Citation 2: OPM PCS NURSING ASSISTANT SERIES, GS-621, MAY 83
Citation 3: OPM PCS MEDICAL TECHNICIAN SERIES, 645, FEB 68
Supervisory Certification: I certify that this is an accurate statement of the major duties and responsibilities of this position and its organizational relationships, and that the position is necessary to carry out Government functions for which I am responsible. This certification is made with the knowledge that this information is to be used for statutory purposes relating to appointment and payment of public funds, and that false or misleading statements may constitute violations of such statutes or their implementing regulations.
Classification Review: This position has been classified/graded as required by Title 5, U.S. Code in conformance with standard published by the U.S. Office of Personnel Management or if no published standards apply directly, consistently with the most applicable published standards.
Reviewed By: HARRIET A. JACKSON, LTC
Reviewed Date: 10/03/2007
Primary Work Role: VARIES
Additional Work Role 1: VARIES
Additional Work Role 2: VARIES
FLSA Appeal: NO
Bus Code: VARIES
DCIPS PD: NO
Mission Category: VARIES
Work Category: VARIES
Work Level: VARIES
Acquisition Position: NO
Functional Code: 00
Supervisor Status: VARIES
PD Status: ARCHIVED
CONDITION OF EMPLOYMENT:
Drug Test Required:
Financial Management Certification:
Position Designation: VARIES
Position Sensitivity: VARIES
Security Access: VARIES
Requires Access to Firearms: VARIES
Personnel Reliability Position: VARIES
Information Assurance: VARIES
Influenza Vaccination: NO
Financial Disclosure: VARIES
Enterprise Position: VARIES
Competitive Area: VARIES
Competitive Level: VARIES
Career Program: VARIES
Career Ladder PD: NO
Target Grade/FPL: 04
Career Pos 1:
Career Pos 2:
Career Pos 3:
Career Pos 4:
Career Pos 5:
Career Pos 6:
MEPS Standardized Job Description Number 01A58
The duties of this position require no specific leadership training.
Serves as a Health Technician at the Military Entrance Processing Station (MEPS) performing a variety of tests and examinations on applicants for the Armed Forces enlistment, re-enlistment, officer candidate physicals for commissioning and entry into officer training programs including Reserve Officer Training Corps (ROTC), Health Professions Scholarship Program (HPSP), Uniform Services University of Health Sciences (USUHS) applicants, and physicals for active and reserve forces personnel (retention).
Performs the full range of Health Technician duties at the MEPS.
Sets up and performs operator-level maintenance and calibrations on medical equipment, instruments and apparatus such as but not limited to: automatic blood pressure and pulse rate machine; electrocardiograph equipment (ECG); vision acuity and color perception equipment; medical laboratory equipment; Audiometric testing equipment; breath/alcohol analyzer; and height and weight scales. 5%
Greets applicants upon arrival, ensures applicants have a medical packet or creates a medical packet containing a Report of Medical History form, Report of Medical Examination form, and any required medical records from health care providers on current or past medical conditions that could be disqualifying for entrance or retention in the military. Ensures that all applicants who are considered to be of minority-age have a signed parental consent to process. 5%
Obtains and ensures examinees correct signature on the Human Immunodeficiency Virus (HIV), social security number, Privacy Act forms and statements of understanding. Depending upon the category of examinee (enlistment, officer candidate, or retention) determines types of medical examination required including any special testing (due to age or Service requirements). 5%
Orients examinees, gives instructions, arranges for medical consultations, maintains records; and assists in completing various forms required with the physical examination process. Guides examinees through the different stations and examining rooms. 5%
Instructs patients on proper collection procedures for tests. Directly observes applicants urine donation for drug testing and urine analysis. Performs testing on urine sample to determine albumin, sugar content, and pregnancy. Organizes DAT samples in batching trays, matching the sequential order of these samples as listed on the chain of custody documents requiring special handling. Prepares Drug and Alcohol Test (DAT) test control logs, labels specimens, obtains examinees signature on control logs and initials on specimen label and prepares packages and ships specimens to testing laboratory. Evaluates and verifies identification, batch and specimen numbers on chain of custody document against the bottle label, determining what information is missing or erroneous and annotates this information on all pertinent documentation. Maintains strict and detailed chain of custody documentation. 5%
Draws blood. Organizes HIV samples in batching trays, properly labels tubes ensuring quantity of sample is sufficient for tests to be performed. Inspects sample to identify visual need to recollect. Assigns a unique laboratory accession number to each specimen. Re-verifies all information to ensure accuracy. Physically processes, packages, and ships all specimens. Determines by guides how specimens must be processed and stored; operates centrifuge to separate specimens; refrigerates or freezes specimens as necessary. 10%
