The incumbent, under the supervision of the Section Chief / Supervisor(s), Respiratory Care and Diagnostics Services and coordination of the Program Leader, The Sleep Laboratory, displays proficiency and performs at a level of excellence in all Sleep Diagnostic diagnostics and procedures as well as other related therapies in accordance with the guidelines established by the American Sleep Disorders Association, American Academy of Sleep Disorders and policies and procedures of Tampa VA Hospital.

Duties

Duties: For the GS-6 position: James A Haley Veterans' Hospital. Duties may include, but not limited to: - Patient instruction and education - Patient assessment related to sleep disorders. - Patient setup, calibration, and acquisition performance verification - Monitoring of multiple physiological data throughout the test - Troubleshooting of polysomnographic recording equipment - Perform pre and post-test calibrations. - Identify and treat sleep related breathing disorders. - Recognize the need for medical intervention if patient safety is at risk. - Remove, and sterilize electrodes and sensors at completion of study. - The staging of the sleep studies - Independently evaluate sleep related breathing disorders patients, and titrate pressures, download data, review compliance and fit patients with appropriate interface devices to achieve the physician's therapeutic goals. - Portable Home Sleep Monitor to include assessment, education, equipment setup and downloading patient data. -Providing TeleHealth services for (CPAP/Home sleep) **This is not a virtual position Telehealth service are provided on site. For the GS-7 position: Duties may include, but not limited to: - Patient instruction and education - Patient assessment related to sleep disorders. - Patient setup, calibration, and acquisition performance verification - Monitoring of multiple physiological data throughout the test - Troubleshooting of polysomnographic recording equipment - Perform pre and post-test calibrations. - Identify and treat sleep related breathing disorders. - Recognize the need for medical intervention if patient safety is at risk. - Remove, and sterilize electrodes and sensors at completion of study. - The staging of the sleep studies - Document all data in CPRS including for scoring. - The Scoring of Sleep Studies - Independently evaluate sleep related breathing disorders patients, and titrate pressures, download data, review compliance and fit patients with appropriate interface devices to achieve the physicians' therapeutic goals. - Portable Home Sleep Monitor to include assessment, education, equipment setup and downloading patient data. - TProviding TeleHealth services for (CPAP/Home sleep) **This is not a virtual position Telehealth service are provided on site. and for the GS8 position: Duties may include, but not limited to: - Patient instruction and education - Patient assessment related to sleep disorders - Patient setup, calibration and acquisition performance verification - Monitoring of multiple physiological data throughout the test - Troubleshooting of polysomnographic recording equipment - Perform pre and post-test calibrations - Identify and treat sleep related breathing disorders - Recognize the need for medical intervention if patient safety is at risk - Remove, and sterilize electrodes and sensors at completion of study - The staging of the sleep studies - Document all data in CPRS including for scoring - The Scoring of Sleep Studies - Independently evaluate sleep related breathing disorders patients, and titrate pressures, download data, review compliance and fit patients with appropriate interface devices to achieve the physicians therapeutic goals. - Portable Home Sleep Monitor to include; assessment, education, equipment setup and downloading patient data. - Providing TeleHealth services for (CPAP/Home sleep) **This is not a virtual position Telehealth service are provided on site. This represents the full performance level. At this level Polysomnographic Technicians are able to interact fully with the patient and physician to diagnose sleep disorders including those that are uncommon or rare. They are able to conduct full sleep studies including overnight studies and evaluate the relationship of events, sleep stages, and possible medical conditions which influence or result from events occurring during sleep. They anticipate problems likely to occur during the sleep study and prepare for such situations, make changes in established procedures, or recommend alternative courses of action. They are able to mentor lower graded technicians. The applicant must be reliable, able to work independently and be self-motivated. The Polysomnographer is responsible for performing job duties in accordance with Mission, Vision and Values of James A Haley Veterans' Hospital, Work Schedule: Overnight Shift Monday-Sunday 2000-0630 rotating days off Functional Statement #: 71309F / 71310 / 70509F

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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, in the VA handbook 5005 GS-0649, Grade Determinations Medical Instrument Technician (Polysomnography) 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: Knowledge of standard, computerized polysomnographs 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 polysmnographic 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. Certification. No certification or registration is required at this level. Basic Cardiac Life *Support (BCLS) certification is desirable. 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 polysomnographyexaminations. In addition, the candidate must demonstrate the following KSAs: 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. Assignment. At this level the Polysomnography Technician performs a full range of standard, but complex, polysomnography examinations with responsibility for properly and accurately calibrating all instruments prior to the beginning of the PSG tracing and selection of appropriate electrode montages and sensitivity and filter settings to elicit the best possible tracings. They independently determine the need for CPAP during all night sleep studies for sleep apnea. They may administer nerve conduction velocity tests. 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: 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. Assignment. This represents the full performance level. At this level Polysomnographic Technicians are able to interact fully with the patient and physician to diagnose sleep disorders including those that are uncommon or rare. They are able to conduct full sleep studies including overnight studies and evaluate the relationship of events, sleep stages, and possible medical conditions which influence or result from events occurring during sleep. They anticipate problems likely to occur during the sleep study and prepare for such situations, make changes in established procedures, or recommend alternative courses of action. They are able to mentor lower graded technicians. Preferred Experience: Statement of Preferred Experience: Registered Polysomnographic Technologist (RPSGT) with current certification. All applicants should have a sound practical understanding of the daily activities associated with working within an outpatient clinic environment, rotating shift when required to meet the needs of the service (day/ night shift). Proficient in performing diagnostic sleep testing that includes; Baseline, Split/PAP, Baseline/ MSLT, proficiency in all sleep procedures performed (education, acquisition, scoring, setup, and downloading home sleep studies). Independently evaluate sleep related breathing disorders patients, titrate pressures, review compliance download data utilizing the following, software/Phillips care orchestrator and ResMed Airview and fit patients with appropriate interface devices to achieve the physicians' therapeutic goals and initiating/ downloading home base portable sleep studies. Current BLS (Basic Life Support). 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-8 Physical Requirements: Work is primarily performed in all patient care areas (in-patient and outpatient). All Polysomnographers will have extensive interaction with patients, staff, physicians, family members, and visitors. The Medical Instrument Technician is expected to be able to move lift, bend, and stoop while performing duties with equipment, supplies, and patients. Ability to handle varying levels of stress in a positive manner. All Medical Instrument Technician must be able to perform the following physical requirements: - Heavy lifting, 45 pounds and over - Heavy carrying, 45 pounds and over - Pushing - Reaching above shoulder - Use of fingers/ Both hands required - Walking/ Standing /Kneeling - Repeated bending - Climbing, legs only Both legs required - Ability for rapid mental and muscular coordination simultaneously - Near vision correctable at 13" to 16" to Jaeger 1 to 4 - Both eyes required - Ability to distinguish basic colors - Hearing without aid

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 James A Haley Veterans Hospital 13000 Bruce B. Downs Boulevard Tampa, FL 33612 US
• Name: Karen McKee
• Phone: 352-548-6000 X105242
• Email: [email protected]