This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. ***This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2023. The initial cut-off date for referral of eligible applications will be May 11, 2023. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.*** 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 in accordance with chapter 2, section D, paragraph 5a, this part. 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. 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. Grade Determinations: GS 10 Experience. At least 1 year of experience comparable to the next lower grade level GS 9, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. Individuals at this level plan and direct programs at affiliated medical centers and satellite outpatient clinics and have full supervisory responsibility for a large staff of non-supervisory personnel and at least one subordinate team leader or supervisor. Typically these duties include assigning and evaluating the work of subordinate staff resolving problems which may interfere with patient examination or treatment; providing echocardiography technician services in more complex and non-standard cases; evaluating new products and equipment and making recommendations concerning developments which would improve operations; participating as an instructor in the facility's clinical training program; making final decisions on selections based on recommendations from subordinate supervisors or leads; evaluating performance; taking disciplinary action when necessary; and identifying educational or training needs. AND 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(*): 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 (MIT ECHO). Advanced knowledge of complex and non-standard treatment and examination procedures and techniques. *Ability to plan and assist in the establishment of a completely integrated treatment and examination program. *Ability to evaluate new products and equipment and make recommendations concerning developments which would improve operations. *Ability to manage the fiscal matters of the functions supervised (which would include fund controls, contracts, and equipment expenditures), forecast resource and equipment needs, and administer the allocated budget. *Knowledge of and ability to provide the full range of supervisory duties which would include responsibility for assignment of work to be performed; performance evaluation; selection of staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions. Preferred Experience: Certification. Certification by Cardiovascular Credentialing International (CCI) as a Certified Cardiographic Technician (CCT) is highly desirable at this level. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Sonographer Certification is Preferred. Five plus years as a Certified Cardiac Sonographer is preferred. Sound Knowledge, Skills, and ability in cardiac sonography. Accredited sonographer program completed is preferred Leadership/Management experience, if possible References: VA HANDBOOK 5005/15 PART II APPENDIX G27 Physical Requirements: Able to meet the physical demands of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. While performing duties of this job the Echocardiography Technician is frequently required to stand, walk, and bend and reach. Must be able to lift and/or move over 50 pounds. They must have good manual dexterity and keyboarding skills. Must be able to express or exchange ideas by means of the spoken word. Must be able to view and read information on computer screens ["The Supervisory MIT ECHO functions as the first line supervisor of the Echo techs within the Primary & Specialty Care Service Line. Will assist in various sections as needed, based on the individuals' skill set & competencies. Collaborates with other service lines to ensure high quality patient care. Performs diagnostic quality images & Doppler frequency shift recordings using M-mode, 2-D, 3-D, pulsed & continuous wave Doppler spectral display, & color flow Doppler imaging. Performs transesophageal echocardiograms, dobutamine & exercise stress, & 3-D echocardiograms . Performs insertion of intra-venous catheters utilizing ultrasound. Prepares & attaches patient to stress test equipment & performs stress echocardiograms. Performs any new scanning techniques that are developed by the manufacturers of the ultrasound machines. Adapts transducer positioning, instrument controls & examination techniques to the individual patient & to illuminate the problem. Monitors patient's condition. Triages inpatient procedure requests. Accurately documents information in the medical record. Technically knowledgeable in the operation, calibration, & maintenance of the specialized equipment. Completes encounters on all echo's performed, using the correct CPT codes, diagnosis, service connection status. Assists in restocking of supplies/linens in procedure rooms. Participates in Quality Management Customer Service Participates in facility conferences, task forces & committees. Communicates effectively & professionally with all involved parties. Precepts new staff & cardiology trainees in their development of echocardiography imaging skills . Serves as a consultant to other health care professionals related to echo procedures . Assists the scheduling clerk in determining appropriateness of consults, triage & priority. Follows hospital policy & Reusable Medical Equipment SOP. Completes initial RME competency. Performs complex procedures such as cardiac studies of the 4 chambers of the heart & valves. Independently performs 2D transthoracic examinations & makes decisions for saline/contrast injection studies & LV cavity opacification agent use. Coordinates the echo lab function arranging for TEE, stress echo, & Dobutamine stress tests for outpatient & inpatient studies, coordinating with providers. Receives patients, explains procedure, assists patient in preparation for the procedure. Completes check-in/out on each patient in CP User & CPRS . Assists staff cardiologist/attending MD with obtaining 3D transesophageal echocardiography & images. Performs strain imaging in echocardiography. Works with echo lab director & manager to develop protocols for standardization. Orders & maintains supplies such as contrast agents, IV supplies, linens, & ancillary supplies. Develops & implements policies, procedures, & protocols for echocardiographic imaging under guidance. Serves as the Education coordinator & maintains records of training for echo. Assesses, identifies, & provides training. Makes staff assignments based on changing needs & schedule. Oversees the scheduling of echoes by scheduling staff. Provides input into quarterly evaluations of echo staff. Has knowledge of more complex examination & treatment procedures & techniques. Remains abreast of new developments in the echo field. Supervisory duties: Plans work to be accomplished by subordinates based on priorities with selective consideration of the difficulty & requirements of assignments, & the capabilities of employees. Develops & conducts performance evaluations quarterly in collaboration with the echo lab director & nurse manager. Manages staff performance, disciplinary and/or conduct matters & works collaboratively with HR/ERLR, Union & the employee to resolve. Mentors, counsels and/or instructs employees on work & administrative matters. Interviews candidates for positions, recommends selections, checks reference, & makes recommendations for advancements/promotions or reassignments. Directly supervises all cardiac sonographers GS-5-9, with input & oversight by the nurse manager & echo lab director. Knowledgeable of all regulations & audits educates staff & ensures compliance. Assists with procedures & staffing. Prioritizes & requests equipment & supply requests in collaboration with nurse manager & echo lab director. Serves as the Cardiology PACS coordinator as subject matter expert , troubleshoots problems, works with biomedical engineering & OIT, attendings & vendor to resolve problems. Work Schedule: Monday- Friday 700am- 330pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 54715-O Relocation/Recruitment Incentives: Authorized EDRP Authorized: Contact Mykia.Hopkins@va.gov, the EDRP Coordinator for questions/assistance. Learn more Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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