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Summary The Echocardiography Technician has the intimate knowledge of thoracic anatomy and physiology related to cardiovascular function. They work in the Cardiology section of Medical Service in the Birmingham VA Medical Center operating medical diagnostic equipment. Responsibilities Major duties include, but are not limited to: Ability to performs 2D, M-Mode, continuous and pulse wave Doppler and color flow exam. Performs transthoracic examinations. Performs stress echocardiograms with and without pharmaceuticals. Assists physician of results of exam. Receives patients, explains procedure and performs exam. Assist Cardiology Fellows in performing and interpreting echo exams. Independently setting, calibrating and operating of machinery. Knowledge of normal echocardiography findings and deviations produced by a wide variety of cardiovascular diseases. Ability to perform complex procedures such as cardiac studies of the four chambers of the heart using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic echocardiography, Bubble studies and contrast echocardiography (invasive), stress echocardiography, and transesophogeal echocardiography. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. Ability to interact with patients explaining procedures and positioning and prepping the patient for procedure. Ability to follow policy for sterilization process for TEE probes. Ability to complete diagnostic studies ordered by and in collaboration with physician on all tours of duty with minimal or no direct supervision; coordinates appointments/ workload according to appropriateness of patients/ staffing. Ability to accept verbal orders and record entries into the patient's medical record for the procedure performed. The complying of data, revising reports and completing reports for physician review. Ability to manage Echocardiography images in Xcelera and copy to CD. Ability to schedule clinic appointments using Veterans Health Information Systems and Technology Architecture (VISTA) in accordance with the business rules outlined in the VHA directive 2006-005 Outpatient Scheduling Processes and Procedures. Demonstrates knowledge and use of general business rules outlined in the VHA Directive 2006-005 Outpatient Scheduling Processes and Procedures. Ability to use established business rules for Enrollment and Registration, Scheduling, Consult Management, Use of the vista Electronic Wait List (EWL), Handling No-Shows, Patient Cancellations, and Clinic Cancellations as applicable to job. Ability to uses insurance software, as instructed, to insure the capture of all insurance information during the check-in process. Work Schedule: Monday-Friday, Tours vary from 0800-1630 (8 hrs), 0600-1630 (10 hrs) Functional Statement #: 521-FS-409; 521-FS-410; 521-FS-411 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 trial period. 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. 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). 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. GS-06: To meet the requirements for the GS-6 grade level MIT (Echocardiography) do you possess At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. In addition, the candidate must demonstrate the following KSAs: 1. Knowledge of the anatomy and physiology of the heart and great vessels. 2. Knowledge of cardiac arrhythmias and their relationship to hemodynamic conditions of the cardiac cycle. 3. Knowledge of basic cardiac ultrasound physics and the acoustic mechanisms by which high quality cardiac images are obtained. 4. Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for standardized, routine procedures. 5. Ability to interact with patients explaining procedures and positioning the patient for the procedure. GS-07: To meet the requirements for the GS-7 grade level MIT (Echocardiography) do you possess at least 1 year of specialized experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge of proper performance of endoscopic equipment and procedures. In addition, the candidate must demonstrate the following KSAs: 1. Ability to scan transthoracic echocardiograms in all views with colorflow and some Doppler. 2. Ability to conduct cardiac testing to determine the severity and variety of cardiac problems, i.e., valvular dysfunction, myocardial wall kinesia, effusions, endocardial lesions, etc. 3. Knowledge of the set-up for transesophageal echocardiograms. 4. Ability to set up and adjust the ultrasound equipment to meet the conditions of the examination and the patient and to operate the equipment for more complex, but standardized procedures. GS-08: To meet the requirements for the GS-7 grade level MIT (Echocardiography) do you possess at least 1 year of specialized experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge of proper performance of endoscopic equipment and procedures. In addition, the candidate must demonstrate the following KSAs: 1. Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging. 2. Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases. 3. Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. 4. Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography. 5. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. 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. 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: Certification: Basic Cardiac Life Support (BCLS) certifications upon hire References: VA Handbook 5005/15 Part II Appendix G27 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-06 to GS-08. Physical Requirements: Able to meet the physical demands of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. While performing duties of this job the Echocardiography Technician is frequently required to stand walk, bend and reach. Must be able to lift and/or move over 50 pounds. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. 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. 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.