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Murfreesboro, Tennessee, Summary Medical Instrument Technician (MIT) for the Vascular Service works in the Vascular Laboratory within the Surgery Service Line who independently performs standard and complex non-invasive vascular studies and examinations. The MIT - Vascular Service evaluates the nature of critical and emergency procedures - and rearranges patients scheduled to accommodate them. 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 Licensure or Certification: Licensure or Certification is not required for this occupation however - it is strongly desirable English Language Proficiency Medical Instrument Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) GS-9 Grade Determinations: In addition to meeting the basic requirements stated above - the following qualifications criteria must be met in determining the appropriate grade assignment of candidates 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 Demonstrated Knowledge - Skills - and Abilities at the GS-8 level Candidates must demonstrate all of the KSAs below: 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 Demonstrated Knowledge - Skills - and Abilities: 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 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 *Ability to manage and supervise employees *Ability to provide - or provide for - staff development and training 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) Preferred Experience: Minimum 2 years of focused vascular diagnostic laboratory experience 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) 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 GS-9 Physical Requirements: Must be able to complete the duties of an Medical Instrument Technician (MIT) Duties Total Rewards of a Allied Health Professional The MIT - Vascular Service must demonstrate a knowledge base of cross-sectional anatomy and physiology as well as medical terminology in order to perform procedures with a high degree of accuracy The MIT - Vascular Service will also maintain records and other information as needed to satisfy all regulatory and quality assurance/quality improvement requirements - including achieving and maintaining accreditation with the lntersocietal Accreditation Commission for the laboratory Duties include - but are not limited to: Perform routine and specialized non-invasive vascular ultrasound tests and studies Capture necessary images and documentation as it pertains to non- invasive vascular tests and studies Timely documentation of preliminary reports from non-invasive vascular ultrasound test findings in the electronic patient record Recognize - document and communicate with appropriate priority both critical (abnormalities and anomalies) and non-critical test findings to referring provider(s) Responsible for ordering and maintaining adequate supplies in the Vascular Lab Responsible for routine diagnostic equipment cleaning and care Recognizes equipment malfunction and performs basic troubleshooting Communicates with bioengineering staff - equipment sales representatives and equipment service personnel to restore optimal function of the diagnostic equipment - as needed Respond to patient questions and concerns regarding exam procedures and process Complete all paperwork and electronic forms (e.g. - consults and encounters) associated with technical procedures Respond to providers' and clinicians' questions and needs regarding patient procedures and care Serve as one of the main points of contact and liaison between the vascular laboratory and all internal and external customers Review consults for timely and proper scheduling Practice all necessary patient and staff safety - infection control - and contact precaution processes and procedures Assess and monitor patient's physical and mental status during examinations Administer first aid or provide life support in emergency situations Perform basic patient care task as needed Request the assistance of additional personnel when warranted Work Schedule: Monday-Friday - Tour of Duty may vary Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases 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 #: 71121-F Permanent Change of Station (PCS): Not Authorized

Oklahoma City, Oklahoma, Summary The Oklahoma City VA Medical Center - Specialty Care Service - is currently recruiting for one (1) Medical Instrument Technician (Vascular) position in Oklahoma City - OK. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30 - 2025. Applications will be accepted on an ongoing basis and qualified applicants will be considered and referred until a candidate is selected or as additional vacancies become available. 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 For certain functional areas at the higher levels or supervisory assignments - specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations" For all specialties identified in this standard - Basic and Advanced Cardiac Life Support certifications are desirable 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 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) All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including positive education and licensure/certification/registration that are part of the basic requirements of the occupation For employees who do not meet all the basic requirements required in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: Such employees in an occupation that does not require a licensure/certification/registration - may be reassigned - promoted - or demoted within the occupation Such employees in an occupation that requires a licensure/certification/registration - may be reassigned - promoted up to and including the full performance (journey) level - or demoted within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions Such employees in an occupation that requires a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher grade levels Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard Employees initially grandfathered into this occupation - who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation - the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation Grade Determinations: 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 Medical Instrument Technician (Vascular) GS-9Experience At least 1 year of 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 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 (*): 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 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 *2 Knowledge of JCAHO and other regulatory requirements 3 Ability to communicate effectively and professionally with employees at varying grade levels *4 Ability to manage and supervise employees *5 Ability to provide - or provide for - staff development and training Certification 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 Preferred Experience: Greater than 1-year experience of vascular scanning Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ This position is listed as above Full-Performance at the GS-9. Physical Requirements: According to VA Directive and handbook 5019 - Employee Occupational Health Services. Duties Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Major Duties and Responsibilities: Performs the full range of vascular ultrasound procedures including the most complex and nonroutine examinations Select best equipment based on symptomology and the objective of the examination while adapting procedure and technique to enhance diagnostic results Uses appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume to obtain the highest quality images Schedule exams in a manner that optimizes all the vascular procedures and the coordination of equipment while maintaining flexibility for emergent cases This requires the prioritization of scheduled patients as well as the ability to accommodate the extreme emergency patient who may need immediate emergency surgery - etc The technician must be able to perform vascular ultrasounds on ambulatory outpatients - inpatient and patients hospitalized in the intensive care areas Is responsible for the preliminary report from the examination and proper notification of found critical value studies Properly identifies patient through the VISTA CPRS This is essential so that mistaken identity of patient does not occur The technician must be certain that the patient I.D and the request are identical Ask each patient to verbally confirm two approved patient identifiers before proceeding with exam Responsible to explain exams to competent patients so that they understand the procedure that is to be performed Responsible for stocking and inventory of the supplies and related material for the Vascular Laboratory Continually reviews new developments - technique - and technologies in vascular imaging and procedures to provide the physicians and patients with the best possible scans for diagnostic purposes Participates in the on-call schedule for emergent vascular procedure This requires carrying a pager and being available for call back by the Medical Canter for emergent procedures as deemed necessary by the on call vascular medicine physicians Assist in writing policies - procedures - and protocols that pertain to vascular sonography and contribute to performance improvement projects in Vascular Laboratory Work Schedule: Mon-Fri 7:30 AM to 4:00 PM with rotating night - weekend - and holiday on-call coverage as required by facility needs Pay: Competitive salary and regular salary increases 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) 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 #: 539739A Permanent Change of Station (PCS): Not Authorized

Scranton, Pennsylvania, Job Summary Geisinger is seeking a BC/BE vascular surgeon to join the Heart and Vascular Institute team for the Geisinger-Community Medical Center (GCMC), located in Scranton, PA Job Duties About the GCMC position in Scranton: The vascular surgery team at GCMC is currently made up of board-certified vascular surgeons and physician extenders.  This GCMC Vascular group coordinates care with the Geisinger GWV Vascular group thus sharing call on weekends between the two hospitals. General surgery and podiatry residents rotate on the service. The practice is limited to vascular and endovascular surgery – no general surgery. Approximately 60% of the practice is endovascular. One dedicated vascular surgery state-of-the-art endovascular suite located in the OR and one adjacent cath lab utilized for routine endovascular cases. ICAVL-accredited vascular lab with approximately 8000 studies per year run within the vascular department. Practice includes the full spectrum of vascular practice from carotid surgery/stenting to open aortic surgery and aortic stent grafts. Teaching hospital providing advanced care to the State of Pennsylvania using 7 Geisinger helicopters working to coordinate care at all three major Vascular hospitals (Scranton, Wilkes-Barre & Danville) Geisinger Commonwealth College of Medicine students rotate on a regular basis. Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes nine hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Position Details Education Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience Certification(s) and License(s) Licensed Medical Doctor - State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.