Explains and conducts Breath Alcohol Tests (BAT) to ensure all examinees are not intoxicated during medical examination. All positive tests are reported to the Chief Medical Officer. 5%
Explains, demonstrates and conducts Incremental Lifting Device/AFSAT weight test. 5%
Measures and records height and weight. Determines which service table applies to the applicant and compares results against service specific table to determine if applicant meets service standards. Performs service specific tape tests to determine body fat content. Performs calculation of return date for those applicants who did not meet accession height/weight standards. 5%
Takes and records blood pressure, pulse rate, records eye and hair color, and body habitus. Assists Medical Officer during visual inspection to determines whether body marks (birthmarks, tattoos, branding, etc.) or scars are clinically relevant and records location, depiction, and cause. 5%
Measures auditory acuity by use of audiometer. Conducts weekly bioacustic calibration of audiometers. Conducts hearing tests and mounts strips to appropriate documents in medical records. Instructs individuals to be tested on proper procedures to follow during the tests. Operates the equipment to produce sound for different tones and intensity to determine the individuals hearing acuity. Records numerical values on record. Interprets test data and determines hearing level. 5%
Conducts routine vision tests to determine near and far visual acuity, color vision, and depth reception. Determines prescription of lens through use of Lensometer. Operates vision testing equipment such as the Armed Forces Vision Tester, an autorefractometer, and a Farnsworth Lantern color Vision tester. Conducts pinhole vision tests when required. 5%
Operates electrocardiograph equipment while making routine and regular tracings as required. Evaluates strip to ensure a valid tracing. Mounts EKG strips to appropriate medical documents. 5%
Explains, demonstrates, and observes orthopedic examination. Assists the examining clinician in the identification of physical abnormalities (e.g., missing digits, scoliosis, pes planus.)
Explains, demonstrates, observes, and evaluates applicant performance on the Assessment of Recruitment Motivation and Strength (ARMS) test. Appropriately manages the processing of ARMS applicant and data entry for the ARMS program. 5%
Screens records for applicants covered by the accessions program by specific service standards. Coordinates review with physicians who will approve/disapprove applicants for this program. Completes necessary paperwork and maintains control of these files. 5%
Maintains a constant awareness of the doctors schedules to aid in the scheduling of applicants for processing and physical examinations. Provides assistance with the handling of unusual or difficult situations such as priority of emergencies, interpretation of doctors orders, etc. Assists front desk personnel in the processing of applicants and monitoring telephones. Escorts applicants from the reception desk to the examination rooms for their appointments and gives directions to other areas within the MEPS. 5%
Performs Quality Control Procedures (QRP) on medical documentation and records. Prepares and annotates reports and logs to document test results. Prepares and transcribes medical data into computer system, assigns ICD-9 codes, monitors files and responds to basic Dial-A-Medic questions. Reviews randomly selected medical files for proper format, coding, completion of forms, and medical consistency (correlation of pathologic, radiological, and consult diagnosis with final diagnosis). Documents problems which must be resolved after discussion with medical staff/physician to ascertain reason for inconsistency and review of regulations concerning patient records. 5%
Maintains stock level of medical supplies used for applicant processing and physical examinations and restocks as necessary. Conducts periodic inventory of supplies/equipment. Is held accountable for the proper storage and safeguarding of supplies/equipment, including maintaining positive control of hypodermic needles. 5%
Performs customer service duties and administrative office duties such as filing of paperwork and annotating logs. Assist with training requirements for new employees and those from other sections. Assists in the disposal of biomedical hazardous waste. 5%
Performs other duties as assigned.
Conditions of Employment:
-Employee will be required to work at least Saturdays a month and occasional overtime. Report to duty hours will alternate from 0530 to 0930, depending upon duty schedule. -Employee required to obtain and maintain a Secret Security Clearance. -Employee is cross-trained in other MEPS functions and assists other sections at the MEPS when required.
Fair Labor Standards Act (FLSA) Determination
1. Availability Pay Exemption - (e.g., Criminal Investigators, U.S. Customs and Border Protection pilots who are also Law Enforcement Officers).
