该职位位于密歇根州底特律的约翰·丁格尔医疗中心的医学服务中。基本要求：国籍。美国公民身份。（如果不可能根据第3章，第3G第3G款第3G款招募合格的公民，则可以任命非公民。）b。教育。该职业没有具体的教育要求。教育只能在GS-4和GS-5级别中代替经验。有关教育替代的信息，请参见本标准的等级要求部分。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. 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: a. Experience. 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. This would be experience which provided a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs: b. Demonstrated Knowledge, Skills, and Abilities1. 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 form.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. c. 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. Preferred qualifications: Registered sleep technologist by AAST or equivalent. References: VA HANDBOOK 5005/15 PART II APPENDIX G27 II-G27-47 Appendix I - Medical Instrument Technician (Polysomnography) Physical Requirements: Heavy lifting and carrying (45+ lbs); moderate lifting (15-44 lbs); light lifting (under 15 lbs); heavy carrying (45+ lbs); moderate carrying (15-44 lbs); light carrying (under 15 lbs); straight pulling (2-4 hours); pulling hand over hand (1-2 hours); pushing (1-2 hours); reaching above shoulder; use of fingers; both hands required; walking (8-10 hours); standing (8-10 hours); crawling (1 hours); kneeling (0 hours); repeated bending (6-10 hours); climbing, legs only (x hours); climbing use of legs and arms; both legs required; ), ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, both eyes required, Ability to distinguish shades of colors, specific visual requirement; both eyes required; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; hearing (aid permitted); hearing without aid. Transferring patients & objects may be required, protective clothing in isolation situation or operative/ invasive procedures, may occasionally be exposed to patients who are combative secondary to delirium. Work may be performed inside around electrical energy; slippery surfaces; working closely with others; working alone. ["The technologist gathers and analyzes patient information and integrates that information to identify and meet the patient-specific needs (including but not limited to physical/mental/emotional/physiological status regarding the testing procedure, sleep complaints and habits, pertinent medical, family and social history, medications/allergies) and performs polysomnographic studies on patients with known or suspected sleep disorders. This includes but is not limited to attended and unattended baseline polysomnograms (PSG), PSG with continuous positive airway pressure (CPAP) and Bilevel PAP, addition of supplemental oxygen when needed, split night studies, studies with expanded EEG montage, RBD montage, multiple sleep latency tests (MSLT), maintenance of wakefulness tests (MWT), auto-PAP studies, and other types of sleep studies, including home sleep studies. The technologist performs other job related duties as requested. The technologist provides cross-coverage for other technologists when absent or to meet staffing requirements. Testing Preparation Procedures: The technologist prepares for patient arrival by setting up equipment to be used, gathering necessary patient information, verifying the montage to be used, preparing PSG, PAP, video and audio equipment and obtaining patient questionnaires. The technologist greets the patient and ensures patient comfort. Reviews existing patient information in patient record. Examines orders and protocols for study. Interviews the patient to assess current medications, allergies, recent caffeine or alcohol ingestion, current sleep problems and habits, and need for treatment interventions during testing (use of inhalers, insulin, etc). Efficient application of recording devices to the patient; cleaning/sterilization of equipment and proper set up for monitoring of studies. Ensures the integrity of diagnostic data collection through proper calibration and set-up. Obtains pre-study patient questionnaires. Explains set-up and testing procedures to patient, explains PAP treatment and fits PAP masks, provides PAP orientation/education. Sleep Testing Procedures: The technologist follows established procedural protocols to ensure accurate and appropriate collection of data. The technologist vigilantly monitors equipment to record breathing (airflow/respiratory effort), respiratory inductive plethysmography, electroencephalograms (brain waves), electrocardiograms (heart rate and rhythm), electromyograms (muscle activity), pulse oximetry (blood oxygenation/saturation),CO2 monitoring (end-tidal and transcutaneous), and other equipment to provide various treatment modalities. The technologist documents routine observations including sleep stages and clinical events, changes in patient position, changes in procedure, patient behaviors, and significant events in order to facilitate scoring and interpretation of polysomnographic results. He/she implements appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, oxygen administration, AVAPS, etc). The technologist recognizes normal and abnormal sleep, is able to quickly and accurately identify various abnormalities during sleep including but not limited to parasomnias, seizures, cardiac arrhythmias, abnormal limb/EMG activity, hypoxia, and take appropriate action per sleep lab protocols. The technologist is proficient in efficiently setting up and monitoring patients with expanded EEG montage. The technologist is adept at recognizing and quickly correcting artifact on the sleep recordings during collection. The technologist scores the sleep record during data collection, reviews the data for accuracy, makes corrections and relevant notations, and produces an electronic and printed report for physician interpretation before leaving his/her shift. Obtains post-study patient questionnaire. Informs the physician of any study that requires immediate attention due to the acute nature of the finding on the study eg arrhythmias, severe hypoxia etc. Maintenance of certification/education: Participates in a minimum of 10 hours per year of AMA PRA Category I CME or CEC sleep related activities per year. Maintains RPSGT/RT, BLS, and other credentials through re-certification. Maintains AASM-required education and reliability requirements. Work Schedule: Thursday - Sunday, 8:30 pm - 6:30 am Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 91624-0 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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