This position is assigned to the Supply, Processing and Distribution department of Nursing Service at the Syracuse VAMC. The position will provide wards, clinics, operating room and other hospital facilities with reusable and disposable medical supplies, instruments and equipment. This position specializes in but is not limited to inventory management, decontamination, packaging, sterilization and distribution of supplies, instruments and equipment to support all clinical areas. 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. Experience and/or Education: Experience. Six months of experience that demonstrates the applicant's ability to perform the work or provides an understanding of the work; or Education. One year above high school that included at least 6 semester hours in health care related courses such as sterile processing, nursing assistant, hospital corpsman, and operating room and surgical technician courses or other courses related to the position; or Experience/Education Combination. Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable. Certification. None. Foreign Education. To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U. S. programs. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. MSTs must be proficient in spoken and written English in accordance with chapter 3, section A, paragraph 3j, this part. It is a strong recommendation the incumbent have endoscope experience. The incumbent is required to complete VA Level One training within 60 days of hire and must pass the Level Two VA Certification Test within 90 days of hire date. 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). Preferred Experience: IAHCSMM/CRMS Certification GS-06 (Full Performance Level) Experience. One year of experience equivalent to the next lower grade level. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: 1. Knowledge of surgical instruments used in operating rooms and clinic settings. 2. Knowledge of universal precautions for safety and prevention of cross contamination. 3. Working knowledge of medical terminology, anatomy and physiology, microbiology, medical conditions and procedures. 4. Knowledge of sterility principles in regards to instrumentation. 5. Ability to read and interpret written instructions and procedures. Assignment. This is the full performance level for the occupation. Receives contaminated critical and semi-critical RME in the decontamination area and may receive noncritical equipment in the decontamination area as well. Disassembles the RME and determines the correct cleaning method, such as but not limited to ultrasonic cleaners, mechanical washers, cart washers and chemical cleaning/decontamination agents, as determined by manufacturer instructions. Inspects, assembles and determines the correct method and packaging for sterilization such as but not limited to steam, Sterrad, Steris, ETO, and high level disinfecting scope reprocessors. Performs and documents daily operational checks and records for all sterilization equipment. References: VA HANDBOOK 5005/76 PART II APPENDIX G47 The full performance level of this vacancy is GS-06. Physical Demands: Depending on the assignment, the employee can either stand and moves from one part of the room to another while performing duties, or move throughout the medical center pushing carts full of medical supplies. There is a frequent requirement for lifting baskets of stainless-steel instruments weighing 25 pounds from floor level to chest level and occasional requirements for similarly lifting baskets weighing 50 pounds, bending, stretching and reaching is frequently required. Dexterity and strength are required in lifting wire baskets weighing ten pounds and positioning them on a conveyor system or inserting small rods into needle like openings or precisely aligning component parts while reassembling medical instruments and equipment. The employee regularly pushes loaded carts weighing several hundred pounds, aligns them on tracks leading to automatic transport systems in sometimes crowded quarters, and works them over slight rises such as doorsills. ["Independently determines appropriate methods, avoiding damage or undue wear. Properly disassembles equipment, supply items and instruments avoiding damage or unnecessary wear following established procedures. Provides guidance to lesser experienced staff and keeps the lead tech and SPD chief informed of their progress. Removes gross contamination by soaking in a germicide, washing with a detergent-blood solvent, scrubbing with a brush, rinsing in tap water or washing in a washer-decontaminator or ultrasonic unit. Decontaminates the full range of reusable medical supplies and equipment according to established procedures. Uses selected methods for removing gross contamination. Visually examines items for damage, deterioration, or imperfections such as rust, pitting, and cracks. Operates medical equipment to determine whether it operates correctly after re-assembly. Sends malfunctioning or damaged equipment to the equipment technician for repair. Examines the full range of reusable medical supplies and equipment according to established procedures. Uses selected methods to test or visually inspect items for damage or wear. Attaches chemical indicator tape and sterilizes according to guidelines. Sterilizes items comparing control tests to determine that correct parameters (e.g. time, temperature, and pressure) were obtained. Reads and interprets written instruction and procedures to prepare the full range of trays and sets. Removes trays of instruments from pre-sterilizing equipment, inspects items to be sure that gross contamination has been removed. Sorts the instruments by size and type, and re-assembles trays and sets based on recognition of key items or inventory needs. Uses care in packing to protect points, cutting edges and delicate instruments and to insure effective penetration of sterilizing medium. Monitors and documents the operation of the sterilizers with prescribed tests and reports any unusual readings to lead tech and chief of SPD. Removes carts and packages from the sterilizers when the cycle is completed. Inspects packages for indications of proper sterilization. Aerates gas-sterilized packages for appropriate times. Labels items to show date of sterilization and shelf-life. Provides medical supply items to users. Monitors and documents biological indicators, chemical indicators, bowie dick tests and examines equipment printouts to assure that all sterilization parameters have been met prior to release to end user. Brings all questionable results to the lead tech and the SPD chief's attention through established reporting procedures. Acts as resource to lesser experienced staff by monitoring sterilization records and setting priorities. Distributes items according to established requirements, special requests or as requisitioned. Fills requests for items based on daily schedules of needs or on individual requisitions. Performs daily inventories of wards or units supply areas and replenishes to appropriate stock levels. Consults with customers on items in short supply or out of stock, recommending possible substitutions keeping the inventory management staff informed. Assembles and sends case carts to the operating room utilizing picking tickets and checklists. Reports outages and deficiencies to lead tech and SPD chief. Gathers and reports QA data to Chief of SPD. Assists with quarterly and annual inventory. Performs other related duties as assigned. Work Schedule: Monday - Friday 11:00am - 7:30pm. Monday 3:00pm - 11:30pm. Rotating on call. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 13641-A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]
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Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.