PLEASE READ THIS ANNOUNCEMENT IN ITS ENTIRETY BEFORE BEGINNING THE APPLICATION PROCESS TO ENSURE YOU SUBMIT ALL THE REQUIRED DOCUMENTS. This Job Opportunity Announcement will be used to fill Medical Instrument Technologist (Diagnostic Ultrasound ) GS-0649 4,5,6,7,8 positions at the VA in Oklahoma City. This announcement will close on 9/30/2022 or when the position is filled. 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 Citizenship. Citizenship of the United States. 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. 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" Basic Developmental Levels GS-4 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. Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields. The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level. In addition, the candidate must demonstrate the following KSAs: OR Education. Successful completion of two years of education above high school or an associate's degree with a major field of study directly related to the medical instrument technician occupation. Must demonstrate Knowledge, Skills, and Abilities 1. Knowledge of basic medical terminology. 2. Ability to learn the components, operating characteristics, and settings of the equipment to be used. 3. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress. 4. Ability to learn the standard positions for the procedure being conducted. 5. Ability to communicate orally and in writing. 6. At this level assignments are trainee in nature. The medical instrument technician trainee is performing limited routine assignments of a developmental nature under close supervision. GS -5 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. Knowledge, Skills and Abilities: Must be able to demonstrate the following KSA's. 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, abilities, and other characteristics related to the duties of the positions to be filled. Knowledge, Skills and Abilities: In addition, the candidate must demonstrate the following KSAs: 1. Knowledge of medical terminology and human anatomy in order to receive and interpret physician requests for routine, standardized ultrasonography procedures. 2. Knowledge of tissue harmonics and soundwave propagation within the body to adjust TGC (Time Gain Compensation) for optimal image quality. 3. Knowledge of the physics of velocity, frequency of soundwaves, and their physical properties. 4. Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for standardized, routine procedures. 5. Ability to interact with patients explaining procedures and positioning the patient for the procedure.. GS-7 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 individual with the knowledge, skills, and abilities to independently conduct difficult but standardized diagnostic ultrasonography examinations. In addition, the candidate must demonstrate the following KSAs: 1. Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for more complex, but standardized procedures. 2. Knowledge of zoom, expansion, prospectus, color Doppler, and pulsed echo Doppler. 3. Knowledge of the digital transmission of images. 4. Ability to alter standard, but complex procedures and protocols to meet patient needs and physical limitations. Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable GS-8 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. 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. References: VA Handbook 5005-15, Part II, Appendix G27 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-8. Physical Requirements: Able to meet the physical demands for the position, reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions. Must have a good manual dexterity. Must be able to express or exchange ideas by means of spoken or written word. Must be able to view and read information on computer screens. ["Must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used from patient diagnosis and treatment. Knowledge focuses on diagnostic medical sonography and vascular technology. Performs diagnostic ultrasound examinations of the abdomen, pelvis and superficial structures, including the scrotum, neck and extremities. Performs portable abdominal examinations in all areas as needed. Performs Duplex (B-scan and Doppler) examinations of peripheral arteries and veins. Performs Doppler examinations of the intra-abdominal blood vessels. Ability to assists the radiologists with interventional procedures such as biopsies and fluid drainage. Determines depth, location and required needle angle for the lesion to be sampled. Instructs the radiology residents, fellows and technical students in all aspects of ultrasound and the generation of appropriate images for film interpretation. Performs computerized ultrasonic tomographic scans of major and minor organ systems. Utilizes a variety of equipment to perform required scans. Independently decides on and performs standard and non-standard examinations. Confers with radiologist as needed regarding additional views. Confers and works closely with the radiologist when performing complex examinations such as renal cyst punctures, organ biopsies and fluid aspiration, as well as intraoperative procedures. Receives patient, explains method of procedure, positions patient and performs examinations requested. Schedules patients for examinations. Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them. Maintains documentation of patients treated, examinations performed, scans taken, etc. Ability to assure that images are digitally acquired and archived to departmental viewing system(s). Have in-depth knowledge of cross sectional and structural anatomy of the abdomen and pelvis. Detailed knowledge of the internal anatomy and physiology of each organ system being evaluated including methods of blood supply and its relationship to other organs and associated disease processes. Must recognize abnormalities and pathology for each examination. Must have the ability to understand the laboratory tests related to each organ system as well as the range of normal and the significance of abnormal values. Must understand the mechanism of spread of various tumors, their most common locations, and their characteristic appearance. Must have thorough knowledge of the various positions and scan planes which will best demonstrate a particular organ system or abnormality. Must be able to recognize abnormalities which may require immediate medical attention and notify the radiologist of the conditions. Must have knowledge of how to perform various measurements of organ systems or structures as well as the range of normal for each. Must be trained in and have in-depth knowledge of procedures used for performing biopsies and fluid drainage. Understanding of mass localization techniques, depth and angle selection, and needle guided attachments used for interventional procedures. Have knowledge of duplex imaging (real time and Doppler) of the renal arteries and other peripheral blood vessels. Must have thorough understanding of vascular anatomy and the pathophysiology of blood flow within the various blood vessels. Must be able to recognize and demonstrate such abnormalities as plaque within the abdominal arteries, characterize the nature of the plaque, and to quantitate the severity of stenosis of the vessels. Have knowledge of other imaging modalities for correlation of ultrasound scans with findings detected by these devices. Includes the ability to do basic interpretation of CT scans, nuclear medicine scans, and general radiology exams. Have basic understanding of the ultrasound machine including the operation of the ultrasound machine including the operation and selection of various power ranges and time gain compensation curves to get the proper image of the screen. Knowledge of instrumentation and of computers. Knowledge of image processing functions of the software. Knowledge to determine if the computerized ultrasound machine is functioning properly and has the ability to determine if it is a major or minor breakdown. Knowledge of the operation of image capture and proper minor maintenance techniques. Have knowledge of the relationship of transducer frequency and focusing to proper imaging of various organ systems. Understand of the causes of imaging artifacts, their effects on the scans performed, and how to compensate for them. Understand knowledge of ultrasound physics and principles including recommended maximum intensity and power levels and exposure times. Work Schedule: 8:00am - 4:30pm Monday - Friday\nFunctional Statement #: F-51641-O\nFinancial Disclosure Report: Not required"]
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