Veterans Affairs, Veterans Health Administration Medical Instrument Technician - Polysomnography in Killeen, Texas

Job Overview

Job Overview

Vacancy Identification Number (VIN) 1986704

OUR MISSION:To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans.

Central Texas Veterans Health Care System (CTVHCS) is one of the largest integrated health care systems in the Department of Veterans Affairs and includes facilities in Temple, Waco, and Austin, TX. Community-Based Outpatient Clinics are located in Brownwood, Cedar Park, Palestine, and Bryan-College Station.


The VA needs employees who possess the energy, compassion, and commitment to serve those who served our Country. Whatever the job title, every position in VA will give you a chance to make a meaningful and personal contribution to the lives of truly special and deserving people - our Veterans. VA professionals feel good about their careers and their ability to balance work and home life. VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. Working for VA is one of the most emotionally satisfying and professionally rewarding ways to dedicate the best within you to your Country's service.

VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.


The incumbent serves as a CTVHCS Medical Instrument Technician (Polysomnography) for the Central Texas Sleep Center located in Killeen, Texas. The Medical Instrument Technician (Polysomnography) works under the direct supervision of the CTVHCS Sleep Center Supervisor and the general supervision of the Sleep Center Medical Director providing comprehensive evaluation and treatment of sleep disorders. A Medical Instrument Technician (Polysomnography) must perform the duties defined for a Medical Instrument Technician (Polysomnography) and may assist with training of other Medical Instrument Technician (Polysomnography).

Duties Include But Not Limited To:

  • Gather and analyze the patient information such as reviewing history, physical information, medications, procedure request according to the physician's orders and the sleep center Standard Operating Procedures (SOP).

  • Testing Preparation Procedures such as preparing, calibrating and troubleshooting sleep diagnostic equipment required for testing to determine if properly functioning; apply electrodes and sensors according to the International 10-20 placement system; perform appropriate physiologic calibrations to ensure proper signals and make adjustments, if necessary; perform a variety of routine positive airway pressure (PAP) and mask fitting.

  • Polysomnographic procedures: follow procedural protocols (such as PSG, Split, CPAP, Bi-level, ASV and oxygen titration, etc.) to ensure collection of appropriate data for proper diagnosis; follow "lights out" procedures to establish and document baseline values (such as body position, ox hemoglobin saturation, respiratory and heart rates, etc.); perform Polysomnographic data acquisition while monitoring study-tracing quality to ensure signals are artifact-free and make adjustments, as necessary; document routine observations, including sleep stages and clinical events, changes in procedure, and other significant events in order to facilitate scoring and interpretation of Polysomnographic results; evaluates progress of patients and implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as CPAP, Bi-level, ASV, oxygen administration, etc.). Contacts the sleep center supervisor or On Call Sleep Physician and or Sleep Medical Director for recommended changes to patient's therapy when necessary; follows "lights on" procedures to verify integrity of collected data and completed the data collection process (e.g. repeats the instrument calibrations and instructs the patient on completing questionnaires, etc.); assists on a continuous basis to promote and practice the appropriate documentation of data toward the treatment of patients in accordance with approved format into the sleep record during live acquisition.

  • Polysomnographic Record Scoring: score sleep/wake stages with sleep center SOP and proven professionally accepted guidelines set by the American Academy of Sleep Medicine; score clinical events (such as respiratory events, cardiac events, limb movements, arousals, etc.) with sleep center SOP and proven professionally accepted guidelines set by the American Academy of Sleep Medicine.

  • Patient Education: explains to the patients the sleep study to be performed; explains to the patients the functionality of the PAP equipment or HST device (watch PAT, actigraphy and or oximetry) how to have them attached and turn on/off and retrieves the equipment; ensures that the patient understands the function, maintenance and cleaning procedures for the PAP equipment, supplies and or HST devices) issued through Sleep Clinic or through other means.

