This position falls within Care Clinics and Rural CBOCS Primary Pathology and Laboratory at the VA Health Care System. The primary function of this position is to obtain blood specimens by venipuncture from properly identified patients for laboratory testing, and provide properly prepared specimens for testing. 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. English Language Proficiency: MLT candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Education: Candidates must meet the applicable educational requirements for certification. Certification: Candidates must currently possess one of the appropriate certifications as an MLT granted by the following organizations. American Society of Clinical Pathology (ASCP) i ASCP, Board of Certification. ASCP, Board of Registry. American Medical Technologists. OR American Association of Bioanalysts. Exception: Non-certified applicants who otherwise meet the eligibility requirements for certification may receive a temporary appointment up to the full performance level not to exceed two years as a graduate MLT under the authority of 38 U.S.C. § 7405(c)(2) without the option to extend. 3 For grade levels above full performance level, the candidate must be certified in accordance with paragraph 4.c.(1) above. Foreign Education: Graduates of foreign MLT programs are considered to meet the basic education requirements if they have a current certification as described in subparagraph 4.c. Grade Determinations: GS-05: Experience: None beyond the basic requirements. Assignment: This is an entry-level developmental MLT position. MLTs will typically receive guidance from experienced staff members and require frequent and direct supervision. MLTs at this level perform testing in one or more of the following areas: Clinical Laboratory Improvement Amendments (CLIA) waived testing, phlebotomy, hematology, immunohematology, clinical chemistry, immunology, toxicology, urinalysis, referral laboratory, microbiology and specimen processing. MLTs recognize data with life-threatening (critical) implications and understand the importance of immediately bringing the data to the attention of the patient's physician and/or nursing staff. GS-06: Experience: In addition to the basic requirements, candidates must possess one year of experience equivalent to the GS-05 grade level. Knowledge, Skills and Abilities: In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of MLT principles, practices, concepts and theories for sound independent work. Knowledge of laboratory quality control and quality assurance procedures to manage reagents and supply inventories using document control systems. Ability to maintain, troubleshoot and repair instrumentation. Ability to work as a team member in a laboratory setting to effectively complete assignments. Ability to use technical judgment to interpret laboratory results. Ability to apply complex written laboratory instructions. Ability to consult with other members of the health care team, patients and external customers. Assignment: At the full performance level, MLTs use independent judgment to perform the full range of duties in the laboratory, from sample collection to evaluating and communicating test results. MLTs perform day-to-day operations in the laboratory with minimal technical supervision while ensuring testing accuracy and quality of proper patient care. This includes providing pre-analytic instructions to patients, VA staff and other external entities related to collection and processing of laboratory specimens. MLTs use processing techniques such as centrifugation, aliquoting, storage and packaging (considering stability factors), and they accurately label and sort patient specimens. MLTs operate and maintain all instrumentation in assigned areas to deliver precise, timely and accurate laboratory results when analyzing body fluids such as blood, urine and tissue samples. MLTs at this level analyze laboratory findings and issue necessary reports. The results and findings of laboratory tests and procedures are discussed with supervisors, pathologists and other medical professionals as needed. Preferred Experience: 2/3 years of laboratory, draw station and phlebotomy experience. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 5. The actual grade at which an applicant may be selected for this vacancy is in the range of 5 to 6. Physical Requirements: The position primarily involves work performed in both sitting and standing positions with occasional requirements to lift objects, computer work and operating office equipment. The position requires the ability to process written and electronic information. The work requires the ability to physically control or defend against emotionally distressed patients. The work requires above average agility and dexterity due to the fine skills of some of the point of care lab testing. The work may require heavy lifting of equipment or patients however standing and bending for a prolonged period of time, walking, lifting up to 20 pounds, kneeling, and some climbing of stairs is also required. The work requires manual dexterity, a large degree of concentration, and working at top speed for several hours at a time. The ability to distinguish colors and color intensity is required. The Medical Technician may be required to commute between two outpatient clinics with the workweek, depending on the clinic workload. ["Duties & skills needed to be successful in this position include, but are not limited to: The incumbent uses the VA computer system when processing specimens. Protects the security of the computer system & maintains patient confidentiality. The incumbent receives, validates, processes & distributes specimens to the proper equipment for storage until transported to RMR Medical facility for testing. If there is a question regarding the testing, incumbent consults with the provider; nurse, pathologist or appropriate Medical Technologist to ensure the appropriate testing is performed on the appropriate sample. The incumbent should maintain current knowledge in the changing field of ancillary testing sufficient to serve as the first line technical consultant & advisor to CBOC staff. The Medical Technician is required to evaluate the competency of the variety of individuals (nurses, physician, patients) in the performance of ancillary testing procedures & in the reporting of test results, promptly, accurately, & proficiently. The Medical Technician is required to develop & recommend policies & procedures for the procurement & service requirements for ancillary or point-of-care testing equipment & instrumentation. The incumbent provides training to Medical Laboratory Technicians, Nursing staff, Medical Assistants, & Nursing Assistants in accessioning. The incumbent accurately administers & collects specimens for employee drug screening program. The incumbent will be required to achieve the training through the VA & sustain competencies allowing the technician the ability to perform EDS (Employee Drug Screens) as required by Human Resources. The incumbent is required to perform toxicology testing such as urine drug screens. The technician is required to identify the presence of quantity of drugs of abuse, therapeutic drugs, & toxic substances by operating toxicology instrumentation & performing manual methods for the performance of drug screens (UDS) using the proper preparation for pick-up & shipment of the appropriate lab. Proper storage & organization of chain of custody MUST be maintained by the technician. The incumbent performs alcohol testing when a breathalyzer is ordered. The incumbent is required to perform Quantiferon testing. The technician is responsible for proper preparation required for drawing, labeling, storage, pickup, & shipment to the appropriate lab. The incumbent maintains a clean, safe and organized work environment including defrosting and cleaning freezers and refrigerators, cleaning the biological hood, emptying biohazard trash, and cleaning bench tops and centrifuges daily. The incumbent follows proper infectious disease controls by following Standard Precautions and using correct PPE. The incumbent follows established safety policies and attends mandatory safety training. The incumbent maintains quality results by running standards and controls, verifying equipment function through routine equipment maintenance and advanced trouble shooting; calibrating equipment utilizing approved testing procedures; monitoring quality control measures and protocols. The incumbent is responsible for acceptance of ward order entry, or entry of the laboratory test into the computer. The technician follows computer requirements such as entering correct collection time. Obtains computer generated labels for specimens and aliquots. The incumbent performs routine tasks associated with the computer operation, such as, but not limited to, handling paper and labels for printers, calling up data from the computer and reporting it to the clinical staff when requested by phone, faxing results to health care providers, and monitoring the performance of the computer and printers. The incumbent assists personnel throughout the Medical Center with questions about the use of the computer terminals and printers to obtain laboratory data and information. Provides telephone information for inquires such as status of tests in progress or results of tests not yet in the computer. The incumbent instructs patients on proper specimen collection, prepares testing materials and makes calls to patients regarding specimen collection as assigned. The incumbent performs other duties necessary for the efficient operation of the laboratory such as speaking at New Veterans Orientation. The technician may be requested to present laboratory information including, but not limited to, available appointment times, walk-in times, and general hours of operation. The incumbent serves as a technical resource by participating in staff training. The incumbent rotates tours of duty & on the weekend & holiday schedules as assigned. Work Schedule: Monday-Friday 7:30am-4:00pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 58681-A, 58682-A"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.