General Description: The incumbent's primary responsibilities are in the performance of Computerized Tomographic (CT) examinations. Independently performs computerized tomography of the head, neck spine, chest, body and extremities. These exams may be performed with the use of contrast materials. Operates independently and without direct supervision in the performance of computerized tomography examinations and special procedures.

Duties

Functions: a. Schedules exams in a manner so as 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 who may need immediate emergency surgery, etc. b. Confers with radiologists to determine requirement of non-standard exams. Determines technical factors, positioning, number and thickness of scans, etc., to produce and satisfy requirements of CT scanning. Schedules patients for examinations. Advises radiologists or referring physicians of examination results. Notifies them of scans requiring their immediate attention. Ensures all images and associated series are transmitted to the PACS immediately upon completion. c. Performs computerized axial angiography exams per protocols. Performs reconstructions of CT angiography studies when requested or when part of a standard procedure. d. Assists radiologist when performing CT Guided Biopsies and aspirations. Sets up equipment. Prepares slides and specimens when lab personnel are not available and deliver to the laboratory service. Maintains ample supplies prior to all scheduled exams and procedure. e. Responsible for routine monitoring and stocking of all CT supplies and related materials to ensure optimal inventory levels. f. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and sharps; proper attire; hand washing practices; and continuing education. g. Works in close collaboration with the radiologist as a member of the radiology team. Must assist and anticipate the needs of the radiologists in the performance of the CT exam and related special procedures. Must demonstrate effective situational awareness of but not limited to the patient's condition, examination protocols, equipment operability, environmental hazards, active/passive safety measures, and emergency procedures. The alertness of the individual is essential to recognize patient reactions, anticipate technique factor difficulties, and effectively respond to workplace emergencies, etc. h. Prepares contrast materials that are used in CT exams. Improper use or administration of the contrast materials run the risk of patient mortality and, therefore, it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it. In addition, must be continuously on the alert to the patient's condition and other disorders. Reactions on the part of the patient require immediate attention so that harm does not come to the patient. Is certified to insert IV needles for administration of contrast material when necessary. i. Public Law 97-35 requires persons hired after 1987 who administer radiologic procedures meet the credentialing standards in 42 CFR, Part 75, must be certified as radiographers in their fields and maintain annual licensure renewal. Per VA Handbook 5005/77 Part II Appendix G25 Diagnostic Radiologic Technologist Qualification Standard all CT technologists hired after June 26, 2014 must be ARRT certified with Advanced certification in CT. CPR certification is required and recertification in accordance with American Heart Association guidelines. j. Practices radiation safety in order to reduce exposure to patients, staff and self. This is achieved by the use of lead aprons, lead gloves, lead shields, lead lined walls, collimation, exam screening/verification, dose monitoring, annual staff safety training and daily QA. Technologist must wear film badges in compliance with radiation regulations. k. Properly identifies patient images. This is essential so that mistaken identity of patient images does not occur. The technician must be certain that the patient I.D. band and the request are identical. Confirms patient identity by verbally confirming at least two identifiers: patient name, full date of birth or social security number. l. Responsible to explain basic exam indications, preparation requirements and contraindications to alert and oriented patients so that patients understand the general exam procedure to include adverse effects, if any, are possible. m. Maintains records and files of exams performed on patients. This includes the proper registration and editing of patient exams in the computerized information system, copying of images (to PACS, CD or film), logging patients on the HIS-RIS work list. n. Continually reviews new developments in the field of computerized tomography through continuing education compliance activities. Continually strives to improve quality of exams utilizing the new technologies available. The purpose of this review is to provide patients with the highest quality imaging for diagnostic purposes. Work Schedule: M-TH 0730-1800 Virtual: This is not a virtual position. Financial Disclosure Report: Not required

Requirements

Qualifications

BASIC REQUIREMENTS. Citizenship. Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3g.) 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. 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).] 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), and 7407(d). References: VA Handbook 5005/119 December 13, 2019 PART II APPENDIX G25 The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy from GS-06 to GS-08 GRADE REQUIREMENTS. a. Creditable Experience (1) Knowledge of Current Radiologic Technology Practice. To be creditable, experience must have demonstrated possession of the knowledge, skills, abilities, and other characteristics (also referred to as clinical competencies) associated with current radiologic technology practice. This may have been evidenced by the equivalent of one year of active practice, which is paid or nonpaid employment as a DRT as defined by ARRT. (2) Quality of Experience. Experience is only creditable if it was earned after completion of the basic certification requirements identified in paragraph 2b above. Experience as a graduate DRT is creditable provided the candidate functioned as a DRT and subsequently passed the certification examination. (3) Part-Time Experience. Part-time experience as a DRT is creditable according to its relationship to the full-time workweek. For example, a DRT would receive one week of full- time credit for each two weeks of half-time work. b. Specialized Assignments. Specialized areas of radiologic technology include general diagnostic radiologic technology (R), bone densitometry (BD), mammography (M), diagnostic ultrasound (S), computed tomography (CT), [ ] magnetic resonance imaging (MR), [ ] [interventional radiologic technology (IR)], quality management (QM), [picture archival communication system (PACS) technologist, MRI safety officer (MRSO), imaging administrator, clinical program director, and clinical instructor.] [ ] Ultrasound ([Diagnostic/Vascular] Sonography) (S), [ (VS)]. Positions should be assigned to the DRT, GS-0647 series, when both ultrasound and other modalities which require the delivery of ionizing radiation are performed. Positions in which ultrasound duties are performed exclusively (no other modalities are performed), should be assigned to the medical instrument technician, GS-0649 series, since ultrasound duties solely do not require the delivery of ionizing radiation. Diagnostic ultrasound uses high frequency sound waves and other diagnostic techniques for medical purposes. The practitioner must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment. The sonographer is regarded as the expert source of all ultrasound imaging, and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. Within this specialization, there is a diverse range of ultrasound imaging sub-specialties. These include: 1) diagnostic medical sonography - abdominal, neurologic, obstetrical/gynecologic, [musculoskeletal (MSK), a breast; and 2) vascular sonography-arterial and venous doppler, spectral analysis, and calculating ankle brachial index (ABI)]. [Diagnostic Radiologic Technologist], GS-9 [] (1) 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. (2) 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: (a) [Diagnostic Radiologic Technologist]. 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.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Durham VA Medical Center 508 Fulton Street Durham, NC 27705 US
• Name: Gary Byles
• Phone: 919-286-0411 X4949
• Email: [email protected]