This position is located in Medical Imaging Service, Boise VA Medical Center, Boise, ID. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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 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. Exception for Non-Certified, Entry Level Candidates: Non-certified DRTs who otherwise meet the eligibility requirements for ARRT (R) certification may be given a temporary appointment as a graduate DRT under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a DRT that provides care under the supervision of a certified DRT at or above the full performance level. This exception only applies at the GS-5 entry level technician. For grade levels above the entry level, the candidate must be certified. Temporary appointments of non-certified DRTs may not be extended beyond two years or converted to a new temporary appointment. 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). 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: GS-05 Diagnostic Radiologic Technician: Experience or Education. None beyond the basic requirements. GS-06 Diagnostic Radiologic Technician: 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. 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 GS-07 Diagnostic Radiologic Technician: 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. 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 GS-08 Diagnostic Radiologic Technician: Experience. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Ability to check system for operation and assess acceptable performance based on established guidelines. (b) Knowledge of calibration parameters and the ability to make adjustments as needed. (c) Knowledge of patient's clinical record, diagnosis, and laboratory results. (d) Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed. (e) Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers. (f) Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. Preferred Experience: Three years experience in Surgery and specials. 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-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: Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination. Exceptions: A pre-placement examination is required for any occupation or assignment that requires the operation of a government-owned or -leased motor vehicle in order to properly carry out assigned duties. Examinations may also be required for any occupation or assignment that requires a pre-placement examination by virtue of another policy, regulation, or statute. ["Duties include but are not limited to the following: Performs radiographic exams in the Medical Imaging Service and at other locations such as the Emergency Department, Intensive Care Unit (ICU), Pain Clinic and Surgery as required. Radiographic exams outside of the Medical Imaging Service are performed at the bedside and in operating rooms on patients that are unable to be x-rayed in the Medical Imaging Service due to incapacity or surgical procedures in order to provide diagnostic images to surgeons and professional staff. Two portable x-ray Units, two mobile intensifier unit (C-Arm), and a digital fluoroscopy unit in the cysto-room that is located in Surgery are used to achieve surgery exams while ICU exams utilize the two portable x-ray units and the surgery C-Arms. Calculates radiographic exposure techniques and technical factors to control density, contrast and distortion of digital images to produce quality diagnostic radiologic examinations. This process includes utilization of computerized radiology equipment, direct radiology equipment, buckys, collimators, filters, grids, and other accessories to produce digital images of high diagnostic quality with minimum of retakes. Evaluates resulting images for quality and makes necessary corrections required to retake subquality images. Positions normal, abnormal, or difficult patients for a number of general to complex radiographic examinations. Receives and interprets all radiology requests. Inputs pertinent radiology information into computer and reviews existing information for accuracy. Registers, requests, cancels and edits exams information via the computer radiology information system (RIS) and VistA. Must be able to use commercial PACS to correctly send patient information and imagesto an outside teleradiology contractor. Be able to correct minor problems as they arise. Prepares a variety contrast materials (iodine-based or barium sulfate) under direction of the radiologist for performing exams requiring iodine-based contrast injections such as venograms, cystogram, cholangiograms, fistulagrams' and arthrography or for performing exams requiring oral/rectal administration of barium such as exams of the GI tract. The technologist is required to know and recognize the effects and adverse reactions of utilized IV contrast materials. Improper use or administration of the contrast materials increase the risk of patient mortality; therefore, it is essential that a thorough understanding of usage be possessed by those who prepare it. Technologist must be continuously on the alert to the patient's condition and other disorders. Serious adverse reactions require immediate interventional action to advert potential life threatening harm that could result if actions were not taken. Thorough knowledge of radiation safety standards, devices, and techniques, including concepts of accumulated dosage and genetic changes, effects of radiation on living organisms, and the effect of x-ray on patients and operators to assure that adequate safeguards are maintained. Practices radiation safety to prevent unnecessary radiation exposure when obtaining radiographs. Follows ALARA (As Low As Reasonably Achievable) in order to reduce exposure to patients, staff and self. Work Schedule: Monday to Friday, 7:00am to 3:30pm Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Permanent Change of Station (PCS): Not Authorized"]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.