Medical Instrument Technician (EKG)

Medical Instrument Technician (EKG)

Department: Department of Veterans Affairs

Location(s): Temple, Texas

Salary Range: $55328 - $71932 Per Year

Job Summary: Medical Instrument Technicians (EKG) will operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing and ambulatory monitoring of arrhythmias. They monitor tracings to identify arrhythmias and possess knowledge to identify gross abnormalities, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician.

Major Duties:

• Major duties include, but not limited to: Performs and analyzes routine and specialized diagnostic cardiac procedures, including but not limited to: Electrocardiograms (ECGs), Exercise Stress Tests, Holter Monitor hookups and scanning, Signal Average (Late Potential) ECGs, Echocardiograms, Dobutamine Stress Echo, Stress Echocardiograms, Arterial Plethysmography, and Tilt Table Testing. Independently selects, operates, and calibrates equipment, ensuring accurate and reproducible test results. Works with a diverse patient population, including critically ill, isolated, and routine patients, and is responsible for recognizing and responding promptly to arrhythmias, ischemic changes, and acute myocardial infarction patterns. Initiates appropriate notification of physicians or emergency personnel when significant abnormalities or life-threatening conditions are observed. Calculates and interprets data such as arterial blood flow and hemodynamic responses during testing and documents all findings accurately in the patient record. Performs all procedures in accordance with established medical center and national standards to ensure accuracy, safety, and quality of care. Maintaining reports and documentation for all procedures performed across multiple CTVHCS sites. This includes editing and verifying physician interpretations, entering data into the MUSE System, VISTA, and Vista Imaging, and ensuring CPT coding accuracy for all studies. Provides training and instruction to nursing, respiratory therapy, and medical students, as well as new technicians and clinical staff, on the correct techniques for obtaining electrocardiograms and the maintenance and operation of ECG equipment. Performs highly specialized and technical procedures such as T-Wave Alternans (TWA) and Tilt Table testing, requiring close coordination between physician and technician to ensure patient safety and diagnostic accuracy. During such procedures, independently monitors and documents blood pressure, heart rate, rhythm strips, and other vital parameters, promptly alerting the physician to any abnormal findings or adverse patient responses. Total Rewards of a Allied Health Professional Work Schedule: Monday - Friday, 7:30am - 4:00pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases. Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. 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 Available Virtual: This is not a virtual position. Functional Statement #: 00000 / Medical Instrument Technician (EKG) Permanent Change of Station (PCS): Not Authorized

Qualifications: 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. Basic and Advanced Cardiac Life Support certifications are desirable. Grandfathering Provision. All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. Physical Requirements. See VA Directive and Handbook 5019. 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. 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 (GS-7) , 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 provided knowledge of advanced specialized procedures, the pharmacology related to this occupation, and knowledge of related acute disorders and diseases and their effects on organs and methods of treatment. Examples of experience would include; operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing, ambulatory monitoring of arrhythmias, and indirect carotid pulse tracings; monitor tracings to identify arrhythmias and when gross abnormalities appear, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician; evaluate test results to determine appropriate machine adjustments and use alternative techniques and procedures when established procedures do not accomplish acceptable results; edit and select an appropriate sample portion of the tracing for further interpretation by the physician. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience, candidates must demonstrate the following technical KSAs: Knowledge of pharmacology related to specialized procedures. Ability to provide briefings and orientations to hospital staff including physicians. Knowledge of a variety of related acute disorders and diseases, their effects on organs, and methods of treatment. Ability to perform more complex procedures such as SAECG (Signal Averaged ECG), Tilt table monitoring, electrophysiology monitoring, and event monitoring. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. Preferred Experience: Certified EKG Technician Three or more years' experience performing in EKG field or cardiology Currently employed as an EKG Technician or Cardiology Technician 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-08. Physical Requirements: While performing the duties of this job, the employee is frequently required to stand, walk, sit for extended periods, use hands and fingers, reach with arms, talk, and hear. The employee is occasionally required to stoop, kneel, crouch, and push or move equipment throughout the hospital. The position may also involve assisting with patient transfers in and out of beds or wheelchairs, which may require light, moderate, or heavy lifting and carrying ranging from 15 to over 45 pounds. The employee must regularly lift and/or move up to 10 pounds, frequently up to 25 pounds, and occasionally up to 50 pounds. Specific vision abilities required include close vision, distance vision, color vision, depth perception, and the ability to adjust focus. The role involves repetitive computer use for extended periods, particularly when scanning or processing EKG studies. The incumbent may be required to wear protective clothing in isolation areas or during operative/invasive procedures. The employee may occasionally be exposed to patients who are combative due to delirium, dementia, or psychiatric conditions. Therefore, the incumbent must be a mature, flexible, and sensible individual capable of working effectively in stressful or challenging situations.

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 11/25/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12834843. 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: 2025-11-25