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The Primary Purpose of the Position is to provide Computerized Tomography radiography imaging for procedures in the CT Radiology department. While working in each area of Radiology Service, the employee will participate in all aspects of the mission of the medical center, including clinical service, education, and research, as needed. The employee will also assist the management team with the collection of statistical data needed to monitor and improve the clinical 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. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and7407(d). 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). (TRANSCRIPT REQUIRED)NOTE: Assignment to the clinical program director requires meeting JRCERT minimum educational 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. (PROVIDE A COPY OF CERTIFICATIONS) Credentialing Standards. Public Law 97-35, the Consumer-Patient Radiation Health and Safety Act of 1981, requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75, Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel. Essentially, they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the U.S. Department of Education and be certified as radiographers in their field. Grandfathering Provision. All persons employed in VHA as a DRT on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and certification that are part of the basic requirements of the DRT occupation. For employees who do not meet all of the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) DRTs that require a certification, may be reassigned, promoted up to and including the full performance (journeyman) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) DRTs that require a certification only at higher grade levels must meet the certification requirement before they can be promoted to those higher grade levels. (3) DRTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (4) DRTs initially grandfathered into this occupation, who subsequently obtain additional education and/or certification that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (5) Employees who are retained as a DRT under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry as a DRT. NOTE: Each uncertified VHA DRT who was permanently employed on June 21, 1986, and whose competence in the safe administration of ionizing radiation was affirmed, in writing, by a VA licensed physician not later than January 1, 1987, is considered fully qualified. These employees may be promoted, changed to lower grade, or reassigned within the GS-0647 occupational series. Any employee initially retained in this manner who leaves this job series loses protected status and must meet the full requirements in effect at the time of reentry. Grade Determinations: GS 09: (1) Experience. At least one year of experience equivalent to the next lower grade level, directlyrelated to the position being filled that demonstrates the clinical competencies described at thatlevel. (2) 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. Employees at this level are fully functional as anadvanced 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 ofthe 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-specificKSAs designated by an asterisk (*): i. *Ability to balance the needs of patients and staff while still performing complex scans andprocedures. ii. Knowledge of techniques for gathering relevant information from the medical record, significantothers, and health care providers. iii. *Ability to assess factors that may contraindicate the procedure. iv. Knowledge of basic first aid and basic life support practices related to radiography. v. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques anduniversal precautions.vi. Knowledge of pre-procedural, procedural, and post-procedural care of patients. Preferred Experience: 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. Understand the functioning and interrelationship of the various organs Demonstrates work practice appropriate for the position. Demonstrate and verbalize proper procedures. Infection Control. Understands , demonstrates appropriate hygiene methods and infection control. Use the methods and techniques which will identify organs appearing on the digital display monitor. Able to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician. References: VA Handbook 5005/123 PART II APPENDIX G58 The full performance level of this vacancy is GS 08. Physical Requirements: Heavy lifting, 45 pounds and over Pulling hand over hand (1 hour) Pushing (2 hours) Reaching above shoulderUse of fingers Walking (3 hours) Standing (3 hours)Repeated bending (1 hour)Both legs required Near vision correctable at 13" to 16" to Jaeger 1 to 4 Hearing (aid may be permitted) Distant vision (Snellen): without corrective lenses: right: 20 left: 20; with corrective lenses, if worn; right: 20 left: 20 Ears: (Include certified audiogram results with the examination package). Right Ear: From 20 feet away. and Left Ear: From 20 feet away. ["A Recruitment/Relocation Incentive may be authorized for a Highly Qualified Individual. This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until May 31, 2023. The initial cut-off date for referral of eligible applications will be Nov. 1, 2022, with subsequent cut-off dates every two weeks until 5/31/2023. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants who are referred will be considered for 90 days, after 90 days applicants will have to reapply. Duties include but not limited to the following: Schedules exams in a manner so as to optimize scanner times while maintaining flexibility for emergency cases. This requires the ability to prioritize scheduled patients as well as the ability to accommodate the emergency patient who may need immediate emergency surgery, etc. Confers with radiologists to determine requirement of non-standard exams. Determines technical factors, positioning, number and thickness of scans, etc., to produce and satisfy requirements of CT scanning. Schedules patients for examinations. Advises radiologists or referring physicians of examination results. Notifies them of scans requiring their immediate attention. Performs neuroangiography, including spine, head and neck studies utilizing highly sophisticated x-ray equipment such as computerized fluoroscopy, pressure injectors, parallelogram biplane imaging, patient monitors, etc. The purpose of these exams is to achieve diagnostic studies of the spinal canal. Performs peripheral and visceral angiography of the abdominal systems and extremities. These angiographic studies include renal, hepatic, mesenteric, aortic, femoral, etc. The exams involve the use of highly sophisticated x-ray equipment such as computerized fluoroscopy, pressure injectors, biplane imaging, patient monitors, etc. Such procedures may be performed in the operating room. The purpose of these exams is to achieve diagnostic or therapeutic studies of the vascular systems. Performs myelography of the complete spine utilizing conventional x-ray units, spot films, patient immobilizers, etc., when required. The purpose of these exams is to achieve diagnostic studies of the spinal canal. Performs most exams utilizing surgical sterile techniques. This requires \"scrub-in technique, 11 preparation of surgical trays, preparation of contrast, supplying of catheters and guide wires, sterile assurance of the patient and equipment that 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. 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., after exam is completed. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices; and continuing education. Works with the radiologist as a member of the surgical/radiographic team. Must assist and anticipate the needs of the radiologists and the performance of the exam. Prepares contrast materials that are used in CT/angiography and other exams. Practices radiation safety in order to reduce exposure to patients, staff and self. Performs reconstructions of CT and angiographic studies when requested or when part of a standard procedure. · Maintains records and files of exams performed on patients. This includes the maintenance of patient logbooks registration and editing of patient exams in the computerized information· system. Properly identifies patient images. Explains exams to competent patients so that patients understand what is to be done as well as what hazards, if any, are possible. Responsible for stocking and inventory of all CT and angiography supplies and related materials. Performs irregular hour emergency scans on standby, 24hours per day, coverage. Continually reviews new developments in the field of angiography and computerized tomography. Work Schedule: Mon-Tues 9:00 am - 5:30 pm Saturday/Sunday: 12:00 am to 12:00 pm Nights/weekends. Telework: not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: may be authorized for a Highly Qualified Individual. Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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