2. Foreign Exemption - (Note: Puerto Rico and certain other locations do not qualify for this exemption – See 5 CFR 551.104 for a list of Nonexempt areas.)
3. Executive Exemption:
a. Exercises appropriate management responsibility (primary duty) over a recognized organizational unit with a continuing function, AND
b. Customarily and regularly directs 2 or more employees, AND
c. Has the authority to make or recommend hiring, firing, or other status-change decisions, when such recommendations have particular weight.
4. Professional Exemption:
a. Professional work (primary duty)
b. Learned Professional, (See 5 CFR, 551.208 ) (Registered Nurses, Dental Hygienists, Physician’s Assistants, Medical Technologists, Teachers, Attorneys, Physicians, Dentists, Podiatrists, Optometrists, Engineers, Architects, and Accountants at the independent level as just some of the typical examples of exempt professionals). Or
c. Creative Professional, (See 5 CFR, 551.209 ) (The primary duty requires invention and originality in a recognized artistic field (music, writing, etc.) and does not typically include newspapers or other media or work subject to control by the organization are just some examples of Creative Professionals). Or
d. Computer Employee, (See 5 CFR, 551.210 ) ( must meet salary test and perform such duties as system analysis, program/system design, or program/system testing, documentation, and modification). Computer manufacture or repair is excluded (non-exempt work).
5. Administrative Exemption:
a. Primary duty consistent with 5 CFR 551 (e.g.; non-manual work directly related to the management or general business operations of the employer or its customers), AND job duties require exercise of discretion & independent judgment.
FLSA Conclusion: Exempt Non Exempt
CONDITIONS OF EMPLOYMENT & NOTES:
Pen and Ink change to added - Explains, demonstrates, observes, and evaluates applicant performance on the Assessment of Recruitment Motivation and Strength (ARMS) test. Appropriately manages the processing of ARMS applicant and data entry for the ARMS program. 5%
21 Feb 08, Elsie Chatman
a. GS-640 Series Definition b. Nursing Assistant Series, GS-621, Oct 1981 c. Medical Technician Series, GS-645, February, 1968 d. Medical Instrument Technician Series, GS-649, Oct 1990 e. Medical Clerk Series, GS-679, April, 1978 f. OPM, Western Region, Classification Appeal of Theodore Gates, March 15, 1983
2. Series Determination
Employee performs a wide range of medical duties in support of the medical examination processes at a Military Entrance Processing Station (MEPS). The positions require skill and knowledge of several technician positions in the GS-600 Job Family, with no single standard controlling the series. Accordingly, position is placed in the GS-640 series and titled Health Technician.
3. Grade Determination
a. The GS-621 Nursing Assistant Series was selected as the most appropriate standard to evaluate the position, since licensing is not required for this position and the position involves a wide range of duties. Factor levels are provided on the job description. Special care is used in evaluating Factors 1, 2 and 3.
(1) Evaluation Discussion of Factor 1, Knowledge Required by the Position
Factor 1, Knowledge Required by the Position, is evaluated in comparison with the GS-621 Position Classification Standard. Three levels are described. Level 1-2, 200 points, is the second level included in this standard. In order to meet this level, the employee is required to have a knowledge of a variety of common procedures that typically require some previous training or experience. Examples given for this level include knowledge and skill sufficient to take a variety of samples such as urine samples, seal samples for analysis by others and conduct simple tests, such as vital signs, recording results. This typically includes explaining the patients part in the procedure to the patient. Another example given is knowledge and skill sufficient to maintain and store supply items and equipment. Some other examples given are knowledge and skill sufficient to enter specific information onto the patients records such as commonly used medical terminology (e.g., terms of test, test results) characteristic of the nursing unit. The duties of the position do meet this level.
In order to exceed one factor level and be credited at the higher level, that factor must meet the minimum or threshold for that factor. If the position factor level exceeds one factor level but fails to meet fully the intent of the next higher factor level, than the lower point value must be credited.
In the case of the MEPS Health Technician, the next higher level for Factor 1 is Level 1-3, 350 points. In addition to the knowledge and skill required at the lower level, Level 1-3 requires the knowledge of a body of standardized rules and skill sufficient to perform procedures requiring considerable training and experience to carry out nursing care and resolve recurring problems.
