Veterans Affairs, Veterans Health Administration Medical Instrument Technician (Diagnostic Ultrasound) in Reno, Nevada
Summary VA Sierra Nevada Health Care System (VASNHCS) provides comprehensive healthcare to veterans inclusive of a 1C care center in Reno. VASNHCS delivers extensive diagnostic imaging services to Outpatients and Inpatients on a 24/7 basis ranging from complete general radiography (routine, fluoroscopy, bone densitometry, emergency portable and surgical C-arm support) to highly specialized imaging modality including Ultrasound, CT, MRI, IR, Nuclear Medicine. Responsibilities The incumbent Ultrasound Technologists independently performs standard general imaging and complex ultrasound examinations including non-standard and advance protocols such as emergency and inpatients, befitting a Level 2 medical center. The diagnostic ultrasound technologist uses high frequency sound waves and other diagnostic techniques for medical imaging purposes. The technologist must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment. The technologist manages the diagnostic ultrasound laboratory and performs highly technical evaluation of the abdomen, pelvis, thorax, thyroids, prostate, kidneys, aorta, scrotum, vascular studies, advanced arterial and vascular studies and interventional procedures. Independently performs standard examinations through knowledge of both normal and abnormal human anatomy. Evaluates the nature of critical and emergency procedures, and rearranges patients scheduled to accommodate them. Incumbent shall also perform MSA functions to include screening, scheduling and coordinating patient appointments. Major duties include but are not limited to the following: 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 abdomen, pelvis, neck, chest and extremities and retroperitoneal space for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders. Both B-mode and doppler applications with real time scans will be obtained to evaluate size, contour and tissue composition. Shall also perform vascular imaging, both arterial and venous as well as advanced vascular imaging procedures, such as, upper and lower extremity doppler imaging, carotid artery exams, pseudoaneurysm evaluation and liver and renal transplants exams. Knows and understand the principles of ultrasound and the highly specialized ultrasound and radiology equipment to approve the acceptability or rejectability of each scan. This includes: preparation and supplies, scanning techniques, Time Compensated Gain (TCG), zoom or expansion, hard copy, picture oriented examination, organ-oriented examination and initial interpretation of the examination. Technologist notes of the examination require identifying normal and abnormal 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. Technologist notes will be forwarded by the Ultrasound Technologist to the Radiologist before final interpretation is made. Assists the radiologist in the performance and guidance of aspirations, biopsies, and catheter placements for diagnostic treatment using ultrasound techniques. The technologist must be skilled in the technique of performing localization studies for invasive procedures such as biopsies and aspirations. Maintains sterile field for procedures such as biopsies and/or aspirations, drainage, etc. Appropriately prepares sterile tray, to include preparation of contrast, supplying catheters and guide wires, sterile assurance of the patient and equipment may come in contact with the sterile field with the purpose of assuring that all preventive measures have been taken to prevent contamination of the patient and/or equipment. Appropriately labels all articles on the sterile tray. This is done to minimize hazards associated with invasive procedures, and involves the use of sterile packs, gloves, syringes, guide wires, catheters, cleanup trays, etc. Adheres to hospital infection control and safety policies/technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices; time-out procedure; and correct site invasive procedure. Medical Instrument Tech (Diagnostic Ultrasound) do have to take call. Work Schedule: Full Time, Tuesday-Friday, 8:30AM-7:00PM Financial Disclosure Report: Not required Requirements Conditions of Employment 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. Physical Requirements. See VA Directive and Handbook 5019, Employee Occupational Health Services. This position requires to undergo a pre-employment medical examination/physical, TB test, and other medical related requirements. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. 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). Diagnostic Ultrasound Technicians operate diagnostic ultrasonic scanning equipment to produce cross sectional and two dimensional pictures of internal organs and body structures used to diagnose diseases and other medical conditions. Registration is offered by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS). Grade Determinations: GS-09: Appendix C - Medical Instrument Technician (Diagnostic Ultrasound) In addition to the core competencies defined at the GS-8 full performance level, positions at this grade may be lead, supervisory, or non-supervisory with specialized advanced knowledge and assignments. (a) 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 be specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography services. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (): (b) Demonstrated Knowledge, Skills, and Abilities. KSAs 1, 2, and 3 are appropriate for all positions at this level. KSAs 4 and 5 are to be used in accordance with their appropriateness for the specific assignment. 1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols that pertain to diagnostic ultrasonography. *2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. *4. Ability to manage and supervise employees.5. Ability to provide, or provide for, staff development and training. **NOTE: MUST REFLECT IN RESUME AND EXPERIENCE IS ONLY CREDIBLE IF DIRECTLY RELATED TO POSITION/SPECIALTY. References: VA Handbook, 5005, Part II, Appendix G27 This position is above the full performance level. Physical Requirements: The physical demands of the work includes: 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 for long periods of time. See VA Directive and Handbook 5019, Employee Occupational Health Services. This position requires to undergo a pre-employment medical examination/physical, TB test, and other medical related requirements. 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.