Operates independently and without direct supervision as the technologist responsible for the performance and coordination of all CT diagnostic and CT interventional examinations and procedures at the VA Pittsburgh Healthcare System. These exams are performed without and with the use of contrast materials. The purpose of these exams and / or procedures is to achieve diagnostic images / diagnostic samples so that proper diagnosis and treatment may be effectuated. Position serves the Medical Center as a multi-disciplined technologist with primary responsibilities for performing a full range of diagnostic radiological procedures including computerized tomography, computerized tomographic angiography (CTA), myelograms, arthrograms, stereotactic localization, rotational studies, digital reconstruction of computerized tomographic images, venography, operating room radiography, portable, interventional procedures, bone, chest, spine, extremities, abdominal, and fluoroscopic studies, as well as the following types of responsibilities but not limited to the below: Receives requests from requesting physicians. Schedules patients. Adjusts patient examination priorities as needed to accommodate urgent, emergency, and maximum caseload in CT scanning. Accommodates and adjusts to the examination priorities as established by the concerned supervisor for all other radiological cases. Confers with radiologists to establish imaging goals and clinical requirements for non-standard examinations. Determines technical factors such as parameters for slice thickness and interval of slices, location or region to be scanned, sequence and positioning for angiographic and vascular studies, etc. by use of independent knowledge and expertise and/or by radiologists standards. Prepares all necessary ancillary equipment needed for studies such as physiologic monitors, injectors, needles, catheters and guide wires; as well as preparing any necessary setups such as biopsy trays and interventional trays, in conformance with strict sterile techniques. Prepares for administration of contrast media and a limited number of anesthetic or antispasmodic drugs, such as Lidocaine, under the supervision of the radiologist. Prepares and operates contrast injector. Serves as a reference person in the educating of technologists, residents, nurses, and other allied health personnel in all areas of radiologic technology/CT expertise. quality control programs. Maintain current knowledge of new and developing radiologic techniques and works to adopt state-of-the-art procedures to new examination protocols for the Radiology Program. Takes an active role in developing all necessary technical policy and procedure documentation as determined by service management. Properly maintains all necessary patient radiographic records including technical factors, CT logbooks, VISTA, Stentor, DHCP, core data, archive material documentation (tape or disc), film identification, and technologist identification. Interprets test results and consults with the physician especially any scans requiring immediate attention or intervention while the examination is in progress or to alert the physician of any condition which could be considered life-threatening to the patient. Assists physicians and other employees in the development and execution of research protocols and maintaining the records as necessary to validate the research or training project or funding grant. Assists and develops training programs for new CT/diagnostic radiographic technologists, physicians in training, and general clinical employees. Prepares oral or rectal contrast. Administers oral and rectal contrast under the supervision of a radiologist. Assists the physician in obtaining informed consent for the injection of contrast media for patients with no known contrast allergy. Assists the physician in obtaining written consent for the injection of contrast media for patients with known contrast allergy. Assists the physician in obtaining written consent for interventional CT procedures as mandated by hospital policy. Assists the physician in obtaining laboratory values needed prior to the injection of contrast media, such as BUN and creatatine. Assists the physician in obtaining laboratory values needed prior to performing interventional CT procedures, such as PT, PTT, and INR values. Screens female patients within childbearing age for possible pregnancy. Documents screening on pregnancy screening worksheet with patient's signature. Follows 10-day rule for menstrual cycle. Contacts physician when pregnancy possible. If procedure performed on pregnant or potentially pregnant patient, uses radiation safety devices to properly shield patient during exposure. Maintains ALARA (As Low As Reasonably Achievable) exposures for patient, coworkers and self. Uses radiation safety devices to properly shield patients within childbearing years, when possible. Uses radiation safety devices, aprons and thyroid shield (optional) when performing procedures in which exposure is possible. Minimizes exposure by using shielding and distance. Monitors patient's condition by observation and reports any unusual condition to physician, nurse, chief technologist, or designee of chief technologist. In emergent situations, calls emergency number and starts CPR procedures. Maintains CPR certificate. Can recognize signs of contrast reaction.
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.