Medical Instrument Technician (Polysomnography)

Summary

The John D. Dingell VA Medical Center in Detroit, MI is recruiting for a Medical Instrument Technician (Polysomnography). Polysomnography Technicians operate the electroencephalograph and other devices to record the electrical activity of the brain during sleep. Registration is offered by the Board of Registered Polysomnographic Technologists (BRPT). Registration is not required but is highly desired.

Duties

Total Rewards of a Allied Health Professional The Medical Instrument Technician (MIT), also known as the Polysomnography Technician, functions within the section of the Sleep Medicine, in Medicine Service, and is responsible for diagnostic testing, scoring, initiation & titration of patients with known or suspected sleep disorders. Identifies information that must be obtained prior to performing any diagnostic testing and/or therapeutic intervention, including, but not limited to: patient identification, history and review of any previous sleep study or other pertinent information. Performs comprehensive patient assessments, including, but not limited to: assessment of heart rate and respiratory rate & effort, oxygen saturation, transcutaneous carbon dioxide measurements and electroencephalogram (EEG). Appropriately prepares patient for procedure using standardized aseptic technique. Identifies the indications, contraindications and hazards of frequently performed procedures, including: in-lab overnight polysomnography testing & scoring, in-home overnight testing & scoring, MSLT testing, application and titration of Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) therapies, pulse oximetry & transcutaneous carbon dioxide monitoring, Inspire therapy, and Actigraphy. Identifies critical information that must be communicated during testing and procedures, including the provision of directions/coaching/education at a level that is appropriate to patient understanding. Adapts care to patient situation, including desensitization of mask or interface, reassurance, coaching and/or early termination of study, if warranted. Identifies and takes proper action when faced with patient situations that require urgent or emergent management, including, but not limited to: falls, fainting, acute mental status change, shortness of breath, hypoxia, chest pain & cardiopulmonary arrest. Ensures that all completed studies are scored accurately, uploaded to the appropriate storage site and, if needed, printed and placed in the interpreting MD mailbox. Provides patient education related to the purpose of study, the time required and instructions for use (if providing an in-home study device), ensuring adequate teach-back and understanding. Ensures a safe patient environment at all times. This includes but is not limited to: keeping patient care areas clean, organized and free from trip hazards, completing disinfection of equipment in-between patients, encouraging the use of walkers or other mobility aids when needed, and making recommendations for urgent care follow up, when indicated. Uses a practical knowledge of location and function of major body organs and structures in order to position the patient and/or connect monitoring equipment to take optimum advantage of equipment capabilities. Prepares, calibrates, interfaces, and operates all equipment used in polysomnographic procedures. Work Schedule: Monday - Thursday, 9:00pm-7:00am; tour of duty could be subject to change based on the needs of the Agency Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 94408-8 Permanent Change of Station (PCS): Not Authorized

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. Licensure or Certification. Licensure or Certification is not required for this occupation; however, Registration by the Board of Registered Polysomnographic Technologists (BRPT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Training which does not result in official certification does not meet this definition. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. Grade Determinations: 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. Experience includes, but is not limited to: performing the 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. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills and Abilities (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. Assignment: Polysomnographic Technicians at the GS-8 grade level 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, m