIT participates with the SPU team members in planning and implementing basic and complex GI, cardiac, interventional pain, and other procedures under the general supervision of the physician, nurse manager, registered nurse, and/or designated GPT member. The Medical Instrument Technician will perform a variety of duties to include, but are not limited to:
Exercise clinical judgment while assisting with determining and developing plans of care for patient Prepares procedural rooms for the performance of SPU procedures. Sets up procedure rooms with all required items for each procedure such as video equipment, endoscopes, endoscope flushing system, image management systems, computers and monitors, cautery units, and reprocessing equipment. Prepares and processes Semi Critical and Non-Critical Reusable Medical Equipment (RME) in accordance with appropriate Standard Operating Procedures. Plans and discusses each procedure with the SPU team professionals and assures that all supplies and equipment are available prior to the procedures. Observes and responds promptly to each stage of the procedures and anticipates the needs of the physician and/or registered nurse by maintaining a high level of concentration for extended periods of time. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, and equipment, as well as follows all RME reprocessing protocol for high level of disinfection. Assists the SPU team members with care of the patient, i.e., positioning, prepping, and obtaining supplies. Applies various monitoring equipment, i.e., BP/P/02Sat/ECG, etc., when assisting with patient procedure preparation. Performs CBG tests. Transports sedated/non-sedated patients to/from Admit/Recovery via gurney/WC safely. Responsible for the accountability or all SPU instruments and equipment during the procedure. Assists the physician, and/or registered nurse with instrumentation necessary to perform the required procedure and treatment such as obtaining biopsies, brushings, performing polypectonies, inflation of balloon dilators, and injection of contrast solutions during procedures. Prepares diagnostic biopsy specimens, assessing the adequacy of each, and placing in appropriate specimen bottle with appropriate labeling to meet pathology laboratory specifications during procedures (handles all specimens appropriately). Meet pathology laboratory specifications during procedures. Assists in training medical and surgical residents, medical students, nursing students, GI Fellows, and new SPU team staff in the operation of equipment, proper techniques, handling of instruments, and SPU procedures to include the assistant role for invasive procedures. Works closely with SPS, Bio-Med, hospital inpatient wards, operating room, pharmacy, and clerical staff to accomplish the goals of the SPU. Performance- technical maintenance of equipment to prevent malfunctions. Assesses equipment needs and maintains adequate stock of supplies and materials. Identifies equipment needing preventive maintenance or repair and takes appropriate action. Recognizes potentially hazardous situations (i.e., frayed cords, water on floor, etc.), and takes corrective action. Assists SPU team members in quality improvement activities. Updates personal knowledge regarding current trends in procedural technology through continuing education courses. Thoroughly understand the concepts and applicability of Joint Commission, Occupational Safety Health and Administration (OSHA), VA, and all other safety and occupational health regulations to assure compliance. Maintains GI Endoscopy area. Work Schedule:
Days Financial Disclosure Report:
Not required Virtual/Telework:
Not Authorized To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/27/2020. 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:
Medical Instrument Technician must be proficient in spoken and written English in accordance with chapter 3, section A, paragraph 3j. 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. Creditable
Experience:
Knowledge of Current Medical Instrument Technician Practices. To be creditable, the experience must have required the use of knowledge, skills, abilities and other characteristics associated with current Medical Instrument Technician practice appropriate to the identified specialty area. Specialized developmental experience obtained under supervision of appropriately certified individuals may be credited at higher levels and is addressed in individual appendices. Preferred
Experience:
1 year of experience as a technician in an endoscopy setting, or as an Operating room technician working with endoscopy cases. This would include set up or maintenance of a sterile field, specimen handling, and experience with endoscopes and related equipment. 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. Grade Determinations:
GS-5 (Trainee)
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. 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 1. Knowledge of standard medical terminology to interpret physician orders or instructions. 2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. 3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. 4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures. 5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine. GS-6
Experience:
At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills and Abilities 1. Ability to set up endoscopy equipment, ensuring endoscopes and ancillary equipment functions properly. 2. Ability to aid the physician with standard and routine procedures such as colonoscopy and esophagogastroduodenoscopy (EGD). 3. Knowledge of medical terminology and human anatomy in order to assist practitioner with routine standardized gastroenterology procedures. 4. Ability to interact with patients explaining procedures and positioning the patient for the procedure, recognizing disabilities or impaired mobility and assisting the patient as necessary. 5. Ability to reprocess and maintain specialty critical reusable medical equipment (RME), following approved Standard Operating Procedures (SOPs) and universal precautions. 6. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. 7. Ability to manually clean and disinfect non-critical reusable equipment and surfaces, dispose of one-time-use equipment and trash per facility policy, and restock supplies such as linens, suction equipment, and cleaning products. Certification:
