The position is within the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), at the Eastern Colorado Health Care System (ECHCS) in the Sterile Processing Services (SPS), which organizationally reports directly to the Associate Director, Patient Care Services (ADPCS). 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. Experience and/or Education: Experience: Six months of experience that demonstrates the applicant's ability to perform the work or provides an understanding of the work; or Education: One year above high school that included at least 6 semester hours in health care related courses such as sterile processing, nursing assistant, hospital corpsman, and operating room and surgical technician courses or other courses related to the position; or Experience/Education Combination: Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. Certification: None. Grandfathering Provision: 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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. Medical Supply Technician (Advanced Level),GS-07 Experience. One year of experience equivalent to the next lower grade level. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: Detailed knowledge of complex surgical instruments used in operating rooms and clinic settings. Ability to assemble specialty operating room and clinic instrument sets. In-depth knowledge of sterilization and cleaning equipment. Ability to communicate both orally and in writing in order to convey information and thoughts to others. Assignment. The Advanced MST assembles highly complex instrument sets including, but not limited to, open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Reviews manufacturer guidelines to ensure the correct methods and parameters are followed when cleaning, decontaminating and sterilizing RME. Troubleshoots and analyzes mechanical failures and makes necessary adjustments to complex decontamination and sterilization equipment, as well as interprets alarm conditions which may occur while operating the equipment. Informs management and healthcare staff when cleaning and processing standard operating procedures (SOPs) or instruction for use have been changed or updated to assure the changes have been validated to meet all guidelines. Preferred Experience: CRCST or equivalent, Flexible endoscope reprocessing Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The actual grade at which an applicant may be selected for this vacancy is a GS-07. Physical Requirements: This work is performed in various settings: decontamination, preparation, clean sterile supply (preparation and packaging) and in other services and departments throughout the medical facility/ campus. The incumbent may be required to work in areas that are hot, cold, drafty, and poorly lighted. The employee is subject to the possibility of falls, scrapes, cuts, bruises, and other injuries from material handling equipment. Talking during the entire day and frequent bending and lifting of packages (occasionally weighing as much as much as 50 pounds). Standing for greater than 8-hours, pushing, pulling, and lifting throughout the shift are a requirement of the position. The work requires dexterity and visual and auditory acuity for manipulating, disassembling, and assembling of instrumentation. On a regular and reoccurring basis, the employee alternates between a contaminated environment and a carefully controlled clean environment. The employee wears special clothing, hair covers, personal protective equipment and shoe covers that can be uncomfortably warm. The employee uses insulated gloves to remove carts from sterilizers. The employee is subject to burns from accidentally touching hot items. The hazards of working around minute quantities of sterilizing gases are unknown. Technician may be exposed to fumes from various high-level disinfectants and cleaning chemicals. Technicians are periodically monitored and tested for exposure to certain hazardous chemicals. The employee often works around body fluids, mucus, excretions, and bits of tissue, some of which may be foul smelling. Strong, unpleasant odors are encountered while decontaminating bloody or grossly contaminated instrumentation or RMD. the work area is noisy due to the clatter of metal instruments, rumbling of carts and operation of pre sterilization equipment. ["Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Medical Supply Aide and Technician: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Medical-Supply-Aide-Career-Flyer.pdf Duties and skills needed to be successful in this position include, but are not limited to: The Advanced MST assembles highly complex instrument sets including, but not limited to, open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Reviews manufacturer guidelines to ensure the correct methods and parameters are followed when cleaning, decontaminating and sterilizing RME. Troubleshoots and analyzes mechanical failures and makes necessary adjustments to complex decontamination and sterilization equipment, as well as interprets alarm conditions which may occur while operating the equipment. Informs management and healthcare staff when cleaning and processing standard operating procedures (SOPs) or instruction for use have been changed or updated to assure the changes have been validated to meet all guidelines. Removes soil, blood, tissue fragments, body fluids and other contaminants by wiping, soaking, rinsing and scrubbing. Inspects packages for indications of proper sterilization, assembles basic sets and trays used throughout the medical center including those used in the operating room, RMR clinical departments and Community Based Outpatient Clinics, (CBOC). Prepares, loads, and operates sterilizers such as steam, V-Pro, and a high-level disinfecting scope reprocess; may prepare operating room case carts daily utilizing surgery schedule. Advanced MSTs serve as preceptors and provide guidance from more experienced staff members and require frequent and direct supervision to perform Decontamination, Manual Cleaning, and Sterilization: Collects and receives all used, soiled reusable critical and semi-critical RMD, utilizing proper Personal Protective Equipment (PPE) and infection control procedures to prevent cross-contamination of other equipment and personnel during the collection and transport of the soiled RMD. Responsible for the systematic manual and automated cleaning, disinfection and sterilization of instrumentation and medical equipment according to strict manufacturer instructions. Responsible for the proper disassembly of technical medical instrumentation and equipment, where internal parts may become contaminated, which requires dexterity, skill, careful positioning of parts, and the elimination of any bioburden. During instrument tray assembly, technician is responsible for determining proper instrument selection, instrument function/operation, need for instrument protection, and arrangement of items to ensure effective penetration of the sterilant. Some instruments, due to size, delicacy, sharpness, and/or cost, require specialized handling and additional protective actions to ensure they are not damaged. Independently determines proper packaging method, based upon size, number and weight of the assembled items, and labels these items appropriately. Determines appropriate method of sterilization and attaches chemical indicator tape to package. Sterilizes items comparing control tests to determine that correct parameters (e.g., time, temperature, and pressure) were obtained. Removes items from washer sterilizers and determines type of tray or set to assemble based on recognition of key items and the operating room or clinic schedules. Examines items to ensure that gross contamination has been removed. Assembles sets and trays by selecting appropriate tray, lining it with a towel, and arranging instruments in the tray in the correct manner. Strives for a logically arranged package that will permit effective penetration of the sterilizing medium. Work Schedule: Variable 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 Functional Statement #: 554-56362-A"]

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