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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

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