This Position Is No Longer Available
  1. Overview
  2. Duties
  3. Qualifications & Evaluations
  4. Benefits & Other Info
  5. How to Apply

Job Title:Medical Instrument Technician (Electrocardiograph Technician)

Department:Department Of Veterans Affairs

Agency:Veterans Affairs, Veterans Health Administration

Job Announcement Number:VHA-558-13-DU994172-LCK

This position is closed and no longer accepting online applications through USAJOBS.

The contents of the announcement can still be viewed.


$27,990.00 to $50,431.00 / Per Year


Monday, November 18, 2013 to Thursday, November 28, 2013




Full Time - Permanent




1 vacancy in the following location:
Greenville, NC View Map


United States Citizens


Not Applicable




Vacancy Identification Number (VIN) 994172

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.  

Since 1953, VAMC Durham has been improving the health of the men and women who have so proudly served our nation. We consider it our privilege to serve your health care needs in any way we can. Services are available to more than 200,000 veterans living in a 26-county area of central and eastern North Carolina. In addition to our main facility in Durham, we offer services in three community-based outpatient clinics. These clinics are located in —

·         Raleigh, North Carolina

·         Greenville, North Carolina

·         Morehead City, North Carolina

With many openings in the multiple functions of VA, you will have a wide range of opportunities and leadership positions at your fingertips. Not only is it the largest, most technologically advanced integrated health care system in the Nation, but we also provide many other services to Veterans through the Benefits Administration and National Cemeteries. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities.  For more information on the Department of Veterans Affairs, go to

Note:  The full performance level of this vacancy is GS-7.  The actual grade at which an applicant may be selected for this vacancy is in the range of GS-4 to GS-7.  The Professional Standards Board (a peer-review group) will review the selected candidate’s education and experience and recommend the grade and step at which the candidate will be placed.  The salary is based on the grade and step approved for the selected candidate.

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.



Relocation Expenses: Relocation expenses are not authorized for this position.


  • Not Required


  • No


  • Must pass pre-employment examination
  • Must be proficient in written and spoken English
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required


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Tour of Duty:  M-F 8:00am-4:30pm

General Description of Assigned Duties: 
This represents the full performance level.  Medical instrument technicians (EKG) at this level operate and monitor electrocardiographic equipment to perform specialized examinations and studies involving exercise stress testing, ambulatory monitoring of arrhythmias, and indirect carotid pulse tracings on chronic patients.  They monitor tracings to identify arrhythmias and when gross abnormalities appear, when to repeat certain procedures, when to stop test procedures, and when to get the immediate attention of a physician.  They evaluate test results to determine appropriate machine adjustments and use alternative techniques and procedures when established procedures do not accomplish acceptable results.  This includes adapting equipment and accessories to yield the best results during the examination.  They edit and select an appropriate sample portion of the tracing for further interpretation by the physician.

The incumbent works in cardiology Section  Operating Medical Diagnostic Equipment.  Duties include; Exercise tolerance test system (Treadmill), MUSE Cardiology Storage Systems, Ambulatory Monitory System (King of Hearts & Holter monitors) Holter/Event Scanner.

Functions or Scope of Assigned Duties:
The incumbent independently performs the full range of electrocardiograph procedures, and related examinations, such as applying ambulatory monitoring devices, scanning Holter tapes/disks, event monitor strips and editing EKG, Holter, and treadmill reports.  Utilizes MUSE cardiology storage system.

Operates diagnostic medical equipment as a part of treatment of patient, supports register nurses and physicians equipment.  Includes exercise tolerance testing system, Holter Monitoring and Event Monitoring Scanner.

Receives request and/or, consults for procedures.  Interprets request from physician for appropriateness of requested procedure for patient’s ability perform prescribed test.  Receives assignment for which clear precedents exist.  Receives assignments that require application of standard procedures or that have special procedures identified and explained.  Employee understands and carries out the appropriate requests made by practitioners or seeks assistance of the supervision when an uncommon, unique or new procedure is requested.

