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.

Duties

Duties are, but not limited to: Technologist is responsible for the Medical Center's Mammography Quality Control program. Recommendations to supervisor concerning developments that would improve operations. Performs diagnostic and screening mammograms, breast biopsies/needle localizations and specialized views as required by the Radiologist. Technologist will request previous mammograms from the indicated facility as specified by the patient, assist with scheduling of appointments, sending appointment and result letters. Technologist will operate all radiographic, fluoroscopic, mammography and bone densitometry equipment; perform all types of radiographic, tomographic, fluoroscopic, mammography, and bone densitometry procedures. Technologist will independently perform examinations of the head, entirespine, chest, abdomen, and extremities, using direct radiography (DR). Technologist will operate portable units; Independently perform all types of portable procedures at the bedside and in the operating rooms. All examinations are processed digitally. This work includes computer manipulation (window/level), correct orientation of the images (hanging protocol), patient acquisition through work list and releasing images to storage system (PACS) and burning of images to CD. Works closely with the professional staff involved in radiographic and fluoroscopic examinations. Technologist will rotate into different radiography rooms, including mammography and bone densitometry rooms periodically to maintain knowledge of all procedures and equipment. Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as IVP, cystogram, cholangiograms fistulagrams and arthrography and for the purpose of performing oral and rectal exams of the GI tract. In the case of injected media, a patient consent form must be obtained. Responsible to the radiologists and supervisor for the quality and quantity of radiographic exams performed to assure a high level of acceptability of radiographs while minimizing patient dosage and reducing costs. Technologist may be required to coordinate work activities of lower grade technologist/students and /or provide guidance as necessary to assure completion of complex examinations. Technologist will perform PACS duties including identifying films, linking exam folders, proper use of annotation on the exam, proper window leveling, documenting fluoroscopy doses on an electronic log sheet and proper image orientation. Maintains records and files of exams performed on patients. Maintains electronic records and files of exams performed on patients. Confirms patient identity by verbally confirming two approved patient identifiers (such as patient name and full date of birth). Properly identifies patient images. Technologist is required to keep abreast of current technical literature and evaluate new procedures and techniques for the purpose of recommending for consideration changes to the current practices. Technologist will assist in training and orientation. Responsible to explain exams to competent patients so that the patient understands what is to be done and what, if any, potential adverse effects may be possible. Responsible for cleanliness and stocking adequate levels of supplies in assigned areas. Must report equipment malfunction in a timely manner. Maintains current Basic Life Support (BLS) and American Registry of Radiologic Technologists (ARRT) credentialing as required. Technologist transmits and receive-mail through Microsoft Outlook and GUI mail. Practice's infection control according to the Radiology Department policy and facility MCM. Utilizes PPE as necessary. Practice's radiation safety to reduce exposure to patient, staff, and self. This is achieved using lead aprons, lead gloves, lead shields, lead-lined walls, and collimation. The technologist to assure compliance to radiation regulations wears film badges. Required to work in an after hour on-call standby status. This requires the technologist be available within 45 minutes from receipt of the call. Work Schedule: Monday - Friday, 8:00 am to 4:30 pm, Holiday work and on-call as needed Telework: Not available Virtual: This is not a virtual position Relocation/Recruitment Incentives: Authorized to qualified candidates Functional Statement #: 41289F Financial Disclosure Report: Not required ****OCHCO Bulletin Subject: Annual Determination of Staffing Shortages, dated September 30, 2022. Although hybrid title 38 occupations follow title 5 Veterans' preference rules, as required by the Merit Systems Protection Board (Graves v. VA, 117 M.S.P.R. 697 (2012)), 38 U.S.C. § 7412 waives the requirement to apply Veterans' preference to external applicants for appointments made during the fiscal year to hybrid title 38 occupations among those reported to have the largest staffing shortages.

Requirements

Qualifications

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: DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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) is required. NOTE: A transcript from accredited colleges, universities, schools, or institutions must be submitted with your application. 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. NOTE: You must submit a copy of your certification(s) with your application. GRADE REQUIREMENT for Advanced Diagnostic Radiologic Technologist, GS-10 The following is used to determine the grade requirements for an Advanced Diagnostic Radiologic Tech (Mammography/Bone Densitometry/X-Ray) at the GS-10 grade level. The complex nature of breast disease involves multiple imaging modalities. This specialty involves the specific knowledge and abilities to perform complex imaging of the breast. Mammographers must be able to employ specialized mammographic image techniques such as magnification views and implant views of the breast. The mammographer is required to be completely familiar with, and adhere to, all U.S. Food and Drug Administration (FDA) guidelines regulating the practice of mammography, radiation safety, and quality assurance requirements. Mammographers are subject to the Mammography Quality Standards Act of 1992 (MQSA) and regulated by the FDA. Experience: Candidates must have at least one year of experience equivalent to the next lower grade level (GS-09), directly related to the position being filled that demonstrates the following clinical competencies: Ability to balance the needs of patients and staff while still performing complex scans and procedures. Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers. Ability to assess factors that may contraindicate the procedure. Knowledge of basic first aid and basic life support practices related to radiography. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions. Knowledge of pre-procedural, procedural, and post-procedural care of patients. Demonstrated Knowledge, Skills, and Abilities: In addition to the experience listed above, the candidate must demonstrate all of the following technical KSAs: Knowledge of radiation protection standards, devices and techniques, including concepts of accumulated dosage, dose monitoring, and genetic changes. 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. Knowledge of basic physics including concepts of energy, electric power, magnetic fields, and properties of x-ray, to understand the operation of the equipment. Knowledge and skill in positioning of patients for a wide variety of highly complex imaging (CT, MRI, IR, ultrasound, mammography) studies. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-10. Physical Requirements: The physical demands of the work include: Heavy lifting, 45 pounds and over; moderate carrying, 15-44 pounds; pushing up to 4 hours; reaching above shoulder; use of fingers, good dexterity (both hands required); prolonged walking, prolonged standing; repeated bending; ability for rapid mental and muscular coordination simultaneously; far vision correctable in one eye to 20/20; ability to distinguish basic colors; hearing (aid permitted); speed in working; and emotional stability. Must have the ability to stand and work while wearing a lead apron for possibly long periods of time.

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 West Palm Beach VA Medical Center 7305 North Military Trail West Palm Beach, FL 33410 US
• Name: Kristen L. Johnson
• Phone: 813-816-7155 X100172
• Email: [email protected]