This Medical Instrument Technician (MIT), Diagnostic and Breast Ultrasound position is assigned to the FxHCC, Radiology Service; Women's Health Center within the FxHCC. The Medical Instrument Technician (MIT), Diagnostic and Breast Ultrasound, must be ARDMS certified. Additional ARDMS specialty certification in Breast Sonography (BR) is preferred but not required. MIT's at this level perform the complete spectrum of general and breast ultrasound imaging.

Duties

DUTIES: This specialty modality uses high frequency sound waves and other diagnostic techniques for medical purposes. The technician 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 and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. a. Performs all ultrasound examinations ranging from the routine to the highly specialized. Performance of the examination requires proper alignment and position of the patient. Sets up and adjusts all equipment and manually maneuvers the transducer to perform the exam. Performs ultrasound examinations of the breast, axillary, abdomen, neck, chest, extremities, trans vesical/transvaginal pelvis imaging, and retroperitoneal space for purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders. b. Performs vascular imaging, both arterial and venous. c. Perform contrast enhanced ultrasound. d. Performs Ultrasound Elastography. e. Performs Breast sonography which includes, but is not limited to diagnostic, axillary, and screening. f. Experienced in the preparation and set up of procedures. Assists with pre and post procedure patient care for ultrasound guided procedures, such as breast and axillary biopsies and ultrasound guided localization procedures. g. Knows and understand the principles of ultrasound and the highly specialized ultrasound equipment to approve the acceptability or reject ability of each scan. This includes: preparation and supplies, scanning motions, Time Compensated Gain (TCG), zoom or expansion, hard copy, picture oriented examination, organ-oriented examination and initial interpretation of the examination. Technician notes of the examination require identifying normal and pathological appearances. Pathologic appearance includes, but is not limited to: intraluminal echoes that shadow, polyp, carcinoma, thick wall, size, obstructing lesions, common duct stone, tumor, benign strictures, texture, solid mass, cystic mass. Technician notes will be forwarded by the Ultrasound Technician to the Radiologist before final interpretation is made. h. The technician interprets the requests or instructions from the radiologist or clinician. Receives assignments for a variety of difficult examinations and works independently. Follows departmental Policy and Procedure Manual. The technician understands and carries out the requests made by providers or seeks assistance of the Supervisor when an uncommon, unique or new procedure is required. i. Properly selects patient's information from the HIS/RIS list on the work station, verifies patient information prior to beginning an exam. The technician ensures all anatomy is visible, annotations are made, correct orientation of the image, applies algorithm, configures the image and before transmitting them to PACS. The technician will immediately contact the PACS Administrator or Supervisor for any needed corrections. This position requires rotating on-call duties and overtime for emergency coverage. When in call-back position, if called or paged, the response time should be no more than 5 minutes to answer the call and not over 45 minutes to reach the medical center. The technologist must be familiar with the process of forwarding imaging studies to off-site radiologist for review. Tours of duty may change depending on needs of the Radiology and Nuclear Medicine Service or medical center. The employee may be called upon to perform other duties as required by the supervisor including, but not limited to: clerical duties. Work Schedule: 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

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. 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-6 or above as evidence of possession of the essential knowledge, skills, and abilities. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". 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: GS9: In addition to the core competencies defined at the GS-8 full performance level, positions at this level may be lead, supervisory, or non-supervisory with specialized advanced knowledge and duties. Experience. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would include specialized experience as an anesthesia technician which demonstrates possession of the knowledge, skills, and abilities required to provide all aspects of anesthesia technician services including specialized duties. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): Demonstrated Knowledge, Skills, and Abilities. KSAs 1 through 6 are appropriate for all positions at this level. KSAs 7 and 8 are to be used in accordance with their appropriateness for the specific assignment. 1. Knowledge and comprehensive understanding of laboratory testing procedures to include maintenance, calibration, and quality control procedures. This includes the ability to perform these lab tests accurately and correctly. 2. Advanced knowledge of electronics and anesthesia equipment with skill in repairing and maintaining this equipment and repairing complex problems. *3. Comprehensive knowledge of central venous and pulmonary artery (Swan-Ganz) catheterization procedures including measuring cardiac outputs and intra-aortic balloon counterpulsation procedures (i.e., balloon pump). 4. Knowledge and ability to assist with airway management techniques. *5. Knowledge of JCAHO and other regulatory requirements. 6. Ability to communicate effectively and professionally with employees at varying grade levels. *7. Ability to manage and supervise employees. *8. Ability to provide, or provide for, staff development and training. Certification. Anesthesia technician certification through the American Society of Anesthesia Technologists and Technicians (ASATT) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable for employees at this level. 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. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 9. The actual grade at which an applicant may be selected for this vacancy is in the range of 9 to 9. 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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address Central Virginia VA Health Care System 1201 Broad Rock Boulevard Richmond, VA 23249 US
• Name: Kera Madden
• Phone: 540-982-2463 X2770
• Email: [email protected]