This position is located in Therapeutic and Diagnostic Imaging at the Ann Arbor VA Medical Center and is directly supervised by the Radiology Supervisor. The Incumbent performs technical work under the direction of an Attending Interventional Radiology Physician, Vascular Surgeon, and Pain Management Physician. 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.] 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).] Interventional Radiography (IR). Technologists working in this special assignment may function as vascular interventional (VI), cardiac interventional (CI) and/or cardiovascular-interventional (CV) technologists which use specialized equipment to perform diagnostic angiographic procedures and complex vascular and nonvascular interventional and therapeutic procedures. This specialty requires additional knowledge of vascular systems and major vessel anatomy. The technologist must be knowledgeable in the specialized equipment employed for digital subtraction systems and interventional procedures. The technologist administers contrast media under the supervision of the staff radiologist and confers with the radiologist to establish requirements regarding contrast agents, vital signs, medications, and physiologic monitoring to perform procedures. IR technologist must be knowledgeable in digital imagining and PACS. 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 9 (1) 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. (2) 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: (a) Diagnostic Radiologic Technologist. Employees at this level are fully functional as an advanced DRT 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 (*): i. *Ability to balance the needs of patients and staff while still performing complex scans and procedures .ii. Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers. iii. *Ability to assess factors that may contraindicate the procedure. iv. Knowledge of basic first aid and basic life support practices related to radiography. v. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions. vi. Knowledge of pre-procedural, procedural, and post-procedural care of patients. Preferred Experience: Interventional Radiography Experience, ARRT Registered Reference: VA Handbook 5005/119 Part II Appendix G25. 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. Physical Requirements: See VA Directive and Handbook 5019. ["VA Careers - Diagnostic Radiologic Technologist: https://youtube.com/embed/I-4ku5UMvWM Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Major Duties and Responsibilities: The Interventional Radiology Technologist operates various types of imaging equipment in the Interventional Radiology Department, Operating Room 6, and Pain Clinic Lab (D314). This equipment includes Philips Azurion single plane and bi-plane labs and Siemens Artis Zee single plane labs. The Interventional Technologist has the overall responsibility for the coordination and performance of the Interventional/Angiography labs. He/She works closely with the Interventional Radiologists, Vascular Surgeons, Pain Management Physicians, and Radiology Nurses to assure efficient coordination of procedures, quality diagnostic/therapeutic exam results, optimum quality control, and veteran satisfaction. The Interventional Technologist will operate the following ancillary equipment: Fujifilm Sonosite PX ultrasounds, Medrad Mark 7 Arterion power injectors, Siemens Acuson SC 2000 Intra-Cardiac Echo (ICE), and Boston Scientific Spyglass. He/she will also assist in the operation of Penumbra Indigo Thrombectomy System, Inari Thrombectomy System, and Shockwave Intravascular Lithotripsy. INTERVENTIONAL TECHNOLOGIST RESPONSIBILITIES Independently interpret requests or instruction made by Interventional Radiologist, Vascular Surgeons, and Pain Management Physicians. Explain procedures to veterans and family members. Prepare procedure lab(s), equipment, and material needed for procedures. Register patients to generate accession numbers needed for workstation(s) and image archiving in PACS Transfer patients from stretcher to radiographic examination table, utilizing safe patient handling techniques and devices when necessary. Position veterans for various procedures in Interventional Radiology labs and Pain lab. Observe patients during procedures and report complications or unusual events. Post process images and archive to PACS Provide accurate CPT coding for Interventional Radiology Procedures Maintain clean work area and adequate level of supplies in assigned lab. Act in a professional, cooperative manner towards patients and coworkers. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of sharps and bodily fluids. Utilizes sterile technique to scrub-in for the preparation of procedure tables and to assist Interventionalist performing exams. Must continuously be alert to anticipate needs of the procedure being performed. Perform image reconstructions on advanced workstations (i.e., Cone Beam CT, Vessel Navigator, Embo Guidance, Needle Guidance) - Must be available for on-call rotation. Practice radiation safety in order to reduce exposure by using lead aprons, lead gloves, lead shields, collimation, proper technique/frame rates. Assure compliance to radiation safety by wearing film badges. Work Schedule: Monday - Friday 8:00 am- 4:30 pm 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. Recruitment Incentive (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized 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 #: 93207-0 Permanent Change of Station (PCS):Not Authorized"]

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