The Medical Instrument Technician (MIT), Ultrasound Sonographer, operates diagnostic ultrasound equipment that uses high frequency sound waves and other diagnostic techniques to produce cross sectional and two- and three-dimensional images of internal organs and body structures. The Ultrasound Technician operates independently when performing highly detailed and complex ultrasound examinations; working in collaboration with the Radiologists for help providing a final interpretation. 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. For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable. Training which does not result in official certification does not meet this definition. 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 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 overall knowledge, skills, and abilities to conduct diagnostic ultrasound examinations in complex and unusual cases.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 GS-9.Experience. In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. (a) Experience. At least 1 year of experience comparable to the next lower grade level, 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 specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography 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. 1. 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. 2. Knowledge of JCAHO and other regulatory requirements 3. Ability to communicate effectively and professionally with employees at varying grade levels. 4. Ability to manage and supervise employees. 5. Ability to provide, or provide for, development and training (c) Certification. Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARD MS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. (d) Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time . 1. Special Assignments. Non-supervisory diagnostic ultrasound technicians may have assignments that because of their nature substantially exceed the full performance level. The Professional Standards Board will review proposed non-supervisory special assignments for the GS-9 level and make a determination regarding their appropriateness. These assignments are expected to be relatively few in number and must represent substantial additional responsibility over the full performance level. 2. Lead Diagnostic Ultrasound Technician. In certain programs, either because of their size and scope or because of a lack of specific supervisory positions, lead positions may be appropriate. Supervisory Diagnostic Ultrasound Technician. Individuals in this assignment assume full administrative and professional responsibility for planning and directing the work of subordinate technicians. Typically these duties include assigning and evaluating the work of subordinate; providing diagnostic ultrasound technician services in more complex cases; reviewing and making recommendations regarding new and emerging procedures; providing instruction and training to new staff; interviewing candidates for positions; recommending selections, advancements, promotions; evaluating performance; taking disciplinary action when necessary; and identifying educational or training needs. In addition, the candidate must demonstrate the following KSAs: 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. Preferred Experience: Must be registered with the American Registry for Diagnostic Medical Sonography. References: VA Handbook 5005, Part II, Appendix G27The full performance level of this vacancy is GS-09 Physical Requirements: The physical demands of the work require extended periods of sitting, moderate walking, and standing. Work involves constant bending, lifting, twisting, and carrying moderately heavy items, or moving equipment around, such as the ultrasound machine. The work requires moderate lifting, usually less than 50 lbs. The work requires pushing wheelchair and stretcher patients. Positioning patients who are disabled on the stretcher requires considerable effort and working in awkward positions. Lifting of totally incapacitated patients is done only with the help of lifts and/or other employees. ["Major duties include, but are not limited to: Performs ultrasound examinations independently. 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. This position requires proper alignment and position of the patient for the best test results. Sets up and adjusts the ultrasound equipment to meet the need the condition of the examination and patient. Move and adjust depths and types of scan in accordance with procedures and perform operator preventive maintenance and care of equipment. Perform diagnostic ultrasound examinations on multiple areas of the body, including, but not limited to, abdomen for tumors, stones, cysts, abscesses, hematomas, inflammatory lesions, such as pancreatitis, and sizes of organs and their location, evaluations of abdominal aorta for aneurysm and/or dissection, vascular ultrasound venous studies to r/o Deep Venous Thrombosis (DVT), and Carotid artery examination. Performs a wide range of Diagnostic Abdominal Ultrasound examinations to include but not limited to the: Liver, Gallbladder, Pancreas, Appendix, Spleen, Kidney's, Bladder, Aorta, Portal vein, Doppler studies of blood flow to and from the major organs, this includes imaging of the scrotum and testicles. Performs Ultrasound examinations of the female pelvis to include both transabdominal and transvaginal imaging of the Vagina, Uterus, Ovaries, Fallopian Tubes, and surrounding anatomy. Knowledge of medical terminology and human anatomy to receive and interpret physician requests for routine, standardize ultrasonography procedures. Set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for standard/complex procedures. Interact with patients explaining procedures and positioning the patient for the procedure. Interviews patient obtaining pertinent medical history as it pertains to the procedure to be performed. Explains to competent patients the rationale of procedures and instructions on how to complete the procedure and reports patient history to interpreting radiologists. Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Work Schedule: Monday - Friday, 8:00am to 4:00pm Medical Technologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Medical-Technologist-Career-Flyer.pd Work Schedule: Monday - Friday, 8:00am to 4:00pm Recruitment Incentive (Sign-on Bonus): 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. 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 #: 91880A Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized"]

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