As a Medical Instrument Technician (Diagnostic Ultrasound) in the Imaging Section, the incumbent performs noninvasive examinations involving the application of high frequency ultrasound to humans for diagnosis of disease. The incumbent must be competent in the production, use, recognition, and analysis of ultrasound images for patient diagnosis and treatment. 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 Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with Chapter 2, Section d, paragraph 5a of VA Handbook 5005. Grade Determinations: Specialized Experience GS-09: You must have 1 year of specialized experience comparable to the next lower grade level, GS-08, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at this level. This would be specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography services. In addition, you must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*). 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 diagnostic ultrasonography. *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. This Must be Demonstrated Sufficiently in Your Resume Preferred Experience: GS-09: RMDS Abdominal or Vascular Board is Preferred Certification. Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. References: VA Handbook 5005/15 Part II Appendix G27 Physical Requirements: See VA Directive and Handbook 5019. ["Performs a wide range of ultrasound examinations including but not limited to the liver, gallbladder, hepatobiliary tree, pancreas, spleen, kidneys, adrenal glands, bladder, aorta, inferior vena cava, portal vein, hepatic artery, SMA, celiac axis, renal arteries and veins, iliac arteries and veins, scrotum and testes with vascular documentation, evaluation of liver and kidney transplants, evaluation for abnormal masses or fluid, evaluation for the functional integrity of TIPS shunt with spectral and color Doppler imaging, localization for needle biopsy, thoracentesis, paracentesis, fluid aspiration, abscess drainage, and RFA probe placement. Performs a wide range of small parts and GYN ultrasound studies including transvaginal ultrasound. Maintains effective control of the ultrasound area by coordinating, planning, organizing, and executing the daily work potential to expedite workflow patterns within the department. Schedules patients for exams. Enters patients into Computerized Patient Record System and / or VISTA Receives and identifies patients, explains procedures, assists movement of patients to and from wheelchairs, carts, and tables. Positions patient and performs the requested examination. Evaluates the nature of critical and emergency procedures and rearranges priorities to accommodate the workload. Maintains records of patients treated, exams performed, etc. Verifies all exams are properly documented and transferred to the PACS and / or electronic medical record. Has a thorough knowledge of all ultrasound procedures and examinations and keeps abreast of technological advances in the field of ultrasound and incorporates these advances into new examination procedures and / or in-service education for the technical staff. Participates in accredited continuing education programs in accordance with the VA and ultrasound registry requirements, including maintenance of documentation of this education, reporting to the ultrasound supervisor on an annual basis. Incumbent is trained to work in a strictly operator dependent modality (ultrasound) Performs computerized ultrasound images of major and minor organ systems, including but not limited to, the abdomen, thyroid, scrotum, soft tissues, uterus, ovaries, and vessels Must have complete and thorough knowledge of cross-sectional anatomy and of the arterial and venous system Routinely assesses patient's records for contraindications for ordered procedures. Possess the knowledge of and skills needed to access patient medical records (CPRS) Performs in a hospital setting all examinations ranging from routine to stat. Provides coverage of shifts and as on call basis Performance of the examination requires proper alignment and positioning of the patient and proper adjustment of the ultrasound equipment to include transducer selection. Manually maneuvers the transducer to perform the examination The spectrum of diagnoses and pathology evaluated includes but is not limited to, tumor, stone, cyst, abscess, hematoma, inflammatory process, hemorrhage, aneurysm and / or dissection, quantification of size and shape of organ, thrombosis, direction of flow, etc. Responsible for obtaining pertinent diagnostic examination through knowledge of both normal and abnormal human anatomy Responsible for obtaining and reporting to the radiologist all pertinent history relevant to the examination. May be required to perform difficult and standardized ultrasound examinations Work Schedule: Rotating Daylight Monday - Friday 6am - 2:30pm, 7am - 3:30pm, 8am - 4:30pm, on-call, rotating on-call weekends and Holidays.\nCompressed/Flexible: As Indicated Above\nTelework: Not Available\nVirtual: This is not a virtual position\nRelocation/Recruitment Incentives: Authorized\nPermanent Change of Station (PCS): May be Authorized\nFinancial Disclosure Report: Not Required"]