Summary The technologist operates independently and without direct supervision as the technologist responsible for the performance and coordination of all diagnostic radiology examinations. These exams are performed with and/or without the use of contrast materials. Also performs DEXA (dual energy absorptiometry) bone mineral density exams of the spine, extremities, and pelvis. The purpose of these exams is to achieve diagnostic studies so that proper diagnosis and treatment may be effectuated. Responsibilities Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as cystograms, cholangiograms, fistulagrams, and arthrography 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.) These procedures require the use of needles, syringes, renografin, barium, and enema bags. These contrast materials and the radiographer must know their effects and adverse reactions. Improper use or administration of the contrast materials run the risk of patient mortality, therefore, it is essential that a thorough understanding of usage be possessed by those who prepare it. Must be continuously on the alert to the patient's condition and other disorders. Adverse reactions on the part of the patient require immediate attention so that harm does not come to the patient or equipment. Performs irregular hour emergency on-call, 24hours per day, coverage. On-call requires the technologist be available within 60 minutes from receipt of call so that proper and effective emergency care can be given to the patient. In emergent situations, incumbent may be required to assist in other modalities. Confers with radiologists to determine requirement of non-standard exams. Determines technical factors, positioning etc., to produce and satisfy requirements of Dexa scanning. Advises radiologists or referring physicians of examination results. Notifies them of images requiring their immediate attention. Selects and prepares proper imaging cameras, computers, and auxiliary equipment to perform procedures. Positions the patient and equipment to obtain desired images. 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 radiologist as a member of the surgical/radiographic team. 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, sterile field, catheter and guide wire sizes and configurations, etc. The alertness of the individual is essential to prevent contamination, recognize patient reactions, anticipate technique factor difficulties, etc. Thorough knowledge of radiation protection standards, devices, techniques, including concepts of accumulated dosage, genetic changes, and effects of radiation on living organisms. Insures correct machine techniques to minimize such exposures, monitors the safeguards, and recognizes when changes of equipment or procedures might result in increased exposure. Then recommends alternative methods to prevent such exposures. 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 radiographer to assure compliance to radiation regulations and guidelines of the state. Maintains records and files of exams performed on patients. This includes the maintenance of fluoroscopy spreadsheet, registration and editing of patient exams in the computerized information system, copying of images to CD, knowledge of the HIS-RIS work list and routing exams to different locations. Works with/performs operator troubleshooting of the patient archiving computer system (PACS). Properly identifies patient images. This is essential so that mistaken identity of patient images does not occur. The technologist must be certain that the patient 1.0. band and the request are identical. Confirms patient identity by verbally confirming patient name and social security number or date of birth as required by JCAHO. Responsible for stocking and inventory of all supplies and pharmaceuticals used in the department insuring that patient care is not interrupted. Keeps abreast of technological advances in the fields of Radiology/Dexa and maintains ARRT and BLS license/certifications. Troubleshoots equipment used in diagnostic radiological procedures and is able to make minor repairs and/or adjustments. Exercises extreme caution in the handling and safeguarding of all radiation producing equipment. Must recognize and report major equipment malfunctions within a timely manner to Bio-Med by submitting a work order. Performs all processing of digital images and insures images are transmitted to PACS. Supervises and trains rotating x-ray students in clinical and didactic areas. and other duties assigned Work Schedule: Monday - Friday; 9:30am-6:00pm Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). Education. Completion of a full-time training course of at least 24 months duration (or the equivalent) in a post-high school diagnostic radiologic technology program, evidenced by a certificate or an associate's degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or from schools accredited by the ARRT and certification by the ARRT in radiology. Certification. All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology (ARRT) (R). Grade Determinations: In addition to the basic requirements for appointment, the following criteria must be used when determining the appropriate grade assignment of candidates: GS-8 DRT (Full Performance Level) Experience. At least 1 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 the following KSAs: 1. Ability to check system for operation and assess acceptable performance based on established guidelines; 2. Knowledge of calibration parameters and the ability to make adjustments as needed; 3. Knowledge of patient's clinical record, diagnosis, and laboratory results; 4. Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed; 5. Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers; and 6. Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. References: VA Handbook 5005/77, Part II, Appendix G25 The full performance level of this vacancy is GS-08. Physical Requirements: Bending, pushing, pulling, reaching and occasional kneeling, crawling and squatting; lifting, carrying, bending, and manipulation of equipment; patient assistance and positioning; walking and prolonged standing; the ability to read written orders, computer screens, patient records, and equipment controls; and the ability to communicate with patients, physicians, and coworkers. Near visual acuity to assess patient's physical condition when performing exams, and evaluating images for diagnostic quality. Must be able to speak and hear to communicate with patients. Ability to make critical decisions, interact with patients of different ages and health conditions, maintain patient confidentiality, work under stressful conditions, such as operating or emergency rooms. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.