SummaryThe Intermediate Care Technician (ICT) is assigned to the Fayetteville - NC VAMC and serves as an advanced technician for the ED for patients who are present for treatment.
QualificationsTo qualify for this position - applicants must meet all requirements by the closing date of this announcement - 10/13/2026. You may qualify based on your experience or education as described below: Applicants who are current or former Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-7 position you must have served 52 weeks at the GS-6. The grade may have been in any occupation - but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year - it may not clearly demonstrate you possess one-year time-in-grade - as required by the announcement. In this instance - you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-6 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include - but are not limited to: Medication administration; clinical tasks; emergency care; mental health services - patient screening; performs observation-based screening and collection of patient information - assists in behavioral and psychiatric situations - and operates specialized medical equipment; collecting a wide range of specimens - prepare specimens for transfer - performs skin biopsies - assist with minor procedures (nail removal - skin graph placement - and Jones dressing) - conducts or assist with training and experience using Telehealth peripherals; 4NOX- Basic Medical Technician - 4NOIC- Independent Duty Medical Technician - X4NO- Aeromedical Evacuation Technician - 1T2X1- Pararescueman - 68W- Combat Medic Specialist - 18D- Army Special Forces (Medic) - 68WW1- Special Operations Flight Medic - HM0000- Basic Hospital Corpsman - HM8404- Field Medical Service Technician - HM8425- Surface Force Independent Duty Corpsman - HM8402- Submarine Force Independent Duty Corpsman - HM8401- Search and Rescue Medical Technician - HM8403- Fleet Marine Force Reconnaissance Independent Duty Corpsman - HM8406- Aerospace Medical Technician - and HS- Basic Health Services Technician. . OR - Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must demonstrate the following; Graduate education or an internship meets the specialized experience required above GS-5 only in those instances where it is directly related to the work of the position. One full year of graduate education meets the requirements for GS-7. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school - 18 semester hours should be considered as satisfying the 1 year of full-time study requirement. For more information on these qualification standards - please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.
Duties
- Intermediate Care Technicians (ICTs) are advanced Health Technicians who have graduated from intensive specialized military medical training programs and served as combat medics - medical technicians - and corpsman
- They possess fundamental knowledge - background and experience in emergency medicine - critical care - medical readiness - field medicine - bedside care - and primary care
- Patient Screening: Duties include performing observation-based screening and collecting patient information in collaboration with licensed personnel
- This may involve obtaining patient health history for chief complaints - medication history - and information about health-related or high-risk conditions that may impact the patient's health status
- The incumbent will complete approved templates and tools - for example the MiniCog screening established by the agency
- Mental Health Services: The incumbent assists in behavioral/psychiatric situations in an emergency setting
- This can include assisting licensed personnel with crisis intervention - assists with the management of aggressive or suicidal psychiatric patients - by providing one-to-one observations and applying prevention and management of disruptive behavior techniques (PMDB)
- The incumbent performs duties focused on communication techniques required to complete the questioners and templates approved for use in the ED - including active listening - restating - and mirroring
- Clinical Tasks: The incumbent assists ED licensed personnel with the delivery of care to patients with complex - specialized - and potentially life-threatening situations
- This may include setting up equipment and passing instruments in the event of: cardioversions - insertion of thoracostomy tubes - or initiation of mechanical ventilation to restore normal physiological function or prevent deterioration of patient's condition
- The incumbent must possess the knowledge to recognize life threatening situations and act to correct these emergent situations according to established national or local protocols
- Clinical responsibilities include but are not limited to: Vital signs
- Examples: vital signs - 12-lead electrocardiogram (EKG)
- Point-of-care (POC)
- Examples: Abbott hand-held blood analyzer (I-STAT) - glucometer
- Equipment and surgical instrumentation set up
- Examples: chest tube insertion - filling water chambers - handing instruments in a sterile field - and hooking up to suction when ordered
- Observations and interventions
- Examples: oxygen therapy and splinting
- Wound care
- Examples: bandaging - application of dressings and wound measurements
- Specimen collection and Preparation
- Examples: collecting and labeling venous blood samples and mucous specimens
- ICTs may perform tasks after proper education - training and competency - demonstrating knowledge - skills and abilities
- Thoroughly and continually documents actions - interventions and patient response in the health record
- Emergency Care: In addition to ongoing ED duties - the incumbent may be asked to respond to medical emergencies on the facility grounds - and sometimes encounters situations which may be life threatening as part of the Rapid Response Team (RRT) - Code Blue - or medical transport team
- The incumbent appropriately implements emergency care in accordance with established protocols and policies
- Works in concert with other members of these teams to determine the nature - extent - and seriousness of the patient's condition including the search for medical alert symbols and medications
- ICTs will obtain and maintain certification in basic life support (BLS) - and other certifications as pertinent to their local facility and may assist within the scope/guidelines of their role and qualifications
- Medication Administration: Medication administration will comply with national and local directives and policies
- Administration methods may include intramuscular - oral - topical - eye drops - ear drops - intranasal - rectal suppositories - local anesthetics - nebulized medications - subcutaneous - and intradermal
- Follows national and local pharmacy and facility guidelines for disposal of medications
- Other duties: Conducts or assists with the training of personnel in CPR - and advanced emergency medical care techniques if appropriately trained - certified and/or qualified - for example: facility formal preceptors and BLS instructors
- Can conduct or assist with stand-downs - community health programs - healthcare screenings - and immunizations
- May be members of hospital-wide committees to enhance emergency care for Veterans
- Work Schedule: 24/7 shift work scheduling which encompasses proportional day - evening - night shifts - weekends and holidays as dictated by the published accepted emergency department operating procedures
- Position Description/PD#: Intermediate Care Technician/PDS0031A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized
