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Cleveland, Ohio, Summary The VA Northeast Ohio Healthcare System is recruiting for a Medical Instrument Technician (Vascular). The Medical Instrument Technician (Vascular) will function in Surgical Service. Qualifications Basic Requirements: 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 Physical Requirements See VA Directive and Handbook 5019 English Language Proficiency Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2 - section D - paragraph 5a - this part Grade Determination GS-8 (This represents the full performance level) 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 position to be filled This would be experience which demonstrates the knowledge - skills - and abilities to perform noninvasive vascular ultrasound procedures as a senior technician In addition - the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels - anatomical planes and tissue structures - physiologic effects of disease entities that impact the vascular system - signs and symptoms of acute and chronic vascular disease - and the characteristic appearance of aneurysms - pseudoaneurysms - thromboses - stenoses - occlusions - AV fistulae - and morphology of atherosclerotic plaque formulation Ability to provide Doppler information of peripheral vessels demonstrate characteristic differences related to the organs they supply accurately quantify carotid artery stenoses and identify and correlate specific waveform analysis - plethysmographic tracings - velocity changes - and pressure gradients characteristic of normal - obstructed - or occluded vessels or grafts Ability to perform intracranial (transcranial) vascular examinations Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume Ability to provide objective data to document progression or regression of disease Certification Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable Preferred Experience: The Best Qualified candidates for this position will have the following preferred experience Basic Cardiac Life Support (BCLS) certification Advanced Cardiac Life Support (ACLS) certification Physical Requirements: Requires longs periods of standing - walking - bending - and moving of patients who are sometimes unconscious or disabled Must pass pre-employment physical and designated drug testing See VA Directive and Handbook 5019 References: VA 5005/15 Part II Appendix G27 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS-8 Duties This position is located in the Louis Stokes Cleveland VA Medical Center - Surgical Service - Vascular Laboratory Section Vascular Technologists (Sonographers) perform all examinations and assumes responsibilities associated with the Vascular Lab The duties performed by the Vascular technologist will entail the performance of non-invasive examinations involving the application of high-frequency ultrasound waves to humans for the diagnosis of disease Performs noninvasive vascular ultrasound procedures or examinations of upper and lower extremity - abdominal - and extra-cranial cerebrovascular vessels which require adaptation of procedures Assists the Vascular Surgeons in performance of Performance of high quality standardized and routine diagnostic vascular testing of the extremities - cerebrovascular - and abdominal vasculature using diagnostic Ultrasound and Plethysmography equipment Required to go to the Operating Room when requested by surgeons for additional testing Ability to maintain a sterile field Maintain accurate and complete patient records and reports for examinations Performing complex and non-routine vascular ultrasound procedures Performing intracranial (transcranial) vascular examinations Ability to perform additional testing including - but not limited to - evaluation of Arteriovenous Fistulas - Palmar Arch Studies - Thoracic Outlet Syndrome evaluation - and Ice Water Immersion Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular sonography Knowledge of disease entities that impact the vascular system and their influence on the test results Follow departmental examination procedures and adapt testing as needed for the patient's condition or disease process The ability to assist physicians with thrombin injections Required to go to the Operating Room when requested by surgeons for additional testing Ability to maintain a sterile field Maintain accurate and complete patient records and reports for examinations Prepare preliminary reports from the examination including documentation of procedural difficulties Following proper coding procedures per departmental policies Notify vascular surgeon or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing the examination Travel to satellite facilities on an as needed basis Physical Requirements: Requires longs periods of standing - walking - bending - and moving of patients who are sometimes unconscious or disabled Must pass pre-employment physical and designated drug testing See VA Directive and Handbook 5019 Work schedule: 7:30-4:00pm 8:00-4:30pm Flexible based on the needs of the service Compressed/Flexible Schedule: Not Available Travel: Occasional travel may be required to Lorain CBOC Financial Disclosure Report: Not Required Remote/Virtual: This is NOT a remote/virtual position Functional Statement Title: Medical Instrument Technician (Vascular) Relocation/Recruitment Incentives: Not Authorized

Scranton, Pennsylvania, Job Summary Geisinger is seeking a BC/BE vascular surgeon to join the Heart and Vascular Institute team for the Geisinger-Community Medical Center (GCMC), located in Scranton, PA Job Duties About the GCMC position in Scranton: The vascular surgery team at GCMC is currently made up of board-certified vascular surgeons and physician extenders.  This GCMC Vascular group coordinates care with the Geisinger GWV Vascular group thus sharing call on weekends between the two hospitals. General surgery and podiatry residents rotate on the service. The practice is limited to vascular and endovascular surgery – no general surgery. Approximately 60% of the practice is endovascular. One dedicated vascular surgery state-of-the-art endovascular suite located in the OR and one adjacent cath lab utilized for routine endovascular cases. ICAVL-accredited vascular lab with approximately 8000 studies per year run within the vascular department. Practice includes the full spectrum of vascular practice from carotid surgery/stenting to open aortic surgery and aortic stent grafts. Teaching hospital providing advanced care to the State of Pennsylvania using 7 Geisinger helicopters working to coordinate care at all three major Vascular hospitals (Scranton, Wilkes-Barre & Danville) Geisinger Commonwealth College of Medicine students rotate on a regular basis. Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes nine hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Position Details Education Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience Certification(s) and License(s) Licensed Medical Doctor - State of Pennsylvania OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Wilkes-Barre, Pennsylvania, Job Summary Geisinger's Heart & Vascular Surgery is seeking a Physician Assistant or Nurse Practitioner to join our Vascular Surgery Department at Geisinger Community Medical Center in Scranton, Pennsylvania. Job Duties The vascular surgery Advanced Practitioner will join a dedicated team of vascular surgeons and physician assistants and nurse practitioner at Geisinger Community Medical Center. The successful Physician Assistant must be a graduate of an ARC-approved physician assistant program, eligible or certified by the National Commission for the Certification of Physician Assistants and eligible or certified by the State Board of Medicine. The successful Nurse Practitioner candidate will have a certificate of completion from an approved program for Nurse Practitioners and must be eligible for or certified by the Pennsylvania State Board of Nursing. Must be certified to work with all patient population age groups. Position Details Education Bachelor's Degree-Physician Assistant (Required), Master's Degree-Physician Assistant (Preferred) Experience Certification(s) and License(s) Certified Physician Assistant - National Commission on Certification of Physician Assistants (NCCPA); Basic Life Support Certification - Default Issuing Body OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.