Veterans Affairs, Veterans Health Administration Med Inst Tech (Vascular) in Hyannis, Massachusetts
Summary The Medical Instrument Technologist (Vascular) employee independently performs complex ultrasound examinations for outpatient, inpatient and emergency room patients according to DIS imaging protocols. All requests will be reviewed by the technician, technologist and/or radiologist as needed to determine appropriateness of the exam as well as protocol modification. Responsibilities Advises radiologists, referring physician, vascular surgeon and other providers of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Performs ultrasound examinations of the abdomen, neck, chest, extremities, retroperitoneal space, pelvis and vascular studies for the purpose of acquiring high quality studies that assist in diagnosis and treatment of disease. Performs non-invasive procedures in the vascular ultrasound laboratory to include: carotid doppler, arterial lower and upper extremity studies, reflux studies, dialysis access graft imaging, trans-rectal ultrasound (TRUS) and other studies as deemed necessary by the vascular surgeon. Performs high quality ultrasound examinations of the vascular system utilizing B-Mode, 2 dimensional ultrasound, color Doppler and continuous wave Doppler measurements. Independently makes standard examinations and has the expertise to do more in-depth measurements and imaging when abnormalities are present. Advises the vascular physician of preliminary results as needed. Recognizes situations requiring immediate attention while the patient is undergoing an examination and advises the referring provider and/or vascular surgeon of critical findings as needed. Participates in the planning and performance of medical and/or experimental procedures involving new techniques and in documenting results. Enters technical notes for all diagnostic ultrasound exams per requirements of the DIS Service Chief. Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them. Maintains records of patients treated, examinations performed, ultrasound scans taken, arterial waveforms, etc. Incumbent includes his or her own impressions of the case and presents them to the physician for interpretation. Confers with vascular physician on requirements of non-standard examinations. Independently determines technical factors, positioning, machine settings and transducer requirements etc. to satisfy requirements. Available for general and vascular ultrasound studies at Community Outpatient Clinics (CBOC) as needed. Responsible for the logging and processing of requisitions for the vascular laboratory and maintains adequate reports and files of all studies. 25% or less time working in Ultrasound. Work Schedule: The work schedule will be determined based on the needs of the Medical Center. The Providence VA Medical Center is an acute care facility operating 24 hours a day 7 days a week. While most tours of duty are scheduled during the day, the possibility of working evenings, nights and weekends does exist. Shift changes will be considered based on patient and facility needs. Compressed/Flexible: Not available. Telework: Not available. Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not authorized. Financial Disclosure Report: Not required. Requirements Conditions of Employment Qualifications To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 05/09/2021. 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: Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a. Driver's License: Must possess an unrestricted State Driver's License. You MUST upload a copy of your Driver's License to be considered for this position. Driving Record: Candidate must have a clean driving record for the past five years. You MUST upload a copy of the CSC-665 - Ability to Drive form (http://www.chillicothe.va.gov/careers/CSC_Form_665_.pdf) to be considered for this position. Grade Determinations: GS-08: Experience: At least 1 year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled. This would be experience which demonstrates the knowledge, skills, and abilities to perform noninvasive vascular ultrasound procedures as a senior technician. In addition, the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenoses, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of peripheral vessels; demonstrate characteristic differences related to the organs they supply; accurately quantify carotid artery stenoses; and identify and correlate specific waveform analysis, plethysmographic tracings, velocity changes, and pressure gradients characteristic of normal, obstructed, or occluded vessels or grafts. Ability to perform intracranial (transcranial) vascular examinations. Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Ability to provide objective data to document progression or regression of disease. References: VA Handbook 5005, Part II, Appendix G27 Physical Requirements: Moderate lifting & carrying (15-44 lbs); Straight pulling and pushing (Up to 7 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking and standing (Up to 7 hours); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision 20/50 and 20/100; Emotional/mental stability. Preferred Experience: Ultra-Sound Technician experience. The full performance level of this vacancy is 8. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. 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.