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

Summary

The Medical Instrument Technician (MIT) Gastroenterology (GI) position is located at the South Texas Veterans Affairs Health Care System in San Antonio, Texas for the Nursing Service. The MIT is a member of the GI Endoscopy Team and provides assistance to the physician, registered nurse, and other team members during diagnostic endoscopy examinations or medical treatment procedures as part of the diagnosis and treatment of patients.

Responsibilities

Duties may include but are not limited to:

Responsible for handling instruments, supplies and equipment during all GI endoscopy procedures including but not limited to: anoscopy, cautery, colonoscopy, cytology, digestive tract biopsies, endoscopic retrograde, cholangiopancreatography (ERCP), enteroscopy, endoscopic ultrasound (EUS), esophageal biopsy, esophageal dilation, esophagogastroduodenoscopy ( EGD), liver biopsy, sigmoidoscopy, polypectomies, and various other endoscopic interventions; Knowledge of endoscopic procedures, equipment, instrumentation, sterile techniques and responsible for ensuring the reusable medical equipment policy is followed; Prepares, organizes and maintains a highly complex GI set up in the procedure rooms for the performance of GI endoscopy procedures; Sets up the sterile field with all required items for each procedure such as fiber optic equipment, video equipment, recording devices, imaging systems, ERCP/EUS equipment, fluoroscopy, x-ray, computers and monitors, cautery units, data collectors and reprocessing equipment and other operating room supplies and equipment; Performs patient transport as needed; transports the patient to the procedure room and assist with patient preparation prior to the procedure; Ensures patient safety when positioning patient on the stretcher prior to the procedure and post procedure; Observes and responds promptly to each stage of the GI endoscopy procedure and anticipates the needs of the provider and RN. Utilizes Universal precautions, follows infection Control policies and procedures; Works closely with SPS, BioMed, OR and other customers; Assists ordering supplies; Follows procedures for the collection, submission, documentation and transportation of laboratory and cytology specimens; Performs procedures in the Endo Lab, and on occasion supports endoscopic procedures in the OR, inpatient and clinical setting; Ensure proper performances of equipment, set up equipment, and reprocess endoscopic reusable medical equipment (RME). GS-4: 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: Medical Instrument Technicians (Trainee) at this level operate and monitor commonly used equipment performing routine procedures under normal supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties would be performed under closer supervision.

GS-6: Technicians at this level aid the staff with procedures which are routine and standardized in nature. They explain the procedure to the patient to secure the patient's confidence and cooperation; position patients for procedures; and restock linen and consumable supplies. They set-up, clean, and ensure proper performance of the endoscopic equipment; and prepare the procedure rooms for turn-over, adhering to universal precautions and SOPs. The technician logs procedure and reprocessing data, adhering to patient privacy and information security policy. Assignments at this level require knowledge of basic medical terminology as well as common gastrointestinal anatomy.

GS-7: This represents the full performance level. Technicians at this level function with minimal instruction, assisting the staff with complex specialized procedures such as ERCP and endoscopic ultrasound (EUS). They are proficient with GI endoscopic equipment and ensure proper performance of endoscopic equipment; select alternate equipment or adjust equipment settings to accommodate patient needs and produce high quality technique. They collect, process, and label all specimens; train other technicians in basic endoscopic procedures; work in and outside the GI unit offering technician support during emergent and on-call endoscopic cases; and assist the nurse in patient care duties such as obtaining vital signs, dressing and documenting all pertinent information in the patient's records. They inventory and maintain par levels of specialty equipment for the endoscopy unit. Work Schedule: Monday - Friday, 7:30a.m. to 4:00p.m. with rotating on-call for weekends and nights

Financial Disclosure Report: Not required

Requirements

Conditions of Employment

Qualifications

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: MSAs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, Chapter 3, Section A, paragraph 3.j. 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). Preferred Experience:

-Recent Gastroenterology (GI) technician experience

-Health Technician in Surgery/Endo Lab experience

-Knowledgeable on basic gastroenterology anatomy

-Endoscopic procedures

-Basic Life Support (BLS) Grade Determinations:

GS-4 MIT (Trainee)

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.

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. (TRANSCRIPT REQUIRED)

In addition, the candidate must demonstrate the following Knowledge, Skills and Abilities (KSAs):

  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.

