Telemetry Technician Jobs

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Medical Instrument Technician (Telemetry Technician)

Veterans Health Administration•Portland, OR
•Onsite

About The Position

This Medical Instrument Technician position is in the Inpatient and Emergency Service Division at the Portland VA Health Care System in Portland, Oregon. The position provides cardiac telemetry monitoring for patients on acute-care medical-surgical floors, with up to 80 beds monitored at a time. The vacancy is available at GS-6 (developmental level) through GS-7 (full-performance level), with GS-7 identified as the full-performance level. At GS-6, the technician supports the Telemetry Studio and operates and monitors cardiac telemetry equipment. Duties include detecting and notifying the care team about rhythm changes and arrhythmias; measuring cardiac rates and intervals; selecting electrode configurations and leads for arrhythmia detection; assigning pagers and phones; monitoring equipment; reviewing alarms and setting alarm limits; and coordinating with the patient's RN and medical team, including helping initiate an emergency code response for potentially lethal arrhythmias. The technician also manages central-monitor admissions and discharges, updates assignment information, completes charging logs and telemetry reports, enters telemetry data, checks that orders are current, and sends malfunctioning equipment to BioMed with an accurate description. At GS-7, the technician operates and monitors electrocardiographic equipment for specialized examinations and studies, including ambulatory arrhythmia monitoring and indirect carotid pulse tracings on chronic patients. The technician reviews tracings to identify arrhythmias and gross abnormalities, determines when procedures should be repeated or stopped, and seeks immediate physician attention when needed, working with the RN on emergency responses. The technician evaluates results, adjusts equipment, adapts equipment and accessories, uses alternative techniques when needed, and selects tracing samples for physician interpretation. The GS-7 technician also mentors lower-graded technicians and conducts in-service training on telemetry equipment and related instrumentation. The position is full-time, with night shifts scheduled from 5:00 p.m. to 5:30 a.m. Telework and virtual work are not available. Recruitment or relocation incentives and permanent change of station assistance are not authorized.

Requirements

  • At least one year of experience comparable to the next lower grade level for the grade sought; GS-6 experience must demonstrate knowledge, skills, and abilities related to the position, and GS-7 experience must include knowledge of equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities.
  • Proficiency in spoken and written English.
  • For GS-6, ability to recognize special patient needs, including disabilities, impaired mobility, and complicating medical conditions, to prepare and position patients for procedures.
  • For GS-6, knowledge of specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests.
  • For GS-6, knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines when cleaning equipment.
  • For GS-6, ability to monitor patients for adverse reactions and take appropriate action.
  • For GS-6, ability to operate equipment for standard and routine highly specialized procedures, including exercise stress testing.
  • For GS-7, knowledge of typical patient reactions and signs of distress, including ability to recognize, report, and treat potentially lethal arrhythmias.
  • For GS-7, knowledge of common equipment settings and standardized procedures, common errors, and corrective measures.
  • For GS-7, ability to modify procedures or patient positions to obtain correct results for patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue.
  • For GS-7, ability to mentor or precept lower-graded technicians and conduct in-service training on EKG equipment and related instrumentation.
  • U.S. citizenship is required, subject to the stated VA policy exception for non-citizens when qualified citizens cannot be recruited.
  • Must pass a pre-employment physical evaluation and background/security investigation; selected applicants in testing-designated positions are subject to pre-appointment urinalysis.
  • Must comply with the VA seasonal influenza vaccination program and complete required onboarding and application documentation.
  • Selective Service registration is required for males born after December 31, 1959.
  • A one- or two-year trial period is required.
  • No certification is required. Applicants must submit a transcript if they rely on education to qualify.

Nice To Haves

  • Basic Cardiac Life Support (BCLS) certification is desirable at GS-6.
  • BCLS and Advanced Cardiac Life Support (ACLS) certifications are desirable at GS-7.

Responsibilities

  • Support the Telemetry Studio and operate and monitor cardiac telemetry equipment.
  • Identify and notify appropriate staff of rhythm changes and arrhythmias, and measure atrial and ventricular rates and PR, QRS, QT, QTC, and R-R intervals.
  • Select appropriate electrode configurations and lead selections for arrhythmia detection.
  • Assign pagers and phones, monitor equipment functionality, conduct alarm reviews, and set alarm limits.
  • Notify the patient's RN of arrhythmias, consult with the medical team, and work with the RN to initiate an emergency code response for potentially lethal arrhythmias.
  • Admit and discharge patients from the central monitor; update daily assignment boards and sheets with current nurse, patient, pager, and phone information.
  • Complete telemetry charging log sheets, ensure telemetry orders are current, complete and post telemetry reports, and enter telemetry data.
  • Send malfunctioning equipment to BioMed with an accurate description of the malfunction.
  • At GS-7, operate and monitor electrocardiographic equipment for specialized studies, including ambulatory arrhythmia monitoring and indirect carotid pulse tracings on chronic patients.
  • Review tracings for arrhythmias and gross abnormalities; determine when procedures should be repeated or stopped and when immediate physician attention is needed.
  • Evaluate test results, adjust equipment, adapt equipment and accessories, and use alternative techniques when established procedures do not produce acceptable results.
  • Edit and select appropriate tracing samples for physician interpretation.
  • Mentor or precept lower-graded technicians and conduct in-service training on telemetry equipment and related instrumentation.

Benefits

  • 37–50 days of annual paid time off per year, including 13–26 days of annual leave, 13 days of sick leave, and 11 paid Federal holidays.
  • Eligible employees may receive credit toward annual leave accrual based on prior work or military service, subject to approval.
  • After 12 months of employment, up to 12 weeks of paid parental leave for the birth, adoption, or foster placement of a child.
  • Eligible full-time employees may qualify for a childcare subsidy after 60 days of employment, subject to family-income and other eligibility limits.
  • Traditional federal pension with five-year vesting and federal 401(k), with up to 5% in contributions by VA.
  • Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.
  • Competitive salary and regular salary increases; a higher step within the grade may be considered for higher or unique qualifications or VA special needs.

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Frequently Asked Questions

Common questions about Telemetry Technician careers and jobs.

Based on current job postings on Teal, the average Telemetry Technician salary in the US is approximately $49,000 per year, with a typical range of $35,000 to $67,000.
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