MEPS job does require equivalent skills and knowledge. Due to the number of workstations and variety of medical tests performed during the physical examinations conducted at the MEPS, considerable training is required (and documented) before the employee can fully operate each of the workstations. Employee is expected to resolve routine recurring problems encountered in processing applicants through their medical examinations. Therefore, this position meets the required threshold for Factor 1-3, 350 points. This is the maximum number of points contained in the GS-0621 standard for this factor.
(2) Evaluation Discussion of Factor 2, Supervisory Controls
Supervisory Controls cover the nature and extent of direct or indirect controls exercised by the supervisor, the employees responsibility, and the review of completed work.
Before considering the degree of independence of the Health Technician, we need to review the responsibility of the Health Technicians supervisor.
In the MEPS Medical Sections, supervision is exercised by the Medical NCOIC or a Supervisory Health Technician GS-07. In addition, in many MEPS supervisors are assisted by a Lead Health Technician. Review of the civilian Supervisory Health Technician job description most frequently used in USMEPCOM reveals that the incumbents supervise medical specialists and civilian health technician(s) (GS-640-04) in the performance of medical examinations to qualify applicants for military service (etc.) In performing these supervisory duties, the incumbent supervises and trains subordinates in the accomplishment of all duties, distributes and balances workload of the Medical Section among subordinates IAW local procedures, policy directives, and regulations. Ensures subordinate compliance with local procedures, policy directives, and regulations as well as suspense requirements, work priorities and other standards. Makes routine and complex decisions and adjustments regarding work in process. Uses advanced analytical skills to assess and resolve problems involving medical, financial, legal and other considerations. Resolves or reports problems that cannot be resolved with the Medical Section. Assigns work to subordinates based upon priorities, resource constraints (including time restraints), the nature and complexity of tasks, and the capabilities/skills of subordinates. Estimates and reports on expected completion times for various work tasks or functions; prepares, reconciles, manages and reports statistics regarding the work performed by the section. Develops, implements, and updates (as necessary) medical training programs and documents subordinate qualifications and progress. Establishes and modifies local work procedures governing all aspects of medical processing. Identical duties should also be performed by military Medical NCOICs.
In addition to the level of supervision described above, many MEPS also have Lead Health Technicians who are tasked with distributing and balancing the workload among employees in accordance with established procedures, thereby assuring timely accomplishment of the assigned workload. In addition they estimate and report on expected time of completion of work, and maintain records of work accomplishments and time expended and prepare reports as requested. They are tasked with instructing employees in specific tasks and job techniques and in making available written instructions, reference materials and supplies. They maintain a current knowledge of, and answer questions from, other employees on procedures, policies, and directives. They check work in progress and review completed work to see that the supervisors instructions have been met.
The above paragraphs accurately describe the nature and extent of direct and indirect supervision exercised at the MEPS over the Health Technician Positions.
In evaluating this factor, the GS-621 standard identifies three different levels.
At level 2-1, 25 Points, the employee receives specific assignments and consults with the supervisor on all matters not specifically covered in the original instructions. This position exceeds that level, in that the employee uses initiative in carrying out recurring tasks independently, without specific instructions, but refers deviations, problems and unfamiliar situations to the Medical NCOIC (or civilian equivalent), or the Lead Health Technician. There is a Quality review process at the MEPS that assures that all required tasks have been performed and properly documented. This fully meets Level 2-2, 125 points of the standard. At the next higher level, e.g., the employee is responsible for dealing with critically ill patients, and setting priorities and deadlines for patient care through the tour of duty. Typically patients in a hospital setting are in a dynamic state, e.g., getting better, getting worse, etc. Medical personnel treating such patients must evaluate the changing medical conditions, and base the medical care they provide on these changes. At the MEPS, the ability to use independent judgement and similarly modify the MEPS/service specific medical exam to meet dynamic or unique changes as conditions warrant does not exist. At the higher level, the supervisor is usually only briefly present through the tour. Conditions similar to these do not exist at the MEPS. The MEPS process apparently healthy individuals, using standard recurring procedures. The supervisor is present during most of the processing, if not throughout the entire medical process. Supervisory Controls clearly meet Level 2-2, 125 points.
(3) Evaluation Discussion of Factor 3, Guidelines
Guidelines cover the nature of guidelines and judgment needed to apply them. The existence of specific instructions, procedures and policies may limit the opportunity of the employee to make or recommend a decision or action. Two levels are discussed in the GS-621 standard.
