Med Inst Tech(EEG)

Summary The technician will provide a full range of duties for the NCS/EMG (Electromyography) and EEG (Electroencephalography) sections of the Neurodiagnostic Department as well as for the EMU (Epilepsy Monitoring Unit) located in the Epilepsy Center of Excellence (ECoE) at the William S. Middleton Veterans Hospital in Madison, Wisconsin. The technician will work independently as well as directly with the Neurology Service Chief, Staff Physicians, the Medical Instrument Technician (MIT) Supervisor, Responsibilities Total Rewards of a Allied Health Professional The MIT Supervisor performs higher level duties at least over 25% of time which are of a wide range of variety and are more non-standard and complex. Other duties included are: - Selects staff - Assigns, delegates, and evaluates work to be performed - Creates performance plans and evaluates employees performance appraisals - Recommendations for awards and advancements - Enforces disciplinary actions with staff when necessary - Provides training and supervision in the most complex and non-standard neurodiagnostic procedures and techniques - Interacts and communicates with staff to ensure smooth daily operation of the neurodiagnostic lab and epilepsy center - Identifies staff educational or training needs and implements a plan for training - Institute appropriate clinic grids to gather correct workload data for ECoE, EEG, EP and NCS/EMG clinic sections using correct clinic stop codes - Create protocol sheet for entering notes and encounters for Neurology Staff - Oversees and independently performs nerve conduction studies (per laboratory protocols) on various nerves at appropriate locations and intensities as indicated by the medical history and symptoms. - Assists staff physician when performing the needle exam portion of the EMG. - Instructs and guides residents and fellows on performing nerve conduction studies as well as assisting during EMGs. - Oversees and performs routine and non-standard electroencephalograms (EEG) as needed. These include outpatients, inpatients, electrocerebral inactivity (ECI) recordings. - Oversees and performs advanced neurodiagnostic procedures in complex environments such as the operating room, epilepsy monitoring rooms, radiology, intensive care units and at the patient's bedside as needed. These include intracarotid sodium amobarbital procedure (WADA), carotid endarterectomy (CEA), electrocorticography (ECoG), Motor and Speech mapping These include carotid Endarterectomy (CEA), WADA, Electrocorticography (ECoG), Motor/Speech Mapping (IOM), thoracic aneurysm clipping, aortic aneurysm clipping. 2. Functions or Scope of Practice: Equipment: - Evaluate new products and equipment and makes recommendations and final decisions based on improvement for department operations - Oversees and independently operates a variety of neurodiagnostic equipment to administer routine and specialized diagnostic treatment during procedures - Conducts routine maintenance, adjustment checks, trouble shoots equipment failure and independently corrects problems short of electrical involvement - Responsible for Equipment Inventory List (EIL) Medical Terminology, Disease and Anatomy: - Understands more advanced medical terminology, neuroanatomy, neurophysiology, and neuroradiology and how it relates to the neurodiagnostic testing being performed. - Knowledge of acute neurologic disorders and their effects on organs and methods of treatment. - Familiar with medication (neuropharmacology) effects neurodiagnostic studies. - Ability to interpret testing data to provide information for medical or surgical staff during testing procedures. Testing: - Able to deal with more complex or difficult patients. - Utilizes the 10-20 and advanced 10-10 method of electrode application during EEG, LTM, NCS, IOM, EPs - Creates and follows established laboratory protocols in performing standard and specialized EEG, LTM, NCS, IOM, EPs. Work Schedule: Monday to Friday 7:30am to 4:00pm 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). 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 #: 09879F Permanent Change of Station (PCS): Not Authorized 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. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. 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: a. Citizenship. Citizenship of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.) b. 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. See the grade requirements part of this standard for information regarding educational substitutions. c. 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. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". For all specialties identified in this standard, Basic and Advanced Cardiac Life Support certifications are desirable. Training which does not result in official certification does not meet this definition. d. Grandfathering Provision. The following is the standard grandfathering policy for all Title 38 Hybrid qualification standards. Some of these provisions may not apply to this occupation. Please carefully review the qualification standard to determine the specific education and/or licensure/certification/ registration requirements that apply to this occupation. 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. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: Such employees in an occupation that does not require a licensure/certification/registration, may be reassigned, promoted, or demoted within the occupation. Such employees in an occupation that requires a licensure/certification/registration, may be reassigned, promoted up to and including the full performance (journey) level, or demoted within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. Such employees in an occupation that requires a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher grade levels. 