This position provides intermittent coverage for the facility as needed. The incumbent operates and performs a variety of complex, specialized, noninvasive diagnostic vascular ultrasound examinations using Doppler ultrasound, duplex sonography. The incumbent operates, performs complex, specialized general Diagnostic ultrasound exams utilizing the application of non-ionization high frequency waves and for diagnosis of diseases, other pathology, including msk pathology. 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. 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. 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-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 the overall knowledge, skills, and abilities to conduct diagnostic ultrasound examinations in complex and unusual cases. Set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for more complex, but standardized procedures. Knowledge of zoom, expansion, prospectus, color Doppler, and pulsed echo Doppler. Knowledge of the digital transmission of images. Alter standard, but complex procedures and protocols to meet patient needs and physical limitations. Demonstrated Knowledge, Skills, and Abilities In addition, the candidate must demonstrate the following KSAs: Ability to perform diagnostic ultrasound examination on multiple areas of the body, including, but not limited to, the abdomen, pelvis, transvaginal, chest, small parts, thyroid, breast, and scrotum. Ability to perform vascular studies such as vertebral, renal artery, aortic aneurysm, portal-systemic shunts, etc. Ability to assist radiologists with biopsy procedures determining the location, depth, and required needle angle for the lesion to be sampled. Ability to assist in surgical procedures and fluid aspirations. Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable Preferred Experience: General and Vascular Ultrasound, BLS certified References: VA HANDBOOK 5005/15 PART II APPENDIX G27 The full performance level of this vacancy is GS 8. Physical Requirements: The physical demands of the work include: Heavy lifting, 45 pounds over; moderate carrying, 15-44 pounds; pushing up to 4 hours; reaching above shoulder; use of fingers, good dexterity (both hands required); prolonged walking, prolonged standing; repeated bending; ability for rapid mental and muscular coordination simultaneously; far vision correctable in one eye to 20/20; ability to distinguish basic colors; hearing (aid permitted); speed in working; and emotional stability. ["The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being. Advises radiologist or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Provides coverage for surgeon in the operating room if necessary. Performs complex, specialized Duplex (B-scans, Doppler and ABI) examinations of vertebral, renal artery, aortic aneurysm, portal-systemic shunts, carotid, abdominal and other peripheral arteries and veins. Ability to perform diagnostic ultrasound examination on multiple areas of the body, including, but not limited to, the abdomen, pelvis, transvaginal, chest, small parts, thyroid, breast, and scrotum. Performs complex musculoskeletal ultrasound of the wrist, elbow, shoulder, knee and hips, ankle for pathology and physiological effects of disease that impact the patient's well -being. Knowledge of complex ultrasound examinations of the abdomen, pelvis, neck, chest and musculoskeletal, extremities, retroperitoneal space for acquiring high quality examinations that assist in the diagnosis and treatment of patient medical pathology. Fine needle aspiration procedures. Assist radiologists with biopsy procedures determining the location, depth, and required needle angle for the lesion to be sampled and for pain management. Makes multiple gain, frequency settings and adjustments in operation of equipment to ensure accurate results. Determines necessary vascular ultrasound procedures to yield definitive diagnostic findings based on clinical signs and symptoms. Completes all required education and maintains competencies related to scheduling of patient appointments Work Schedule: Intermittent/As Needed - This position is an intermittent one. There is no set schedule and tour of duty may include days, nights holidays and weekends. An intermittent position is not the same as a part-time position. Virtual: This is not a virtual position. Functional Statement #: 000000 Financial Disclosure Report: Not required"]

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