GS-5 MIT (Trainee)

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. 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. (TRANSCRIPT REQUIRED)

In addition, the candidate must demonstrate the following KSAs:

  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-06 MIT (GI)

Experience: One year of experience equivalent to the GS-5 grade level. Examples of specialized experience include but are not limited to:Operate and monitor commonly used equipment performing routine procedures under normal supervision; Functions somewhat independently in carrying out these standardized procedures of limited complexity; Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help.

In addition, the candidate must demonstrate the following Knowledge, Skills and Abilities (KSAs):

a. Ability to set up endoscopy equipment, ensuring endoscopes and ancillary equipment functions properly.

b. Ability to aid the physician with standard and routine procedures such as colonoscopy and esophagogastroduodenoscopy (EGD).

c. Knowledge of medical terminology and human anatomy in order to assist practitioner with routine standardized gastroenterology procedures.

d. Ability to interact with patients explaining procedures and positioning the patient for the procedure, recognizing disabilities or impaired mobility and assisting the patient as necessary.

e. Ability to reprocess and maintain specialty critical reusable medical equipment (RME), following approved Standard Operating Procedures (SOPs) and universal precautions.

f. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies.

g. Ability to manually clean and disinfect non-critical reusable equipment and surfaces, dispose of onetime-use equipment and trash per facility policy, and restock supplies such as linens, suction equipment, and cleaning products.

GS-07 MIT (GI)

Experience: One year of experience equivalent to the GS-6 grade level. Examples of specialized experience include but are not limited to: Aid staff with procedures which are routine and standardized in nature; Explains the procedure to the patient to secure the patients confidence and cooperation; Position patients for procedures; Restock linen and consumable supplies; Set-up, clean, and ensure proper performance of the endoscopic equipment; Prepare the procedure rooms for turn-over, adhering to universal precautions and Standard Operating Procedures (SOP); Logs procedure and reprocessing data, adhering to patient privacy and information security policy; Knowledge of basic medical terminology as well as common gastrointestinal anatomy.

In addition, the candidate must demonstrate the following Knowledge, Skills and Abilities (KSAs): a. Knowledge of endoscopic equipment and use in basic and complex endoscopic procedures.

b. Knowledge of anatomy and physiology related to the GI system, with ability to recognize and report obvious abnormalities during procedures.

c. Ability to assist physician with specialized, complex procedures.

d. Knowledge of universal precautions and disinfection techniques and ability to follow SOP's to clean reusable medical equipment (RME).

e. Ability to collaborate, communicate, and demonstrate customer service skills and interpersonal skills with all healthcare professionals to ensure quality and continuity of care.

f. Ability to use basic computer systems and programs to record patient and endoscopic data, adhering to patient privacy and information security policies.

g. Ability to deliver patient care, including vital sign measurements and medication administration.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Education/Training: To be creditable education must have been gained in an accredited Community College, College, or University. Training: Completion of appropriate training such as in-service training programs, on the job training, training acquired while in the Armed Forces, government sponsored developmental training programs, and/or training under physicians certified in the functional area will be allowed on a month-for-month basis through the GS-5 level. Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. If your school has changed names, or is no longer in existence, you must provide this information in your application. 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

Medical Instrument Technicians (MIT) Gastroenterology (GI) assist the practitioner in endoscopic procedures, such as esophagogastroduodenoscopy (EGD), colonoscopy, endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound. The technicians ensure proper performance of equipment, set up equipment, and reprocess endoscopic reusable medical equipment (RME). Certification is offered by the Society of Gastroenterology Nurses and Associates (SGNA) for level one and level two training. GI endoscope reprocessing certification is offered through the Certification Board of Sterile Processing and Distribution (CBSPD). References: VA Handbook 5005/54 Part II Appendix G27 Medical Instrument Technician dated June 7, 2012 The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-07. Physical Requirements: Moderate lifting, 15-44 pounds; Light lifting, under 15 pounds; Moderate carrying, 15-44 pounds; Light carrying, under 15 pounds; Straight pulling (1 hours); Pushing (1-3 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (4 hours); Standing (2-7 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, use of legs and arms; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Specific visual requirement (specify) 20/40 DVA, Corrected; Ability to distinguish basic colors; Hearing (aid may be permitted); Sitting (8 hours); Simple grasping (2-4 hours); Fine manipulation (including keyboarding 4-6 hours); Twisting (2 hours); Mental and emotional stability.

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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