The VA Northeast Ohio Healthcare System is recruiting for a Diagnostic Radiologic Technologist (Surgery). The Diagnostic Radiologic Technologist (Surgery) will function in Radiology Service. 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: 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). NOTE: Assignment to the clinical program director requires meeting JRCERT minimum education standards as noted in the assignment description. 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. In modalities that require advanced certification, to support their continued development, technologists who do not possess an advanced certification may be provided on the job training with oversight from a certified radiologic technologist. The practitioner must also possess a specialty Ultrasound (S), (VS) certification in order to demonstrate competence 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. Grade Determinations for a Diagnostic Radiologic Technologist (Surgery) GS-9: 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. Experience at the GS-8 level may include: Ability to check system for operation and assess acceptable performance based on established guidelines, knowledge of calibration parameters and the ability to make adjustments as needed, knowledge of patient's clinical record, diagnosis, and laboratory results, ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed, skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers, knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest Demonstrated Knowledge, Skills, and Abilities (KSA's) In addition to the experience above, the candidate must demonstrate all of the following KSA's: 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 References: VA Handbook 5005-119, Part II, Appendix G25 This vacancy is above the full performance level. Physical Requirements: Must pass pre-employment examination and designated drug testing portion. The technologist must distinguish basic colors and possess emotional and mental stability. This work requires positioning patients who are unconscious or disabled with considerable effort and working in awkward positions. Heavy lifting of totally incapacitated patients is done with the help of other employees using approved patient lifting equipment. When doing special procedures, he/she must wear a protective lead apron weighing approximately five to nine pounds, which causes both weight strain and heating due to its wrap-around nature. These procedures require the incumbent to stand for extended periods of time as well as stooping and squatting. ["The Surgical DRT is a registered Radiology Technologist with major duties including: Performance of Diagnostic and Surgical Imaging Training Radiation safety Customer Service and Patient Care Quality Control duties as directed by the supervisor The Surgical DRT is responsible for the operation and optimization of surgical radiographic equipment and procedures under the supervision of the DRT Surgery Supervisor. This position serves in an advanced developmental capacity. Surgical radiographic equipment includes: Hybrid Operating Rooms Injectors and accessories Mobile C-arms Mini C-arms Portable and fixed radiographic units -Operates portable and fixed radiographic equipment including but not limited to hybrid rooms, mobile c-arms, mini c-arms, portable radiographic units and injectors -Works with attending physicians to optimize fluoroscopic procedures including performing spot and digital subtraction angiography (DSA) -Serves as facility expert on the safe operation and troubleshooting of hybrid imaging equipment -Determines action plan for specific procedures -Ensures that all equipment and supplies are available for the procedure -Positions patients for the variety of complex studies -Performs DA, DSA, One-shot imaging as well as advanced imaging -Demonstrates image analysis and clinical applications for analysis -Performs automatic and manual calibration, QCA-Quantitative Coronary Analysis, QVA- Quantitative Vessel Analysis and LVA-Left Ventricular Analysis -Recognizes changes in technique and procedure that may lead to increased radiation doses; advises surgeon on alternative techniques to decrease dosage -Recognize changes in equipment that might result in increased exposure and recommends methods to prevent such exposures -Performs QA according to manufacturer's specifications -Performs daily quality assurance checklist for each Hybrid x-ray unit -Maintains QA records as required by Service SOP -Educates and directs all visitors to proper Radiation Safety guidelines including nurses, residents and fellows -Responsible for radiation compliance control during use of the Hybrid OR Suites -Independently operates angiography x-ray equipment -Confers with surgeon regarding nonstandard or atypical examinations and determines technical factors, positioning and protocol modification according to the surgeon's direction and guidance -Trains new technologists in cardiovascular angiographic procedures and low dose protocols -Sets up sterile trays and surgical trays to assist operating room staff in interventional procedures. Must possess a thorough and complete knowledge of surgical sterile technique procedures and their implementation in dealing with needles and body fluids -Performs basic and advanced image acquisitions as well as post processing -Supports Specialty Clinics through fluoroscopic imaging -Provides patient education regarding fluoroscopic x-ray procedures -Performs safe operation of fluoroscopic equipment including radiation safety of patients and personnel participating in fluoroscopic procedures -Works with supervisor and other technologists to provide efficient and timely support to surgeons -Schedules exams in a manner to optimize efficiency -Properly identifies patient images and adheres to patient identification protocols -Acquires images and coordinates the sending/receiving of Digital Imaging and Communication in -Medicine (DICOM) images to the Picture Archiving and Communication System (PACS) -Trains new technologists and students in Surgical Radiography as instructed by DRT Surgery Supervisor -Reports any concerns to DRT Surgery Supervisor regarding equipment operation, performance, safety and quality -Prepares and administers contrast media -Adheres to ACR sterile technique guidelines, hospital infection control and safety policies with emphasis on sterile technique. This includes the use and storage of sterile supplies, disposal of bodily fluids, 'sharps', proper attire, and hand washing practices -Responsible for stocking and inventory of imaging supplies and related materials -Sends images via teleradiology service as required for patient care needs -Performs general diagnostic imaging exams as needed -Other duties as assigned by DRT Surgery Supervisor Work Schedule: Rotating 8 hour shifts from 7:00a.m. - 5:00p.m. On call every 6 weeks. Telework: Not available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required"]

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