Summary

The incumbent serves as a key member of the Vascular Surgery team within the Surgical Department at the Manchester VA Medical Center. In this part time non-supervisory role - and reports directly to the Chief of Surgery. The employee provides essential clinical and administrative support to ensure high-quality - veteran-centered vascular care.

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
• 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
• Grandfathering Provision
• The following is the standard grandfathering policy for all Title 38 Hybrid qualification standards
• Some of these provisions may not apply to this occupation
• Please carefully review the qualification standard to determine the specific education and/or licensure/certification/ registration requirements that apply to this occupation
• All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including positive education and licensure/certification/registration that are part of the basic requirements of the occupation
• For employees who do not meet all the basic requirements required in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: Such employees in an occupation that does not require a licensure/certification/registration - may be reassigned - promoted - or demoted within the occupation
• Such employees in an occupation that requires a licensure/certification/registration - may be reassigned - promoted up to and including the full performance (journey) level - or demoted within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions
• Such employees in an occupation that requires a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher grade levels
• 3 Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard
• Employees initially grandfathered into this occupation - who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation
• If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation - the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation
• Physical Requirements
• See VA Directive and Handbook 5019
• 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
• 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 (Vascular): 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
• Experience: At least 1 year of 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 the knowledge - skills - and abilities to fully perform all vascular ultrasound tests and examinations and to function as a technical director of the vascular laboratory and provide oversight and/or guidance to other technicians
• In addition - the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): 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 vascular ultrasonography
• Knowledge of JACHO 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 training
• Certification: Registration by Cardiovascular Credentialing International (CCI) as a Registered Vascular Sonographer (RVS) or by the American Registry of Diagnostic Medical 64 Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable
• Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Services.

Duties

• Responsible for the logging and processing of requisitions to the vascular laboratory and maintains adequate reports and files of all studies
• Requires relaying information to the physician and patient care providers to provide diagnostic assistance when needed
• Responsible for the evaluation of all equipment and the techniques for non-invasive vascular testing
• Responsible for the day-to-day study performance in the noninvasive vascular diagnostic lab at the Manchester VAMC
• The Vascular Lab Technician role is comprised of 1) direct performance of noninvasive vascular diagnostic studies (~95%) - 2) administrative responsibilities associated with lab function including ICAVL accreditation and QA (~5%)
• Patient demographics must be entered correctly into the hospital computer system as well as the ultrasound equipment
• A pertinent patient history and supporting clinical data in obtained to facilitate optimal diagnostic results
• Performs high quality ultrasound exams of the cardiovascular system utilizing B-mode - 2 dimensional ultrasound - Color Doppler and Pulsed Wave Doppler measurements
• Independently make standard examinations and makes more in-depth examinations when abnormalities are present
• Advises the vascular physician and ordering provider of preliminary results of the exam - recognizing significant findings that require emergent care and relaying information to insure proper treatment
• Evaluates the nature of critical and emergent procedures and rearranges patient priorities to accommodate them
• Maintains records of patients treated - exams performed and ultrasounds taken in the department logbook
• Process all worksheets and hard copy images - including the preliminary findings and presents to the vascular surgeon for interpretation
• Receives patients - explains method of procedure - and prepares the patient for examination
• After reviewing the patient's chart - determines the method of scanning to be used and makes the necessary machine adjustments and transducer selection appropriate for the exam
• Routinely devises innovative and adaptive approaches to technical problems while working with patients to include adjustments of equipment and technique
• Solving these problems is done independently so that the patients are not delayed or required repeating
• Incumbent is knowledgeable of infectious disease control and the possibility of exposure to contagious disease and employs universal precautions
• Reviews - evaluates and participates in the continuing education programs and refers to pertinent clinical literature with regards to improving the quality of examinations
• Total Rewards of a Allied Health Professional Work Schedule: Monday - Thursday - 7:30am-4:00pm Compressed/Flexible: Not Authorized Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• 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 Authorized Virtual: This is not a virtual position
• Functional Statement #: F2300