Incumbent requires specific knowledge in Routine Diagnostic Radiography, portable radiography, fluoroscopy, and OR imaging. These exams are performed with and without the use of contrast materials. The objective of the examinations and procedures is to produce radiographic studies that are used in medical diagnosis and interpreted by medical officers to locate injuries, foreign bodies, pathological conditions, and or lesions within the body. 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. 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). Grade Determinations: GS-5 (1) Experience or Education. None beyond the basic requirements. (2) Assignment. DRTs at this level operate and monitor commonly used equipment performing routine procedures under general supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties are performed under closer supervision. GS-6 (1) 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. (2) Assignment. Employees at this grade level serve as developmental DRTs, performing examinations which are routine and standardized in nature. They explain exams to patients in terms they can understand as well as potential hazards. They must also troubleshoot equipment used for diagnostic radiology and exercise extreme caution in the handling and safeguarding of all radiation producing equipment. DRTs must report major equipment malfunctions within a timely manner to service representatives and assist higher graded technologists in performing more complicated examinations. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of basic technique standards for minimum radiographic exposure. (b) Knowledge of anatomy and positioning. (c) Knowledge of all patient safety procedures. (d) Knowledge of radiographic producing equipment. (e) Ability to learn basic computer functions GS-7 (1) 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. (2) Assignment. DRTs at this level perform a full range of duties but receive guidance and directions regarding unfamiliar or unusual situations for more complex patient issues. Candidates at this grade level may be qualified to provide services in specialized areas of radiologic technology and/or general radiologic technology services. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system. (b) Knowledge of different contrast material required for the requested study. (c) 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. (d) Knowledge of computed radiography, CR readers and Digital Imaging systems. (e) Knowledge of PACS and basic computer skills GS-8 (1) Experience. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. (2) Assignments. Employees at this grade level serve as staff DRTs at the full performance level. Candidates at this grade level must be qualified to independently provide services in specialized areas of radiologic technology and/or general radiologic technology services with only occasional oversight or direction for highly complex issues. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (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. References: VA Handbook 5005/119 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: See VA Directive and Handbook 5019 ["Performs routine radiographs, portable exams, fluoroscopy, and OR imaging. Performs routine administrative procedures for the purpose of maintaining accurate imaging records. Receives and interprets all radiology requests. Inputs pertinent radiology information into computer. Schedules appointments, processes exam requests, and registers patient exams, cancels and case edits exams in the Radiology Information System (RIS). Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions and for the purpose of performing oral and rectal exams of the GI tract. The radiographer is qualified to insert IV needles for administration of contrast material when necessary. The radiographer must know the effects and adverse reactions of the contrast materials. Improper use or administration of the contrast materials run the risk of patient mortality, therefore, it is essential that a thorough understanding of usage be possessed by those who prepare it. Must be continuously on the alert to the patient's condition and other disorders. Adverse reactions on the part of the patient require immediate attention so that harm does not come to the patient or equipment. Accurately utilizes PACS for acquisition, transmission, storage, and review of images, performs QC of all completed studies to ensure timely and accurate interpretation by the Radiologist. Has knowledge to perform Quality Control procedures, which may include (but not limited to) the following: Reject/repeat image analysis, Lead apron & glove radiation verification. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Practices radiation safety in order to reduce exposure to patients and staff while applying elements of the As Low As Reasonably Achievable (ALARA) Principle. This is includes appropriate use of lead aprons, lead gloves, lead shields, collimation and distance management. Film badges are worn by the radiographer to assure compliance to radiation regulations. Interviews patient obtaining pertinent medical history and precise medication usage as it pertains to the examination being performed. Explains to patients the rationale of procedures and instructions on how to complete the procedure. Ability to vary tests or treatment procedures as needed to compensate for patient's individual medical conditions and body habitus. Explains examinations to be performed to patients so they understand the purpose of the study as well as any requirements of the patients so they are thoroughly understood. May be required to monitor vital signs, recognize allergic reactions and initiate cardiopulmonary resuscitation. Properly identifies patient with at least 2 patient identifiers in accordance with VAPORHCS policy, confirms identity on order, properly identifies patient images and utilizes L(eft) and R(ight) markers. This is essential so that mistaken identity of images to patients does not occur Participates in the training of rotating x-ray students and technologists, but does not supervise them. Incumbent shall identify system errors and work with the Supervisor, Assistant Chief Tech and BioMed department to facilitate the effective and timely service of radiographic equipment. Incumbent will ensure productivity is maintained at the established level for the program for which he/she is responsible Additional duties as necessary within the scope of practice for Diagnostic Radiography. Work Schedule: Tour of duty will be set at the time of selection based on patient care needs.\nCompressed/Flexible: Yes-list options in Tour of Duty\nTelework: No\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required Not required"]
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