The JHQVA Medical Center is recruiting for an intermittent Medical Instrument Technician Technician Echocardiography located in the Dannie A. Carr Veterans Outpatient Clinic in Sevierville Cardiology Section of the Nursing Service Department. Salary noted is based on a full-time schedule. Actual salary will be pro-rated based on hours worked. . Applicants must be fully qualified by the closing date of this announcement. 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 Technicians must be proficient in spoken and written English. 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 certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". 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. Grade Determinations: For the GS-9: Appendix D - Medical Instrument Technician (Echocardiography) GS-9. 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 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 experience which demonstrates possession of the knowledge required in order to provide all aspects of echocardiography 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. 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 Echocardiography. *2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. (c) Certification. Registration by Cardiovascular Credentialing International (CCI) as a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Diagnostic Cardiac Sonographer (RDCS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. References: VA HANDBOOK 5005/15, PART II APPENDIX G27 (appendix D). Dated March 17, 2006 The full performance level of this vacancy is GS09 .The actual grade at which an applicant may be selected for this vacancy is GS 09. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, lifting more than 10 pounds, and pushing. Transferring patients and objects may be required. The MIT may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The MIT may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The MIT must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. ["Echocardiography Technicians at this level functions proficiently in all aspects of the Echo Cardiology Lab: identify and record anomalies indicative of disease, injury, or other medically significant condition from ultrasound imaging and simultaneous recordings of the Doppler. incorporate the causes and results of a variety of symptoms and conditions into a plan of ultrasonic diagnostic examination. change and develop sounding techniques to accommodate such variables as limited patient mobility, variation in physical condition or dimension of the patient, presence of prosthesis or foreign objects, and ultrasonic response of different body parts. produce diagnostic quality images and Doppler frequency recordings using M-mode, two-dimensional and Doppler ultrasound. work with physician to complete Transesophageal Echocardiograms and Stress Echocardiology procedures. The Cardiac sonographer must have a comprehensive understanding of cardiovascular and thoracic anatomy, cardiovascular pathophysiology, hemodynamics, and embryology in order to recognize normal and abnormal cardiovascular structure, function, and abnormalities of blood flow. demonstrate knowledge and understanding of ultrasound physics, instrumentation, tissue characteristics and measurements of blood flow, including the biological effects of ultrasounds must be familiar with other types of diagnostic tests, clinical laboratory test, nuclear cardiology, and cardiac catheterization able to integrate echocardiographic results with those results of such other tests. must be competent in the production, use, recognition patterns and analysis of ultrasound images. The sonographer is regarded as the expert source of all ultrasound imaging and the interpreting physician relies heavily on the skills, knowledge, and abilities of the sonographer in providing a final interpretation. must use independent judgment in applying knowledge of clinical cardiology and ultrasound, and Doppler principles. must use problem-solving skills to optimize the evaluation and adjust the exam to ensure that it is comprehensive and accurate. records and interprets the result of the exam and presents information and or possible diagnosis to interpreting physician. Work Schedule: Intermittent Position, shifts will vary, will be discussed further at time of interview. Travel Required: 25% or less - You may be expected to travel for this position Compressed/Flexible: N/A Telework: Non Authorized Virtual: This is not a virtual position. Functional Statement #: 60434-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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