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Fredericksburg, Virginia, Summary This position is located in Surgical Care Service. Medical Instrument Technicians (Vascular) operate state of the arts diagnostic imaging equipment using ultrasound to record vascular information such as vascular blood flow - blood pressure - limb volume changes - cerebral circulation - peripheral circulation - and abdominal circulation. 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 Grade Determinations: For the GS-8 position: Experience At least 1 year of experience comparable to the next lower grade level (GS-7) - which demonstrates the knowledge - skills - abilities - and other characteristics related to the duties of the position to be filled This would be experience which demonstrates the knowledge - skills - and abilities to perform noninvasive vascular ultrasound procedures as a senior technician In addition - the candidate must demonstrate the following KSAs: Demonstrated Knowledge - Skills - and Abilities: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels - anatomical planes and tissue structures - physiologic effects of disease entities that impact the vascular system - signs and symptoms of acute and chronic vascular disease - and the characteristic appearance of aneurysms - pseudoaneurysms - thromboses - stenoses - occlusions - AV fistulae - and morphology of atherosclerotic plaque formulation Ability to provide Doppler information of peripheral vessels demonstrate characteristic differences related to the organs they supply accurately quantify carotid artery stenoses and identify and correlate specific waveform analysis - plethysmographic tracings - velocity changes - and pressure gradients characteristic of normal - obstructed - or occluded vessels or grafts Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume Ability to provide objective data to document progression or regression of disease Preferred Experience: Bachelor's Degree or two years college course work in Business/Healthcare or graduate of approved program in Ultrasound Technology vascular specific Preferred Experience: The vascular lab technologists will assist the vascular surgeons at the VA Medical Center in the diagnosis and treatment of a wide variety of disorders affecting the vascular system The vascular lab technicians provide carotid studies - consistent diagnosis criteria and quality control for venous duplex scans - venous reflux determinations - assess for stenosis or occlusion of the mesenteric and renal arteries - assess for DVT of the upper extremities - preoperative vein mapping - intraoperative assessment of carotid endarterectomies and lower extremity vein bypasses - surveillance of vein bypass grafts - and segmented arterial pressure and waveform analysis with formal interpretation The vascular lab technologists are an integral part of the vascular surgery program 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) 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-09 The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to GS-08. Duties The duties of this position include but are not limited to: Performs highly specialized/complex or difficult examinations utilizing B-mode - 2 dimensional ultrasound - Color Doppler and Pulsed Wave Doppler measurements Performs studies such as - ABIs/arterial waveforms - carotid duplex - peripheral arterial duplex of native arteries and bypass grafts - AAA studies - EVAR duplex - AV Fistula/graft duplex - renal mesenteric duplex and venous studies Triage vascular lab order/procedure request - patient condition to ensure appropriate vascular examination Obtain a brief history and physical pertinent to a peripheral vascular disease with familiarity with the associated signs and symptoms Independently make standard examinations and makes more in-depth examinations when abnormalities are present Advises the vascular physician and ordering provider of preliminary results of the exam - recognizing significant findings that require emergent care and relaying information to insure proper treatment Correlates findings of non-invasive examinations with findings of other radiologic diagnostic procedures Ensures the accurate evaluation of results of ultrasound studies and appropriate recommendations for further vascular laboratory diagnostic procedures Generates accurate preliminary reports complete with supporting documentation (images) in a timely manner for reading physician's review Communicates urgent /critical - preliminary findings in accordance vascular lab policy Works with patients who are seriously ill and those who have varying degrees of physical disabilities and medical problems Assists vascular surgeon in operating room for vascular access - duplex imaging guidance for advance endovascular procedures and emergent post op procedures as requested Reviews - evaluates and participates in the continuing education programs and refers to pertinent clinical literature with regards to improving the quality of examinations Other duties as assigned Work Schedule: 0800-1630 - Monday - Friday - Rotating call on Nights - Weekends - and Holidays Compressed/Flexible: Not available Telework: Not available Virtual: This is not a virtual position.