  • Service Management and Professional Issues: comply with applicable laws, CTVHCS regulations, guidelines and standards regarding safety and infection control issues; routine ordering of supplies; perform routine equipment care and maintenance and inventory evaluation; maintain current CPR/BLS, BRPT certification and continue affiliated education; demonstrate effective written and spoken communication skills, with patients and coworkers; demonstrate appropriate social skills; demonstrate ability to, follow supervisory instructions, both verbal and written; respond to study participant's procedural-related inquiries by providing appropriate information; demonstrate the ability to analyze complex situations and apply policy.

Supervisory Status


Travel Required
  • Not Required
Relocation Authorized
  • No
Who May Apply
This job is open to…

Open to Current Permanent VA Nationwide and other Federal Agencies Employees ONLY.

Questions? This job is open to 1 group.

Job Requirements

Job Requirements
Key Requirements
  • Must pass pre-employment examination
  • Must be proficient in written and spoken English
  • Designated and-or Random Drug Testing required
  • Background and-or Security Investigation required
  • Selective Service Registration is required for males born after 12/31/1959.

*Work Schedule: *Sunday through Tuesday or Wednesday through Friday, 6:30 pm to 8:00 am

*Functional Statement Title/#: *Medical Instrument Technician/000000

This is a bargaining unit position.



  • Citizenship.Citizenship of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, this part.)

  • 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 certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". 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.


Five (5) plus years using the Somno Star sleep system. Five (5) plus years working in a federal system sleep lab or center performing overnight diagnostic and therapeutic sleep studies to include scoring, reporting and data entry. Certified by the Board of Registered Polysomnographic Technologists (BRPT) or Registered Sleep Technologist (RST) by the American Board of Sleep Medicine.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Polysomnography Techniciansoperate 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).

*Specialized Experience: *Must be able to perform a full range of standard, but complex, polysomnography examinations with responsibility for properly and accurately calibrating all instruments prior to beginning of the PSG tracing and selection of appropriate electrode montages and sensitivity and filter settings to elicit the best possible tracings. They independently determine the need for CPAP during all night sleep studies for sleep apnea. They may administer nerve conduction velocity tests.

Grade Determination:

G*S-8 (Full Performance)*

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. This would be experience which provided a knowledge of the more complex procedures as well as knowledge of the uncommon and/or rare sleep disorders. In addition, the candidate must demonstrate the following KSAs:

Demonstrated Knowledge, Skills and Abilities:

  1. Advanced knowledge or the International Classification of Sleep Disorders and the ability to recognize uncommon and/or rare sleep disorders.

  2. Ability to summarize and report polysomnographic data in narrative form.

  3. Knowledge of event characteristics (e.g., respiratory, cardiac, sleep stage, seizures, etc.) and ability to take appropriate action.

  4. Ability to provide briefings and orientation to hospital staff including physicians.

References: *VHA Handbook 5005, Part II, Appendix G27*. This can be found in the local Human Resources Office.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements: The physical demands described are the representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable the individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; use hands to finger, handle , or feel; reach with hands and arms; climb or balance; and talk or hear. The employee is occasionally required to walk; sit; stoop, kneel, crouch, or crawl; regularly lift and/or move up to 10 pounds, frequently lift and or move up to 25 pounds, and occasionally lift and or move up to 50-100 pounds. Specific vision abilities required by this job Include close vision, distance vision, color vision, depth perception, and ability toadjust focus. Successful completion of pre-employment physical is required as per VA Directive and Handbook 5019.5.

Security Clearance

Public Trust - Background Investigation

Additional Information

Additional Information
What To Expect Next

After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USAJOBS account and clicking on “Application Status.” For a more detailed update of your status, click on “more information.” Information regarding applicant notification pointscan be found in the USAJobs Resource Center.


VA offers a comprehensive benefits package. This link provides is an overview of the benefits currently offered:

Other Information

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

This job originated on For the full announcement and to apply, visit Only resumes submitted according to the instructions on the job announcement listed at will be considered.

Open & closing dates: 2017-07-17 to 2017-08-01

Salary: $45,056 to $58,570 / per year

Pay scale & grade: GS 08

Series: 0649 Medical Instrument Technician

Appointment type: Agency Employees Only

Work schedule: Full Time

Job announcement number: AG3817641-Mhi-1986704-BU

Control number: 474331100