This position is in the Pathology and Laboratory Medicine Service (P&LMS) of the Milwaukee VA Medical Center located 5000 W. National Ave, Milwaukee, WI 53295. The cytotechnologist performs a full range of specialized tasks, including collecting, compiling, and analyzing data according to the laboratory quality management program. 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. Individuals must have successfully completed a baccalaureate degree from a regionally accredited college/university and successfully completed a Commission on Accreditation of Allied Health Education Programs accredited cytotechnology program. Foreign Education. To be creditable, education completed outside the U.S. must have been submitted to a private organization approved by the American Society for Clinical Pathology (ASCP) 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. Certification. Candidates must currently possess the Cytotechnologist (CT) (ASCP) or Specialist in Cytotechnology (SCT) (ASCP) certification given by the ASCP Board of Certification. English Language Proficiency. Cytotechnologists must be proficient in spoken and written English. See 38 U.S.C. § 7403(f). 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: For employees who do not meet all the basic requirements of this standard, but met the qualifications applicable to the position at the time they were appointed to the position, the following provisions apply: Cytotechnologists that do not meet the basic requirements for education and certification may be reassigned, promoted up to and including the full performance level, or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. Cytotechnologists 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. Cytotechnologists initially grandfathered into this occupation, who subsequently obtain education and/or certification that meets all the basic requirements of this qualification standard, must maintain the required credentials as a condition of employment in the occupation. Cytotechnologists who were retained in this occupation, 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: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates: Cytotechnologist, GS-11 Experience: The candidate must have one year of creditable experience equivalent to the journey level (GS-9) that is directly related to the position to be filled. Assignments. For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time. At the advanced level, the cytotechnologist independently performs and monitors processes such as smear preparation, slide fixation, cell block preparation, monolayer filtration processing, and staining. If a discrepancy is identified with these processes, the cytotechnologist will troubleshoot and take corrective action. The cytotechnologist may act as a technical resource in writing and establishing new processes or procedures. The cytotechnologist performs a full range of specialized tasks, including collecting, compiling, and analyzing data according to the laboratory quality management program. The cytotechnologist uses these laboratory data to implement any needed quality improvement initiatives. The incumbent will research, test, validate, and implement new procedures and equipment. NOTE: Advanced assignments may also include one or more of the tasks identified below. When these duties are required, the Advanced Cytotechnologist must also demonstrate the corresponding advanced KSAs as identified by the corresponding asterisk(s) below in KSA (c) v. - (c) viii. These KSAs are: **Electron Microscopy (KSA (c) v.): Ability to utilize electron microscope, performance of ultrathin cryomicrotomy, and staining of ultrastructural components. ***Safety Coordination (KSA (c) vi.): Ability to oversee safe handling of specimens, chemicals, and equipment by all staff and ensures adherence to safety regulations. ****Laboratory Education (KSA (c) vii.): Ability to plan and administer an ongoing continuing education program for laboratory staff to meet accreditation requirements. *****Automated Data Processing Applications Coordinator (KSA (c) viii.): Ability to carry out day-to-day operations related to laboratory information systems/computer use and system maintenance. Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate the KSAs i. - iv. and the advanced KSA as identified by the corresponding asterisk(s): Ability to independently determine specimen adequacy using complex specialized testing methods or techniques during Endoscopic Ultrasound, Endobronchial Ultrasound, and other Fine Needle Aspiration procedures. Knowledge of pre-analytical, analytical, and post-analytical processes to establish and monitor the overall laboratory quality management and quality control program, and initiate corrective action as needed. Skill in collecting, compiling, and analyzing data for quality assurance, statistics, trends and reports, and implementing quality improvement initiatives. Skill in researching, testing, validating, and implementing new procedures and equipment. **Ability to perform ultrathin microtomy and operate an electron microscope. Knowledge of microanatomy sufficient to note ultrastructural and microchemical findings. ***Ability to convey knowledge of safety regulations and guidelines such as CAP, JC, and OSHA, and to ensure staff compliance with safety requirements, including continuing education and employee orientation. ****Knowledge and skill