The Medical Instrument Technician Electrocardiograph (EKG) is responsible for skilled continuous comprehensive monitoring, interpretation, evaluation and documentation of the patient cardiac monitoring system for acute inpatients with orders for telemetry monitoring. Telemetry monitoring requires constant attention and focus to monitor cardiac rhythms, ST segment monitoring, pacemaker function and monitoring, measuring PQRST complexes, and other related duties.

Duties

The duties include but are not limited to: Functions in the use of the monitoring equipment with supervision and works in collaboration with the primary RN, charge nurse or medical provider. Information is relayed quickly as appropriate via established communication system, and verbally for notification of emergent alarms and potentially emergent situations. The MIT will report rhythm changes and arrythmias to the assigned RN caring of the patient and/or the charge nurse, following the established policy for communication during cardiac monitoring. The MIT will review previous shift's rhythm strips for shift history and reviews patient information in the electronic medical record upon admission to review telemetry orders and parameters to prevent any delay in placing a patient on ordered telemetry and to ensure accuracy of ordered parameters for monitoring. Verifies appropriate parameters of heart rate, blood pressure, oxygen saturation, or arrhythmias based on the clinical alarm policy and from the provider's orders and notifies the assigned RN of patient changes that are outside of the set parameters. Accurately interpret and identify cardiac rhythms and electrocardiographic changes in rhythm. Collects rhythm strips and documents ventricular rate, PR interval, and QRS duration as ordered or required, and with any changes, giving a summary of the cardiac rhythm throughout their shift. The MIT gives verbal report to providers, shift Charge Nurse, and other Telemetry Technicians. Admits and discharges patients to the Telemetry Report/Log. The MIT sets alarms in accordance with physician orders, clinical alarm policy, and consultations with qualified RN in specific circumstances per Clinical alarm policy. Work Schedule: Full Time. Swing shift 10:30 am - 11:00 pm with alternating weekends or night shift 06:30 pm - 07:00 am with alternating weekends. Telework: Not available. Virtual: This is not a virtual position. Position Title/Functional Statement #:Med Inst Tech(Ekg) Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

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. Certification: No certification is required; however, it is desirable that employees at this level have BCLS and ACLS certifications. English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English. 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).Electrocardiograph Technicians (EKG) operate instruments used to record electrocardiograms, exercise tolerance tests, 24-48 heart monitoring and scanning, and pacemaker evaluations. Certification is offered by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technician (CCT). 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. In addition, the candidate must demonstrate the following KSAs: 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. Demonstrated Knowledge, Skills, and Abilities1. 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: 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. In addition, the candidate must demonstrate the following KSAs: 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. 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 Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment. Ability to monitor the patient for adverse reactions and take appropriate action. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification. GS-7:Applicants must have one year specialized experience at the GS-6 level or equivalent and must demonstrate the following KSAs: Demonstrated Knowledge, Skills and Abilities Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue. Ability to act ad a mentor or preceptor to lower graded technicians. Ability to conduct in-service training on the EKG equipment and related instrumentation. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. Physical Requirements: Light lifting, under 15 lbs., moderate carrying, 15-44 lbs., reaching above shoulder, use of fingers, standing 4-6 hours; hearing, aid permitted. Duties require extensive use of fingers to perform keyboarding and the ability to hear requests by phone and in person. Version must be adequate to read and prepare documents.

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.

Contacts

• Address Carl T Hayden Veterans' Administration Medical Center 650 East Indian School Road Phoenix, AZ 85012 US
• Name: Patricia Leonard
• Phone: 0000000000
• Email: [email protected]