The Incumbent works in the Medical Service, Cardiology Service as a Medical Instrument Technician for Echocardiography Ultrasound. The incumbent's work consists of performing a full range of complex cardiac ultrasound procedures including special procedures and complicated examination for which there are no standard instructions or procedures. Work is performed bedside and in the Cardiology Echocardiogram suite at East Orange.

Duties

Lists the major duties and responsibilities of the position: The Incumbent advises attending(s) or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Performs specialized cardiac ultrasound examinations including but not limited to: Transthoracic Echo; Stress Echo; Transesophageal Echo; Contrast Echocardiograms; Agitated Saline Bubble Echocardiogram. Produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging. Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases. Performs complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. Performs complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. Appropriately operate a full range of diagnostic equipment required to perform an array of imaging procedures and that such equipment is maintained in good operating condition. Pre-operative checks, arranging for repairs, cleaning and calibrating, ensuring preventative maintenance is performed as per manufacturers recommendation. Independently performs M-Mode and 2-D Transesophageal and Echocardiograms, and under the supervision of the physician in charge performs conventional and color-flow Doppler studies. Provides high quality and excellent tracings with technical ability in gain settings, clarity of structures and transducer angulation in order to assist in the diagnosis and treatment of patient medical disorders. Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results. On the basis of radiologic findings, determines necessary procedures to yield definitive diagnostic findings. Is proficient with common computer programs and specialized cardiac ultrasound exam analyzing systems to prepare study for report generation and interpretation. Compiles information/data after each procedure and records findings to ensure current status is available as needed for physicians and providers. Maintains adequate supplies so that examinations are not delayed due to the lack of necessary equipment and supplies. Develops and maintains prep procedures so that patients understand the proper preparations for echocardiographic examinations. Explains examinations to be performed to the patients so that an understanding of the purpose of the study as well as any requirements of the patients is thoroughly understood. This is done so that an adequate echocardiogram study may be obtained in an effort to get diagnostic examinations for the purpose of treatment and diagnosis of disorders. Operates multi-image camera for the purpose of making hard copy records of the examination so that future examinations may be compared. Performs weekly testing of equipment using test tools, test check lists etc. for the purpose of assuring peak performance of the equipment. Maintains sterile environment, ensuring new sterile equipment is utilized, returned to central sterile processing. Maintains sterile environment of treatment and examination areas including ensuring that probes are sterilized. Work Schedule: To be discussed in the interview. Telework: This is not a Telework position. Virtual: This is not a virtual position. Functional Statement #: 21U78-A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

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. 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). Echocardiography Technicians operate diagnostic equipment to graphically record the position and motion of the heart walls or the internal structure of the heart and neighboring tissue by the echo obtained from beams of ultraso waves directed through the chest wall. Registration is offered by Cardiovascular Credentialing International (CCI), a Registered Cardiac Sonographer (RCS) or by the American Registry of Diagnostic Medical Sonographers (ARDM as a Registered Diagnostic Cardiac Sonographer (RDCS). (See Appendix D) To be creditable, the experience must have required the use of knowledge, skills, abilities and other characteristics associated with current Medical Instrument Technician practice appropriate to the identified specialty area. [Specialized developmental experience obtained under supervision of appropriately certified individuals may be credited at higher levels and is addressed in individual appendices.] Quality of Experience. Experience is only creditable if it is equivalent to at least the next lower grade level and is directly related to the position/specialty to be filled. Part-time Experience. Part time experience is credited according to its relationship to a full time work week. For example, an individual employed 20 hours per week, or on a ½ time basis would receive one work week credit for each two weeks of service. GS-8 Medical Instrument Technician Echocardiography Grade Determination Creditable Experience - Knowledge of Current Medical Instrument Technician Practices. At least 1 year comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which provided the overall knowledge, skills, and abilities to conduct diagnostic echocardiography examinations in complex and unusual cases. Demonstrate Knowledge, Skills and Abilities. 1. Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and color flow Doppler imaging. 2. Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases. 3. Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. 4. Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography. 5. Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. Certification. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are desirable. Assignment. This represents the full performance level. Echocardiography technicians at this level identify and record anomalies indicative of disease, injury, or other medically significant condition from ultrasound imaging and simultaneous recordings of the Doppler. They incorporate the causes and results of a variety of symptoms and conditions into a plan of ultrasonic diagnostic examination. They change and develop sounding techniques to accommodate such variables as limited patient mobility, variation in physical condition or dimension of the patient, presence of prosthesis or foreign objects, and ultrasonic response of different body parts. They produce diagnostic quality images and Doppler frequency recordings using M-mode, two-dimensional, and Doppler ultrasound. The full performance level of this vacancy is GS 8 Physical Requirements: See VA Directive and Handbook 5019.

Education

IMPORTANT: There are no specific educational requirement for this occupation.

Contacts

• Address VA New Jersey Health Care System 385 Tremont Avenue East Orange, NJ 07018 US
• Name: Aleni Salcedo
• Phone: 917 859 9405
• Email: [email protected]