Veterans Affairs, Veterans Health Administration Medical Instrument Technician (Echocardiography) Supervisory in Boston, Massachusetts
Summary Individuals at this level plan and direct programs at affiliated medical centers and satellite outpatient clinics and have full supervisory responsibility for a large staff of non-supervisory personnel and at least one subordinate team leader or supervisor. Responsibilities Some duties include but are not limited to: The Technician will participate as an instructor in the facility's clinical training program; make final decisions on selections based on recommendations from supervisors or leads; evaluate performance and complete monthly Sonographer Peer Reviews. The incumbent will review 3-5 studies performed by each sonographer on at minimum, a quarterly basis for protocol accuracy and technical competency. The technician will also supervise the technical performance and protocol adherence of all sonographers as needed on a daily basis. The Technician will take disciplinary action when necessary, enforce lab policies on performance, punctuality and efficiency, and make necessary interventions when needed. The Technician will identify educational and training needs of individual sonographers and the staff as a whole. Training should include education on specific clinical pathologies and corresponding protocol adjustments as well as education on new echo advancements, techniques and emerging technology. The Technician will monitor VA and CME training requirements for all subordinates. He/She will also coordinate Quality Assurance for the Technicians and Physicians to maintain accreditation through the Intersocietal Accreditation Commission (IAC) for the Echo Lab. This involves coordinating with lab physician, to conduct a quarterly meeting assessing lab quality control, including results correlation with cardiac cath and CMR and inter-reader reliability. He/She is also expected to perform, supervise, and provide technical advice regarding all procedures performed in the Echo labs. He/She will schedule patients, complete encounters, maintain and report lab statistics. The technician will be responsible for assuring that all patient's will be scheduled within 48 hours, all inpatients are read within 24 hours and emergent cases are dealt with promptly. The Technician will need the ability to build and maintain an Access Database for collecting and updating data for clinical projects. This includes creating forms and tables, entering data and running queries as needed. He/She will also need to create lab reports using Vista and Crystal Reports with Xcelera to monitor lab productivity and study accuracy, including checking incomplete encounters and consults, assessing patient wait time, report accuracy, scheduling turn around and study scanning turnaround time. The Technician will evaluate new products and equipment and make recommendations concerning developments which would improve operations and he/she will need to select appropriate clinical software and hardware to assure that the lab utilizes relevant new technology. The Technician will be responsible for learning to use new software and hardware as they are acquired through coordination with vendors and other education sources. The technician will also be responsible for coordinating and running in-services within the lab to orient the staff to new acquisitions. Work Schedule: Full Time, Mon-Fri Telework: Not Available Functional Statement #: F03096 Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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: Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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". 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. 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: Medical Instrument Technician (Echocardiography) GS-10: Experience. At least 1 year of experience comparable to the next lower grade level GS-09, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would include: Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging. Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases. Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. 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. Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. Ability to manage and supervise employees. Ability to provide, or provide for, staff development and training Medical Instrument Technician (Echocardiography) GS -10 : Experience. In addition to the core competencies defined at the GS-9 level, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): Advanced knowledge of complex and non-standard treatment and examination procedures and techniques. * Ability to plan and assist in the establishment of a completely integrated treatment and examination program. * Ability to evaluate new products and equipment and make recommendations concerning developments which would improve operations. * Ability to manage the fiscal matters of the functions supervised (which would include fund controls, contracts, and equipment expenditures), forecast resource and equipment needs, and administer the allocated budget. * Knowledge of and ability to provide the full range of supervisory duties which would include responsibility for assignment of work to be performed; performance evaluation; selection of staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions. Supervisory Echocardiography Technician: Individuals at this level plan and direct programs at affiliated medical centers and satellite outpatient clinics and have full supervisory responsibility for a large staff of non-supervisory personnel and at least one subordinate team leader or supervisor. Typically these duties include assigning and evaluating the work of subordinate staff resolving problems which may interfere with patient examination or treatment; providing echocardiography technician services in more complex and non-standard cases; evaluating new products and equipment and making recommendations concerning developments which would improve operations; participating as an instructor in the facility's clinical training program; making final decisions on selections based on recommendations from subordinate supervisors or leads; evaluating performance; taking disciplinary action when necessary; and identifying educational or training needs. 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 The full performance level of this vacancy is GS-10. The actual grade at which an applicant may be selected for this vacancy is GS-10. Physical Requirements: See VA Directive and Handbook 5019. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. work depending upon the terms of your organization's telework policy and the duties of the position. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.