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Summary
The primary duties of the Medical Instrument Technician (Polysomnography) - RPSGT are to independently monitor patients during all stages of sleep utilizing a variety of sophisticated recording devices, score and analyze sleep stages in clinical polysomnographic (PSG) recordings, and perform interventions, such as positive airway pressure and oxygen therapies, with minimal supervision.
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Duties
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This announcement is open continuous. Certificates will be issued to the hiring manager on a weekly basis until all positions have been filled. Announcement will remain open until all vacancies are filled and may close sooner than 9/11/2026.
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Major duties include, but are not limited to the following:

• Receives/acts on assignments for a variety of difficult examinations on compromised patients for planned, urgent & emergent tests.
• Performs full range of complex procedures using specialized equipment requiring precise adjustments to respond to individual patient needs, conditions or test sequences.
• Performs sleep monitoring (PSG) on individuals with variety of sleep disorders.
• Explains procedures and positions patient to insure comfort during variety of tests, taking into account the patient's age, mental and physical status.
• Applies electrodes according to recognized standards using The American Academy of Sleep Medicine Manual for the Scoring of Sleep and Associated Events.
• Applies thoracic and abdominal transducer; pulse oximeter finger or ear probe; respiratory effort belts; nasal/oral sensors; and other equipment.
• Recognizes sleep apnea, sleep movements, nocturnal seizures, and parasomnias such as nocturnal myoclonus and rapid eye movement (REM) behavior disorder; makes adjustments in recording parameters to optimize performance of sleep studies
• Annotates seizures, abnormal sleep behavior and significant respiratory events on electroencephalographic records in real time.
• Recognizes artifacts, movements and diagnostic findings making changes in recording techniques and parameters to optimize display of the phenomenon.
• Scans and examines environment of recording to detect/eliminate possible sources of artifacts, recognizes artifacts as they occur in real time; works rapidly to diagnose/eliminate artifacts, in order to preserve integrity of recording.
• Monitors patient, diagnostic equipment, recording and video equipment throughout the study; obtains artifact-free data and tracings; records significant observations.
• Provides an assessment of the patient's condition throughout the patient's stay.
• Scores clinical events and sleep/wake stages by applying professionally accepted guidelines.
• Analyzes approximately 1000 pages of information per PSG for sleep stages; heart rate and arrhythmias; respiration rate and pattern; oxygen saturation level; pH level; myoclonic activity; seizure activity; thoracic and abdominal movement pattern; tidal volume changes, tumescence activity; EOG activity; bruxism; specific EEG patterns; awakenings/ arousals; and other significant observations.
• Prepares and organizes patient charts and patient rooms.
• Participates in Home Sleep Testing (HST) program; sees HST patients, trains clinic staff on HST data collection and setup, PAP setup, and follow-up; instructs remote technicians to download the HST data to the Minneapolis VAHCS Sleep Center; assures competency in HST and CPAP setup.
• Assures sterile supplies and other required equipment are carefully selected and properly presented as determined by the test being performed.
• Maintains inventory of supplies and initiates purchase requests.
• Ensures that all equipment is kept clean and safe for use by the CPAP patient.
• Prepares, calibrates, interfaces, and operates all equipment used in polysomnographic procedures.

Work Schedule: Nights - Sunday to Wednesday
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)Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
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 #: 000000
Permanent Change of Station (PCS): Not Authorized
Requirements
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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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). 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
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.
• 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.
• 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 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.
• Physical Requirements: See VA Directive and Handbook 5019.
• 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).
Medical Instrument Technician (Polysomnography)
Polysomnography Technicians operate the electroencephalograph and other devices to record the electrical activity of the brain during sleep. Registration is offered by the Board of Registered Polysomnographic Technologists (BRPT).
Grade Determinations: In addition to the basic requirements for employment, the criteria discussed in the applicable headings, or that defined in the appendices, must be met when determining the grade of candidates.
Basic Developmental Levels:
Medical Instrument Technician (Trainee)
GS-4:

• 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 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. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level. -OR-
• 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.
• In addition, the candidate must demonstrate the following 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.

GS-5:

• 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 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. Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level. -OR-
• Education: 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.
• In addition, the candidate must demonstrate the following 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.

Medical Instrument Technician (Polysomnography)
GS-6

• 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.
• In addition, the candidate must demonstrate the following KSAs:
  
  1. Knowledge of standard, computerized polysomnographs for recording continuous all night physiological data including EEG, EOG, EKG, EMG and respiratory parameters.
  2. Knowledge of standard devices such as oximeters, respiratory effort devices, nasal pressure devices, thermistors, thermocouples, continuous positive airway pressure (CPAP) machines, and laboratory computers including the ability to calibrate and operate the equipment and recognize and eliminate recording artifacts.
  3. Knowledge of medical terminology and medical record organization to review medical records, sleep study orders, consent forms, medical charts, etc.
  4. Knowledge of polysmnographic procedural protocols (including overnight sleep studies, MSLT, MWT, PAP, etc.).
  5. Knowledge of basic anatomy and physiology and the international 10-20 electrode placement system in order to conduct the sleep studies.

GS-7:

• Experience: At least 1 year of experience comparable to the next lower grade level which demonstrates