Medical Instrument Technician (Electrocardiograph) - EKG

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for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, no boilerplate. We need to parse the posting. Key content: Summary: The Medical Instrument Technician (EKG/Telemetry) will operate and monitor electrocardiographic equipment for continuous telemetry rhythm evaluation and interpretation. They will remotely monitor continuous cardiac rhythms and oximetry readings for up to 35 patients under the direction of the RN and medical providers. Qualifications: Many details about citizenship, education, licensure, English proficiency, grade determinations (GS-4 to GS-7), KSAs, etc. Duties: Major duties list. Work Schedule: Day/Night - 8 and 12 hour shifts, Rotating weekends and holidays. Recruitment Incentive (Sign-on Bonus): A recruitment incentive may be authorized for highly qualified candidates Relocation Incentive: A relocation incentive may be authorized for highly qualified candidates 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) 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) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience 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 #: 000000 Permanent Change of Station (PCS): Not Authorized Student Loan Repayment Program (SLRP): This occupational series may be eligible for the Student Loan Repayment Program (SLRP) Repayment is limited to $40 -000 annually - up to $100 -000 in lifetime awards Participants must sign a three-year service agreement and maintain an acceptable level of performance to remain eligible for this program Contact VHAV23SLRP@va.gov for more information. We need to decide sections. We have "About the role" could be summary. "Responsibilities" could be duties list. "Requirements" maybe basic requirements (citizenship, education, etc). "Qualifications" maybe grade determinations and KSAs. "Skills" maybe KSAs. "Benefits" includes PTO, parental leave, childcare subsidy, retirement, insurance, SLRP, recruitment/relocation incentives maybe. "Pay" includes competitive salary, step rate. "Schedule" includes work schedule. We must not create sections with placeholder or vague content like "commensurate with experience". We have actual specifics. We need to output only HTML fragment, no markdown. We'll produce something like:

About the role

The Medical Instrument Technician (EKG/Telemetry) will operate and monitor electrocardiographic equipment for continuous telemetry rhythm evaluation and interpretation. They will remotely monitor continuous cardiac rhythms and oximetry readings for up to 35 patients under the direction of the RN and medical providers.

Responsibilities

• Assists nursing with determining alarm settings and customized parameters for each patient
• Prints and interprets all elements of telemetry rhythm strip and oximetry waveforms and informs nursing staff of any changes in rhythm or oximetry values
• Documents rhythm interpretation and oximetry readings every 8 hours and with any rhythm change or oxygen deviation from baseline for up to 35 patients
• Documents communication with nursing staff regarding changes in patient condition and monitor settings
• Informs the patient about the exam being performed and any hazards associated with the exam to ensure understanding of the procedure
• Downloads and interprets results of 12 Lead EKG and Holter monitor into appropriate computer system to maintain patient records
• Recognizes lethal rhythms/arrhythmias (including acute myocardial infarction - STEMI - NSTEMI) and immediately notifies appropriate staff
• Maintains and troubleshoots cardiac equipment to remain in clean working order
• Performs 12 Lead EKG in the Lab and provides consultation throughout medical center
• Performs exercise tolerance test with RN or provider
• Places ZIO/Holter monitor on patients - documents procedure - and provides patient education
• Provides training to new employees on Telemetry - EKG - Holter and exercise tolerance equipment
• Trains and validates competency of medical center staff on EKG and Telemetry procedures

Requirements

United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2 - section D - paragraph 5a.

Qualifications

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.

Licensure or Certification: Not required, but BCLS desirable at GS-6 or above; ACLS desirable at GS-7; specific certifications may be indicated for higher levels or supervisory assignments.

Grade Determinations:

• GS-4 (Trainee): At least 1 year of experience comparable to the next lower grade level; six months may be in medically related fields; remaining six months in operating diagnostic/therapeutic equipment; or two years of education above high school or an associate's degree with major directly related to MIT.
• GS-5 (Trainee): At least 1 year of experience comparable to the next lower grade level; or four academic years above high school leading to a bachelor's degree with courses related to the occupation.
• GS-6: At least 1 year of experience comparable to the next lower grade level; ability to recognize special patient needs; knowledge of specialized equipment for Holter monitoring; universal precautions; ability to monitor for adverse reactions; operate equipment for standard and routine highly specialized procedures including exercise stress testing; BCLS desirable.
• GS-7: At least 1 year of experience comparable to the next lower grade level; knowledge of typical patient reactions and signs of distress; ability to recognize, report and treat potentially lethal arrhythmias; knowledge of common equipment settings and standardized procedures; ability to modify procedures for complicating conditions; ability to act as mentor/preceptor; conduct in-service training; BCLS and ACLS desirable.

Skills

Knowledge of basic medical terminology; ability to learn equipment components, operating characteristics, and settings; ability to learn typical patient reactions and recognize signs of distress; ability to learn standard positions for procedures; ability to communicate orally and in writing; knowledge of standard medical terminology to interpret physician orders; knowledge of common physical disabilities and ability to position patients; ability to learn normal and abnormal results for routine procedures; ability to operate equipment to administer routine/standard diagnostic treatment; ability to perform standard operator maintenance (disassemble, clean, reassemble, calibrate); ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions; knowledge of specialized equipment and accessories appropriate to Holter monitoring; knowledge of universal precautions and sterilization techniques; ability to follow CDC guidelines; ability to monitor patient for adverse reactions and take appropriate action; ability to operate equipment to perform standard and routine highly specialized procedures including exercise stress testing; knowledge of typical patient reactions and signs of distress including ability to recognize, report and treat potentially lethal arrhythmias; knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures; ability to modify procedures/positions to obtain correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue; ability to act as a mentor or preceptor to lower graded technicians; ability to conduct in-service training on the EKG equipment and related instrumentation.

Benefits

• Recruitment incentive (sign‑on bonus) may be authorized for highly qualified candidates.
• Relocation incentive may be authorized for highly qualified candidates.
• Paid Time Off: 37‑50 days of annual paid time off per year (13‑26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays). Credit toward annual leave accrual may be granted based on prior work experience or military service.
• Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with birth, adoption, or foster care placement.
• Child Care Subsidy: After 60 days of employment, full‑time employees with total family income below $144,000 may be eligible for a subsidy up to 25% of total eligible childcare costs, up to a monthly maximum of $416.66.
• Retirement: Traditional federal pension (5‑year vesting) and federal 401(k) with up to 5% matching contributions by VA.
• Insurance: Federal health, vision, dental, term life, and long‑term care (many federal insurance programs can be carried into retirement).
• Student Loan Repayment Program (SLRP): Eligible for up to $40,000 annually, lifetime cap $100,000; requires three‑year service agreement and acceptable performance. Contact VHAV23SLRP@va.gov for more information.

Pay

Competitive salary with regular salary increases; 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).

Schedule

Work Schedule: Day/Night – 8 and 12 hour shifts; rotating weekends and holidays.

We must ensure we didn't include any boilerplate like EEO, etc. We removed navigation etc. Check for any repeated content: We included "United States Citizenship" and "English Language Proficiency". Also we included education, licensure, grade determinations. Good. We didn't include "Functional Statement #: 000000" etc. That's minor metadata; we can drop. We didn't include "Telework: Not Available Virtual: This is not a virtual position" - maybe we could include under Schedule or Benefits? It's not a benefit; it's about telework. Could be omitted as minor metadata. The instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it. Telework is minor metadata; we can drop. We also omitted "Permanent Change of Station (PCS): Not Authorized". That's minor metadata; drop. We omitted "Contact VHAV23