Incumbent is the designated General Radiologic Technologist responsible for the performance and coordination of all gastrointestinal and fluoroscopic x-ray procedures, joint and pain injections, surgical radiographs, barium enemas, Upper GI's and general radiographs. Applicants pending the completion of educational, or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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).] 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.] Loss of Credential. An employee in this occupation who fails to obtain certification within two years, or who fails to maintain the required certification must be removed from the occupation, which may also result in termination of employment. 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. Exception for Non-Certified, Entry Level Candidates. Non-certified DRTs who otherwise meet the eligibility requirements for ARRT (R) certification may be given a temporary appointment as a graduate DRT under the authority of 38 U.S.C. § 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a DRT that provides care under the supervision of a certified DRT at or above the full performance level. This exception only applies at the GS-5 entry level technician. For grade levels above the entry level, the candidate must be certified. Temporary appointments of non-certified DRTs may not be extended beyond two years or converted to a new temporary appointment. 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). Grade Determinations: GS-5: Experience or Education: None beyond the basic requirements. GS-6: Experience or Education: At least one year of experience equivalent to the next lower grade level or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging (transcripts with confer date required). Demonstrated Knowledge, Skills, and Abilities: In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of basic technique standards for minimum radiographic exposure. Knowledge of anatomy and positioning. Knowledge of all patient safety procedures. Knowledge of radiographic producing equipment. Ability to learn basic computer functions. GS-7: Experience or Education: At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level; or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging; or successful completion of an advanced registry program, with certification, in addition to a 4-year baccalaureate degree program in radiography or other directly related field to diagnostic radiology/imaging. Education may relate to the duties of a specific position or to the occupation but must be appropriate for the position being filled (transcripts with confer date required). Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system. Knowledge of different contrast material required for the requested study. Knowledge of radiation protection standards, minimum radiographic exposure techniques, appropriate beam limitation to anatomical area, and employing lead shielding when performing standard radiographic and fluoroscopic procedures. Knowledge of computed radiography, CR readers and Digital Imaging systems. Knowledge of PACS and basic computer skills. GS-8: Experience: At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: 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. Preferred Experience: 3 years of DEXA experience preferred. References: VHA Handbook 5005, Part II, Appendix G25. The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8. Physical Requirements: moderate lifting and carrying (15-44 lbs), pushing (1 hr), reaching above shoulder, use of fingers, walking (1 hour), standing (3 hrs), repeated bending (2 hrs), near vision correctable, ability to distinguish basic colors, hearing (aid may be permitted), radiant energy, electrical energy, working around moving objects or vehicles, working closely with others, working alone. ["Duties will vary based on grade. At the GS-8 full performance level for this assignment, The objective of the examinations and procedures is to produce radiographic studies that are used in medical diagnosis and interpreted by Radiologists to locate injuries, foreign bodies, pathologic conditions or lesions within the body. Duties will include: Responsible for maximizing utilization of fluoroscopic exam rooms. Identifies scheduled procedures for the following day and plans and coordinates activities around physician availability in order to maximize room effectiveness. DEXA (Dual Energy X-ray Absorptiometry) bone density examinations: The incumbent will provide Bone Densitometry of the spine, extremities, and body parts necessary for data gathering and quantification of bone densities. These exams are performed without the use of contrast materials. The incumbent will perform necessary post processing of images to report Trabecular Bone Scores (TBS), FRACS, and Body Composition data. Confers with radiologists, endocrinologists, and other Primary Care Providers to determine requirement of non-standard exams. Determines technical factors, positioning of scans, etc., to produce and satisfy requirements of DEXA scanning. Advises radiologists or referring physicians of examination results. Notifies physicians of scans requiring their immediate attention. Participates in clinical and research studies within the facility. Works with Women's Health to expand accessibility for imaging exams. Continually reviews new developments in the field of DEXA examinations. Is continually on the alert to improve quality of exams utilizing the new technologies available. Responsible for stocking and inventory of all DEXA supplies, linens, and related materials. Provides periodic written reports of accomplishments, statistical data for quality assurance, proposals for improved effectiveness, cost containment, state of equipment, and equipment needs to supervisor. He/she is expected to monitor and control wastage, maximize efficiency and the number of examinations performed without compromising quality standards. Assists the Radiology Supervisor in handling all complaints and requests from physicians and other hospital personnel for procedures included in this area. Works closely with other departmental personnel in coordinating and integrating departmental activities. Incumbent has administrative accountability for departmental supplies and equipment in his/her area. He/she anticipates needs for supplies and provides for them well in advance. He/she also checks equipment for proper function prior to performing procedures. Responsible for the state of equipment in this area at all times. The technologist must report equipment malfunction in a timely manner, including putting in electronic work orders. Must have the ability to check system for operation and assess acceptable performance based on established guidelines. Responsible for the clerk's checking with the nursing floors to ensure that patients scheduled for fluoroscopy are not delayed or cancelled for the following day because of lack of planning, preparation, or difficulty with patient delivery. Properly identifies patient images using computerized work list and left and right markers. Responsible to explain exams to competent patients so that the patient understands what is to be done as well as what hazards, if any, are possible. May be required by procedure or patient's condition to monitor vital signs, recognize allergic reactions and initiate cardiopulmonary resuscitation. Responsible to the radiologists and supervisor for the quality and quantity of radiographic exams performed in order to assure a high level of acceptability of radiographs while minimizing patient dosage and reducing costs. Practices radiation safety in order to reduce exposure to patients, staff and self. This is achieved by the use of lead aprons, lead gloves, lead shields, lead-lined walls and collimation. Be aware of and practice the safety policies and procedures of the medical center and participate in quality assurance activities as directed. Performs routine diagnostic x-ray procedures when required. Operates the digital fluoro unit in the endoscopy and surgical suite when assigned by supervisor. Will be required to be on call for General Radiography and be included in Holiday rotation schedule. Required to prepare and administer contrast media and medications in accordance to State and Federal regulations. May be required to assist with clerical duties of the Diagnostic Imaging Department in times of decreased patient volume. Work Schedule: Monday-Friday 8:00AM-4:30 PM 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."]
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.