The full performance, Intermediate Care Technician (ICT) Generalist is assigned to the Department of Veteran Affairs, Veterans Health Administration (VHA). This position serves as an advance technician for outpatient care settings such as; primary care, mental health, and specialty clinics. As an ICT Generalist the incumbent may serve in a medical center, community-based outpatient clinic (cboc), mobile medical unit or may have virtual/remote assignments.

Duties

Performs ongoing patient care duties in the Primary Care areas. ICTs may perform tasks as outlined in this PD and in accordance with local policies after documented completion of training and demonstration of appropriate skills and competency. These tasks are not all inclusive and require the demonstration of appropriate training and documented competence prior to their performance. May assist with or perform other related approved technical health care procedures under the direction and supervision of the licensed personnel as competency is demonstrated and documented. Patient Screening: Duties include performing observation-based screening and collecting patient information in collaboration with licensed personnel. This may involve obtaining patient health history for chief complaints, medication history, and information about health-related or high-risk conditions that may impact the patient's health status. The incumbent will complete approved templates and tools, for example the MiniCog screening established by the agency. Mental Health Services: Assists in behavioral/psychiatric situations in an emergency setting. This can include assisting licensed personnel with crisis intervention, assists with the management of aggressive or suicidal psychiatric patients, by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB). The incumbent performs duties focused on communication techniques required to complete the questioners and templates approved for use in the ED, including active listening, restating, and mirroring. Will maintain a safe and therapeutic environment for the patient while promoting a sense of worth and dignity under the supervision of the licensed personnel. Clinical Tasks: Assists Primary Care licensed personnel with the delivery of care to patients with complex, specialized, and potentially life-threatening situations. This may include setting up equipment and passing instruments in the event of: Man down event which may include resuscitation of normal physiological function or prevent deterioration of patient's condition. Assists with airway management using bag-valve-mask (BVM), oral airway or nasal airway. May use pulse oximetry, capnometry, capnography, and/or other secondary confirmation methods to ensure correct placement of an emergency advanced airway. Operates specialized medical equipment such as defibrillators, electrocardiographs, and oxygen apparatus in accordance with applicable training and standards. Observes patient status and keeps licensed personnel informed of any change in condition. Provides support, relief, and coverage as needed to central station telemetry. Documents in the telemetry record and reports all observed electrocardiographic (ECG) changes in the patient's condition to the licensed staff. Incumbent performs measurements of PR, QRS, QT, RR, and QTC intervals, interprets rhythm, and prints rhythm strip every 8 hours or as required for events and informs appropriate staff. Incumbent recognizes lethal rhythms/arrhythmias (i.e. ventricular fibrillation and asystole) and immediately notifies appropriate staff. Incumbent admits, discharges, and assigns telemetry equipment to patients in central monitoring automated system. Emergency Care: In addition to ongoing Primary Care duties, the incumbent may be asked to respond to medical emergencies on the facility grounds, and sometimes encounters situations which may be life threatening as part of the Rapid Response Team (RRT), Code Blue, or medical transport team. Appropriately implements emergency care in accordance with established protocols and policies. Works in concert with other members of these teams to determine the nature, extent, and seriousness of the patient's condition including the search for medical alert symbols and medications. ICTs will obtain and maintain certification in basic life support (BLS), and other certifications as pertinent to their local facility and may assist within the scope/guidelines of their role and qualifications. Work Schedule: Various schedules may be available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, . Time-In-Grade Requirement: One year of specialized experience (equivalent to the GS-06 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes, but not limited to performing patient screening; observing and communicating with patients and visitors; performing specimen collection; assisting with patient exams; performing vital signs and wound care. Note: Your experience must be fully documented on your resume and must include job title, duties, month and year start/end dates AND hours worked per week. NOTE: SPECIALIZED EXPERIENCE MUST BE WELL DOCUMENTED IN YOUR RESUME. FAILURE TO DO SO WILL DISQUALIFY YOU FROM FURTHER CONSIDERATION. Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-06 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: medication administration; clinical tasks; emergency care; mental health services, patient screening; performs observation-based screening and collection of patient information, assists in behavioral and psychiatric situations, and operates specialized medical equipment; collecting a wide range of specimens, prepare specimens for transfer, performs skin biopsies, assist with minor procedures (nail removal, skin graph placement, and Jones dressing), conducts or assist with training and experience using Telehealth peripherals. OR, Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must demonstrate the following: Graduate education or an internship meets the specialized experience required above GS-5 only in those instances where it is directly related to the work of the position. One full year of graduate education meets the requirements for GS-7. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school, 18 semester hours should be considered as satisfying the 1 year of full-time study requirement. In addition to the minimum qualifications described above, you must meet the following requirement(s) to be considered qualified for the position: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be Credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must clearly indicate the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: The work requires a level of physical fitness that allows for standing for extended periods, heavy lifting to position patients, and manual dexterity to perform clinical procedures. The work will require recurrent bending, lifting, stooping, standing, squatting, stretching, sitting, and walking. Preferred Qualification: ICTs are advanced Health Technicians who have graduated from intensive specialized military medical training programs and served as combat medics, medical technicians, and corpsman. They possess fundamental knowledge, background and experience in emergency medicine, critical care, medical readiness, field medicine, bedside care, and primary care. Veterans, transitioning servicemembers, National Guard, and Reserve military Corpsmen, Combat Medics, and Medical Technicians interested in Intermediate Care Technician (ICT) positions. (Examples of military occupational specialties highly desired, include but are not limited to: 4NOX- Basic Medical Technician, 4NOIC- Independent Duty Medical Technician, X4NO- Aeromedical Evacuation Technician, 1T2X1- Pararescue man, 68W- Combat Medic Specialist, 18D- Army Special Forces (Medic), 68WW1- Special Operations Flight Medic, HM0000- Basic Hospital Corpsman, HM8404- Field Medical Service Technician, HM8425- Surface Force Independent Duty Corpsman, HM8402- Submarine Force Independent Duty Corpsman, HM8401- Search and Rescue Medical Technician, HM8403- Fleet Marine Force Reconnaissance Independent Duty Corpsman, HM8406- Aerospace Medical Technician, and HS- Basic Health Services Technician.) Clinical responsibilities include but are not limited to: · Vital signs. Examples: vital signs, 12-lead electrocardiogram (EKG). · Point-of-care (POC). Examples: Abbott hand-held blood analyzer (I-STAT), glucometer. · Equipment and surgical instrumentation set up. Examples: skin biopsies (excisional, shave, punch). · Treatments and interventions. Examples: Cryotherapy, incision and drainage, ambulation, and Foley coude' catheter insertion. · Wound care. Examples: bandaging, application of dressings and wound measurements. · Specimen collection and Preparation. Examples: collecting and labeling venous blood samples and mucous specimens. · Assisting with patient exams and screening. Examples: gynecology exams. · Mental health care. Examples: Crisis intervention, performs behavioral/mental health screens, conducts interviews, and observes behavioral patients. · Preparation of lab specimens and transfer to the lab for processing: Examples: Labeling, placing in the proper bin or tube system. · Assisting with patient exams and screening, utilizing technology such as telehealth peripherals. Examples: primary care physical exams (heart, eye, ear, nose, throat (EENT); gait exams, and skin exams. · Patient education within scope of care or while providing an intervention. Examples: postprocedural care, splint care and wound care. · Follow-up care: Examples: Suture removal. · Electronic Health Record (EHR): Thoroughly and appropriately documents actions, interventions, and procedures in the medical record. Examples: Procedural notes, progress notes, screenings, photo-documentation, and secure messaging. ICTs may perform tasks after proper education, training, and competency, demonstrating knowledge, skills, and abilities. Thoroughly and continually documents actions, interventions, and patient response in the health record.

Education

There is no educational substitution at this grade level.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Durham VA Medical Center 508 Fulton Street Durham, NC 27705 US
• Name: Gary Byles
• Phone: 919-286-0411 X4949
• Email: [email protected]