Summary This position is located within the Nursing, Acute Care Service Line of NAVAHCS. Echocardiography technicians identify and record anomalies indicative of disease, injury, or other medically significant conditions using ultrasound imaging and simultaneous Doppler techniques; use of non-standard views may be necessary for obtaining complete diagnostic images. Patient scheduling and workflow management are also required. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Advanced knowledge of complex and non-standard treatment and exam procedures and techniques. Use independent judgment in applying knowledge of clinical cardiology and ultrasound, and Doppler principles. Use problem-solving skills to optimize the evaluation and adjust the exam to ensure that it is comprehensive and accurate. Records and does preliminary interpretation of the exam and presents information and or possible diagnosis to the interpreting physician. Performs real-time 3D, 2D, M-Mode, continuous and pulse wave, color, and tissue Doppler exams. Performs transthoracic examinations and stress echocardiograms with and without pharmaceuticals. Includes 3D imaging in all studies with the exception of studies lacking appropriate image quality to obtain suitable data. Notifies the Attending physician with preliminary echocardiograph results that may need immediate interpretation and intervention. Receives patients, explains the procedure, and performs the appropriate complete exam. Sets, calibrates, and operates the ultrasound equipment. Performs routine maintenance on all Echo Lab equipment at intervals recommended by the manufacturer. Shares responsibility for coordinating emergency and preventive maintenance of the lab equipment. Maintains cleanliness of the work environment between studies and at the end of the workday. Provides training for Cardiology Fellows in performing studies and preliminary interpretation of echo exams. Incumbent Teaches echo-Doppler principles and procedures, theory of operations and theory of interpretation of results to trainee echocardiographic technicians, nursing students, nurses, medical students, residents, and fellows (especially cardiology fellows). Responds to emergency requests for echo-Doppler studies within 30 minutes during normal working hours. Checks the appropriateness of such emergency requests with a cardiology fellow or cardiology attending. Maintains skills in cardiopulmonary resuscitation (CPR) and actively assists in CPR should the need arise. Attends regional and national professional meetings at the request or approval of the Echocardiography Lab Medical Director and/or Cardiology Nurse Manager to keep current on new technical and practical developments in the echo-Doppler field. Evaluates new products and equipment and makes recommendations concerning developments which would improve operations in the Echo Lab. Start intravenous access on patients and perform saline contrast studies and cavity enhancing contrast studies with the assistance of the cardiology nurse or fellow upon request/order by a physician. Assist the physicians involved in performing transesophageal echocardiographic (TEE) examinations. Assist with monitoring the patient during a TEE study by monitoring patient's blood pressure, heart rate and rhythm, and O2 saturation. Performs suctioning of the patient if necessary. Work Schedule: M-F 8am-4:30pm 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 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) Virtual: This is not a virtual position. Functional Statement #: 000000 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 evaluation. 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 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. 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 in accordance with 38 U.S.C. 7402(d) and 7407(d). 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 GS-9: Specialized Experience: At least 1 year 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 possession of the knowledge required in order to provide all aspects of echocardiography services. 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 Echocardiography. *Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Education There is no Education Substitution for this position. 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. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.