Provides decontamination, preparation, and sterilization of reusable medical devices in addition to distribution support for the medical center. The term "reusable medical devices" (RMD) as used here refers to reusable items for patient care including instrumentation (scissors, forceps, retractors, etc.), surgical trays, endoscopes and various items that could be processed or assembled through the Preparation and Decontamination areas of the Sterile Processing Service. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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 (3) 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 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). Grandfathering Provision. All MSTs that are employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees grandfathered into the GS-622 occupational series as MSTs may be reassigned, promoted up to and including the full performance (journeyman) level, or changed to lower grade within the occupation. (2) MSTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis until they fully meet the basic requirements of the standard. (3) MSTs who are converted to title 38 hybrid status under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation Grade Determinations: GS-07 (Advanced 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. Detailed knowledge of complex surgical instruments used in operating rooms and clinic settings. 2. Ability to assemble specialty operating room and clinic instrument sets. 3. In-depth knowledge of sterilization and cleaning equipment. 4. Ability to communicate both orally and in writing in order to convey information and thoughts to others. Assignment. The Advanced MST assembles highly complex instrument sets including, but not limited to, open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Reviews manufacturer guidelines to ensure the correct methods and parameters are followed when cleaning, decontaminating and sterilizing RME. Troubleshoots and analyzes mechanical failures and makes necessary adjustments to complex decontamination and sterilization equipment, as well as interprets alarm conditions which may occur while operating the equipment. Informs management and healthcare staff when cleaning and processing standard operating procedures (SOPs) or instruction for use have been changed or updated to assure the changes have been validated to meet all guidelines. References: VA HANDBOOK 5005, PART II, Appendix G47 dated May 28, 2014. The full performance level of this vacancy is GS-07. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-07 only. Physical Requirements: This work is performed in various settings: decontamination, preparation, clean sterile supply (preparation) and in other services and departments throughout the medical facility/campus. The incumbent may be required to work in areas that are hot, cold, drafty, and poorly lighted. The employee is subject to the possibility of falls, scrapes, cuts, bruises, and other injuries from material handling equipment. The work requires standing and walking during the entire workday and frequent bending and lifting of packages (occasionally weighing as much as 50 pounds). The work requires dexterity and visual acuity for manipulating, disassembly and assembly of instrumentation. On a regular and recurring basis, the employee alternates between a contaminated environment and a carefully controlled clean environment. The employee wears special clothing, hair covers, personal protective equipment and shoe covers that can be uncomfortably warm. The employee uses insulated gloves to remove carts from sterilizers. The employee is subject to burns from accidentally touching hot items. The hazards of working around minute quantities of sterilizing gasses are unknown. The employee often works around body fluids, mucous, excretions and bits of tissue, some of which may be foul smelling. Strong, unpleasant odors are encountered while decontaminating bloody or grossly contaminated instrumentation or reusable medical equipment. The work area is noisy due to the clatter of metal instruments, rumbling of carts and operation of pre-sterilizing equipment. ["Duties include by not limited to the following: The Advanced MST assembles highly complex instrument sets including, but not limited to: open heart, major orthopedic total joint, cardiovascular, craniotomy and complex endoscopic instrumentation. Processes all complex endoscopic instrumentation to include those medical devices used in the gastroenterology laboratory, bronchoscopy laboratory, urology and operating room. Uses expertise and technical competence to decontaminate, prepare, and sterilize or high level disinfect highly complex surgical equipment including, but not limited to major orthopedic total joint, cardiovascular, neurologic, Da Vinci robotic systems, and complex endoscopic instrumentation. Troubleshoots all reprocessing equipment using manufacturers guidance to resolve equipment malfunction. If unable to resolve will initiate service call through Biomedical department or the manufacturer of the equipment. Assists Department leadership in process improvement to include Standard Operating Procedures (SOP's) and accompanying Competencies. Assists Trainer in training/mentoring lower level MST's to increase their abilities and competency levels. Will aid in decontaminating, preparing, sterilizing and delivering lessor complicated instrumentation whenever the need arises or directed by Departmental Leadership. Will be proficient in the use of the Censi-Trac system, keeping up to date records within the system, to include setlists, biological, sterilization, and workflow records. Does your resume reflect that you reprocess endoscopic equipment? Work Schedule: 4:00 p.m. to 12:00 a.m. position with on call rotation to include holidays, weekends and weekdays on a rotated basis of approximately every 6 weeks. Compressed/Flexible: Not available. Telework: Not available. Virtual: This is not a virtual position. Functional Statement #: MST Advanced Financial Disclosure Report: Not required."]

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