The incumbent serves under the clinical and administrative direction of the supervision of the Sleep Medicine Program Medical Instrument Technician (Polysomnography) Sleep Laboratory Manager and the Sleep Laboratory Medical Director to provide comprehensive evaluation and treatment of sleep disorders including in-center and home sleep apnea testing, diagnostic and therapeutic interventions, comprehensive patient care and direct patient education. 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. 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. 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). Grade Determinations: Must possess one year of specialized experience at the GS-7 level or equivalent performing Polysomnographic duties that may include, but are not limited to: 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, independently determining the need for CPAP during all night sleep studies for sleep apnea, and administering nerve conduction velocity tests. In addition to the specialized experience, the candidate must demonstrate the following Knowledge, Skills, and Abilities (KSAs): 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. Preferred Experience: Maintain BCLS Certification Successful completion of an accredited educational program leading to a certificate or associate degree with an emphasis in sleep technology; or successful completion of a sleep technology program associated with a state licensed and/or a nationally accredited educational facility or equivalent experience and documented proficiency at all competencies required of a sleep technician. Certification by a nationally recognized certification board and holds the Registered Sleep Technologist (RST), Registered Polysomnographic Technologist (RPSGT), or Sleep Disorders Specialist (SDS) credential. References: VA HANDBOOK 5005/15 PART II APPENDIX G27, DATED MARCH 17, 2006 The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is a GS-08. Physical Requirements: Sight corrected to 20/20 vision, no color or night blindness; Lifting 30 lbs.; Pushing 65 lbs.; Repeated stooping; Repeated bending; Repeated twisting; Prolonged standing and walking; Ability to sit in front of a computer screen for long periods of time. ["Duties and responsibilities include, but are not limited to: Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history). Determine final testing parameters/procedures in conjunction with the ordering physician and sleep physician recommendations and laboratory protocols. Review the patient's history and verify the medical order. Follow sleep facility protocols related to the sleep study. When patient arrives, verify identification, collect documents, and obtain consent for the study. Explain the procedure and orient the patient for either in-center or home sleep apnea testing. Select appropriate equipment and calibrate for testing to determine proper functioning and make adjustments, if necessary. Apply electrodes and sensors according to accepted published standards. Perform positive airway pressure (PAP) interface fitting and desensitization. Follow procedural protocols [such as Polysomnography, Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), parasomnia studies, PAP and oxygen titration, etc.] to ensure collection of appropriate data. Perform appropriate physiologic calibrations to ensure proper signals and make required adjustments. Provide patient education utilizing sleep facility specific protocols. Adhere to sleep facility policies related to quality assurance. Evaluate sleep study-related equipment and inventory. Review and evaluate sleep studies and provide feedback to staff. Demonstrate the ability to analyze complex situations and apply policy. Comply with professional standards of conduct. Assist the supervisor in all aspects of sleep facility operations, including management of sleep-related consults, etc. Work Schedule: Tour of duty consists of three 12-hour night shifts (7:00 a.m. to 7:30 p.m.) and one 4-hour telework shift\nCompressed/Flexible: Available\nTelework: Available for 4 hour shift\nVirtual: This is not a virtual position.\nFunctional Statement #: 91586-0\nRelocation/Recruitment Incentives: Recruitment/Relocation Incentive authorized for highly qualified candidates.\nEDRP Authorized: Contact Contact Eve.Harper@va.gov, the EDRP Coordinator for questions/assistance\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.