Med Inst Tech (Electrocardiography)
Veterans Affairs, Veterans Health Administration
This position serves as a cardiovascular ultra- sonographer at VA Butler. In this role, performs the full spectrum of echocardiogram and vascular ultrasound procedures using Doppler and Duplex ultrasound. This position also manages the administrative aspects of the Radiology Clinic, including scheduling, interfacing with VISTA Imaging and PACS, importing all exam data and results into the medical record, and coordinating with off-site radiology providers (both contracted and VA-based).
The incumbent has thorough knowledge of anatomy and physiology such as the location, appearance and function of the various major systems including muscular, circulatory, lymphatic, respiratory, digestive, and urinary systems in order to interpret the examination request accurately, to understand the functioning and interrelationship of various organs appearing on the exams and the various stages of the examination to judge the acceptability of the exam images.
The incumbent has knowledge of basic physics including the concepts of Doppler and Duplex ultrasound and the properties of the ultrasound equipment, monitors the equipment for proper orientation, makes minor changes to standard settings; including gain, compensation, megahertz, angle, and sector width, to compensate for patient specific physical requirements, equipment limitation, or determine when maintenance or repair is needed. Strong computer skills and knowledge are required for efficiently and successfully managing the interface of equipment and the various electronic data management systems.
The incumbent has thorough knowledge formulae and ratios used for determining abnormal exam results. This includes knowledge and skill in positioning patients for a variety of cardiovascular examinations. Duties for this position include, but are not limited to;
Performs a full range of echocardiogram and vascular ultrasound procedures, operates diagnostic equipment using Doppler and Duplex ultrasound to document extremity blood flow, blood pressures and circulation.
Performs cardiac studies of the heart and valves, chamber enlargement and pericardial effusions, using 2-D mode Doppler echocardiography including 3D imaging, color flow Doppler echocardiography, and M-Mode Color Doppler echocardiography.
Confers with providers, radiologists, and other specialist to determine requirement of non-standard exams and to troubleshoot difficult cases. Determines technical factors, positioning of scans, etc., to produce and satisfy requirements of echocardiography and vascular ultrasound.
Selects and prepares proper imaging cameras, computers, and auxiliary equipment to perform procedures. Positions the patient and equipment appropriately.
Verifies regions of interest (ROI); evaluates quality of measurements for problems due to artifacts, pathology. etc.; recommends additional scan as necessary; flags preliminary results that may require a physician's immediate attention.
Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices; and continuing education.
Works with the physicians and off-site radiologists to integrate care and case management. Must assist and anticipate the needs of the radiologists and the performance of the exam. Must be continuously on the alert for the patient's condition, and any safety risks that may be present. The alertness of the individual is essential to prevent unnecessary risks, recognize patient reactions, anticipate technique factor difficulties, etc.
Maintains records and files of exams performed on patients. This includes the maintenance and editing of patient exams in the computerized information system. Is proficient in using all the electronic health record computer systems necessary for the clinic's efficient operations, including Vista, Vista Imaging, CPRS, and PACs. The incumbent can trouble shoot problems in any of these systems and move seamlessly between them to ensure complete care, communication and documentation. The incumbent is expected to be a subject matter expert on the VistA radiology package and keep abreast of changes.
Prepares reports of workload, errors, efficiency, and quality for review with the radiology supervisor regularly and request.
Properly identifies patient images. This is essential so that mistaken identity of patient images does not occur. The technician must be certain that the patient's stated identify and/or ID band and the request are identical. Confirms patient identity by verbally confirming patient's full name and social security number (and/or date of birth).
Responsible to explain exams to competent patients so that patients understand what is to be done as well as what hazards, if any, are possible.
Responsible for stocking and inventory of all clinic supplies and related materials.
Performs irregular hour scans as required.
Continually reviews new developments in the field of cardiovascular examinations. Is continually on the alert to improve quality and efficiency of the clinic. The purpose of this review is to provide the patients with the best possible scans and customer service.
Mon - Fri 8:00am - 4:30pm
nancial Disclosure Report:
This is a Bargaining Unit PositionApplicants 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.
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 in accordance with VA Handbook 5005, Part II, chapter 2, section D, paragraph 5a
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).
All persons employed in VHA in this occupation on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and licensure/certification/registration that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:
Such employees in an occupation that does not require a licensure/certification/registration, may be reassigned, promoted, or demoted within the occupation.
Such employees in an occupation that requires a licensure/certification/registration, may be reassigned, promoted up to and including the full performance (journey) level, or demoted within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions.
Such employees in an occupation that requires a licensure/certification/registration only at higher grade levels must meet the licensure/certification/registration requirement before they can be promoted to those higher grade levels.
Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure/certification/registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation.
The preferred candidate would have successfully completed an accredited education program and be a Registered cardiovascular Technologist with at least one year of experience. The registered technologist will hold and maintain current Cardiac Diagnostic Sonographer (ARDMS), and Vascular Sonographer (RVT) certification in good standing.
At least 1 year 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 experience which demonstrates possession of the knowledge required in order to provide all aspects of echocardiography 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. KSAs 1, 2, and 3 are appropriate for all positions at
this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment.
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 Echocardiography.
*2. Knowledge of JCAHO and other regulatory requirements.
3. Ability to communicate effectively and professionally with employees at varying grade levels.
*4. Ability to manage and supervise employees.
*5. Ability to provide, or provide for, staff development and training.
VA Handbook 5005, Part II, Appendix G-27
The full performance level of this vacancy is GS-9. The actual grade at which an applicant may be selected is GS-9.
The work requires some physical exertion such as prolonged periods of standing, bending, reaching, crouching, stooping, stretching, and lifting moderately heavy items such as manuals, record boxes, equipment or assisting patients. The work requires above average agility and dexterity. The incumbent may be required to travel between VA and/or Non-VA clinical care sites and possession of a valid driver's license may be required.
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