This position is located in the Operating Room at Jennifer Moreno VA Medical Center San Diego and reports directly to the Operating Room Nurse Manager. The incumbent is a member of the surgical team and provides assistance to the surgeon and other healthcare team members during invasive and non-invasive surgical procedures. To qualify for this position, applicants must meet all requirements by the closing date of this announcement. GS-06 grade level: One year of specialized experience (equivalent to the GS-05 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: Setting up the sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment. Microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operating room supplies and equipment; Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors, applying skin staples, and cutting sutures, preparation of prosthesis and surgical devices and preparing sterile dressings and maintain, care and labeling surgical specimens. OR Applicants may substitute education for the experience required for the GS-06. Successfully completed one-half year of graduate education (9 semester hours) or an internship in course matter that must include courses directly related to the work of the Surgical Technician position such as anatomy and physiology, surgical technology, aseptic techniques, etc. This education must have been obtained in an accredited college or university. OR Applicants may also combine education and experience to qualify at the GS-06. Combinations of successfully completed graduate level education and specialized experience, as described above, which meet the total experience requirements for this grade level. The education portion must include graduate courses directly related to the work of the Surgical Technician position. This education must have been obtained in an accredited college or university. GS-07 grade level: One year of specialized experience (equivalent to the GS-06 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes: setting up sterile fields; determining technical factors, setting controls with required items for procedures such as air powered equipment, fiber optic equipment, laparoscopic equipment, microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operating room supplies and equipment; sterilizing operations and testing to determine sterilization methods to be used; receiving and interpreting request for procedure; securing patients' confidence and cooperation; assisting surgical staff with or performing diagnostic tests and procedures; positioning patients for procedures; handling and coordinating clerical/administrative support functions; performing personal patient care; teaching patients proper health care practices; and maintaining medical records and documents test results. Previous experience in working under microscope using aseptic technique to deliver required instrumentation to physician for use in the procedure; experience and understanding of the biological physiology of disease conditions that requires surgical intervention; experience in responding to acute trauma injuries in the operating room. OR Applicants may substitute education for the experience required for the GS-07 level. Successfully completed one (1) full year of graduate education (18 semester hours) or an internship in course matter that must include courses directly related to the work of the Surgical Technician position such as anatomy and physiology, surgical technology, aseptic techniques, etc. This education must have been obtained in an accredited college or university. OR Applicants may also combine education and experience to qualify at the GS-07. Combinations of successfully completed graduate level education and specialized experience, as described above, which meet the total experience requirements for this grade level. The education portion must include graduate courses directly related to the work of the Surgical Technician position. This education must have been obtained in an accredited college or university. To calculate, first identify the percentage of required education you have earned (when substituting, you cannot use the first 60 semester hours that you earned). Then identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify at the GS-06 and GS-07. For example, an applicant who has 9 semester hours of graduate level education (i.e. 50% of graduate education required) and 6 months of creditable specialized experience (i.e. 50% of the required experience) would equal 100% of the required experience for the position A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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. Physical Requirements: Duties regularly require providing manual assistance in lifting and positioning patients, most of which are stages of unconsciousness. There are extensive periods of regular and recurring standing, walking, bending, lifting, pushing, reaching, and prolonged stretching to provide easy accessibility of instruments and supplies for the surgeon. Incumbent must be dexterous in passing instruments to surgeons without compromising principles of aseptic technique and in a manner requiring little or no effort from the surgeon. Hand dexterity is essential in passing instruments. Both hands required. Ability for rapid mental and muscular coordination simultaneously. Near vision correctable at 13" to 16" to Jaeger 1 to 4. Far vision correctable in one eye to 20/20 and 20/40 in the other. Ability to distinguish basic colors and shades of colors; and hearing without aid. ["Duties include but are not limited to: Primary Scrub Person The incumbent functions as a primary scrub person responsible for handling instruments, supplies, and equipment during all surgical procedures including but not limited to the following procedures: orthopedics, cardiothoracic, neurosurgery, general, urology, plastics, ophthalmology, otolaryngology, total joint replacements, robotic procedures, vascular and endovascular surgery. The incumbent sets up the sterile field with all required items for each procedure such as air-powered equipment, fiber optic equipment, laparoscopic equipment. microscopes, lasers, arthroscopy equipment, urologic equipment, recording devices, and other operating room supplies and equipment. Plans and discusses each procedure with surgical professionals and assures that all supplies and equipment are available prior to the surgical procedure. Prepares, organizes, and maintains highly complex sterile surgical setups. Observes and responds promptly to each stage of the surgical procedure and anticipates the needs of the surgeon by maintaining a high level of concentration for extended periods of time; he/she reacts quickly and decisively during emergent situations. Utilizes universal precautions and follows all infection control policies and procedures when handling specimens, supplies, and equipment. The ST assists the surgical team members with care of the patient, i.e., positioning, prepping, and obtaining supplies. Follows Universal Protocol and fully participates in the surgical Time-Out. Knowledgeable on appropriate preventative actions for surgical procedures with low, moderate, and high fire risk scores. Handles all specimens appropriately. In conjunction with the circulating Registered Nurse (RN}, performs sponge and instrument counts to verify accuracy. The ST is responsible for the accountability for all surgical instruments and equipment during the surgical procedure. Assists the surgeon by performing such procedures as preparing skin grafts, suctioning, holding retractors, applying skin staples, and cutting sutures. The ST prepares prostheses, surgical devices, and biological implants for use during surgical procedures. Prepares sterile dressings, cleans and prepares instruments for terminal sterilization according to the Standard Operating Procedure (SOP) for Reusable Medical Equipment (RME). The incumbent assists in training residents, medical students, nursing students, surgical technician students, and new OR staff in the operation of equipment, OR procedures conducted in the Operating Room and the endovascular suite, handling of instruments, sterile technique, and set-up/preparation of the Operating Room for complex procedures, and the scrub role in surgical procedures. Maintains Equipment and Work Areas The incumbent performs non-technical maintenance of equipment to prevent malfunctions. Maintains OR area. Assesses equipment needs and maintains adequate stock of supplies and materials. Recognizes potentially hazardous situations (i.e., frayed cords, water on floor) and takes corrective action. Performs necessary unit audits for expired surgical supplies, records temperature and humidity for each surgical suite and takes corrective action if parameters are outside of recommended guidelines. Provides Guidance/Quality Improvement The incumbent participates and assists surgical team members in quality improvement activities and risk management functions. Updates personal knowledge regarding current trends in surgical technology through continuing education courses. Provides guidance and support to students and new operating room staff. Work Schedule: Mon-Fri and On Call 0830-1700, 0830-1900, 1030-1900, may be rotating, on-call as required Position Description Title/PD#: Surgical Technician/PD13376-A and PD13229 A Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level. Total Reward$ - VA Careers"]

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