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Medical Instrument Technician

4 months ago

Sugar Land, Texas, United States Defense Health Agency Full time
Overview

Medical Instrument Technician (Cardiovascular) Joint Base San Antonio


Time to invest in some new footwear because if you're San Antonio-bound, you'd better show up in boots The Alamo City is one of the military's most envied postings and is often referred to as "Military City USA".

Low cost of living, affordable homes, and the lack of state tax on retirement income are a few financial perks to living and retiring in this Texas city.

A robust job market that seems partial to government and defense/security contracting ensures employment opportunities for spouses or transitioning service members.

San Antonio is the country's seventh fastest growing city yet has somehow managed to retain a "small town feel." Quality schools and friendly locals (most with military ties) are additional perks to living in San Antonio.


Some things you should know before you get here: trucks are the norm (the bigger, the better), love for The Spurs (NBA) runs deep, the H-E-B obsession is real (it's a grocery store), rodeos are life, and don't call it "San Antone"-that's just wrong.

The community boasts a vibrant Hispanic population, and enhances everything from the food, to the music, to community events.

You don't necessarily need to speak Spanish to get around, but you'd better know how to say barbacoa, tamales, and cascarones.


Name brand shopping (IKEA is the latest arrival of note), restaurants, and all variety of entertainment all add to San Antonio's quality of life.

SeaWorld, the San Antonio Zoo, Six Flags Fiesta Texas, and downtown museums are all fun outings for kids and families.

Tube or kayak down a river, play or fish in the lakes, or relax by San Antonio's famous downtown River Walk.

Museums, art galleries, and historical landmarks- remember The Alamo? -round out San Antonio's cultural offerings.

Tex-mex cuisine arguably originated here, and some up and coming culinary trendsetters are making a name for themselves in the Pearl District downtown, alongside several notable breweries.


San Antonio has over 300 days of sunshine with some hot summers, mild winters and pleasant spring and fall seasons.

San Antonio is in Bexar County (it's pronounced "BEAR") in south central Texas, and is just south of the gorgeous Hill Country.

It's only about two hours from Austin, the beach, or the desert.


Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions.

Responsibilities

MAJOR DUTIES:


Serves in a multi-role (scrub, monitor, and circulator) capacity as a Cardiovascular Medical Instrument Technician and functions cooperatively as a member of the cardiovascular laboratory team which performs diagnostic and therapeutic procedures as a service to physicians who directly supervise the procedures.

The technician assists physician(s) and team members during a variety of highly complex, potentially life-threatening invasive cardiovascular procedures on stable and unstable patients throughout the lifespan continuum.


