As a full performance Diagnostic Radiologic Technologist (DRT), you perform a substantial full range of duties but receive guidance and directions regarding unfamiliar or unusual situations for more complex patient issues. These exams are performed without and with the use of contrast materials. The purpose of these exams is to achieve diagnostic studies in which proper diagnosis and treatment may be effectuated. 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: DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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).] 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: Diagnostic Radiologic Technician, GS-5 Experience or Education. None beyond the basic requirements. Assignment. DRTs at this level operate and monitor commonly used equipment performing routine procedures under general supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties are performed under closer supervision. Diagnostic Radiologic Technologist, GS-6 Experience or Education. At least one year of experience equivalent to the next lower grade level or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging. Assignment. Employees at this grade level serve as developmental DRTs, performing examinations which are routine and standardized in nature. They explain exams to patients in terms they can understand as well as potential hazards. They must also troubleshoot equipment used for diagnostic radiology and exercise extreme caution in the handling and safeguarding of all radiation producing equipment. DRTs must report major equipment malfunctions within a timely manner to service representatives and assist higher graded technologists in performing more complicated examinations. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of basic technique standards for minimum radiographic exposure. (b) Knowledge of anatomy and positioning. (c) Knowledge of all patient safety procedures. (d) Knowledge of radiographic producing equipment. (e) Ability to learn basic computer functions. Diagnostic Radiologic Technologist, GS-7 Experience or Education. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level; or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging; or successful completion of an advanced registry program, with certification, in addition to a 4-year baccalaureate degree program in radiography or other directly related field to diagnostic radiology/imaging. Education may relate to the duties of a specific position or to the occupation but must be appropriate for the position being filled. Assignment. DRTs at this level perform a full range of duties but receive guidance and directions regarding unfamiliar or unusual situations for more complex patient issues. Candidates at this grade level may be qualified to provide services in specialized areas of radiologic technology and/or general radiologic technology services. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system. (b) Knowledge of different contrast material required for the requested study. (c) Knowledge of radiation protection standards, minimum radiographic exposure techniques, appropriate beam limitation to anatomical area, and employing lead shielding when performing standard radiographic and fluoroscopic procedures. (d) Knowledge of computed radiography, CR readers and Digital Imaging systems. (e) Knowledge of PACS and basic computer skills. Diagnostic Radiologic Technologist, GS-8 Experience. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. Assignments. Employees at this grade level serve as staff DRTs at the full performance level. Candidates at this grade level must be qualified to independently provide services in specialized areas of radiologic technology and/or general radiologic technology services with only occasional oversight or direction for highly complex issues. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: Ability to check system for operation and assess acceptable performance based on established guidelines. Knowledge of calibration parameters and the ability to make adjustments as needed. Knowledge of patient's clinical record, diagnosis, and laboratory results. Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed. Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers. Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. References: VA Handbook 5005/119 PART II APPENDIX G25 The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-08. Physical Requirements: See VA Directive and Handbook 5019. ["Performs all general diagnostic radiographic and fluoroscopic procedures including, but not limited to, skull, spine, torso, extremities, and gastrointestinal and genitourinary. Prepares oral and rectal contrast for fluoroscopic procedures. Obtains pre-procedure radiographs/images Assists physicians with fluoroscopic exams Performs the post-fluoroscopic radiographs/images for procedures, such as routine and air contrast studies of the gastrointestinal system, arthrogram, venograms, myelograms, ERCP and cholangiograms Assists the physician in obtaining informed consent for the injection of contrast media for patients with no known contrast allergy Assists the physician in obtaining written consent for the injection of contrast media for patients with known contrast allergy Assists the physician in obtaining written consent for invasive fluoroscopic procedures such as, arthrograms, venograms, myelograms, and hip injections, as mandated by hospital policy Assists the physician in obtaining laboratory values needed prior to the injection of contrast media, such as BUN and creatinine Assists the physician in obtaining laboratory values needed prior to performing invasive fluoroscopic procedures, such as PT, PTT, and INR values Screens female patients within childbearing age for possible pregnancy. Documents screening on pregnancy screening worksheet with patient's signature. Follows 10-day rule for female menstrual cycle. Contacts physician when pregnancy possible. If procedure performed on pregnant or potentially pregnant patient, uses radiation safety devices to properly shield patient during exposure. Maintains ALARA (As Low As Reasonably Achievable) exposures for patient, coworkers and self Uses radiation safety devices to properly shield patients within childbearing years Uses radiation safety devices, aprons and thyroid shield (optional) when performing procedures in which exposure is possible. Minimizes exposure by using shielding and distance. Schedules inpatients and add on outpatients, contacts floor to request patients to be brought to department for procedure, and prioritizes workload to accommodate emergent and urgent procedures Monitors patient's condition by observation and reports any unusual condition to physician, nurse, chief technologist, or designee of chief technologist In emergent situations, calls emergency number and starts CPR procedures. Maintains CPR certificate. Prepares for the administration of contrast media and a limited number of anesthetic or antispasmodic drugs, such as Lidocaine or Glucagon, under the direct supervision of a physician Prepares sterile tray for arthrogram, myelogram, hip injection, and other invasive fluoroscopic procedure in conformance with strict sterile technique Properly identifies patient before performing a procedure by asking patient full name and full Social Security number, by checking patient's identification name band, and /or by checking patient's identification card against the request(s) Identifies procedure to be performed to include right/ left (extremity) Explains procedure to be performed to patient and/or patient's family When invasive procedure performed, performs time out with physician or provider according to Memorandum TX-038 If hired below the Full Performance Level (GS-08), duties will be similar but allow for greater supervision and direction. Work Schedule: Rotation of tours, Monday-Friday primarily 6am-2:30pm, 7am-3:30pm, 8am-4:30pm, 9:30am-6pm, 12noon-8:30pm, 3:30pm-midnight, and 11:30pm-7:30am, rotation of weekends and holidays.\nCompressed/Flexible: As Described Above\nTelework: Not Available\nVirtual: This is not a virtual position\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not Required"]
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