The VA Portland Health Care System (VAPORHCS) is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics. 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. English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education: There are no specific educational requirements for this occupation. Licensure: Licensure or Certification is not required for this occupation; however, it is strongly desirable at the GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities. 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). Grade Determinations: In addition to the basic requirements for appointment, the following criteria must be used when determining the appropriate grade assignment of candidates: GS-9. In addition to the core competencies defined at the GS-8 full performance level, positions at this level may be lead, supervisory, or non-supervisory with specialized advanced knowledge and duties. Experience. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography services. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): Demonstrated Knowledge, Skills, and Abilities (KSAs). Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols that pertain to diagnostic ultrasonography. *Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. *Ability to manage and supervise employees. *Ability to provide, or provide for, staff development and training. Certification. Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. Preferred Experience: Certification in General Ultrasound with additional Vascular Ultrasound Imaging (RVT). References: VA Handbook 5005/120, Part II, Appendix G27-C The full performance level of this vacancy is GS-9. Physical Requirements: Heavy lifting (45 pounds and over); Moderate lifting (15-44 pounds); Pushing (4-8 hours); Use of fingers; Both hands required; Walking (4-6 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; hearing aid permitted; Mental and emotional stability; Hearing aid not allowed in MRI. Environmental Factors: Working closely with others, Working alone; Protracted or irregular hours of work; Exposure to body fluid ["The Medical Instrument Technician (Ultrasound) supports VAPORHCS status as the Renal and Liver transplant facility for VISN20. Evaluates the nature of critical and emergency procedures, and manages patients scheduled to accommodate them. Incumbent will maintain records and imaging files of patients examined. The incumbent acts, among other sonographers at this level, as the point of contact for lower level employees requiring hands on assistance and additional training. Duties include, but are not limited to: Reviews orders and notes in CPRS to verify appropriate exam and patient's medical history. Performs routine administrative procedures for the purpose of maintaining accurate ultrasound records. Schedules appointments, processes exam requests, and registers patient exams, cancels and case edits exams in the Radiology Information System (RIS). Gathers related information such as current symptoms, prior imaging, patient history et, so that correlation of examinations may be made by the radiologist in diagnosis and recommendation of treatment for medical disorders. Properly identifies patient with at least 2 patient identifiers in accordance with VAPORHCS policy, confirms identity on order, and properly identifies patient images. Accurately utilizes PACS for acquisition, transmission, storage, and review of images, performs QC of all completed studies to ensure timely and accurate interpretation by the Radiologist. Explains examinations to be performed, in a manner appropriate to the patient's ability to understand, the purpose of the study as well as any requirements of the patients so they are thoroughly understood. Advises radiologists of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results based on sonographic findings. Acquires high quality images of the abdomen, small parts, chest and extremities, and retroperitoneal space that assist in the diagnosis and treatment of patient medical disorders, while applying elements of the As Low As Reasonably Achievable (ALARA) Principle. Incumbent will adhere to all infection control procedures according to Joint Commission and VAPORHCS guidelines and advises Supervisor of possible noncompliance with said standards. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Maintains adequate supplies so that examinations are not delayed due to the lack of necessary equipment and supplies. Develops and maintains patient prep procedures so that patients and wards understand the proper preparations for ultrasound examinations in an effort to minimize delays of examinations. Distributes ultrasound examinations and related information to the radiologist responsible for the interpretation of the exams. Performs or supervises routine housekeeping duties to assure that the ultrasound area is clean and sanitary. Interpret requests and instructions from medical providers under the guidance of the radiologist. Experience in Joint Commission readiness preparation. Incumbent is aware of and practices the RME processes for various pieces of equipment including disinfection and sterilization processes Incumbent shall identify system errors and work with the Supervisor, Assistant Chief Technologist, Chief Technologist and BioMed department to facilitate the effective and timely service of sonographic equipment. Supports VAPORHCS status as the Renal and Liver transplant facility for VISN20 by demonstrating expertise in liver and renal transplant exams. Independently assists/guides the radiologist/physician using ultrasound techniques in the performance of aspirations and image guided biopsies for the purpose of diagnostic treatment. Takes call and is the subject matter expert in obtaining appropriate information and imaging of emergent exams after hours when limited staff is available. Leads the training of new sonographers and students, and provide less experienced medical instrument technologists the training and guidance necessary for their development in becoming a more proficient and expert medical instrument technologist. Work Schedule: M-F 7-330 or 8-430 can be discussed at time of hire. Requires rotating call.\nCompressed/Flexible: Available\nTelework: Not Available\nVirtual: This is not a virtual position.\nRelocation/Recruitment Incentives: Available\nPermanent Change of Station (PCS): Not Available\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.