Guidelines at the MEPS impose restraints on the use of knowledge. MEPS guidelines are specific as to the type of examinations required, and the specific tests/procedures which must be performed. While the MEPS Health Technicians use judgment in routing applicants, they do not have the authority to deviate from the required medical procedures. At Level 3-1, 25 points, there are specific guidelines covering all-important aspects of the assignments and the employee must work in strict adherence to the guidelines, with deviations authorized by the supervisor. Little or no judgment is required in selecting guidelines for application to individual cases. Depending on the type of physical, (which has been identified at the onset), the Health Technician has no authority to deviate from very specific examination requirements, e.g., an applicant for enlistment in the Army must have a specific series of examinations. The results of each of the specific examinations are reviewed at the end of the medical processing day. The Health Technician must use only those tests specified by regulation, and must use only those procedures that are specified for each individual test. Choices are limited, since the purpose of the MEPS is to provide standard, consistent processing. At the second level, Level 3-2, 125 points, the employee varies the order and sequence of procedures and uses judgment in selecting the most appropriate application of the guidelines, based on the patient's condition and previous instructions. These instructions involve the medical treatment of individual patients. The MEPS Health Technician can only vary the order in which applicants are processed through the MEPS, but they cannot vary the specific requirements for a particular applicant, nor change the procedures that are clearly spelled out and used at each individual step of the processing. The nature of the MEPS processing, as well as the extremely detailed and comprehensive regulations, policies, and procedures, coupled with the close technical supervision as described above, does not match the higher level.
It should be noted that in 3a(1), the MEPS have either Medical NCOICs/Supervisory Health Technicians (GS-07), who are credited with and vested with the authority to supervise and train subordinates and to ensure that they comply with procedures, policies directives, and regulations. In addition, they are credited with making routine and complex decisions and adjustments regarding work in progress. In addition to these supervisors, many MEPS have Lead Health Technicians (GS-05), who are credited with maintaining a current knowledge of, and the ability to answer questions from, other employees on procedures, policies, and directives. Guidelines clearly meet Level 3-1, 25 points.
In summary, use of the GS-621 standard results in the following point values:
b. Medical Laboratory work is evaluated in comparison to the GS-645 standard. The employee draws blood and insures that blood, as well as urine samples are properly packed for shipment and that the chain of custody is documented and maintained according to regulations/SOPS. Detailed regulations/instructions must be complied with In order to assure that the chain of custody is maintained. This meets the GS-04 level. The other tests which are regularly performed include dipstick evaluation for protein, sugar and pregnancy. These are standardized tests that do not involve substantial steps. Controls are typical of the GS-04.
c. Drawing of blood samples from applicants, Audiometric, vision, EKG testing and emergency first aid procedures were compared with the GS-0649 standard and evaluated at the GS-03 level.
The highest level of regular and recurring work performed is GS-04.
Final allocation: Health Technician, GS-0640-04.
FFLSA EVALUATION OUTLINE
___Executive Exemption ___Exercises appropriate supervisory responsibility (primary duty) ___Customarily and regularly exercises independent judgment ___80% test, if applicable (GS-5/6; Sit I & 2 WS supervisors; law enforcement & firefighter supervisors thru GS-9)
___Professional Exemption ___Professional work (primary duty) ___Intellectual and varied work (more than dealing with procedures/precedents) ___Discretion & independent judgment ___80% test, if applicable (This virtually never applies since GS-5/6 positions are trainees and other eligible employees are not professional)
___Administrative Exemption ___Primary duty ___Policy or ___Management or general business or supporting services or ___Participation in the executive/administrative functions of a management official ___Nonmanual work test ___Intellectual and significant (more than dealing with procedures/precedents), or ___Specialized & technical in nature requiring considerable training/experience ___Discretion & independent judgment ___80% test, if applicable
Comments/Explanations (state which major duties/job functions are Exempt):
Classification Notes: Duty responsibility to make decisions follow in line with established procedures and/or precedents that do not require the discretion and independent judgment on a regular and recurring basis. The position does not require assessing situations and developing recommendations, solutions, or new approaches. Jeffrey C. Akamatsu, Fort McPherson CPAC, 30 October 2007.
Note: The title and grade of this position is consistent with the OPM Appeal Decision referenced in 1(f) above.