Summary

Incumbent serves as the Medical Instrument Technician Supervisor that provides oversight over MIT workload assessments - assigning work - and assuring proper staffing coverage provide performance input for evaluation and award purposes - evaluate training records and determine educational needs of the technical staff. They participate in quality improvement measures - recommending and implementing practice change when indicated. The work is performed in the Gastroenterology Unit of Medical Service.

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
• 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 - it is desirable that employees at this level have SGNA core level one and two certifications (BLS and/or ACLS)
• The full performance level of this vacancy is GS-9. Physical Requirements: See VA Directive and Handbook 5019
• English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2 - section D - paragraph 5a - Grade Determinations: GS-9. In addition to the core competencies defined at the GS-8 full performance level - positions at this grade may be lead - supervisory - or non-supervisory with specialized advanced knowledge and assignments
• (a) 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 (*): (b) Demonstrated Knowledge - Skills - and Abilities: KSAs 1 - 2 - and 3 are appropriate for all positions at this level
• KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment
• *1
• Advanced knowledge of complex gastroenterology procedures - such as ERCP with spy glass - ablation procedures - mucosal resection procedures - fine needle aspiration procedures and capsule studies *2
• Ability to provide briefings and orientations - staff development and training to hospital staff including physicians
• *3
• Knowledge of professional - legal - and ethical standards inherent to patient safety and rights
• *4
• Ability to plan and assist in the establishment of integrated treatment and examination programs
• *5
• Ability to evaluate new products and equipment and make recommendations concerning developments which would improve operations
• *6
• Ability to manage the fiscal matters of the functions supervised (which would include fund controls - contracts - and equipment expenditures) - forecast resource and equipment needs - and administer the allocated budget *7
• Ability to provide the full range of supervisory duties which would include responsibility for assignment of work to be performed
• performance evaluation
• selection of staff
• and recommendation of awards - advancements - and - when appropriate - disciplinary actions
• (c) 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
• (d) Assignments
• For all assignments above the full performance level - the higher-level duties must consist of significant scope - complexity (difficulty) - and range of variety - and be performed by the incumbent at least 25% of the time
• References: VA Handbook 5005/15 Part II Appendix G27

Duties

• Duties: Supervises MITs to accomplish daily work
• Exercises supervisory authorities and responsibilities involving work assignments and review - and the administrative and personnel management functions relative to the staff supervised
• Collaborate with the charge nurse to assist and delegate as appropriate to ensure flow of patients and assist with other unit needs within the MIT's scope of practice Functions as a primary person responsible for knowledge and handling instruments - supplies - and equipment during GI procedures - such as but not limited to: The ability to assist physicians directly with diagnostic and therapeutic procedures esophagogastroduodenoscopy (EGD) - colonoscopy - sigmoidoscopy - endoscopic retrograde cholangiopancreatography (ERCP) - percutaneous endoscopic gastrostomy (PEG) placement - endoscopic ultrasound (EUS) procedures - bronchoscopies - and endobronchial ultrasound (EBUS) procedures
• Knowledge to educate MITs in the ability to set up equipment - assist with biopsy procurement - snare polypectomy - esophageal/pyloric/colonic dilation - variceal banding - injection - and/or electrocautery for treatment of bleeding - Barret's Esophagus treatment (BARRX) disease with ablation balloon - and endobronchial ultrasound (EBUS) procedures
• Knowledge to educate MITs to assists physicians directly with the performance of specialized diagnostic and therapeutic procedures (ERCP - EUS - Argon-Plasma Laser cautery - Esophageal Manometry - pH Studies - Barret's Esophagus Treatment (BARRX) - etc.) in addition to the duties described in 2.C) Responsible for training and maintaining full competency of the staff in the use - pre-cleaning and/or reprocessing of reusable medical equipment
• The employee must ensure that the appropriate Standard Operating Procedure (SOP) and manufacturer's instructions are followed for any step in the use of RMD and RMD storage (pre-cleaning - reprocessing - disinfection - sterilization - maintenance) in which he/she is involved
• Validates annual competencies for Set-Up and Precleaning of RMD for GI staff and provides retraining as needed
• Provides or facilitates scheduled training sessions in medical center/service level safety promotions as directed by the Nurse Manager
• Knows fire drill and emergency plans for work area - including location of all emergency fire equipment
• The incumbent provides knowledge and instructs the staff about protocols for fluoroscopy used during specific GI procedures
• Schedules vendor training for identified needs of the staff in the endoscopy unit
• Remains up to date on current manufacturer's instructions for use for RMD
• Functions as the primary person to place requests for new equipment and supplies using the logistics CPRC and SEPG systems - while communicating with providers and the nurse manager when issues arise
• The MIT supervisor is responsible for ensuring that all specialized GI accessories - including - but not limited to - snares - injection needles - esophageal and biliary stents which are ordered through Logistics in a timely fashion
• Specialized - patient specific - items require consultation directly with the Gastroenterologist for proper sizing - etc
• The supervisor establishes good working relationships with accessory vendors and maintains current ordering information needed by the department for the specialized accessories
• Able to place Maximo requests or contact Biomed for equipment issues and notifying GI Nurse manager as issues arise
• Maintains and tracks work order completion
• Ensures that all staff comply with all safety/fire prevention rules/regulations - using protective equipment when required and provided
• Promptly reports all accidents and notifies the nurse manager of unsafe/unhealthful conditions in the workplace
• All employees shall be familiar with how their activities impact VA's goal to implement sound stewardship practices that are protective of the air - water - land - and other natural and cultural resources
• In accordance with the goals of the VA GEMS Program - seeks to cost-effectively meet or exceed compliance with applicable federal - state - and local environmental
• public health
• and resource protection laws - regulations - and VA requirements
• Provides leadership in following approved GI Standard Operating Procedures along with creating and maintaining MIT rotations as appropriate including on-call rotations
• Incumbent will serve as a backup supervisor timekeeper for GI Endoscopy
• Work Schedule: Monday -Friday - 0900-1730 Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives : Available Permanent Change of Station (PCS): Not Available Financial Disclosure Report: Not required