As a advanced DRT/CT/DXA technologist in the Diagnostics ICC - Imaging department, the incumbent is responsible for independently and without direct supervision performing a wide variety of routine to complex diagnostic radiologic examinations. These diagnostic studies are performed with and without contrast materials to aid the care provider with proper diagnosis and treatment of the Veteran. 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. 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). Credentialing Standards. Public Law 97-35, the Consumer-Patient Radiation Health and Safety Act of 1981, requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75, Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the U.S. Department of Education and be certified as radiographers in their field. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Grade Determinations: GS-9 Diagnostic Radiologic Technologist Experience. At least one year of experience equivalent to the next lower grade level (GS-8), directly related to the position being filled that demonstrates the clinical competencies described at that level, which is defined as: Checking system for operation and assess acceptable performance based on established guidelines; Working knowledge of calibration parameters and the ability to make adjustments as needed; Working knowledge of patient's clinical record, diagnosis, and laboratory results; Monitoring patient's physiologic changes during the procedure and keep the radiologist informed; Using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers; Working knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. Knowledge, Skills, and Abilities 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. All qualifying experience you possess must be clearly described in your application package. We will not make assumptions when reviewing applications. Failure to demonstrate your experience in your resume may result in disqualification. It is strongly recommended that you write to each KSA in your application package. Computed Tomography (CT). This specialty modality requires specific knowledge of cross sectional human anatomy and its application in spiral, and/or, multi-slice computer tomography, inclusive of 3-D reconstruction scans, including drainages, biopsies, and peripheral vascular examinations. The technologist requires specific knowledge and training in the location, appearance, and function of the various major and minor systems susceptible to radiological illumination; to interpret the examination request accurately; to understand the functioning and inter-relationship of the various organs; to use the methods and techniques which will identify organs appearing on the digital display monitor, or on film, and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician. [DRT assignments that include performance of independent duties in this subspecialty require advanced ARRT certification.] References: December 13, 2019 VA Handbook 5005/119 PART II APPENDIX G25 Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Functions: a. Independently determines technical factors (i.e., calculates the correct exposure factors of time, distance, kilovoltage, and milliamperage), sets controls and operates equipment ensuring that the area of the body specified receives the correct calculated exposure. Technologist follows standard operating procedures to perform all radiologic exams. Incumbent possesses the ability to occasionally deviate from standard procedures as necessary to adapt for deformities of body, injuries, and other variable considerations such as age, weight, and physical condition of the patient. b. Maintains effective and efficient work environment in Imaging area by area by coordinating, planning, organizing, and executing the work potential to expedite workflow patterns within the department. Monitors and maximizes efficiency in the number of exams performed without compromising quality standards. c. Independently operates and monitors digital radiography (DR) systems, CT equipment, DXA, PACS and other computer-based equipment (i.e. computer, etc.). Performs reconstructions for CT when requested or as part of a standard protocol. d. Daily assesses any patient limitations (i.e. vent patient, nursing home care, psychiatric, etc.) and is able to modify procedure to meet patient's needs while obtaining images needed for diagnostic interpretation. e. Prepares and administers contrast materials under the direction of the radiologist/physician for the purpose of performing exams requiring injectable solutions such as CT scans and cystogram, and for the purpose of performing oral and rectal exams of the GI tract. In the case of injected media, a patient consent form must be obtained, when indicated. f. Routinely assesses patient for contraindications for ordered procedure (i.e. elevated creatinine for IV contrast exam, allergy to contrast media etc.). g. Receives and interprets imaging requests as it pertains to correct order for reason for study. Coordinates exams in a manner to optimize performance of exams while maintaining flexibility for emergency cases. Inputs pertinent radiology information into computer. Registers requests, cancels if necessary, and edits (ends) exams via the computer Radiology Information System (RIS). h. Properly identifies patient images using identifiers and Left & Right markers. Identifies patient prior to exam utilizing two factor identification. The technologist must be certain patient identification and the requests are identical. i. Responsible for explaining exams and potential hazards that may occur as a result of the exam to competent patients in terms the patient will comprehend and understand. Explains any requirements of the patient for an adequate study to be performed. May be required by procedure or patient's condition to monitor vital signs, recognize allergic reactions, and initiate cardiopulmonary resuscitation. j. Practices radiation safety to reduce exposure to patients, staff, and self. This is achieved by the appropriate use of lead aprons, lead gloves, lead shields, lead-lined walls, collimation, and distance management. Film badges are worn by the technologist to monitor compliance to radiation regulations and guidelines of the state. k. Continually reviews new developments in the field of radiology keeping abreast of technological advances and discusses these with the supervisor for possible improvements to the Imaging department. Incumbent seeks to improve the quality of exams by utilizing new technologies that are available. l. Maintains electronic records of patient studies, and statistical reports. Utilizes current and effective record keeping and tracking mechanisms. m. Troubleshoots equipment used in diagnostic radiologic procedures. Performs minor routine preventative maintenance as required. Recognizes and reports major equipment malfunctions within a timely manner to supervisor and/or Biomed service representative. Exercises extreme caution in the handling and safeguarding of all radiation producing equipment. n. Performs quality control procedures, which may include (but not exclusively) reject/repeat film analysis, lead apron & glove radiation protection verification, SMPTE, and any other quality tests as assigned. o. Accountable for departmental equipment and supplies and communicates needs to supervisor. Maintains, monitors, and anticipates levels of pharmaceuticals, supplies, and/or equipment. Work Schedule: Typical work hours are 9:30am-6pm M-F with call/weekend/holiday rotations. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Telework: Not Available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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