The incumbent must be a senior member of the technologists' staff, responsible for all technical aspects of aortograms, including visceral, peripheral and carotids, abscess drainages, angioplasties, angios with stent placements, tunneled dialysis catheters, PICC lines, kyphoplasty's, vertebroplasties and vascular procedures in the operating room suite. they will also work in CT 25% of the time and may also work in general radiology performing X-ray exams. Applicants 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. 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).] 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).] [NOTE: Assignment to the clinical program director requires meeting JRCERT minimum educational standards as noted in the assignment description.] Grandfathering Provision. All persons employed in VHA as a DRT 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 certification that are part of the basic requirements of the DRT occupation. For employees who do not meet all of the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) DRTs that require a certification, may be reassigned, promoted up to and including the full performance (journeyman) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) DRTs that require a certification only at higher grade levels must meet the certification requirement before they can be promoted to those higher grade levels. (3) DRTs 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. (4) DRTs initially grandfathered into this occupation, who subsequently obtain additional education and/or certification that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (5) Employees who are retained as a DRT under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry as a DRT. NOTE: Each uncertified VHA DRT who was permanently employed on June 21, 1986, and whose competence in the safe administration of ionizing radiation was affirmed, in writing, by a VA licensed physician not later than January 1, 1987, is considered fully qualified. These employees may be promoted, changed to lower grade, or reassigned within the GS-0647 occupational series. Any employee initially retained in this manner who leaves this job series loses protected status and must meet the full requirements in effect at the time of reentry. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and7407(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: 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: Advanced Diagnostic Radiologic Technologist GS-10:Employees are trained to work in one or more difficult and complex modalities performing procedures related to these modalities as well as performing general diagnostic procedures. At this grade level, any assignment in a single modality must demonstrate significant complexity. Such assignments are unique, perhaps with expert specialization in complex areas of radiologic technology, Mammography Quality Standards Act (MQSA) regulations, and intermediate QM type duties within the program. The candidate must demonstrate all of the following technical KSAs: i. Knowledge of radiation protection standards, devices and techniques, including concepts of accumulated dosage, dose monitoring, and genetic changes. ii. Ability to utilize advanced imaging software that supports complex imaging programs and recognize changes in equipment and procedures that might result in increased exposures, and ability to recommend methods to prevent such exposures. iii. Knowledge of basic physics including concepts of energy, electric power, magnetic fields, and properties of x-ray, to understand the operation of the equipment. iv. Knowledge and skill in positioning of patients for a wide variety of highly complex imaging (CT, MRI, IR, ultrasound, mammography) studies. References: VA Handbook 5005/119, Part II, Appendix G25, dated December 13, 2019, Diagnostic Radiologic Technologist Qualification Standards, GS-0647. This can be found in the local Human Resources Office. Physical Requirements: Light to Moderate lifting and carrying, up to 44 pounds; straight pulling; reaching above shoulders; use of both hands and fingers required; walking, standing; crawling; kneeling; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; depth perception; ability to distinguish basic colors and shades of colors; hearing (aid permitted). ["The Diagnostic Radiologic Technologist is proficient in all CT Scan exams, with specific expertise in biopsies, drainages, catheter placements and CT Angiography (IR/Cardiac Cath/CT scan). The incumbent is required to provide radiographic examinations in three areas: CT Scan Special procedures/Interventional Radiology Suite (including procedures in the Operating Room) General X-ray The incumbent is responsible for clinical and educational duties in all areas listed. Incumbent works closely with the technologists, radiologists, surgeons, clinicians, and clerical staff to assure optimum quality control, efficient coordination of activities, high quality diagnostic/therapeutic exam results, and patient satisfaction Functions or scope of Assigned duties: Inventory Control: Ensures that adequate quantities of Interventional Radiology, Cardiac Cath, and CT scan supplies, depending where assigned, are available to meet workload demands through a systemized process of ordering, receipt, and inventory control. Assures that interventional or CT Scan procedure rooms are always stocked with necessary supplies, with special attention to emergent equipment and supplies. Assists in determining costs for specific exams, and projecting costs for budgetary purposes. Coordinates new product evaluation. Recommends methods and products to reduce costs and/or increase quality. Assist radiologists when developing new protocols for CT. The incumbent is responsible for providing support/coverage to the interventional radiologist, vascular surgeon, or in the interventional radiology or operating room suites. Performs technical work under the direction of a physician. Technologist Coordinates leave requests i.e., vacation schedules, to maintain optimal staffing levels of senior technologists. Staff Training: Trains new technologists in CT scan, digital angiography, venograms, myelograms, percutaneous nephrostomy, and other interventional procedures. Works with the Chief Technologist to develop formal orientation, training, and evaluation programs. Recommends, coordinates, and evaluates new or modified procedures/protocols. Instruct other technologists on specialized tasks and new/modified procedures and policies. Participates in the education of CT scan, interventional and operating room technologists as well as other technologists throughout the department. Participates in the evaluation of new employees. Equipment Maintenance/Repair: Coordinates the repair and installation of equipment. Serves as the liaison between Radiology and Biomedical Engineering and repair contractors. Monitors work performance by contractors and in-house Services assuring satisfactory completeness. Recommends equipment improvements, repairs, upgrades, etc. Participates in developing specifications for new equipment requests. Participates in developing service contract specifications. Develops and maintains a quality control program. Schedules exams in a manner to optimize scanner times while maintaining flexibility for emergency cases. This requires the ability to prioritize scheduled patients as well as the ability to accommodate the emergency patient. The incumbent correlates the scheduling of patients for examinations with the DIS Patient Services Assistant, ward clerks, floor nurses and PATPU and Recovery Room personnel. Assist and trains less experienced technologists. May be required to perform diagnostic radiographic examinations. Provide assistance to new medical clerks and volunteers in the service. The incumbent maintains visual and vocal contact with the patient during exams to recognize patients' distress to inform the physician to stop procedure and intervene. Work Schedule: TBD Telework: Not Authorized Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.