Medical Instrument Technician (Polysomnography)

Description:

The primary duty of the Polysomnography Technician is to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices. This technician is a key individual in the study of sleep-related disorders and various physiological changes that occur during sleep. At this level, the Polysomnography Technician performs a full range of standard, routine examinations including overnight sleep studies.

Requirements:

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. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English. No person will be appointed under authority of 38 U.S.C. chapter 73 or 74, to serve in a direct patient-care capacity in VHA who is not proficient in written and spoken English. Grade Determinations:
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.
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.
In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities Knowledge of basic medical terminology. Ability to learn the components, operating characteristics, and settings of the equipment to be used. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress. Ability to learn the standard positions for the procedure being conducted. Ability to communicate orally and in writing. 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.
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.
In addition, the candidate must demonstrate the following KSAs:
Demonstrated Knowledge, Skills, and Abilities: Knowledge of standard medical terminology to interpret physician orders or instructions. Knowledge of common physical disabilities and ability to position patients for the examination or treatment. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures. 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. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities: Knowledge of standard, computerized polysomnography for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters. Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc. Knowledge of polysomnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.). Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies. 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 polysomnography examinations. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices. Ability to independently titrate and document PAP level to achieve therapeutic goals. Knowledge of indications, complications, and contraindications of CPAP therapy. Knowledge of Bi-Level pressure titrations. Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings. Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) certification is 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 a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills, and Abilities Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders. Ability to summarize and report polysomnographic data in narrative form. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. Ability to provide briefings and orientation to hospital staff including physicians. Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level.

Preferred Experience: Experience as a sleep technologist. RPSGT license preferred.

References: Title 38 or Hybrid Title 38 Occupation official qualification standards of the position as stated in VA Handbook 5005, Part 11, Appendix G27.

The full performance level of this vacancy is 8. The actual grade at which an applicant may be selected for this vacancy is in the range of 4 to 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.