Instructs patient pre-procedure to assure confidence and cooperation of patient during procedures.  Independently explains various procedures including need for positions on table or treadmill, monitoring equipment, adverse reactions to stressing agents.  Explains requirements for accurate monitoring and necessity of diary entries.  Answers question by patient and or family members.

Performs Medical Instrument Technician work with stress test specialty.  This requires experience in operating, supervising the operation of the instructing in the operation of specialized equipment related to the specialization of the position.

Performs MI Tech work with Holter/Event Monitoring specialty.  This specialty area requires experience in applying, operating and instructing in Holter and Event Monitoring equipment.  The complying of data, revising reports and completing reports for physician review.  Schedules patient for application and removal of monitors.

Instructs in the operation of EKG equipment to nursing staff in patient care and clinic areas.  Instructs the physicians and cardiology staff in the storage and use of MUSE System.

Supervisory Controls: 
Employee is given defined goals, priorities and deadlines for job.  Physician member of team accepts the knowledge of the employees.  Instruction for procedures included medical condition expected and available equipment.  Supervisor helps employee with unusual situations.

Employee plans and executes procedures handles problem and deviation in the work assignments in line with training and accepted practices.  Uses judgment and initiation that included selecting appropriate instruments, methods, and recognizing conditions that could cause erroneous results.  Employee is able to trouble shoot problems on complex instruments.  The employee may participate with physician in planning appropriate procedures.  The employee rarely consults the supervisors for technical advice and independently makes recommendation about procedures.

Completed work is reviewed and the achieved results are also reviewed for compliance to hospital policy and adequate of procedures results.

Meets the needs of customers while supporting the Medical Center and Service missions.  Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner.  Provides the customer with consistent information according to established policies and procedures.  Handles conflict and problems in dealing with the customer constructively and appropriately.


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a. 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.)
(a) At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, KSAs, and other characteristics related to the duties of the position to be filled. Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields. The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation. In addition, the candidate must demonstrate the following KSAs:
1. Education. Successful completion of two years of education above high school or an associate’s degree with a major field of study directly related to the medical instrument technician occupation.
(b) Demonstrated KSAs
1. Knowledge of basic medical terminology.
2. Ability to learn the components, operating characteristics, and settings of the equipment to be used.
3. Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress.
4. Ability to learn the standard positions for the procedure being conducted.
5. Ability to communicate orally and in writing.
(2) GS-5
(a) At least 1 year of experience comparable to the next lower grade level which demonstrates the KSAs, and other characteristics related to the duties of the position to be filled. This would be experience in operating equipment related to the particular specialization for which application is made or in related functional areas.  In addition, the candidate must demonstrate the following
(b) Successful completion of [4 academic years above high school leading to a bachelor’s degree with courses related to the occupation, or] a bachelor’s degree in a major field of study appropriate to medical instrument technician functions.
(c) KSAs
1. Knowledge of standard medical terminology to interpret physician orders or instructions.
2. Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
3. Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities.
4. Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures.
5. Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine.
(a) At least 1 year of experience comparable to the next lower grade level which demonstrates the KSAs, and other characteristics related to the duties of the positions to be filled. In addition, the candidate must demonstrate the following KSAs:
(b) Demonstrated KSAs
1. Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure.
2. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests.
3. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment.
4. Ability to monitor the patient for adverse reactions and take appropriate action.
5. Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing.
(d) Medical instrument technicians (EKG) at this level receive and interpret physician’s requests for diagnostic procedures and/or treatments; explain the procedure to the patient to secure the patient’s confidence and cooperation; document the patient’s record; independently perform standardized testing monitoring the patient for adverse reactions; and operate, calibrate, and clean and/or sterilize commonly used equipment. Assignments at this level require knowledge of standard medical terminology as well as common diseases and their specific affects.
(a) 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 knowledge of the equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities. In addition, the candidate must demonstrate the following:
(b) Demonstrated KSAs
1. Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias.
2. Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures.
3. Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson’s disease, structural defects, and scar tissue.
4. Ability to act as a mentor or preceptor to lower graded technicians.
5. Ability to conduct in-service training on the EKG equipment and related instrumentation.
(c) No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications.

