Company: Veterans Health Administration Location: Saint Louis, US Employment Type: Full-Time Date Posted: 07/22/2026 Job Categories:
Government and Policy, Healthcare, Other, Healthcare, Practitioner and Technician
Job Description
Medical Instrument Technician (EKG)
Qualifications
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
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
Grandfathering Provision
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)
Grade Determinations: GS-4 Experience: At least 1 year of experience comparable to the next lower grade level (GS-3) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled
Six months of this experience may have been in medically related fields such as nursing assistant, practical nursing, or similar fields
The remaining six months must have been in operating diagnostic and therapeutic equipment covered by this occupation
Experience gained in the operation of equipment for animal diagnosis or treatment may be credited at this level
OR, Education: Successful completion of two years of education above high school or an associate's degree with a major field of study directly related to the medical instrument technician occupation
In addition, the candidate must demonstrate the following KSAs: Knowledge of basic medical terminology
Ability to learn the components, operating characteristics, and settings of the equipment to be used
Ability to learn typical patient reactions to the basic procedures involved and ability to recognize signs of distress
Ability to learn the standard positions for the procedure being conducted
Ability to communicate orally and in writing
GS-5 Experience: At least 1 year of experience comparable to the next lower grade level (GS-4) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled
This would be experience in operating equipment related to the particular specialization for which application is made or in related functional areas
Experience gained in the operation of equipment for animal diagnosis or treatment may be credited through this grade level
OR, Education: Successful completion of four academic years above high school leading to a bachelor's degree with courses related to the occupation, or a bachelor's degree in a major field of study appropriate to medical instrument technician functions
In addition, the candidate must demonstrate the following KSAs: Knowledge of standard medical terminology to interpret physician orders or instructions
Knowledge of common physical disabilities and ability to position patients for the examination or treatment
Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities
Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures
Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine
GS-6 Experience At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, and abilities related to the duties of the position to be filled
In addition to the basic requirements, you must possess the following: At least one year of experience comparable to the next lower grade level (GS-5) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled
In addition, the candidate must demonstrate the following KSAs: Ability to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure
Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests
Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment
Ability to monitor the patient for adverse reactions and take appropriate action
Ability to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing
GS-7 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 knowledge of the equipment, standard tests and procedures, and typical readings including arrhythmias and abnormalities
In addition, the candidate must demonstrate the following KSAs: Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias
Knowledge of common equipment settings and standardized procedures plus knowledge of common errors and corrective measures
Ability to modify procedures/positions to obtain the correct results with patients with complicating conditions such as amputations, Parkinson's disease, structural defects, and scar tissue
Ability to act as a mentor or preceptor to lower graded technicians
Ability to conduct in-service training on the EKG equipment and related instrumentation
The full performance level of this vacancy is GS-7. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.