Responsible for the performance and coordination of all diagnostic radiology examinations. These exams are performed with and without the use of contrast materials. The purpose of these exams is to achieve diagnostic studies so that proper diagnosis and treatment may be effectuated. 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). (Copy of certification REQUIRED with application) 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). (Transcripts REQUIRED with application) Grade Determinations: GS-6 Diagnostic Radiologic Technologist: 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. 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. 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 Diagnostic Radiologic Technologist: 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. 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. 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 Diagnostic Radiologic Technologist: Experience. At least one year of experience equivalent to the next lower grade level (GS-7) that demonstrates the clinical competencies described at that level. Assignment. Employees at this grade level (GS-8) 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. 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 5005/77, Part II, Appendix G25, dated December 13, 2019. This can be found in the local Human Resources Office.The full performance level of this vacancy is GS-8. Physical Requirements: Lifting (40 lbs. and under); Light Carrying (15 lbs. and under); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16". The physical requirements for this position are in accordance with HRML No. 05-12-02, Employment of People with Disabilities, Including Under Schedule A, 5 CFR 213.3102(u).] ["CLINICAL RESPONSIBILITIES: Performs the full spectrum of radiographic and fluoroscopic examinations. Receives patients, explains method of procedure and obtains signed consents for examinations with contrast medias. The incumbent is responsible for proper positioning of patients. Prior to exposure selects and sets technical factors. Sets up and adjust accessory equipment required and makes exposures necessary for the requested procedures. Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as IVP, cystogram, cholangiograms fistulagrams and arthrography and for the purpose of performing oral and rectal exams of the GI tract. (In the case of injected media, a patient consent form must be obtained, when indicated.) These procedures require the use of needles, syringes, renografin, barium, and enema bags. These contrast materials and the radiographer must know their effects and adverse reactions. 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. Maintains effective control of Radiology area by coordinating, planning, organizing and executing the work potential to expedite workflow patterns within the departments. Schedules patient for exams and maintains daily log of patients and procedures to be incorporated into statistical management workload profiles. Performs Quality Control procedures, which may include (but not exclusively} the following: 1) Reject/repeat analysis 2) Image plate and cassette cleaning regiment 3) Grid alignment and artifacts 4) Automatic exposure control density and field sensitivity 5) Reproducibility and accuracy of timer and KVP stations 6) Lead apron & glove radiation verification Keeps abreast of technological advances in the fields of Radiology and incorporates these advances into daily practice where applicable. Assists in training to aid in the clinical instruction of both first- and second-year radiology students on procedures, operation and/or maintenance of new and existing medical equipment. Monitors and maximizes efficiency in the number of exams performed without compromising quality standards. Effectively troubleshoots (at the user level) equipment used in diagnostic radiologic procedures and is able to make adjustments. Exercises extreme caution in the handling and safeguarding of all radiation producing equipment. Must recognize and report major equipment malfunctions within a timely manner to service representative.Regularly inspects imaging plates and grids for effectiveness. Maintains a log for periodic cleaning and care of all equipment. Receives and interprets all radiology requests. Inputs pertinent radiology information into computer. Registers, requests, cancels and edits exams via the computer radiology information system (RIS). Properly identifies patient films using identifiers, and L & R markers. This is essential so that mistaken identity of films to patients does not occur. The radiographer must be certain patient identification and the requests are identical. Practices radiation safety in order to reduce exposure to patients, staff and self. This is achieved by the appropriate use of lead aprons, lead gloves, lead shields, lead-lined walls, collimation and distance management. Film badges are worn by the radiographer to assure compliance to radiation regulations and guidelines. Ability to vary tests or treatment procedures as needed to compensate for patient's individual medical conditions and body habitus. Work Schedule: Monday- Friday 8:00 AM - 4:30 PM Telework: Not Available Virtual: This is not a virtual position. Financial Disclosure Report: Not required"]
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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.