The Diagnostic Radiologic Technologist, Computerized Tomography (CT), works within the Imaging Service at the VA Portland Health Care System in Portland, Oregon. The VA Portland Health Care System (VAPORHCS) is a Complexity 1a Facility is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 CBOCs. This announcement may close early if well qualified applicants apply. 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. 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). English Language Proficiency: DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and7407(d). Grade Determinations: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. 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 (*): *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. Computed Tomography (CT). This specialty modality requires specific knowledge of cross sectional human anatomy and its application in spiral, and/or, multi-slice computer tomography, inclusive of 3-D reconstruction scans, including drainages, biopsies, and peripheral vascular examinations. The technologist requires specific knowledge and training in the location, appearance, and function of the various major and minor systems susceptible to radiological illumination; to interpret the examination request accurately; to understand the functioning and inter-relationship of the various organs; to use the methods and techniques which will identify organs appearing on the digital display monitor, or on film, and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician. DRT assignments that include performance of independent duties in this subspecialty require advanced ARRT certification. References: VA Handbook 5005, Part II, Appendix G25.The full performance level of this vacancy is GS-09. Preferred Experience: This position requires proficiency in both general X-ray and CT modality. Physical Requirements: Heavy lifting (45 pounds and over); Moderate carrying (15-44 pounds); Reaching above shoulder, Use of fingers; Both hands required; Walking (3 hours), Standing (3 hours); Both legs required; Both eyes required; Depth perception, Ability to distinguish basic colors; Ability to distinguish shades of color; Hear (aid permitted); Mental and emotional stability required. Environmental Factors: Working closely with others; Working alone ["The Diagnostic Radiologic Technologist, Computerized Tomography (CT) requires specific knowledge and training in the location, appearance, and function of the various major and minor systems to be imaged; to interpret the examination request accurately; to understand the functioning and relationship of various organs; to utilize the methods and techniques which will identify organs appearing on the digital display monitor; to understand the various stages of the examination in order to judge the acceptability of the image and/or scan for diagnostic use; to emphasize important aspects of the exams of particular interest to the physician. Duties include, but are not limited to the following: Utilizes highly sophisticated equipment such as computerized tomography scanners, pressure injectors, patient monitors, etc. taking education, training, and available resources into account for appropriate usage. Works with the radiologist/resident as a member of the radiology team. Performs exams utilizing surgical sterile techniques for biopsies or aspiration of fluid of the anatomical region indicated. Prepares contrast materials that are used in CT. Performs venipuncture for administration of contrast material when necessary, adhering to hospital and department policies and procedures related to this task. Practices radiation safety in order to reduce exposure to patients, staff, and self. Performs reconstructions of CT studies when requested or when part of a standard procedure. MPR, MIP, and 3D reconstructions are utilized to achieve optimal information for a proper diagnosis. Stocks all CT supplies and related materials. Performs and records quality assurance results performed per the Equipment Quality Control and Preventive Maintenance SOP. Trains new hires, students, and contractors in the safe and effective use of radiographic technique in acquiring suitable images for the radiologist. Reviews new developments in the field of computerized tomography and is continuously on the alert to improve quality of exams utilizing the new technologies available. Performs routine housekeeping duties to ensure that the surfaces in the CT control area and CT rooms are free of blood, bodily fluids, and contrast material. Ensures proper and complete review of available resources. Performs routine administrative procedures for the purpose of maintaining accurate patient records. Schedules appointments, processes exam requests, and registers, cancels, and case edits exams in the Radiology Information System (RIS). Performs additional duties as assigned within the scope of practice for CT. Diagnostic & Fluoroscopic: Performs routine radiographs, portable exams, fluoroscopy, and operating room imaging. Performs routine administrative procedures for the purpose of maintaining accurate imaging records. Receives and interprets all radiology requests. Inputs pertinent radiology information into computer. Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions and for the purpose of performing oral and rectal exams of the GI tract. Utilizes PACS for acquisition, transmission, storage, and review of images, performs QC of all completed studies to ensure timely and accurate interpretation by the radiologist. Performs Quality Control procedures, which may include (but not limited to) the following: reject/repeat image analysis, lead apron and glove radiation verification. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Practices radiation safety in order to reduce exposure to patients, staff, and self. Interviews patient to obtain pertinent medical history and precise medication usage as it pertains to the examination being performed. Varies tests or treatment procedures as needed to compensate for patient's individual medical conditions and body habitus. Explains examinations to be performed to patients so they understand the purpose of the study as well as any requirements of the patients so they are thoroughly understood. Participates in the training of rotating x-ray students and technologists. Identifies system errors and work with the Supervisor, Assistant Chief Technologist, and Biomedical Engineering department to facilitate the effective and timely service of radiographic equipment. Work Schedule: to be determine by Service/Supervisor. This may include nights and or/weekends.\nCompressed/Flexible: May be available for a highly qualified candidate. This is coordinated by the Supervisor.\nTelework: Not Available\nVirtual: This is not a virtual position.\nPosition Title/Functional Statement #: 000000/DRT(CT)\nRelocation/Recruitment Incentives: May be authorized to highly qualified candidates.\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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