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The VA Portland Health Care System (VAPORHCS) is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics. The Advanced Nuclear Medicine Technologist has responsibility for performing a wide range of specialized clinical procedures using radioactive materials at a higher level of duties which consists of significant scope and complexity, ranging in a wide variety. Duties include, but are not limited to: Serves as a technologist for the PET/CT modality, performing daily and periodic quality control testing of PET/CT scanner (and other supporting equipment), organizing workflow, and performing patient studies. Obtains clinical data from the patient, electronic chart, requisition, and interviewing the patient and/or family for choosing appropriate imaging protocol. Qualified to obtain patient blood glucose level prior to injecting imaging tracer to determine if scan is appropriate based on that level. Prepares, assays, and administers F-18 FDG or other prescribed positron emitting radiopharmaceuticals, recording, patient and dose parameters essential to interpretation of scan. Under radiologist supervision, administers IV contrast to enhance CT images after reviewing patient chart for contraindications and renal lab values (impaired renal function or hypersensitivity). Utilizes knowledge and proficiency in the performance of CT scans with optimization of scanning parameters (mA, kVp, pitch, FOV, etc). Documents the use of CT contrast, including any allergic reactions, on all paperwork and in the computerized patient data system (i.e. CPRS). Prepares studies for nuclear medicine physician's and general radiologist's interpretation by ensuring completeness of all forms involved in the procedure, processing, and transmitting images to fusion workstation/PACS Maintains PET hot lab with prescribed dose calibrator quality assurance and stocking of supplies. Properly uses and maintains quality assurance of the PET F-18 injector, Medrad Intego. Displays thorough knowledge of molecular level physiologic function that relates to glucose metabolism, blood flow, and 3-D anatomy. Independently performs routine and complex diagnostic imaging procedures including static, dynamic, and SPECT-CT scans. Prepares and administers radiopharmaceuticals by injection, inhalation, or orally, taking into account precautions relative to radiation hazard, sterility, and radiochemical purity. Properly identifies patient with at least 2 patient identifiers in accordance with VAPORHCS policy, confirms identity on order and properly identifies patient images. Explains exams to patient so that the patient understands what is to be done as well as what hazards, if any, are possible. Prepares patient for exams by achieving intravenous access and placing IV catheter when needed utilizing aseptic technique and standard precautions for infection control. Works with cardiology staff physicians, fellows, and other personnel to screen all patients and determine which nuclear medicine cardiac test is appropriate. Performs physiologic and pharmacologic stress testing under supervision of cardiology staff. Must know the basics of performing an EKG and interpretation and proper technique to get appropriate vital signs. Works with radiologists and nuclear medicine physicians for special administrations of radiopharmaceuticals (e.g. for cisternography or lymphoscintigraphy) and in therapeutic nuclear medicine procedures. Uses vast knowledge of pathophysiology and anatomical structures to process all patient imaging data. Forms new procedure protocols based on clinical need and equipment workflow; continually modifies existing protocols based on new research data and nuclear medicine standards. Calibrates and performs quality control on gamma camera and a variety of non imaging instruments, including well and liquid scintillation counters, thyroid uptake probe, and various survey meters. Responsible for disinfecting of all related equipment that involves the injection of isotopes, patient scanning tables, and imaging equipment. Troubleshoots clinical and/or instrumentation problems, interfacing with biomedical engineering as necessary. Maintains required licenses/certifications for practice in nuclear medicine (NMTCB, ARRT, BLS). Routinely participates in continuing education activities to expand knowledge in the growing fields of PET, general nuclear medicine and CT while ensuring required hours of education for all certifications is achieved. Follows radiation safety practices to minimize exposure to patient, staff, and self. Work Schedule: Monday - Friday, 7am to 3:30pm OR 8am to 4pm; *On call hours Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Nuclear Medicine Technologist/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.