This Diagnostic Radiologic Technician (DRT) will be certified in Ultrasound and working in the Women's Clinic area. Independently performs standard examinations. Schedules patients for examinations. Evaluates the nature of critical and emergency procedures, and rearranges patients scheduled to accommodate them. Maintain records and film files of patients examined. Cross-indexes interesting cases for teaching purposes. 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. 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 the assignment of Ultrasound ([Diagnostic/Vascular] Sonography) (S), (VS) . 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. 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). GRADE REQUIREMENTS Creditable Experience (1) Knowledge of Current Radiologic Technology Practice. To be creditable, experience must have demonstrated possession of the knowledge, skills, abilities, and other characteristics (also referred to as clinical competencies) associated with current radiologic technology practice. This may have been evidenced by the equivalent of one year of active practice, which is paid or non-paid employment as a DRT as defined by ARRT. (2) Quality of Experience. Experience is only creditable if it was earned after completion of the basic certification requirements identified in paragraph 2b above. Experience as a graduate DRT is creditable provided the candidate functioned as a DRT and subsequently passed the certification examination. (3) Part-Time Experience. Part-time experience as a DRT is creditable according to its relationship to the full-time workweek. For example, a DRT would receive one week of full- time credit for each two weeks of half-time work. Specialized Assignments: Ultrasound ([Diagnostic/Vascular] Sonography) (S), (VS). Positions should be assigned to the DRT, GS-0647 series, when both ultrasound and other modalities which require the delivery of ionizing radiation are performed. 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 Technologist (Ultrasound): 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. Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. DRTs at this grade level may be appointed to one of the following assignments: Diagnostic Radiologic Technologist. Employees at this level are fully functional as an advanced ORT 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(*): *Ability to balance the needs of patients and staff while still performing complex scans and procedures. Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers. *Ability to assess factors that may contraindicate the procedure. Knowledge of basic first aid and basic life support practices related to radiography. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions. Knowledge of pre-procedural, procedural, and post-procedural care of patients. References: VA Handbook 5005; Appendix G25, Diagnostic Radiologic Technologist, Qualification Standard The full performance level of this vacancy is GS-9. The actual grade at which an applicant may be selected for this vacancy is GS-9. Physical Requirements: The work requires long periods of standing and walking. There is some bending and carrying of moderately heavy articles such as equipment or records. Patients sometimes are assisted to achieve proper positioning which may require reaching or work in strained positions. The work area is well lighted, heated, and ventilated. ["Advises radiologists or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Performs ultrasound examinations of the abdomen, neck, chest and extremities, breast, retroperitoneal space, renals, carotids, and upper and lower extremity arterial studies for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders. No intracranial vascular studies are required. Performs routine clerical procedures for the purpose of maintain accurate ultrasound records so that easy recall of patient examinations may be achieved. This requires maintaining a diagnostic log, patient schedule log, and procedure log, editing and when necessary registering patients in the Radiology Information System (RIS). Selects appropriate transducer and protocol for each examination. Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results. On the basis of radiologic findings, determines necessary ultrasonic procedures to yield definitive diagnostic findings. 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. Assists the radiologist in the performance of cy t punctures, aspiration biopsies, and catheter placements for the purpose of diagnostic treatment using ultrasound techniques. This requires the use of surgical sterile techniques, syringes, needles, contrast, etc. 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. These preps are disseminated either by written preparation information or by telephone conversation. Explains examinations to be performed to the patients so that an understanding of the purpose of the study as well as any requirements of the patients are thoroughly understood. This is done so that an adequate ultrasound study may be obtained in an effort to get diagnostic examinations for the purpose of treatment and diagnosis of disorders. Gathers related information such as patient chart, x-rays, etc., so that correlation of examinations to other studies may be made by the radiologist in diagnosis and recommendation of treatment for medical disorders. In addition, technologist MUST scan all exam worksheets to the patient electronic medical record at the completion of each examination, to become a permanent part of the medical record, assisting the radiologist in examination interpretation. Distributes ultrasound examinations and related information to the radiologist responsible for the interpretation of the exams. This is done so that treatment based on diagnosis may be effectuated in a timely manner. Assists quality assurance technologists in performing quality assurance testing on the ultrasound unit using phantoms, test tools, test check lists, etc. for the purpose of assuring peak performance of the ultrasound equipment. Maintains records for the quality assurance testing so that easy reference is available should serving be necessary, (weekly basis) Performs or supervises routine housekeeping duties to assure that the ultrasound area is clean and sanitary. This is done so that when sterile procedures are required in the ultrasound area, there is minimal possibility of cross contamination due to unsanitary conditions. The incumbent must be aware of and practice the safety policies/procedures of the medical center and participate in quality assurance activities as directed. Work Schedule: Monday - Friday; 0730 - 1600 or 1130 - 2000. Telework: 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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