Iowa City, Iowa, Summary The Medical Instrument Technician (MIT) functions as a member of the Vascular multidisciplinary team. The MIT delivers fundamental - knowledge-based care to assigned patients while developing technical competencies. Qualifications All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications. Failure to clearly demonstrate your experience in your application package may result in disqualification. All applicants are encouraged to submit responses to each Knowledge - Skill - and Ability (KSA) on a separate document. 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 No person will be appointed under authority of 38 U.S.C. chapter 73 or 74 - to serve in a direct patient-care capacity in VHA who is not proficient in written and spoken English Education There are no specific educational requirements for this occupation 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 Grade Determinations: GS-9 Medical Instrument Technician (Vascular): Experience: At least 1 year of experience comparable to the next lower grade level (GS-8) - 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 the knowledge - skills - and abilities to fully perform all vascular ultrasound tests and examinations and to function as a technical director of the vascular laboratory and provide oversight and/or guidance to other technicians In addition - the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): GS-8 level KSA's: You must demonstrate the core competencies for the GS-8 full performance level which includes: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels - anatomical planes and tissue structures - physiologic effects of disease entities that impact the vascular system - signs and symptoms of acute and chronic vascular disease - and the characteristic appearance of aneurysms - pseudoaneurysms - thromboses - stenoses - occlusions - AV fistulae - and morphology of atherosclerotic plaque formulation Ability to provide Doppler information of peripheral vessels demonstrate characteristic differences related to the organs they supply accurately quantify carotid artery stenoses and identify and correlate specific waveform analysis - plethysmographic tracings - velocity changes - and pressure gradients characteristic of normal - obstructed - or occluded vessels or grafts Ability to perform intracranial (transcranial) vascular examinations Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume Ability to provide objective data to document progression or regression of disease GS-9 Demonstrated Knowledge - Skills - and Abilities: In addition - the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures - to evaluate and initiate performance improvement projects - and to write policies - procedures - and protocols - that pertain to vascular ultrasonography *Knowledge of JCAHO and other regulatory requirements Ability to communicate effectively and professionally with employees at varying grade levels Certification: No certification is required - however - registration by Cardiovascular Credentialing International (CCI) as a Registered Vascular Sonographer (RVS) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. Duties This announcement is open continuous Certificates will be issued to the hiring manager on a weekly basis until all positions have been filled Announcement will remain open until all vacancies are filled and may close sooner than 7/31/2025 Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Major duties include - but are not limited to the following: Vascular technician or vascular sonographer assignments at this level perform standardized - routine vascular ultrasound procedures and/or examinations of upper and lower extremity - abdominal - and extra-cranial cerebrovascular vessels (also those which require adaptation of procedures or instruments) - intracranial vascular examinations - and Doppler exams Vascular technicians or vascular sonographers operate diagnostic equipment using ultrasound to record vascular information such as vascular blood flow - blood pressure - limb volume changes - oxygen saturation - cerebral circulation - peripheral circulation - and abdominal circulation The MIT performs an appropriate physical assessment and obtains patient history related to vascular procedure Vascular technicians ensure proper performance of equipment - equipment set up - patient positioning appropriate for exam (while ensuring comfort) The MIT reprocesses reusable medical equipment (RME) per policy The MIT maintains a high level of knowledge regarding anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography and hemodynamic blood flow Maintains knowledge of pharmacology and chemistry to understand potential effects related to vascular sonography and maintains knowledge of disease entities that impact the vascular system The MIT prepares preliminary reports from the examination including documentation of procedural difficulties in the medical record - signs and symptoms of acute and chronic vascular disease - any abnormalities - and objective data to document progression or regression of disease Work Schedule: Monday - Friday 8:00am - 4:30pm Recruitment Incentive (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 #: 000000 Permanent Change of Station (PCS): Not Authorized

Asheville, North Carolina, Summary The staff Vascular Surgeon is to provide comprehensive care to patients with disorders of the Vascular System. Recruitment/Relocation Incentive May Be Authorized for Highly Qualified Applicants. This is an Open-Continuous announcement that will remain open until the position is filled. Applications will be reviewed in the order received and will be sent to the hiring manager for consideration. Qualifications To qualify for this position - you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. 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 Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed Current - full and unrestricted license to practice medicine or surgery in a State - Territory - or Commonwealth of the United States - or in the District of Columbia Residency Training: Physicians must have completed residency training - approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME) - b) OR [(2) Those approved by the American Osteopathic Association (AOA) -OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States) - which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs) PRPs must be fully licensed physicians (i.e. - not a training license) and may only be appointed on an intermittent or fee-basis PRPs are not considered independent practitioners and will not be privileged rather - they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision Additionally - surgery residents in gap years may also be appointed as PRPs Proficiency in spoken and written English Preferred Experience: Board certified or eligible Vascular Surgeon - able to perform the typical range of open and endovascular Vascular surgery Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ Physical Requirements: Ability to physically perform the spectrum of open and endovascular operations within the scope of a typical Vascular Surgery practice This includes the ability to meet the physical demands needed to carry out the duties of a vascular surgeon such as standing - bending - reaching - and wearing lead shielding and eye protection Duties VA offers a comprehensive total rewards package VHA Physician Total Rewards Duties include but are not limited to the following: Reviewing and providing consultations promptly Seeing new outpatients with nonemergent problems within 30 days Seeing inpatient consultations and patients with urgent conditions promptly Patient transfer requests: Evaluate and response promptly by direct communication with referring providers and transfer coordinators at CGVAMC Evaluate outpatients in: The Vascular Surgery clinic and Vascular surgery post operative clinic Work with wound therapy nurses in inpatient and outpatient settings Read and interpret studies generated in the Noninvasive Laboratory promptly Prepare patient for operative management Follow the standard of care and established policies including the marking of operative sites - performing preoperative briefings and Time-Out assessments prior to the commencement of any operation Keep patients' families or designated surrogates well informed of the patients condition and progress This is to include a postoperative conversation informing them of the findings - conduct of the operation - expected results and areas of concern Care for inpatients on the Vascular Surgery Service in the operating room - intensive care unit and ward Arrange dispositions for follow up appointments for patients prior to discharge Attend and present at morbidity and mortality conferences Provide summaries of all deaths using the required reporting format Medical Record Duties: i Outpatient consultation reports and progress notes Inpatient progress notes- daily notes on patients in the intensive care unit History and Physical examinations Operative Reports View alerts l Keep up with new developments in the vascular literature - and maintain the required CME activities Participate in performance improvement projects Participate in resident education and supervision in the: Outpatient clinics Emergency Department iii Inpatient settings Operating room Participate in Surgical Resident Preparation and Evaluation: At the beginning of the rotation - this includes a review of duties and expectations Review of performance at mid-rotations and provide feedback Exit interview and final evaluation at the end of the rotation Recruitment/Relocation Incentive May Be Authorized for Highly Qualified Applicants This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application Former EDRP participants ineligible to apply for incentive Contact Onnie.Green@va.gov - the EDRP Coordinator for questions/assistance Pay: Competitive salary - annual performance bonus - regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year and possible 5 day paid absence for CME) 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) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1 -000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Telework: This is Not a Tele-work position Virtual: This is Not a Virtual position Remote: This is Not a remote position Work Schedule: 8:00am - 4:30pm