to plan and administer an ongoing continuing education program for the laboratory to meet accreditation standards. *****Skill to maintain and troubleshoot computers and laboratory system instrumentation. Require specialized training and experience: Employees must have advanced knowledge of specialized and complex subject matter extending beyond the duties of test performance. They have a wide latitude for exercising independent judgment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty) and range of variety, and be performed by the incumbent at least 25% of the time. The Cytotechnologist often works independently and is given freedom of action under the general guidance of a Pathologist or when working with another Anatomic Pathology staff following a scheduled tour of duty. References: VA Handbook 5005/126 PART II APPENDIX G61 Cytotechnologist Qualification Standard. Physical Requirements: VA Directive and Handbook 5019, Employee Occupational Health Service. ["VA offers a comprehension total rewards packages: Total Reward$ | VA Careers The cytotechnologist must have advanced knowledge of specialized and complex subject matter extending beyond the duties of test performance. Cytotechnologist often works independently and is given freedom of action under the general guidance of a Pathologist or when working with another Anatomic Pathology staff following a scheduled tour of duty. The duties and responsibilities of the Cytotechnologist include but are not limited to the following: Duties/Tasks: Operates, verifies, and maintains correct instrument operation for all equipment in the cytology laboratory, using established procedures and quality control checks in accordance with College of American Pathologists, Joint Commission and VHA guidelines. Reviews clinical data of patients and evaluates all cytology preparations by light microscopy for the presence or absence of cellular patterns, presence of microorganisms, viral changes, inflammatory reactions, endocrinopathies, benign changes, pre-malignant changes, neoplasia, and cellular responses to therapeutic agents. Knowledge of processes and procedures to prepare all specimens for cytodiagnostic and immunochemistry testing, as well as preparation, fixation and staining of slides. Prioritizes, prepares, and processes all specimens for cytodiagnostic and immunohistochemical testing in compliance with the guidelines of regulatory agencies. Acts as a technical resource, troubleshoots a variety of specialized lab tests, identifies suboptimal issues, and uses independent judgment and resources to resolve concerns. Prepares reagent and control materials. Conducts quality control procedures on equipment, reagents, and products, and maintains proper records for quality control reports. Conveys pertinent information to those professionals of the Anatomic Pathology and Medical Center staff directly responsible for patient care regarding proper collection methods, transportation of specimens, etc. Communicates effectively and courteously and provides excellent service as defined by the customer (healthcare providers, patients, and others). Receives specimen and review accompanying requisitions for completeness and accuracy. Accessions specimens, determining adequacy and quality prior to recording the data in the computer. Processes and prepares all cytology specimens for diagnostic procedures while controlling physical conditions and responding to time factors to ensure that they physiological state of the specimen is maintained. This includes the use of centrifuges, cytocentrifuge, Thin Prep processor slide stainer, cell block methods, etc.. Provides training and competency assessment, including effective and professional training for the histopathology and cytopathology technologist(s), technician(s), pathologist assistants, autopsy assistants and other laboratory employees that support the services of the anatomic pathology department. Organizes, coordinates, and prioritizes simultaneous work assignments, both individual and team related. Adheres to practices and regulations governing biosafety and biosecurity in the workplace. Incorporates principles of educational methodology in the instruction and training of new employees and students and in the laboratory's in-service/continuing education program. Maintains knowledge of and complies with the federal regulations associated with the Clinical Lab Improvement Act of 1988. Serves as a cytology subject matter expert providing authoritative advice and consultation for more markedly difficult, complex, unique, and/or emerging tests requiring specialized knowledge. Examples include, but are not limited to, molecular testing, pleural fluid analysis and flow cytometry. Identifies, defines, and resolves issues associated with complex aspects of data or unique or controversial aspects of cytology testing where no direct precedent exists. Additional duties as assigned. Work Schedule: Full-time; Monday through Friday; 8:00am to 4:30pm; Day Tour Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. At VA Long Beach Healthcare System, our health care teams are deeply experienced and guided by the needs of Veterans, their families, and caregivers. Our medical center provides primary care and specialty health services, including cardiology, mental health care, treatment for spinal cord injuries and disorders, suicide prevention, women’s health services, and more.