This position is located in Ultrasound Division of the Radiology Department at the Ralph H. Johnson VA Medical Center in Charleston SC, which is a Complexity Level 1Ac facility.

Duties

Duties: The Medical Instrument Technician (Diagnostic Ultrasound) serves as a Staff Sonographer performing routine to complex ultrasound exams at the Ralph H. Johnson VA Medical Center in Charleston, SC. Major duties include, but are not limited to: The Ultrasound Technologist coordinates a variety of technical procedures that require independent judgement, ingenuity and initiative in the application of non-ionizing high frequency ultrasonic waves to humans for diagnosis of disease. The technologist must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment. The sonographer at this level is regarded as an expert source and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. Performs outpatient, inpatient or emergent ultrasound studies either in the Ultrasound department or bedside (portable), records and processes images and prepares the processed media for interpretation by the Staff Radiologist. Assures images are properly identified with patient demographics and verifies archiving on PACS. The studies include but are not limited to: Abdomen - liver, gallbladder, spleen, pancreas, abdominal aorta, vena cava and femoral arteries using Gray Scale, Real Time and multiple Doppler techniques to evaluate these structures for size, abnormal contour, cysts, tumors and various pathological disorders. Retroperitoneum - kidneys, adrenal glands, nodes, and urinary bladder using Gray Scale, Real Time and multiple Doppler techniques. Pelvis - urinary bladder, scrotum, prostate. Female pelvis performed with transabdominal and/ or endocavity probe for ovaries, and uterus. Miscellaneous scans (small parts) to include thyroid, skin lesions, baker's cyst, hernias, etc. May also perform vascular imaging, both arterial and venous. Receives and identifies patients using two (2) patient identifiers, prepares patients for exams and explains procedures, assists movement of patients to and from exam table, positions the patient, sets up and adjusts all imaging equipment including appropriate selection of technical factors, manually maneuvers transducer/probe to perform the exam. Evaluates the nature of critical and emergency procedures and rearranges priorities to accommodate them. Knowledge of anatomy, cross sectional anatomy, and physiology such as the location, appearance and function of the various major and minor systems applicable to sonographic illustration in order to interpret the requested examination accurately. Differentiates artifacts from normal or pathological processes and recognizes electronic equipment limitations. Maintains and stocks all supplies used in the ultrasound work area, ensuring applicable products are within expiration date and stored properly. Thoroughly comprehends all processes for reusable medical devices including initial training, proper setup, use and reprocessing (cleaning, disinfection, sterilization, and preparation of equipment to full readiness for its subsequent use) and maintenance according to Ralph H. Johnson VA Healthcare System Standard Operating Procedures and specific manufacturer guidelines. Training and demonstration of achieved independent skill level is validated annually. Assures timely completion of assigned workload. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Preferred experience: American Registry Diagnostic Medical Sonographers: RDMS or RVT ???????American Registry of Radiologic Technologists: RT(S) or RT (VS) certifications Must maintain BCLS. Performs all other duties as assigned Work Schedule: As needed (PRN) Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Requirements

Qualifications

Basic Requirements: English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph. Education. There are no specific educational requirements for this occupation. Education may be substituted for experience only at the GS-4 and GS-5 levels. See the grade requirements part of this standard for information regarding educational substitutions. Licensure or Certification. Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-9 or above as evidence of possession of the essential knowledge, skills, and abilities. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable. 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: In addition to the basic requirements for employment, the criteria discussed in the applicable headings, or that defined in the appendices, must be met when determining the grade of candidates. GS-10 Experience: At least 1 year of experience comparable to the next lower grade level (GS-6) which demonstrates the knowledge, skills, abilities (KSAs), and other characteristics related to the duties of the positions to be filled. This would be experience which demonstrates that the technician has the knowledge, skills, and abilities to perform complex procedures requiring the ability to select appropriate equipment based on symptomology and the objective of the examination and the ability to adapt procedures and techniques to enhance diagnostic results. In addition, the candidate must demonstrate the following KSAs: Ability to perform noninvasive vascular ultrasound procedures or examinations of upper and lower extremity, abdominal, and extra-cranial cerebrovascular vessels which require adaptation of procedures or instruments. Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography. This would also include knowledge of physiological influences on the hemodynamics of blood flow. Knowledge of pharmacology and chemistry to understand drug reactions, action, effects, and method of administration specifically related to vascular ultrasonography. Knowledge of disease entities that impact the vascular system and their influence on the test results to select the appropriate procedures. Ability to obtain a patient history and perform and appropriate physical assessment based on patient presentation and type of exam to include observation, inspection, auscultation, and palpation. GS-10 Experience: At least 1 year of experience comparable to the next lower grade level (GS-9) which demonstrates the knowledge, skills, abilities (KSAs), and other characteristics related to the duties of the position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform noninvasive vascular ultrasound procedures as a senior technician. In addition, the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. Ability to perform intracranial (transcranial) vascular examinations. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Ability to provide objective data to document progression or regression of disease. Preferred Experience: Registration by Cardiovascular Credentialing International (CCI) as a Registered Vascular Sonographer (RVS) of by the American Registry of Diagnostic Medical Sonographers (ARDMS) as a Registered Vascular Technologist (RVT) is highly desirable. References: VA HANDBOOK 5005/15 MARCH 17, 2006 PART II APPENDIX G27 II-G27-58The full performance level of this vacancy is GS-10. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-9 to GS-10. Physical Requirements: See VA Directive and Handbook 5019.

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.

Contacts

• Address Ralph H Johnson Department of Veterans Affairs Medical Center 109 Bee Street Charleston, SC 29401 US
• Name: Ashley Lafi
• Phone: 708-940-8495
• Email: [email protected]