Under supervision of Imaging Program Administrator and Interventional Radiologist', the Interventional Radiologic (IR) Supervisor has direct oversight and responsibility of personnel and services in accordance with established policies and procedures for various age groups of patients, assists with the performance with diagnostic procedures in order to assist Radiologists in the diagnosis and treatment of illness. 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. 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). 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. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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-11 Technologists working in this special assignment may function as vascular interventional (VI), cardiac interventional (CI) and/or cardiovascular-interventional (CV) technologists which use specialized equipment to perform diagnostic angiographic procedures and complex vascular and nonvascular interventional and therapeutic procedures. This specialty requires additional knowledge of vascular systems and major vessel anatomy. The technologist must be knowledgeable in the specialized equipment employed for digital subtraction systems and interventional procedures. The technologist administers contrast media under the supervision of the staff radiologist and confers with the radiologist to establish requirements regarding contrast agents, vital signs, medications, and physiologic monitoring to perform procedures. IR technologist must be knowledgeable in digital imagining and PACS. Experience. At least one year of experience equivalent to the next lower grade level (GS-10) directly related to the position being filled that demonstrates the clinical competencies needed to provide services as a supervisory radiologic technologist. Assignments: 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 an advanced DRT and carry out their assigned tasks independently. The incumbent functions as section supervisor for a group of advanced DRTs at the GS-10 level and below, which may include support staff. The incumbent evaluates new products and equipment and makes recommendations to the supervisor concerning upgrades/new purchases that would improve operations. The incumbent develops and maintains protocol manuals for procedures performed in the section. The incumbent is responsible for implementation and adherence to all safety practices and policies for the section. The incumbent directs the development and implementation of services and treatment to patients through the supervision, mentoring, and oversight of assigned clinical staff. Experience must demonstrate practice skills in a specialty area or in administration demonstrating progressively more professional competency and judgment. The candidate must demonstrate all of the following technical KSAs: Ability to analyze organizational, technical, and administrative problems and to develop and implement solutions that result in efficient section operation. Ability to analyze and use data effectively to manage section workload, quality, performance, and productivity. Skill in problem solving and conflict resolution. Ability to supervise technologists performing a wide variety of difficult radiographic exams (CT, MRI, Special Procedures, Mammography, Ultrasound). Ability to interview and evaluate candidates for positions, evaluate subordinate performance, recommend appointments, advancements, or recommend or take appropriate disciplinary actions. Skill in participating in organizational facility initiatives, workgroups, and/or committees. References: VA Handbook 5005/119 PART II APPENDIX G25 December 13, 2019 The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is GS-11. Physical Requirements: See VA Directive and Handbook 5019. ["Trains and assists with the performance of radiographic procedures according to protocols established for various age groups of patients, at a technical level serving as the expert on technical detail. The IR Supervisor oversees the performance of a wide variety of technical procedures including, but not limited to, aortagram runoffs, arches, carotids, extremities, cerebrals, stenting, embolization and body interventional procedures like biliary/renal access and enteric tube placement. These exams will require independent judgment, ingenuity and initiative to apply prescribed ionizing radiation for radiological diagnosis. These exams will be in a sterile environment. The IR Supervisor assumes responsibility for designated area or procedures communicating any requirements or needs to Radiology Management. Serves as a Radiology Management representative communicating and enforcing guidelines which include work schedule, policy, protocol and QA program development, and responsible for ensuring proper safety protocols are followed. Duties or functions of this position include but are not limited to: Operates imaging systems for interventional procedures and accessory equipment: Patient identifiers are correctly selected from the Radiology Information System work list or manually entered prior to start of procedure. Equipment is set up properly for fluoroscopy within the parameters directed by physician. Digital image acquisition is performed at appropriate filming rate. Annotations are correctly performed. Panning is provided, and technologist is constantly present and available for table movement. 3D imaging is performed and analyzed accurately. Vessel sizing/stenosis is accurately performed. Imaging systems include but not limited to interventional suite, general radiology digital fluoro, DR, CR, surgical mobile C-Arm, CT, and portable radiography. Properly inspects, prepares and operates accessory equipment, i.e., integrated interventional ultrasound, thrombectomy unit. Efficiently and effectively provides procedural support for a variety of patient procedures: Prepares an interventional radiology case prior to patient being placed in the procedure room (equipment, supplies, etc.?). Assures appropriate cleanliness of all equipment and procedure room prior to patient arriving for procedure and sterile field being created. Average room turnaround time is 20 minutes. Utilizes proper equipment to safely assist in patient transfers from stretcher or wheelchair to radiographic table. Prepares oral and injectable contrast and other chemical mixtures, as necessary, according to facility policies. Follows prescribed protocols required to perform procedures. Administers contrast material, under the direction of the physician, according to protocols. Utilizes safe practices to verify correct dosage and rates are administered. Maintains adequate level of supplies. Sets up and positions patients and provides proper immobilization devices/techniques. Selects proper technical factors on an individual patient basis. Observes patients during procedures and reports complications or unusual events. Demonstrates flexibility in response to unexpected changes in work volume, emergencies, and staffing and / or scheduling changes. Develops and maintains a good working rapport with inter-departmental personnel, as well as other personnel within the facility, to assure that the department services and activities can be properly maintained. Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis when dealing with all healthcare care users to assure optimum service is provided. Assist physicians and other investigators in the development and execution of research protocols and maintains records, as necessary, to validate the research project or funding grant. Applies appropriate measures in order to minimize radiation exposure to self, patients, employees, and others. Responsible for all interventional procedure menus. and current with all coding regulations. Provides documentation to direct physicians on accurate CPT coding of all procedures. Incumbent will review/validate all procedure coding for accuracy then enter it appropriately into the Radiology Information System. Reviews radiation dose records and provides comparison to assure radiation safe practices are being met with no deviation and/or increase in patient or personnel exposure. Monitors and provides radiation dose documentation of all personnel in interventional suite. Work Schedule: Monday through Friday, 7:30 am to 4:00 pm with mandatory on-call Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 60184-F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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