This position works directly with patients and Physicians and operates equipment that uses high-frequency soundwaves to take images and scans of the body's internal organs. Incumbent will operate diagnostic ultrasound equipment both in the department and in the portable setting. This position independently performs a wide range of routine and complex ultrasound exams and vascular studies; recognizing the need to make modifications during the examination. 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 Grade Determinations: GS-09 In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. 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. 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: 1. 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. *2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. Preferred Experience: 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-09. ["Duties and responsibilities include, but are not limited to: Interpret requests or instructions from radiologist or medical officers. Prepares room, equipment and materials needed for patient procedures. Properly verifies the patient's identity using two unique identifiers and using active rather than passive identification; follows VHA directives and policies. Explains procedures to patient in a manner that will gain cooperation, understanding, and allay apprehension. Transfer patients from stretcher or wheelchair to sonographer exam table utilizing safe patient handling techniques; ergonomic methods and devices. Positions the patient for desired results; utilizing positioning cushions and privacy shields as appropriate. Performs diagnostic ultrasound examination on multiple areas of the body, including, but not limited to the abdomen, neck, chest, extremities, pelvis and retroperitoneal space, for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders. Performs Intra-Operative Ultrasound examinations to assist the Interventional Radiologists in tumor ablation procedures in a sterile surgical environment. Sets up equipment, makes multiple simultaneous settings and adjustments in operation of the equipment, and manually maneuvers the transducer to perform the exam; insuring accurate results. Obtain pertinent clinical data from the patient, electronic health record, requisition, and interviewing the patient and/or family. Properly selects patient's information from the HIS/RIS list on the workstation, verifies patient information prior to scanning. Annotations are made, correct orientation of the image, configures the image before transmitting to PACS. Perform computer work and required forms associated with patient exams, credit of patient visits, complications and/or quality improvement activities of the department. Maintain a neat and clean work area, including desks and countertops at all times. Ensuring supplies within assigned work area are properly supplied/stocked so that examinations are not delayed due to lack of necessary equipment and supplies. Assist in maintaining inventory of supplies and notify supervisor of low level of supplies in a timely manner. Maintain Ultrasound equipment as directed by the manufacturer. Responsible for the quality assurance of the scan (positioning/label/technique/network information) prior to transmission to the PAC's network. Maintain electronic records of patient exams assuring that the images acquired are transferred into the patient record and perform clerical duties as related to patient care as it pertains to release of information and image disc creation. Assists the Interventional Radiologist in the performance of cyst 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. Explain procedure, answer questions relating to the procedure, position patient for all necessary views and tend to their comfort for the duration of the procedure. Requires the exercise of judgement to assess and respond to patient's needs prior to, during, and after the procedure. 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. Maintains competency and thorough knowledge of the processes for Critical, Semi-Critical, and Non-Critical Reusable Medical Equipment (RME) and Standing Operating Procedures (SOPs) that document the process and procedures for cleaning, disinfection, sterilization and preparation of RME and follow established procedures for cleaning, disinfection, sterilization and preparation of RME and follow established procedures for all RME. Work Schedule: Monday - Friday 8:00a.m. to 4:30 p.m. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized"]

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