The Cytotechnologist position is in the Pathology and Laboratory Medicine Service of the Salisbury VA Medical Center. The incumbent performs highly complex laboratory diagnostic testing for diagnosis, treatment, and prevention of disease in the laboratory specialty of cytopathology. The incumbent will provide cytology support to Surgical Pathology, Cytopathology, Autopsy and Histopathology. The Cytotechnologist duties include but are not limited to: have advanced knowledge of specialized and complex subject matter extending beyond the duties of test performance. For assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time. At the advanced level, the cytotechnologist independently performs and monitors processes such as smear preparation, slide fixation, cell block preparation, monolayer filtration processing, and staining. If a discrepancy is identified with these processes, the cytotechnologist will troubleshoot and take corrective action. The Incumbent may act as a technical resource in writing and establishing new processes or procedures. The incumbent performs a full range of specialized tasks, including collecting, compiling, and analyzing data according to the laboratory quality management program. The incumbent uses these laboratory data to implement any needed quality improvement initiatives; will research, test, validate, and implement new procedures and equipment. The Cytotechnologist is responsible for performance of a broad range of testing on patient specimens including surgical specimens, autopsy, gynecological, aspiration biopsy material, blood, urine, sputum, body fluids, CSF, scrapings, and washings. Participates in the fine needle aspiration biopsy service daily, including rapid on-site assessments to evaluate for specimen adequacy. Independently perform ROSE (rapid on-site evaluation). The Cytotechnologist has wide latitude for exercising independent judgement. Develops and implements the use of protocols for performance of tests and evaluation of results and monitors conformity to protocols. Regularly retrieves and evaluates patient data to assess relevant cytopathology parameters (e.g. cytology- histology correlations, ASCUS/SIL ratios, lookback data). Participates in proficiency testing programs for Anatomic Pathology and Surgical Pathology (e.g. Pap PT, ASCP Check Sample Program, CAP surveys). Develops, maintains, and updates procedure manuals. Designs forms as necessary to comply with regulatory agency and laboratory needs. Provides assistance with record keeping system including statistical analysis for Anatomic Pathology and monitors workload recording system. Coordinates and maintains documentation for staff pathologists on all external proficiency testing relating to cytopathology and surgical pathology. Ensures patient materials are provided in a timely fashion for internal and external customers (e.g., pathology case conferences, external facility requests, samples to be tested at reference labs). The position is under technical directorship of the Chief of P&LMS or assigned pathologist and supervision of the Laboratory Manager. The Laboratory Manager provides administrative guidance and general supervision in terms of the broadly defined missions or functions of P&LMS. The position is responsible for independently planning, organizing and coordinating work, resolving problems and ensuring conformity to policy and requirements. Customer Service: Meet the needs of customers while supporting VA missions; consistently communicates and treats customers (veterans, their representatives, visitors and all VA staff) in a courteous, tactful, and respectful manner; provides customers with consistent information according to established policies and procedures; and handles conflict & problems in dealing with the customers constructively and appropriately. Health Safety: The work environment includes risks of exposure, discomfort, and/or irritation associated with regular and recurrent use of hazards such as infectious materials, hazardous, toxic, and carcinogenic reagents (e.g. formaldehyde) and sharp objects (e.g. scalpel blades and microtome knives). The incumbent must use appropriate PPEs, (protective clothing, gloves, face masks, safety goggles, mechanical pipetting devices and biologic safety hoods) as indicated by established safety procedures. The incumbent is required to read and follow guidelines stated in P&LMS and medical center safety manuals. Work Schedule: Full-Time - Day, evening and night shift with rotating weekends and holidays 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.