Performs routine to moderately complex radiographic examination procedures. These exams are achieved by using diagnostic x-ray equipment such as fluoroscopic units and general diagnostic units. Performs computerized tomography of the head, neck spine, chest and body. These exams are performed with and without the use of contrast materials. The purpose of these exams is to achieve diagnostic studies to bring about proper diagnosis and treatment. Physical Requirements: This position requires regular and recurring physical exertion. It may involve walking, frequent bending, reaching, and stretching to set up and take apart equipment; lifting and positioning patients; and carrying, pushing, or pulling, moderately heavy objects. Duties may require above average dexterity. Basic Qualifications: Citizenship. Be a citizen of the United States. Certification. All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology, Radiography (ARRT) (R). Advanced ARRT certification is required for assignments that include computed tomography (CT), magnetic resonance imaging (MRI), [or Mammography (M) duties performed independently, as applicable]. Advanced certification indicates that the incumbent [can operate independently] and has demonstrated specific clinical competency in the appropriate specialty and taken and passed the designated examination. [In modalities that require advanced certification, to support their continued development, technologists who do not possess an advanced certification may be provided on the job training with oversight from a certified radiologic technologist.] Education. Completion of a full-time training course of at least 24 months in duration (or the equivalent) in a post-high school diagnostic radiologic technology program, evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or from [other accrediting agencies as recognized by the Department of Education (DOE).] English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determination: Diagnostic Radiologic Technologist, GS-9 Experience. At least one year of experience equivalent to the next lower grade level, directly related to the position being filled that demonstrates the clinical competencies described at that level. Demonstrated Knowledge, Skills, and Abilities. Employees at this level are fully functional as an advanced DRT and carry out their assigned tasks independently. DRTs at this level may have varying assignments including special and complex imaging procedures beyond the full performance level, clinical instruction, and basic QM type duties within the program. Regardless of the nature of the specific assignment, the work must be of sufficient scope and complexity to meet the knowledge, skills, and abilities to perform at this level. The candidate must demonstrate all of the following technical KSAs and demonstrate the potential to acquire the assignment-specific KSAs designated by an asterisk (*): i. *Ability to balance the needs of patients and staff while still performing complex scans and procedures. ii. Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers. iii. *Ability to assess factors that may contraindicate the procedure. iv. Knowledge of basic first aid and basic life support practices related to radiography. v. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions. vi. Knowledge of pre-procedural, procedural, and post-procedural care of patients. ["Schedules exams in a manner to optimize scanner times while maintaining flexibility for emergency cases. This requires the ability to prioritize scheduled patients as well as the ability to accommodate the emergency patient who may need immediate emergency surgery, etc. Confers with radiologists to determine requirement of non-standard exams. Determines technical factors, positioning, number, and thickness of scans, etc., to produce and satisfy requirements of CT scanning. Schedules patients for examinations. Notifies them of scans requiring their immediate attention. Performs CT angiography; including run-offs and pulmonary embolus studies. These studies require the use of power injectors and reconstruction of images post image acquisition. Performs CT biopsies utilizing surgical sterile techniques. This may require \"scrub-in technique,\" preparation of surgical trays, preparation of contrast, supplying of catheters and guide wires, sterile assurance of the patient and equipment that may meet the sterile field with the purpose of assuring all preventive measures have been taken to prevent contamination of the patient. This is done to minimize hazards associated with invasive procedures and involves the use of sterile packs, gloves, syringes, guide wires, catheters, cleanup trays, etc., after exam is completed. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices; and continuing education. Works with the radiologist as a member of the radiographic team. Must assist and anticipate the needs of the radiologists and the performance of the exam. Must be continuously on the alert for the patient's condition, sterile field, catheter and guide wire sizes and configurations, etc. The alertness of the individual is essential to prevent contamination, recognize patient reactions, anticipate technique factor difficulties, etc. Prepares contrast materials that are used in CT. Improper use or administration of the contrast materials run the risk of patient mortality and, therefore, it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it. In addition, must be continuously on the alert to the patient's condition and other disorders. Reactions on the part of the patient require immediate attention so that harm does not come to the patient. Is competent to insert IV needles for administration of contrast material when necessary. Maintains records and files of exams performed on patients. This includes the maintenance of patient log registration and editing of patient exams in the computerized information system. Properly identifies patient images. This is essential so that mistaken identity of patient images does not occur. The technologist must be certain that the patient I.D. band and the request are identical. Confirms patient identity by following NCHCS' Patient Identification Policy Statement. Performs quality control on the CT scanner as required. Records contrast warmer temperature daily. Checks crash cart at beginning of shift. Performs reconstructions of CT studies when requested or when part of a standard procedure. Work Schedule: Monday - Friday, 8:00am - 4:30pm (or as needed by the Department) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 612-00429-F Relocation/Recruitment Incentives: Authorized for highly qualified candidates Financial Disclosure Report: Not required"]
The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,298 health care facilities, including 171 medical centers and 1,113 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.
