This position is located in the Radiology and CT Scanning department of the Imaging Services department of in the Aleda E. Lutz VA Medical Center in Saginaw. The Diagnostic Radiologic Technologist is qualified to independently provide routine diagnostic radiologic examinations, portable, operating room, emergency, CT Scanning, Bone Densitometry and fluoroscopy examinations under supervision of a Radiologist or designated provider. This is not a full-time position. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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).] 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: [Diagnostic Radiologic Technologist], GS-9 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. 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. References: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G25 Diagnostic Radiologic Technologist Qualification Standard. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-9. Physical Requirements: See VA Directive and Handbook 5019 ["Technologist will have cross-training in other modalities including but not limited to: CT Scanning and Bone Density (DXA). Technologist must be a registered Radiographer and CT technologist certified and in good standing by the American Registry of Radiologic Technology and have a minimum of one year of professional diagnostic radiology experience. Duties include but are not limited to: Performs all routine and emergent diagnostic radiographic and CT procedures such as but not limited to: Fluoroscopy examinations, cervical, lumbar, thoracic, extremity, facial/headwork radiography, cholangiograms, hysterosalpingography, cystograms, RUGs, barium studies and CT Scanning of the abdomen, thorax, head and extremities and bone densitometry. Maintains sterile environment in OR cases and follows OR specific department policies and procedures as required. Adjusts protocol/standardized views to accommodate patient's inability to position due to illness, injury or medical/mental status. Any additional information, pertinent to the patient's exam is annotated/documented by the technologist. Responsible for maximizing daily utilization of fluoroscopic/radiographic/bone densitometry room/CT exam rooms. Identifies scheduled procedures for the day, plans and coordinates activities around scheduled exams, walk-in exams as well as physician availability for specialized radiographic exams in order to maximize room effectiveness. Prepares the exam room ensuring adequate aseptic and/or sterile supplies, contrast materials, catheters, safety equipment, positioning devices, linen and other required equipment are present. Ensures and maintains exam room and equipment in a clean and neat arrangement. Prepares and administers contrast material orally, rectally, or intravenously under close control of an authorized provider/radiologist and monitors the patient's vital signs and response to the examination. Performs all studies as dictated by the department's standardized protocol list. Notifies the ordering provider of significant changes in patient's medical/mental status. Ensures patient ID band and the request are identical as well as performing a two identifier check including patient's full name as well as full birth date to ensure the correct patient is identified prior to completing the ordered exam. Electronically processes exposed radiographs produced via DR and CR plate readers. Able to trouble shoot minor malfunctions and will bring any issues to the attention of the lead technologist or supervisor. Performs digital/technical manipulation of images, ensures proper exam markers are present, patient identification is accurate, proper positioning utilized in order to provide adequate and proper processing/ storing and transmission of images into PACS. Assists the radiologist and/or authorized provider in performing more complex imaging procedures such as Retrograde Urethrograms and other requested exams requiring authorized provider/radiologist presence. Performs bedside (portable) examinations on the inpatient floors, including ICU, OR, Urgent Care and SCR. Will perform C-Arm work when requested. Accurately edits, registers and completes patients in VISTA Imaging package. Adheres to policy and procedural changes affected by internal memos and directives form supervisory personnel. Interacts and assists imaging students/volunteers/job shadower students during various rotations throughout Imaging Services. Understands that imaging students, volunteers and job shadow students cannot perform direct patient care duties. Chooses inpatients/UC patients to be called to the department, coordinating a steady flow of inpatients/UC along with the unscheduled outpatients arriving throughout the day. Schedules add on patients and ensures all inpatients ordered for specific desired date are completed that day. Responsible for the quality assurance of the image including proper positioning, technique and network information prior to transmission to the PACS network. Maintains the general work environment, including imaging receptors, positioning aids, lead aprons and other radiation safety equipment in a clean, professional manner as directed by the supervisor and manufacturer. Ensures that contrast agents and/or medications are not left in exam rooms other than when used for patient exams requiring. Changes the \"open\" expiration date on all multi-dose contrast and medication. Work Schedule: Intermittent - This is not a full-time position. Intermittent employees work on an \"as needed\" basis. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:91193-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): 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.