No certification is required; however, it is desirable that employees at this level have Basic Life Support (BLS) certification. GS-7 GI Technician (Full Performance Level)
Experience:
At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled. This would be experience which provided knowledge of proper performance of endoscopic equipment and procedures. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of endoscopic equipment and use in basic and complex endoscopic procedures. 2. Knowledge of anatomy and physiology related to the GI system, with ability to recognize and report obvious abnormalities during procedures. 3. Ability to assist physician with specialized, complex procedures. 4. Knowledge of universal precautions and disinfection techniques and ability to follow SOP's to clean reusable medical equipment (RME). 5. Ability to collaborate, communicate, and demonstrate customer service skills and interpersonal skills with all healthcare professionals to ensure quality and continuity of care. 6. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. 7. Ability to deliver patient care, including vital sign measurements and medication administration. Certification:
No certification is required; however, it is desirable that employees at this level have BLS certification. Assignment:
This represents the full performance level. Technicians at this level function with minimal instruction, assisting the staff with complex specialized procedures such as ERCP and endoscopic ultrasound (EUS). They are proficient with GI endoscopic equipment and ensure proper performance of endoscopic equipment; select alternate equipment or adjust equipment settings to accommodate patient needs and produce high quality technique. They collect, process, and label all specimens; train other technicians in basic endoscopic procedures; work in and outside the GI unit offering technician support during emergent and on-call endoscopic cases; and assist the nurse in patient care duties such as obtaining vital signs, dressing and documenting all pertinent information in the patient's records. They inventory and maintain par levels of specialty equipment for the endoscopy unit. References:
VA Handbook 5005/54, Part II, Appendix G27The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 6 to GS 7. Physical Requirements:
Assist with a multitude of complex specialized procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopy Ultrasound (EUS), which involves heavy lifting of 45 pounds or more, moderately carrying of 15 to 44 pounds, and walking and standing for periods of up to 4 hours.
Estimated Salary: $20 to $28 per hour based on qualifications.
Exercise clinical judgment while assisting with determining and developing plans of care for patient Prepares procedural rooms for the performance of SPU procedures. Sets up procedure rooms with all required items for each procedure such as video equipment, endoscopes, endoscope flushing system, image management systems, computers and monitors, cautery units, and reprocessing equipment. Prepares and processes Semi Critical and Non-Critical Reusable Medical Equipment (RME) in accordance with appropriate Standard Operating Procedures. Plans and discusses each procedure with the SPU team professionals and assures that all supplies and equipment are available prior to the procedures. Observes and responds promptly to each stage of the procedures and anticipates the needs of the physician and/or registered nurse by maintaining a high level of concentration for extended periods of time. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, and equipment, as well as follows all RME reprocessing protocol for high level of disinfection. Assists the SPU team members with care of the patient, i.e., positioning, prepping, and obtaining supplies. Applies various monitoring equipment, i.e., BP/P/02Sat/ECG, etc., when assisting with patient procedure preparation. Performs CBG tests. Transports sedated/non-sedated patients to/from Admit/Recovery via gurney/WC safely. Responsible for the accountability or all SPU instruments and equipment during the procedure. Assists the physician, and/or registered nurse with instrumentation necessary to perform the required procedure and treatment such as obtaining biopsies, brushings, performing polypectonies, inflation of balloon dilators, and injection of contrast solutions during procedures. Prepares diagnostic biopsy specimens, assessing the adequacy of each, and placing in appropriate specimen bottle with appropriate labeling to meet pathology laboratory specifications during procedures (handles all specimens appropriately). Meet pathology laboratory specifications during procedures. Assists in training medical and surgical residents, medical students, nursing students, GI Fellows, and new SPU team staff in the operation of equipment, proper techniques, handling of instruments, and SPU procedures to include the assistant role for invasive procedures. Works closely with SPS, Bio-Med, hospital inpatient wards, operating room, pharmacy, and clerical staff to accomplish the goals of the SPU. Performance- technical maintenance of equipment to prevent malfunctions. Assesses equipment needs and maintains adequate stock of supplies and materials. Identifies equipment needing preventive maintenance or repair and takes appropriate action. Recognizes potentially hazardous situations (i.e., frayed cords, water on floor, etc.), and takes corrective action. Assists SPU team members in quality improvement activities. Updates personal knowledge regarding current trends in procedural technology through continuing education courses. Thoroughly understand the concepts and applicability of Joint Commission, Occupational Safety Health and Administration (OSHA), VA, and all other safety and occupational health regulations to assure compliance. Maintains GI Endoscopy area. Work Schedule:
