The computed tomography/cardiovascular (CV) technologist has the responsibility for the coordination and performance of the computed tomography and angiography areas. He/she works closely with the technologists, radiologists, clinicians, nurses and clerical staff to assure optimum quality control, efficient coordination of activities, high quality diagnostic/therapeutic exam results, and patient satisfaction. CLINICAL RESPONSIBLITIES A. Performs computerized tomography of the head, neck, spine, chest and body with and without the use of contrast materials. B. Confers with radiologists to determine requirement of nonstandard IR/CT exams. Determines technical factors, positioning and supplies needed for each exam. Advises radiologists or referring physicians of examination results. Notifies them of scans requiring their immediate attention. C. Performs neuroangiography, including spine, head and neck studies utilizing highly sophisticated x-ray equipment such as computerized fluoroscopy, pressure injectors, single plane imaging, patient monitors, etc. The purpose of these exams is to achieve diagnostic studies of the vessels of the head, neck and spine. D. Performs peripheral and visceral angiography of the abdominal systems and extremities i.e. renal, hepatic, mesenteric, aortic, femoral, etc. The exams involve the use of highly sophisticated x-ray equipment such as computerized fluoroscopy, pressure injectors, single plane imaging, patient monitors, etc. Responsible for all equipment and supplies related to these procedures. The purpose of these exams is to achieve diagnostic or therapeutic studies of the vascular systems. E. Performs myelography of the complete spine utilizing conventional x-ray units, patient immobilizers, etc., when required. Responsible for all equipment and supplies related to these procedures. The purpose of these exams is to achieve diagnostic studies of the spinal canal. F. Performs IR/CT exams utilizing surgical sterile techniques. This requires "scrub-in technique," preparation of surgical trays, preparation of contrast, supplying of catheters and guide wires, sterile assurance of the patient and equipment that may come in contact with the sterile field with the purpose of assuring that all preventive measures have been taken to prevent contamination of the patient. This is done to minimize hazards associated with invasive procedures and involves the use of sterile packs, gloves, syringes, guide wires, catheters, clean-up trays, etc., after exam is completed. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices. G. Works with the radiologist as a member of the radiographic team. Must assist and anticipate the needs of the radiologists to ensure positive outcomes. Must be continuously on the alert for the patient's condition, sterile field, catheter and guide wire sizes and configurations, etc. The alertness of the individual is essential to prevent contamination, recognize patient reactions, and anticipate the physician's needs. H. Prepares contrast materials. These contrast materials are used in the exams performed in the special procedure area and the technologist must know the effects and reactions to the contrast. 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 use and delivery methods are possessed by those who prepare it. In addition, must be continuously 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 or equipment. Calculates eGFR values and utilizes iStat analyzer. I. Practices radiation safety in order to reduce exposure to patients, staff and self. This is achieved by the use of lead aprons, lead gloves, lead shields, lead lined walls and collimation. Film badges are worn by the technicians in compliance with radiation regulations. The incumbent must be aware of and practice the safety policies/procedures of the facility, and participate in quality assurance activities as directed. J. Performs image reconstructions on advanced workstations as directed by the radiologist or as part of a given study. K. Maintains records and files of exams performed on patients. This includes the maintenance of patient logbooks, registration and editing of patient exams in the hospital information system and radiology information system, copying of images (to CD or film), and ensuring procedures are in the HIS/RIS and available for review. L. Performs irregular hour emergency scans on standby, 24 hours per day, coverage for both IR and CT. Requires the technologist be available within 45 minutes from receipt of call so that proper and effective emergency care can be given to the patient. Is required to perform diagnostic radiographic examinations as necessary. Work Schedule: Intermittent: Schedule will vary Financial Disclosure Report: Not required
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.