Medical Instrument Technician (Diagnostic Ultrasound)

Medical Instrument Technician (Diagnostic Ultrasound)

Department: Department of Veterans Affairs

Location(s): Johnson City, Tennessee

Salary Range: $64468 - $83806 Per Year

Job Summary: The Medical Instrument Technician will perform duties to include General and Vascular ultrasound examinations and assisting the Radiologist in ultrasound guided interventional procedures in the Radiology at the James H. Quillen VAMC Mountain Home, TN.

Major Duties:

• Total Rewards of a Allied Health Professional Duties include, but are not limited to: The incumbent follows the facilities polices/procedures regarding patient education, privacy, safety, and utilization of two identifiers. - Operates ultrasonic equipment efficient and effectively to produce diagnostic imaging of anatomy. - Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results. Based on clinic findings, determines necessary ultrasound procedures to yield definitive diagnostic findings. - Advises radiologists or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. - Performs vascular ultrasound and doppler examinations of the neck, chest and extremities for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of medical disorders. - Performs general ultrasound examinations of the abdomen, breast, testicles, pelvic, neck, chest, extremities and retroperitoneal space. - Participates in the training of physicians, students and radiology technologist so that these individuals may acquire and understanding of the principles of ultrasound and vascular procedures and how it relates to other diagnostic exams. - Performs routine clerical procedures for the purpose of maintaining accurate records and registering patients in the Radiology Information System (RIS) and use of atrium database. - Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section - Reviews orders/notes in CPRS as well as the patients' symptoms to verify appropriate exam order with proper clinical indications. Coordinates with ordering physician to resolve any issue of an exam ordered incorrectly. - Maintains adequate supplies so that examinations are not delayed due to lack of necessary equipment or supplies. Work Schedule: TBD/Intermittent/Part Time Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 61178-F Permanent Change of Station (PCS): Not Authorized

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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) Grade Determinations: In addition to meeting the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates. 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 to be filled, and must fully meet the KSAs at that level. This would be experience which demonstrates the knowledge, skills, and abilities to fully perform all vascular ultrasound tests and examinations and to function as a technical director of the vascular laboratory and provide oversight and/or guidance to other technicians. Demonstrated Knowledge, Skills, and Abilities at the GS-8 level. Candidates must demonstrate all of the KSAs below: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. Ability to perform intracranial (transcranial) vascular examinations. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Ability to provide objective data to document progression or regression of disease. AND 1. 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. 2. Ability to perform vascular studies such as vertebral, renal artery, aortic aneurysm, portal- systemic shunts, etc. 3. Ability to assist radiologists with biopsy procedures determining the location, depth, and required needle angle for the lesion to be sampled. 4. Ability to assist in surgical procedures and fluid aspirations. Demonstrated Knowledge, Skills, and Abilities: In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. The candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*) 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 vascular ultrasonography. *Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. 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). Preferred Experience: Preforming General and Vascular Ultrasound duties; Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS 9. Physical Requirements: Heavy lifting of 45 pounds and over; heavy carrying 45 pounds and over; straight pulling and pushing; reaching above the shoulder; use of fingers, both hands required; walking; standing; kneeling; repeated bending; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to16" to jaeger 1-4; and far vision correctable in one eye to 20/20 and to 20/40 in the other.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 12/29/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12849647. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Application Deadline: 2025-12-29