Supervisory Medical Instrument Technician (Vascular) - White River Junction - job 742729

Department of Veterans Affairs

Date: 05/04/2021

City: White River Junction, Vermont

Employment type: Full-time

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The Medical Instrument Technician (Vascular) is directly responsible for the day-to-day operation, administration, strategic development, and overall implementation of policies in the noninvasive vascular diagnostic lab, plus supervision of other technologist employee(s) in the vascular laboratory at the WRJVAMC.

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Demonstrated Knowledge, Skills and Abilities: A high degree of technical skills are required in the following areas:

  • Cerebrovascular exams: carotid & vertebral extracranial duplex examination, transcranial Doppler examination of intracranial arteries, and to the extent technically possible, duplex evaluation of intra-thoracic carotid, innominate and subclavian arteries.

  • Upper extremity exams: Duplex evaluation of axillary, brachial, radial, ulnar and palmar arch arteries. Duplex evaluation of all major upper extremity veins. Duplex and physiologic evaluation of arteries and veins for pre-hemodialysis access planning. Physiologic pressure measurements of brachial arteries, forearm arteries and digital arteries.

  • Abdominal visceral duplex exams: Renal arteries and accessory renal arteries. Renal veins. Celiac, Superior Mesenteric and Inferior Mesenteric arteries. Superior mesenteric, splenic, portal and hepatic veins.

  • Abdominal aorto-iliac duplex exams: Aortic duplex for occlusive disease and aneurysm diameter assessment. Common and External Iliac artery duplex for occlusive disease and aneurysm diameter measurement. To the extent technically possible, duplex evaluation of internal iliac arteries.

  • Abdominal vena cava and iliac vein duplex: To the extent technically possible, duplex evaluation of patency of inferior vena cava and iliac veins.

  • Lower extremity exams: Duplex evaluation of common femoral, Profunda femoris, superficial femoral, popliteal and tibial arteries for occlusive disease. Duplex evaluation of lower extremity arterial bypass grafts for patency and stenosis. Duplex evaluation of femoral, popliteal, and tibial veins for deep venous thrombosis. Duplex evaluation of femoral, popliteal and tibial veins for evaluation of venous valvular insufficiency. Duplex evaluation of greater and short saphenous veins for potential use as bypass conduits. Physiologic evaluation of femoral, popliteal, tibial and digital artery pressures as well as Doppler waveform capture and analysis.

  • Instrumentation Skills: Maintains expert working knowledge of color-flow duplex scanner, arterial physiologic assessment systems (e.g. Parks Flow-Lab), treadmill for intermittent claudication studies.

  • Data Presentation: Provides detailed preliminary data and working draft analysis as basis for physician interpretation.

  • Mobility: Ability to perform inpatient studies in situations where the patient cannot be safely transported, e.g. examinations in ICU and in Operating Room - Computer Skills: Assists in implementation and maintenance of a digital Picture Archiving and Computer Storage (PACS) system for the vascular laboratory. Creates and maintains computerized template medical notes and structured laboratory reports for the VA electronic medical record.

  • Quality Assessment: Establishes and maintain a quality monitoring system that surveys study quality and identifies critical incidents and sentinel events for action. Creation and maintenance of study protocols for all commonly performed exams. Ability to address variations from standards of care.

Work Schedule: Monday - Friday, 8:00 am - 4:30 pm

Financial Disclosure Report: Not required

Travel Required

Occasional travel - You may be expected to travel for this position.

Supervisory status


Promotion Potential


  • Job family (Series)

0649 Medical Instrument Technician

  • Requirements



Conditions of Employment

  • You must be a U.S. Citizen to apply for this job

  • Designated and/or random drug testing may be required

  • Selective Service Registration is required for males born after 12/31/1959

  • You may be required to serve a probationary period

  • Subject to a background/security investigation

  • Must be proficient in written and spoken English

  • Selected applicants will be required to complete an online onboarding process


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.

  • 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-9

(a) Experience. At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics of the positions to be filled. In addition, the candidate must demonstrate the following KSAs:

1.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.

  1. 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.

  2. Ability to perform intracranial (transcranial) vascular examinations.

  3. 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.

  4. Ability to provide objective data to document progression or regression of disease.

In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment.

  1. 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 the Cardiac Catheterization Laboratory.

    1. Knowledge of JCAHO and other regulatory requirements.

  1. Ability to communicate effectively and professionally with employees at varying grade levels.

    1. Ability to manage and supervise employees.

    1. Ability to provide, or provide for, staff development and training.

Certification: Registration by Cardiovascular Credentialing International (CCI) as a registered Cardiovascular Invasive Specialist (RCIS) or Registered Vascular Technician (RVT) Certified or in process of RVT certification is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level.

References: VA Handbook 5005/15, Part II, Appendix G27The full performance level of this vacancy is GS-09.

Physical Requirements: See VA Directive and Handbook 5019


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:

. 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:

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