3 Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. GRADE REQUIREMENTS Definitions: For purposes of this qualification standard the specialty areas of this occupation have been grouped into [seven] functional areas. These are: Cardiovascular (Electrocardiograph Technician, Cardiac Catheterization Technician) Medical (Hemodialysis Technician) Surgical (Perfusion Technician, Anesthesia Technician) Neurology (Electroencephalograph Technician, Polysomnography Technician) Pulmonary (Pulmonary Function Technician), and Imaging (Diagnostic Ultrasound Technician, Echocardiograph Technician, and Vascular Technician) [Gastroenterology (GI Technician)] Medical Instrument Technicians at GS-6 and above will have a functional assignment and reference should be made to the appropriate appendix for qualifications evaluation. Grade level criteria, KSAs (core competencies), and typical assignment information for all GS-4 and GS-5 levels are defined generically in this part of the qualification standard. For higher level positions where the grade level/assignment is based on supervisory and/or managerial responsibilities, criteria are also included in the general portion of this qualification standard (for individuals in multiple function assignments) and/or the specific appendices. For non-supervisory positions at GS-6 and above and for supervisory positions in a single specialty, the grade level criteria, KSAs, and types of assignments are discussed in appendices matching the title areas listed below. Titles and Certifications/Registrations: All individuals assigned to this occupation MUST have an approved parenthetical title. For individuals at the GS-4 and GS-5 levels, the approved 4 title will be Medical Instrument Technician (Trainee). For supervisory positions over two or more approved specialties, the approved title will be Supervisory Medical Instrument Technician (Multiple Function). Supervisors over a single specialty will have that specialty as the parenthetical title; for example, Supervisory Medical Instrument Technician (Cardiac Catheterization). Non-supervisory individuals whose assignments involve two or more specialty areas will be assigned the parenthetical title for the predominant specialty considering both the intended function and qualifications background of the individual. Electroencephalograph (EEG) Technicians operate the electroencephalograph and other devices such as evoked potential equipment to record the electrical activity of the brain. Registration is offered by the American Board of Registration of EEG, CNIM & EP Technologists (ABRET) or the American Association of Electrodiagnostic Techs (AAET). Preferred Experience: Must hold a certification by the American Board of Registration of EEG. CNIM & EP technologists (ABRET) or the American Association of Electrodiagnostic Technologists (AEET). Reference: For more information on this qualification standard, please visit The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-10. Physical Requirements: See VA Directive and Handbook 5019. 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: Certification. At this level, it is highly desirable that supervisors possess certification in two or more functional specialties. Participation in recognized professional organizations as a Board examiner, in the development of curricula for training, or testing for the Board is evidence of competence. Assignment. Individuals at this level plan and direct programs at affiliated medical centers and their satellite outpatient clinics and have full supervisory responsibility for a large staff of nonsupervisory personnel and at least one subordinate team leader or supervisor. Typically these duties include assigning and evaluating the work of subordinate staff resolving problems which may interfere with patient examination or treatment; providing medical instrument technician services in more complex and non-standard cases; evaluating new products and equipment and making recommendations concerning developments which would improve operations; participating as an instructor in the facility's clinical training program; making final decisions on selections based on recommendations from subordinate supervisors or leads; evaluating performance; taking disciplinary action when necessary; and identifying educational or training needs. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. Higher Level Supervisor a. Experience. At least 1 year of experience comparable to the next lower grade level, 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 specialized experience as a first level supervisor which demonstrates possession of the knowledge required to provide medical instrument technician services in the functional specialties supervised as well as supervisory knowledge, skills, and abilities. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): b. Demonstrated Knowledge, Skills, and Abilities 1. Advanced knowledge of complex and non-standard treatment and examination procedures and techniques. *2. Ability to plan and assist in the establishment of a completely integrated treatment and examination program. *3. Ability to evaluate new products and equipment and make recommendations concerning developments which would improve operations. *4. Ability to manage the fiscal matters of the functions supervised (which would include fund controls, contracts, and equipment expenditures), forecast resource and equipment needs, and administer the allocated budget. *5. Knowledge of and ability to provide the full range of supervisory duties which would include responsibility for assignment of work to be performed; performance evaluation; selection of staff; and recommendation of awards, advancements, and, when appropriate, disciplinary actions. Additional Information Receiving Service Credit for 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. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.