Summary Activities in the Pulmonary and Critical Care Section impact direct patient care in both the in patient and outpatient setting for the Eastern Colorado Healthcare System (ECHCS). The primary responsibility of the MIT (Polysomnography) at this level is to receive requests and/or instructions for procedures and conducts diagnostic studies as ordered by the VA Providers. The MIT (Polysomnography) will be expected to provide education the patient on proper technique to ensure optimal test results. Responsibilities Major duties include but are not limited to: Incumbent performs Polysomnography studies of limited complexity and related interventions to include but not be limited to: Full polysomnogram, unattended sleep studies, Multiple Sleep Latency Tests (MSLT), Maintenance of Wakefulness Test (MWT). Must have knowledge of normal vs. abnormal test data and be able to distinguish between artifact and an actual event. Incumbent must have knowledge of respiratory therapy and necessary equipment related to oxygen delivery systems, pulse oximetry, and noninvasive ventilation. Preps patients and calibrates complete sleep recording equipment. Reviews the consult for appropriateness, enters all information into the sleep equipment software program and saves data when testing is completed. Reviews the patient's medical record, orders and physician's notes. After the study, the technician writes a brief note describing the procedure and outcome in the electronic medical record. Reviews results of all sleep related diagnostic testing to determine if the test is valid. Responsible for accurately scoring each polysomnogram according to the R and K criteria and the American Academy of Sleep Medicine scoring standards. Distinguishes and annotates any change in recording parameters or conditions on the test tracings as they occur. Recognizes sleep apnea, sleep movements, hypopneas, and rapid eye movement (REM) behavior disorder and makes adjustments in recording parameters to optimize performance of sleep studies. Follows standard precautions to prevent spread of disease. Will actively participate in DME and or Sleep Lab meetings. May be required to Set-up equipment for Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) titration studies and oxygen titrations. Completes all annual competencies. Will communicate effectively in person, via telephone and electronic venue. Must maintain a current Basic Life Support (BLS) certification and complete all annual competencies. Will display a cooperative, positive attitude and will effectively work together with patients and peers to implement the organization's mission and goals. Will assist in other areas of the Pulmonary and Critical Care Section as directed by the Supervisor/Manager/Chief to ensure the goals of the Section are met. Will be flexible in job performance to meet the demands of an ever-changing patient population. Will be expected to assist in other areas of the Pulmonary and Critical Care Section as related to their education, training and licensure. Must have knowledge of anatomy and physiology, including an in-depth understanding of the circulatory and pulmonary systems, and the major organs associated with these systems. Must have expertise in the operation of all sleep study related equipment and follow-up intervention and be able to select and manipulate the equipment and therapy to meet the patient's needs. May be expected to occasionally travel to other locations such as the Community Based Out-patient Clinics (CBOC's) to assist with patient coverage as needed. Work Schedule: Monday-Friday 8:00AM - 4:30PM Virtual: This is not a virtual position. Functional Statement #: Financial Disclosure Report: Not Required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Training-Service Agreement and Mobility Agreement required. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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. 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. 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. Grade Determinations: Medical Instrument Technician (Polysomnography), GS-8 Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: Demonstrated Knowledge, Skills, and Abilities: 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. Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. Assignment. This represents the full performance level. 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. References: VA Handbook 5005, Part II, Appendix G27 Physical Requirements: The MIT (Polysomnography) must meet the physical requirements to provide pulmonary function and diagnostic testing: 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 The MIT (Polysomnography) may be required to function as sole Clinician in the Pulmonary Services area if circumstances dictate Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.