  • SCRUB - Participates with physician in planning procedures then initiates preparation for physician-directed procedure and independently either makes recommendations about procedures or, in some situations, makes changes to procedures. Assists in identifying and selecting patient/procedure-specific catheters, supplies, equipment, and contrast medium and volume and then manipulates or changes supplies or instruments in order to meet the requirements of the procedure. Varies technique to accommodate patient's condition and changes conventional methods to produce acceptable results. Sets up sterile field and prepares heparinized saline solutions. Maintains aseptic technique, manipulates wires and catheters, anticipates catheter tip location, operates fluoroscopic single-plane and bi-plane x-ray equipment and selects appropriate angulations and positions x-ray table and image intensifier for optimal display of angiographic anatomy while assisting physician throughout the following procedures: Selective vessel and heart chamber pressure recording; selective vessel and chamber blood sampling and/or shunt detection studies via oximetry; selective contrast angiography (aortic, coronary, left ventricle, peripheral vascular, pulmonary, and renal) via manual or power injection of radiopaque contrast media; angiojet, coronary rotational atherectomy; coronary intravascular ultrasound, angioplasty and stent implantation; foreign body retrieval from heart or great vessels; permanent pacemaker implantation and/or leadwire insertion; venous access device implantation; transvenous temporary pacing catheter insertion; thermodilution catheter insertion and cardiac output measurement; intra-aortic balloon catheter insertion; endomyocardial biopsy; pericardiocentesis; drug response studies; electrophysiology studies; ablations; automatic implantable cardiac defibrillators; pharmaceutical or exercise stress angiography; intracoronary anticoagulant, thrombolytic, and/or nitrate administration; wound closure and dressing application; blood drawing for point of care testing such as blood coagulation timing and blood oximetry; and hemostasis via manual compression, external hemostatic device application, or internal hemostatic device insertion.
  • MONITOR - Operates an interactive computerized digital subtraction angiographic system in order to produce coronary and left ventricular graphic images, and to perform pulmonary, aortic, and peripheral arterial imaging. Coordinates a delicate balance of radiographic techniques (x-ray factors), patient positioning, and computer assisted acquisition and display so as to provide optimal patient care in the cardiac catheterization laboratory. Enters patient data and acquisition/procedure parameters through the computer keyboard. Uses a variety of menu-driven programs to display, redisplay, and manipulate images in real time to allow physicians optimal visualization of anatomy so they may determine adequacy of procedure or interventions performed. Performs post-processing of images to include assessment of quantitative and qualitative coronary artery stenosis, left-ventricular volumes, left ventricular wall motion, presence or absence of abnormal communication between chambers and many other available programs. Stores data and images on one or more storage media (e.g., videotape, hard drive, compact disk, etc.). Reviews and/or records patient history and supporting clinical data prior to each of the procedures listed above. Uses electrophysiologic and angiographic monitors with interactive, menu-driven programs to enter patient data and acquisition/procedure parameters. Monitors hemodynamic values, waveforms, pressure gradients and electrocardiogram tracings; differentiates normal from abnormal and informs team of changes in patient status. Records anatomical, physiological, and/or pathological data for further diagnosis. Keeps record of procedures performed and related data. Processes automated and other records obtained during the procedure. Identifies, files, and stores records and retrieves them as needed. Operates and maintains equipment for viewing records. Initiates ACLS protocol as needed.
  • CIRCULATOR - Retrieves images for replay as well as roadmap. Performs replay review of images to include quantitative and qualitative assessment of artery stenosis; ventricular volume, ejection fraction, and wall motion; and valve area. Reviews finished cine recordings and suggests changes in x-ray techniques to obtain records of optimal quality while ensuring maximum safety. Responsible for all required daily maintenance and preventive maintenance of cine processing equipment. Identifies, files, and stores such records including a complete record of all patient x-ray parameters. Operates, maintains and stores projection, tape replay, and other equipment for viewing records. Attends to patient's safety and comfort needs before, during, and after procedure. Positions patient initially and as needed during the procedure to ensure patient comfort and optimal study results. Connects monitoring equipment and ensures proper function and data collection during procedure. Anticipates, locates and opens sterile/non-sterile supplies. Operates defibrillator and pacemaker generator as well as radiographic contrast injector, cardiac output, intravascular ultrasound, angiojet, atherectomy, rotablator, and intra-aortic balloon pump consoles. Monitors and ensures compliance with aseptic technique and radiation safety principles. Repositions monitors and equipment as x-ray table and image intensifier are moved. Performs point-of-care testing such as blood coagulation timing and blood oximetry. Monitors patient's response to intravenous sedation/analgesia medication administration. Maintains safe and clean lab environment during the procedure. Applies noninvasive cardiovascular techniques of electrocardiography (12-lead ECG) and assists with synchronized cardioversion and transcutaneous pacing. Transports patients. Provides technical and administrative support and advice to technicians, nurses, students and physicians regarding new supplies, equipment, and procedures. Develops procedural instructions to insure proper performance of procedures. Participates in policy/procedure review and revision process. Collects and compiles data for formal and informal research efforts. Maintains and calibrates equipment. Conducts quality control checks; performs corrective actions as needed. Assists in controlling and maintaining supply inventories. Cleans instruments and maintains sterile instrument inventory. Practices and promotes compliance with Infection Control, Radiation Protection, and Fire and Safety regulations. Supports ACLS protocol as needed.
  • INSTRUCTOR - Trains cardiovascular technicians, nurses, students and physicians in all phases of radiographic operations related to the performance of cardiac catheterizations. Participates in the on-going catheterization research program at Brooke Army Medical Center, contributing to development of the radiographic portions of pharmacological left ventricular angiographic manipulations, new cine recording techniques, computer techniques for cine recording processing and left ventricular densitometry, and collecting and analyzing DSA data on volume studies, etc. (10%)
Performs other duties as assigned.

Qualifications

Requirements
Conditions of Employment
(1) Monday to Friday day shift but with 24-hours/day, 7days/week rotating on-call duties.

(2) This position is a Testing Designated Position (TDP) subject to applicant testing and random drug testing. Applicants tentatively selected for appointment to this position will participate in drug urinalysis testing, unless currently occupying a TDP within the Department of Defense. Tentatively selected applicants will be required to sign DA Form 5019 (Condition of Employment for Certain Civilian Positions Identified as Critical Under the Department of the Army Drug-Free Federal Workplace Program) requiring participation in random drug testing as a condition of employment. A job offer to an applicant who is a not a current employee will be withdrawn if the applicant refuses to be tested. Applicants with verified positive test results shall be refused employment. Applications from such individuals shall not be considered for employment for a period of 6 months from the date of the test results.

(3) This position has a mandatory seasonal influenza vaccination requirement and is therefore subject to annual seasonal influenza vaccinations. Applicants tentatively selected for appointment to this position will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations.

(4)

Special License/Certification Requirement:
ACLS and BLSnd the first year (total semester hours minus 18) by 9. Add the two percentages.