Summary The Atlanta Medical Instrument Technician- Polysomnographer will utilize sleep medicine skills and knowledge to provide direct patient care mainly in the sleep center. They will be responsible for performing all manner of sleep testing, patient set-up, follow-up, etc. Responsibilities The primary duty of the Polysomnography Technician is to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices as well as scoring and analyzing sleep stages in clinical polysomnographic recordings. The Polysomnography Technician summarizes and prepares reports of polysomnographic data. The Polysomnography Technician anticipates problems likely to occur during the sleep study and prepares for such situations, makes changes in established procedures, or recommends alternative courses of action. The Polysomnography Technician is knowledgeable in more complex procedures as well as uncommon and/or rare sleep disorders Duties include, but are not limited to: Responsible for reviewing patient history as it relates to sleep disorders and other medical conditions which may affect the diagnosis of sleep disorders. He/she is responsible for explaining the various procedures to the patient. Independently performs the following tests or procedures as assigned: diagnostic PSG, titration PSG, Split-night PSG, MSLT, MWT, HST, Oximetry, and actigraphy. Independently performs sleep monitoring on individuals with possible sleep apnea or other breathing related sleep disorders and/or arterial desaturations secondary to chronic obstructive pulmonary disease or other medical conditions. Independently performs sleep monitoring on individuals with other potential sleep disorders including, but not limited to, narcolepsy and periodic limb movement disorder. Independently applies continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) and other advanced modalities to appropriate levels per established protocols. Applies oxygen therapy as needed per established protocols. Responsible for the safe and proper operation of all equipment used in the Sleep Center. Verifies correct instrument calibration and operation using established procedures. Identifies the cause of common problems and notifies engineering service when appropriate. Obtains technical or factory assistance in order to fully utilize the equipment to its full potential. Accurately scores sleep studies, MSLTs, MWTs, HSTs, and prepares reports when assigned. Assists with CPAP clinic for equipment initiation and instruction, follow-up, and compliance monitoring when assigned. Utilizes sleep software Provides patient education during the performance of sleep studies, when assisting with CPAP clinic, and may assist with sleep education classes. Assists with covering the office/telephones in the absence of the MSA and secretary when assigned. Is skilled in utilizing computer databases and word processing in the preparation of reports utilizing Microsoft Word and Excel when assigned. Keeps inventory of supplies and initiates purchase requests in a timely fashion to avoid disruption of scheduled studies when assigned. Interacts with staff physicians regarding the diagnosis and treatment of sleep disorders and may provide briefings and orientation to hospital staff including physicians. Assists with maintaining department spread sheets for department performance measures. Work Schedule: Full-time, Monday-Friday, 7am-7pm & 7pm-7am Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized 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. Must pass pre-employment physical examination. 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 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. Licensure or 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. 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: At least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which provide a knowledge of the more complex procedures as well as knowledge of sleep disorders. Examples of experience equivalent to the GS-7 grade level include, but are not limited to: 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. In addition, the candidate must demonstrate the following KSAs: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 from.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. 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 grade technicians. Preferred Experience: Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. Certification as a Registered Polysomnographic Technologist (RPSGT) through the Board of Registered Polysomnographic Technologists (BPPT) or Sleep Disorders Specialty (SDS) through the National Board for Respiratory Care (NBRC) is highly desirable. Experience within the last three (3) years, conducting sleep studies in a patient care setting including one (1) year scoring sleep studies is highly desirable. References: VA Handbook 5005/15, Part II, Appendix G27, Polysomnography The actual grade at which an applicant may be selected for this vacancy is the GS-8 Physical Requirements: Medical Instrument Technician (Polysomnography) functional requirements: light lifting (under 15 lbs.); Light carrying (under 15 lbs.); Reaching above shoulders; Use of fingers; Both hands required; Walking (up to 1 hour); Standing (up to 2 hours); kneeling (up to 1 hour); Ability to distinguish basic colors and shades of colors; Hearing (aid permitted); and emotional stability. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. 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. 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 to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.