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Veterans Affairs, Veterans Health Administration Medical Instrument Technician (Anesthesia) in San Antonio, Texas

Summary

The Medical Instrument Technician (MIT) Anesthesia position will be in Anesthesiology & Pain Management Service, located at Audie L. Murphy VAMC, in San Antonio, Texas.

Responsibilities

Medical Instrument Technician (Anesthesia) Troubleshoots equipment, often while the patient is anesthetized and utilizes invasive patient monitoring equipment specific to anesthesiology Performs basic use of electrocardiography (EKG) equipment and correctly uses non-­ invasive patient monitoring equipment specific to anesthesiology and identifies and understands wave forms including recognizing and distinguishing normal from abnormal, artifact from abnormality, and forewarn the physician or anesthetist of an impending life-threatening situation. Assists Anesthesia staff as needed with connecting and operating non-invasive hemodynamic monitoring equipment, blood and fluid warmers as well as patient warming devices. Assists Anesthesia staff as needed with connecting and operating non-invasive hemodynamic monitoring equipment, blood and fluid warmers as well as patient warming devices. Performs clinical laboratory tests for the operating rooms and the entire hospital, as needed. Properly disposes of all non-sterile equipment used in procedures and properly stores medications and sterile equipment within the Anesthesia lab and storage area. Serves as a circulating technician for supplies and assists with documentation of hemodynamic patient data. Provides assistance to residents in the SICU with Blood Gas, monitor set-up, calibrations and invasive line placements. Participates in the application of safety and infection control processes and adheres to all facility Bio Med and Sterile Processing and Decontamination requirements and regulations. Maintains and utilizes anesthesiology supplies and equipment appropriate to less complex anesthetic procedures, such as those found in Ambulatory Surgery. Maintains Anesthesia supplies, medications, and equipment appropriate to more difficult anesthetic procedures such as those found in inpatient settings with more acutely ill patients. Uses electronics and Anesthesia equipment with skill in repairing and maintaining this equipment and repairing complex problems. Assists with Anesthetic procedures in the ORs at Audie L Murphy VAMC and designated Units throughout the facility assisting in procedures such as regional anesthesia, (Epidural and Spinal), laryngeal mask airways, and monitor anesthesia while using knowledge of human anatomy and physiology. (Specific cardiac and pulmonary). Performs venous and pulmonary artery (Swan-Ganz) catheterization procedures including measuring cardiac outputs and intra-aortic balloon counter pulsation procedures. Performs as needed, will perform large vessel cannulations characteristic of open heart and major vascular surgeries. Assists in the transportation of critically ill patients to and from the Surgical Suites and assists under the guidance of an Anesthesiologist with intubations, medications and CPR. Communicates effectively and professionally with patients and employees at varying grade levels. Administrative Responsibilities Completes all required annual and career field training mandated by the South Texas Veterans Health Care System Will submit electronic administrative requests to Anesthesia leadership for Leave and for other administrative actions May be utilized as an Alternate for ordering Anesthesia supplies and office supplies in absence of the Anesthesia MIT supervisor and Administrative Officer. Work Schedule: Rotating Shifts, 7 days a week (Nights and weekends)

Financial Disclosure Report: Not required

Requirements

Conditions of Employment

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. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04/27/2021

.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. License 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 Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Services. 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 Grandfathering Provision. 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). Preferred Experience:

  • Experience performing blood Gas and Rotem Analysis

  • Experience with Swan Ganz, CV, Triple Lumen, Catheters using sterile Techniques procedures

  • Knowledge with the troubleshooting procedures of Anesthesia Machines and Monitors Grade Determinations: GS-9. Medical instrument Technician (Anesthesia). Experience. One year experience at the next lower level. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs: Demonstrated Knowledge, Skills, and Abilities. KSAs 1 through 6 are appropriate for all positions at this level. KSAs 7 and 8 are to be used in accordance with their appropriateness for the specific assignment. 1. Knowledge and comprehensive understanding of laboratory testing procedures to include maintenance, calibration, and quality control procedures. This includes the ability to perform these lab tests accurately and correctly.

  1. Advanced knowledge of electronics and anesthesia equipment with skill in repairing and maintaining this equipment and repairing complex problems. 3. Comprehensive knowledge of central venous and pulmonary artery (Swan-Ganz) catheterization procedures including measuring cardiac outputs and intra-aortic balloon counterpulsation procedures (i.e., balloon pump).

  2. Knowledge and ability to assist with airway management techniques.

  3. Knowledge of JCAHO and other regulatory requirements.

  4. Ability to communicate effectively and professionally with employees at varying grade levels.

  5. Ability to manage and supervise employees.

  6. Ability to provide, or provide for, staff development and training Certification. Anesthesia Technician Certification through the American Society of Anesthesia Technologists and Technicians (ASATT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time Special Assignments. Perioperative programs at some facilities require that anesthesia technicians perform duties that exceed the full performance level. The anesthesia technician at this level performs difficult and responsible anesthesia technology duties with considerable latitude for the exercise of independent judgment. The technician may perform clinical laboratory tests for the unit (i.e., blood gas, activated clotting time and glucose) or perform more difficult equipment repairs. The technician may also participate in large-vessel cannulations (with subsequent monitoring) characteristic of open-heart, transplant and major vascular surgeries. These assignments are expected to be relatively few in number ad must represent substantial additional responsibility over the full performance level References: VA Handbook 5005/15, Part II, Appendix G27, MEDICAL INSTRUMENT TECHNICIAN QUALIFICATION STANDARD, dated March 17, 2006. https://vaww.va.gov/OHRM/Directives-Handbooks/Documents/5005.pdf The full performance level of this vacancy is GS-09. Physical Requirements: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Straight pulling; Pulling hand over hand (4-6hours); Reaching above shoulder; Use of Fingers; Both hands required; Walking (4-8 hours); Standing (8 hours); Crawling (1 hours); Kneeling (2 hours); Repeated bending (2-4 hours); Climbing, use of legs and arms; Both legs required; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Ability to distinguish basic colors; Hearing (aid permitted); Simple grasping 2-4 hours; fine manipulation 4-6 hours; twisting 4-6 hours; mental and emotional stability; use of keyboard 4-6 hours

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

This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.

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