This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Duties

Responsible for providing comprehensive evaluation and treatment of sleep disorders. Independently monitor, analyze, and record sleep monitoring studies and provide diagnostic and therapeutic analyses in preparation for review by the sleep medicine physician. Works with the full range of equipment, procedures, and techniques used in sleep studies, and various forms of positive airway pressure (PAP) treatments. Evaluates medical factors that may influence diagnostic and treatment choices. Utilizes medical terminology and medical records effectively and reviews medical records and sleep study orders in medical charts. Understands and complies with polysomnographic and Sleep Laboratory procedural protocols including but not limited to diagnostic overnight sleep studies (in lab and portable), scoring of sleep studies, performing PAP titrations, multiple sleep latency tests (MSLT), actigraphy, maintenance of wakefulness tests (MWT), sleep laboratory and sleep study equipment maintenance and inventory. Utilizes knowledge of basic anatomy and physiology of the respiratory system and the latest version of the AASM Manual for the Scoring of Sleep and Associated Events. Rules, Terminology and Technical Specifications in order to conduct the sleep studies. Recognizes changes seen during the PSG tracing and identifies all stages of sleep, scores, and analyzes sleep stages in clinical polysomnography recordings and other sleep studies. Understands CPAP function and operation, selects and fits appropriate patient interfaces. Independently titrates and documents PAP level to achieve therapeutic goals. Performs diagnostic and therapeutic polysomnograms according to the Sleep Lab Protocols in compliance with the VHA and American Academy of Sleep Medicine standards. Provides Positive Airway Pressure (PAP) treatment and support. Works independently with a variety of types of PAP (CPAP, BiPAP, ASV, AVAPS and others) and mask fitting to assure optimal mask seal and comfort. Adhere to PAP titration protocols in order to achieve a therapeutic pressure and assess complications related to PAP. Performs mask desensitization to optimize compliance. Downloads and reviews positive pressure therapy compliance/efficacy data and acts upon it if necessary. Communicates effectively with sleep specialist and other steep service staff members. Performs a full range of standard but complex portable sleep monitoring examinations with responsibility for properly calibrating and maintaining all necessary equipment. Provides instruction and support on patient instruction for home testing, including how to contact sleep laboratory and medical director. Downloads, confirms adequate recording, and electronically transfers to folder for processing. Scores sleep studies and alerts providers of critical or urgent results. Fits patients with appropriate mask and adjusting auto-PAP settings based on individual patient needs. Demonstrates use of equipment to assure appropriate fit and function. Performs oximetry studies when needed to validate efficacy of PAP therapy or efficacy of dental appliance for treatment of sleep apn Work Schedule: Rotating Shifts Compressed/Flexible:Not Authorized Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 00000 Relocation/Recruitment Incentives: Not Authorizded EDRP Authorized: Former EDRP participants ineligible to apply for [email protected] , the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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. 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. Basic and Advanced Cardiac Life Support certifications are desirable. 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). Grade Determinations: GS-4 Experience: At least 1 year of experience comparable to the next lower grade level, GS-3, 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. 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: 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 Experience: At least 1 year of experience comparable to the next lower grade level, GS-4, 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: 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-6 Experience: At least 1 year of experience comparable to the next lower grade level, GS-5, 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: 1. Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters. 2. 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. 3. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc. 4. Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.). 5. Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies. GS-7 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: 1. Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices. 2. Ability to independently titrate and document PAP level to achieve therapeutic goals. 3. Knowledge of indications, complications, and contraindications of CPAP therapy. 4. Knowledge of Bi-Level pressure titrations. 5. 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) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. GS-08 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: 1. Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders. 2. Ability to summarize and report polysomnographic data in narrative form. 3. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. 4. 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. Selective Placement factor: Must be proficient written and in spoken Spanish. Preferred Experience: 3 years of experience as a Polysomnograpy Technician. References: : VA Handbook 5005/54, Part II, APPENDIX G27, March 17,2006 The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-08. Physical Requirements: See VA Directive and Handbook 5019.

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

Contacts

• Address San Juan VA Medical Center 10 Calle Casia San Juan, PR 00921 US
• Name: Mireya Rodriguez-Perez
• Phone: 787-641-7582
• Email: [email protected]