References: VA HANDBOOK 5005/54, PART II, APPENDIX G27

PLEASE NOTE:  Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement.)  Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.  Applicants can verify accreditation at the following website: All education claimed by applicants will be verified by the appointing agency accordingly.  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.

Physical Requirements: This position requires light lifting, under 15 pounds. Use of fingers, both hands required. Moderate walking and standing. Near visin correctable at 13 to 16" to Jaeger 1 to 4. Far vision correctable in one eye to 20/20 and to 20/40 inthe other. Both eyes are required. Good near and distant vision corrected or uncorrected. Ability to distinguish basic colors. Hearing without aid. Conversation voice. Emotional and mental stability. Must possess mental and emotional stability.

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference on the Occupational Questionnaire in the section provided and provide a legible copy of your DD214(s) and/or documentation related to your active duty service which shows dates of service, character of service (honorable, general, etc.), or dates of impending separation.

Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veterans Preference" with required proof as stated on the form.  For more information, please review the information for disabled Veterans in the application checklist or visit


Your application, résumé and/or supporting documentation will be verified.  Please follow all instructions carefully.  Errors or omissions may affect consideration for employment.


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Working for the Department of Veterans Affairs offers a comprehensive benefits package that includes, in part, paid vacation, sick leave, holidays, life insurance, health benefits, thrift savings plan, and participation in the Federal Employees Retirement System. In addition to traditional "dollars and cents" benefits, we offer a range of benefits to help balance work and life.  For more information please visit us at

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.  VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service.  This credited service can be used in determining the rate at which they earn annual leave.


This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.


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HOW TO APPLY: All applicants are encouraged to apply online.

To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section below.

The complete application package must be submitted by 11:59 PM (EST) on Thursday, November 28, 2013Thursday, November 28, 2013 to receive consideration.
  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click the Submit My Answers button to submit your application package.
It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.  

To verify your application is complete, log into your USAJOBS account,, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application.  Your uploaded documents may take several hours to clear the virus scan process.

To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement.  You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.


All applicants are required to submit the following supporting document type(s):

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
   ·Other (VA Form 2850-C)
   ·Other Veterans Document

All applicants are required to submit the following supporting document type(s):

Applicants may also submit the following supporting document type(s),which may not be required for all applicants:
·Cover Letter
·Other Veterans Document


VA Form 10-2850c - Application for Associated Health Occupations (Available at .

Faxing Applications or Supporting Documents:

You are encouraged to apply online.  Applying online will allow you to review and track the status of your application.

NOTE:  If you applied online and your application is complete, do not fax the paper application (1203FX) as this will overwrite your prior online responses and may result in you being found ineligible.

If you completed the occupational questionnaire online and are unable to upload supporting document(s):

  1. To fax your documents, you must use the following cover page and provide the required information.  The Vacancy ID is 994172.
  2. Fax your documents to 1-478-757-3144.
If you cannot complete the Application Package online, you may fax all of your materials.  The complete application package must be submitted by 11:59 PM (EST) on Thursday, November 28, 2013Thursday, November 28, 2013 to receive consideration.  Keep a copy of your fax confirmation in the event verification is needed.

To complete the occupational questionnaire and submit via fax:
  1. Click the following link to view and print the occupational questionnaire View Occupational Questionnaire.
  2. Print the 1203FX form, follow the instructions and provide your responses to the occupational questionnaire items  
  3. Fax the completed 1203FX form along with any supporting documents to 1-478-757-3144.  Your 1203FX will serve as a cover page for your fax transmission.


Lorraine C. Kath
Phone: (919)286-0411x4941
Agency Information:
Thank You, NC


After we receive your complete application package (including any required documents), your qualifications will be reviewed to decide if you meet the basic requirements.  You will be notified when this decision is made.

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