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Veterans Affairs, Veterans Health Administration Diagnostic Radiologic Technologist in Des Moines, Iowa

Summary

This position is located at the VA Central Iowa Health Care System, Imaging Service Line. The Diagnostic Radiologic Technician operates independently and performs all general CT and X-Ray diagnostic radiographic and fluoroscopic procedures and assists physicians with invasive exams.

Responsibilities

Major duties of the position include, but are not limited to: -Operates computerized, digital, fluoroscopic and portable radiography equipment. Determines technical factors (i.e., calculates the correct exposure factors of time, distance, kilovoltage, and milliamperage), sets controls and operates equipment ensuring that the portion of the body specified receives the correct calculated exposure. Selects and sets technical factors for very difficult radiographic examinations. Sets up and adjusts accessory equipment required, and makes exposures necessary for requested procedures. -Performs all general diagnostic radiographic including, but not limited to, skull, spine, torso, extremities, gastrointestinal, genitourinary, fluoroscopy (including in a surgical environment) and portable examinations. -Maintains ALARA (As Low as Reasonably Achievable) exposures for patient, coworkers and self. Uses radiation safety devices to properly shield patients within childbearing years. Uses radiation safety devices, aprons, thyroid shield and collimation when performing procedures in which exposure is possible. Minimizes exposure by using shielding and distance. Technologist assures compliance to radiation regulations by wearing film badges as required. -Operates digital radiographic equipment and the exposure factors necessary to produce a quality image. Selects programmed factors for each examination and adjusts factors such as kilo-voltage, mill amperage, exposure time, and focal spot size when needed. Makes correction to factors that control penetration, contrast, and/or density to correct for underexposure and overexposure.

Instructs patient of proper breathing procedure for the exposure. Makes exposures and checks images for quality. -Performs all aspects of CT imaging to include: Head, Sinus, Maxofacial, Orbits, Temporal bones, TMJ, Neck, CT entcrography, CT urography, Chest, Abdomen, Pelvis Extremities, soft tissue, and 3D Reconstructions of CT, Multi-Planar Reformats CT and Angiographic studies when requested and/or when part of a standard procedure. Performs all aspects of CT Interventional Radiography, including Biopsies, bone, Abscess drainages, cyst aspirations, thoracentesis, paracenteses, renal biopsies. -Performs CT Angiography: Performs CT Angiography of the Circle of Willis, Cerebral venous thrombosis, Carotids, Chest, Brachial plexus, Abdominal Aortas, Run-Off's, Renal arteries, Mesenteric Arteries, CT Cardiac Imaging, Cardiac scoring and CT Myelography utilizing specialized series to visualize the anatomy and pathology necessary for diagnosis. The radiographic goal of CT is to provide high quality axial imaging; generate the best possible images at the minimal radiation dose necessary to the patient. -Prepares contrast materials that are used in CT. Improper use or administration of the contrast materials run the risk of patient mortality and, therefore, it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it. In addition, must be continuously on the alert to the patient's condition and other disorders. Reactions on the part of the patient require immediate attention so that harm does not come to the patient. Is certified to insert IV needles for administration of contrast material when necessary. -Required to maintain competence in venipuncture and refer to the ACR procedure manual for guidelines on protocol of contrast administration, Administration of Contrast Media After-Hours, Guidelines for Power Injection of Contrast Media in PICC lines, central lines, and power ports. -Technologist acquires and maintains knowledge in CT dose optimization and the factors that directly affect radiation dose from the CT scanner to the patient. Work Schedule: Hours may vary due to operational need, but are primarily second shift (e.g., from noon to 6 p.m.), Tuesday through Friday. Financial Disclosure Report: Not required

Requirements

Conditions of Employment

Qualifications

Basic Requirements: Citizenship. Be a citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3g. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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. 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). 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: Grade Requirements: Experience. At least one year of experience at to equivalent to the next lower grade level (GS-08), directly related to the position being filled that demonstrates the clinical competencies described at that level. Experience would have fully demonstrated the knowledge, skills and abilities at the GS-08 level which are:

(a) Ability to check system for operation and assess acceptable performance based on established guidelines.

(b) Knowledge of calibration parameters and the ability to make adjustments as needed.

(c) Knowledge of patient's clinical record, diagnosis, and laboratory results.

(d) Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed.(e) Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers.

(f) Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. Demonstrated Knowledge, Skills and Abilities: In addition to possessing 1 year of experience at the GS-8 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 (*): (a) *Ability to balance the needs of patients and staff while still performing complex scans and procedures.

(b) Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers.

(c) *Ability to assess factors that may contraindicate the procedure.

(d) Knowledge of basic first aid and basic life support practices related to radiography.

(e) Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions.

(f) Knowledge of pre-procedural, procedural, and post-procedural care of patients. References: VA Handbook 5005/119, Part II, Appendix G25 The full performance level of this vacancy is GS-09. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 Physical Requirements: Positioning a variety of patients and maneuvering a variety of radiographic equipment requires heavy lifting (45lbs+) bending, and body alignment. Standing, walking and sitting for a variety of time is required.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Student Loan Repayment Program (SLRP): DRTs may be eligible to receive up to $10,000 per year (with a lifetime maximum of $60,000) to help repay student loans. More information may be found at https://www.vacareers.va.gov/Benefits/EducationSupport/#repay. 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

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.

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