The incumbent functions as a Polysomnographic Technologist in the clinical sleep laboratory, within Ambulatory Care. These individual functions independently to safely operate sophisticated medical equipment to record sleep/wake physiology. In addition, the Incumbent performs standard scoring of sleep staging and other parameters (including respiration, EMG and ECG) and presents the data in an established format in preparation for physician interpretation.
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Plans procedures and is independently responsible for utilizing his/her own judgement, experience and knowledge in preparing, calibrating and operating all equipment to perform polysomnograms, multiple sleep latency tests and initiate various treatment modalities during studies.
Monitors equipment to record breathing (airflow/respiratory effort), respiratory inductive plethysmography, electroencephalograms (brain waves), electrocardiograms (heart rate and rhythm), electromyograms (muscle activity), pulse oximetry (blood oxygenation/saturation) and equipment to provide various treatment modalities.
Performs polysomnographic studies on patients with suspected sleep disorders. This includes ambulatory baseline polysomnograms, multiple sleep latency tests and maintenance of wakefulness tests. At times PAP titrations may be performed.
Ensures that reliable information is being recorded as well as making careful observations of the patient's behavior.
Conducts preventative maintenance for all equipment, reusable supplies, keeping accurate records, and maintaining an inventory of supplies.
Cleans and disinfects the equipment/rooms according to the SOP (Standard Operating Procedure) of the VAAAHS (VA Ann Arbor Healthcare System) RME (reusable medical equipment) program. They will also be responsible for setting up the patient room each night of the studies.
Reviews the polysomnogram on initiation of study and during data acquisition. The review of data is an integral part of the job to justify the initiation of appropriate treatment modalities for the treatment of sleep disorders associated with respiration.
Determines treatment efficacy (appropriate treatment pressures and appropriate, supplemental oxygen levels) required to treat these respiratory disorders.
Identifies normal/abnormal breathing patterns, artifacts, human sleep stages, abnormal cardiac activity and abnormal EMG/EEG activity to provide a preliminary diagnosis.
Records observational data accurately and concisely and summarizes clinical events pertinent to a patient's recording. Additional data gathering may include administering and recording of patient questionnaires.
Sets up, uses, reprocesses and maintains all unit/department-specific equipment that is designed by the manufacturer to be reused for multiple patients.
Participates in training in the set up, use, reprocessing, and maintenance of their unit/department-specific equipment leading to the initial competency and validation of ongoing competency at least annually.
Utilizes equipment appropriately and demonstrates and/or verbalizes the proper use, reprocessing and maintenance.
Performs polysomnographic analysis that involves the scoring of sleep staging and other parameters (respiration, EMG and ECG) and presents the data in an established format in preparation for physician interpretation.
Work Schedule: Monday
Financial Disclosure Report: Not required
0649 Medical Instrument Technician
Health Technicians, All Other
Technicians, Health, All Other
Conditions of Employment
You must be a U.S. Citizen to apply for this job
Designated and/or random drug testing may be required
Selective Service Registration is required for males born after 12/31/1959
You may be required to serve a probationary period
Subject to a background/security investigation
Must be proficient in written and spoken English
Selected applicants will be required to complete an online onboarding process
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.
1.COVERAGE. The following are requirements for appointment as a Medical Instrument Technician (MIT) in the Veterans Health Administration (VHA).
a. Citizenship. Citizen of the United States.
b. 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.
c. 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".
d. Physical Requirements. See VA Directive and Handbook 5019.
e. 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.
Preferred Experience: Previous sleep center / CPAP mask / CPAP download experience preferred.
(1) Titles and Certifications/Registrations: All individuals assigned to this occupation MUST have an approved parenthetical title. For individuals at the GS-4 and GS-5 levels, the approved title will be Medical Instrument Technician (Trainee). For supervisory positions over two or more approved specialties, the approved title will be Supervisory Medical Instrument Technician (Multiple Function). Supervisors over a single specialty will have that specialty as the parenthetical title; for example, Supervisory Medical Instrument Technician (Cardiac Catheterization). Non-supervisory individuals whose assignments involve two or more specialty areas will be assigned the parenthetical title for the predominant specialty considering both the intended function and qualifications background of the individual.
(a) Polysomnography Technicians operate the electroencephalograph and other devices to record the electrical activity of the brain during sleep. Registration is offered by the Board of Registered Polysomnographic Technologists (BRPT). (See Appendix I).
(2) Creditable Experience
(3) Quality of Experience. Experience is only creditable if it is equivalent to at least the next lower grade level and is directly related to the position/specialty to be filled.
(4) Part-time Experience. Part time experience is credited according to its relationship to a full time work week. For example, an individual employed 20.
(5) Fellowships. N/A
(6) Internships. N/A
b. Grade Determinations. In addition to the basic requirements for employment, the criteria discussed in the applicable headings, or that defined in the appendices, must be met when determining the grade of candidates.
c. Education/Training. To be creditable education must have been gained in an accredited Community College, College, or University.
(1) Training. Completion of appropriate training such as in-service training programs, on the job training, training acquired while in the Armed Forces, government sponsored developmental training programs, and/or training under physicians certified in the functional area will be allowed on a month-for-month basis through the GS-5 level.
(2) Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs.
Appendix I - Medical Instrument Technician (Polysomnography):GS-8:
(a) 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:
(b) 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.
(c) 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.
(d) 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.
(a) Assignment. At this level the Polysomnography Technician performs a full range of standard, but complex, polysomnography examinations with responsibility for 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.
They independently determine the need for CPAP during all night sleep studies for sleep apnea. They may administer nerve conduction velocity tests.
(b) Demonstrated Knowledge, Skills, and Abilities.
1.Knowledge of CPAP function and operation to select and fit appropriate PAP patient interface devices.
2.Ability to independently titrate and document PAP level to achieve therapeutic goals.
3.Knowledge of indications, complications, and contraindications of CPAP therapy.
4.Knowledge of Bi-Level pressure titrations.
5.Ability to recognize changes seen during the PSG tracing and identify all stages of sleep. This includes the ability to score and analyze sleep stages in clinical polysomnography recordings.
(c) Certification. No certification or registration is required. Basic Cardiac Life Support (BCLS) certification is desirable.
References: VA HANDBOOK 5005/15, PART II, APPENDIX G27 dated March 17, 2006.
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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
Department Of Veterans Affairs