Days Financial Disclosure Report:
Not required Virtual/Telework:
Not Authorized To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 01/27/2020. 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:
Medical Instrument Technician must be proficient in spoken and written English in accordance with chapter 3, section A, paragraph 3j. 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. Creditable
Experience:
Knowledge of Current Medical Instrument Technician Practices. To be creditable, the experience must have required the use of knowledge, skills, abilities and other characteristics associated with current Medical Instrument Technician practice appropriate to the identified specialty area. Specialized developmental experience obtained under supervision of appropriately certified individuals may be credited at higher levels and is addressed in individual appendices. Preferred
Experience:
1 year of experience as a technician in an endoscopy setting, or as an Operating room technician working with endoscopy cases. This would include set up or maintenance of a sterile field, specimen handling, and experience with endoscopes and related equipment. 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. Grade Determinations:
GS-5 (Trainee)
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. 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 1. Knowledge of standard medical terminology to interpret physician orders or instructions. 2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. 3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. 4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures. 5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine. GS-6
Experience:
At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills and Abilities 1. Ability to set up endoscopy equipment, ensuring endoscopes and ancillary equipment functions properly. 2. Ability to aid the physician with standard and routine procedures such as colonoscopy and esophagogastroduodenoscopy (EGD). 3. Knowledge of medical terminology and human anatomy in order to assist practitioner with routine standardized gastroenterology procedures. 4. Ability to interact with patients explaining procedures and positioning the patient for the procedure, recognizing disabilities or impaired mobility and assisting the patient as necessary. 5. Ability to reprocess and maintain specialty critical reusable medical equipment (RME), following approved Standard Operating Procedures (SOPs) and universal precautions. 6. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. 7. Ability to manually clean and disinfect non-critical reusable equipment and surfaces, dispose of one-time-use equipment and trash per facility policy, and restock supplies such as linens, suction equipment, and cleaning products. Certification:
No certification is required; however, it is desirable that employees at this level have Basic Life Support (BLS) certification. GS-7 GI Technician (Full Performance Level)
Experience:
At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled. This would be experience which provided knowledge of proper performance of endoscopic equipment and procedures. In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities 1. Knowledge of endoscopic equipment and use in basic and complex endoscopic procedures. 2. Knowledge of anatomy and physiology related to the GI system, with ability to recognize and report obvious abnormalities during procedures. 3. Ability to assist physician with specialized, complex procedures. 4. Knowledge of universal precautions and disinfection techniques and ability to follow SOP's to clean reusable medical equipment (RME). 5. Ability to collaborate, communicate, and demonstrate customer service skills and interpersonal skills with all healthcare professionals to ensure quality and continuity of care. 6. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies. 7. Ability to deliver patient care, including vital sign measurements and medication administration. Certification:
No certification is required; however, it is desirable that employees at this level have BLS certification. Assignment:
This represents the full performance level. Technicians at this level function with minimal instruction, assisting the staff with complex specialized procedures such as ERCP and endoscopic ultrasound (EUS). They are proficient with GI endoscopic equipment and ensure proper performance of endoscopic equipment; select alternate equipment or adjust equipment settings to accommodate patient needs and produce high quality technique. They collect, process, and label all specimens; train other technicians in basic endoscopic procedures; work in and outside the GI unit offering technician support during emergent and on-call endoscopic cases; and assist the nurse in patient care duties such as obtaining vital signs, dressing and documenting all pertinent information in the patient's records. They inventory and maintain par levels of specialty equipment for the endoscopy unit. References:
VA Handbook 5005/54, Part II, Appendix G27The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is in the range of GS 6 to GS 7. Physical Requirements:
Assist with a multitude of complex specialized procedures such as Endoscopic Retrograde Cholangiopancreatography (ERCP) and Endoscopy Ultrasound (EUS), which involves heavy lifting of 45 pounds or more, moderately carrying of 15 to 44 pounds, and walking and standing for periods of up to 4 hours.
- Department:
0649 Medical Instrument Technician - Salary Range:
$39,502 to $57,061 per year
Estimated Salary: $20 to $28 per hour based on qualifications.
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