The Lead Medical Instrument Technologist for Polysomnography works under the general supervisions of the Sleep Lab Supervisor as well as the Medical Director of the sleep program. Duties include Polysomnography, EEG, diagnostic and therapeutic services, home sleep testing, MSLT & MWT testing, as well patient care and education. The lead sleep technologist will perform all duties defined for a sleep technologist as well as provide oversight of other staff. 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. Registration by the Board of Registered Polysomnographic Technologists (BRPT) is highly desirable. For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable. Training which doesn't result in official certification does not meet this definition. English Proficiency: Proficient in English (written and spoken) is required for patient care positions. 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: GS-09 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. At this level Polysomnographic Technicians 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, make changes in established procedures, or recommend alternative courses of action. They are able to mentor lower graded technicians. You must also meet the following GS-8 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. In addition, the candidate must demonstrate the following technical GS-9 KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*) Demonstrated GS-9 Knowledge, Skills, and Abilities and the potential to acquire the assignment specific KSAs designated by an asterisk (*). 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 Polysomnography. *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 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. Preferred Experience: RPSGT Certification (Registered Polysomnographic Technologist) References: VA Handbook 5005, Part II, Appendix G27, Medical Instrument Technician (Polysomnography) Qualification Standard, can be found in local HR Office Physical Requirements: See VA Directive and Handbook 5019. ["The incumbent must have advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders. Ability to summarize and report polysomnographic data in narrative form. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action. Ability to provide briefings and orientation to hospital staff including physicians. Ability to manage subordinate employee(s) workload and patient appointment matrices to insure prompt accurate care. The major functions of the Lead MIT RPSGT include but are not limited to: The Lead RPSGT must have extensive background in sleep technology with proficiency in patient care. Independently perform sleep monitoring on individuals with possible sleep apnea as well as other sleep related disorders including, narcolepsy, periodic limb movement disorders, as well as REM behavior disorders. Participates in the development of new procedures and assists and reviews existing procedures, updating them in accordance with new equipment and clinical practice. Proficient in the use of CPAP, Bi-level, ASV as well as IVAP/AVAPS. Ability to perform MSLT/MWT sleep testing Provides oversight of the HST program to assure that it meets with all Joint Commission, American Academy of Sleep Medicine, and other regulatory bodies prescribed standards. Assists in ordering sleep lab equipment. Provide instruction to day and night sleep lab staff to insure quality and efficiency of care. Ability to score sleep studies as well as be up to date on rule changes of scoring Communicate effectively with a range of personnel within the Health System, including physicians, nurses, administration and clinic managers. Registered with the Board of Registered Polysomnographic Technologist - Maintain BLS certification. Maintain a safe work environment. Keep up to date on changes in sleep medicine by regularly attending courses related to sleep medicine with the ability to adapt to future technological changes and continue educational development. Performs triage, rearranges schedules according to patient priorities. Triage Polysomnogram consults and schedules patients into appropriate clinics. Work Schedule: 8:00am - 4:30pm EST Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 689-F05986 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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