This position is located in Cardiopulmonary Service of the West Texas VA Healthcare System, in Big Spring, Texas. Specialty Care Service. This vacancy is being extended until 3/28/2022 or until filled. Echocardiography Has advance knowledge of complex and treatment and exam procedures and techniques. Uses independent judgment of clinical cardiology, ultrasound, and Doppler principles. Produces diagnostic quality images by manipulating Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and color flow Doppler imaging. Identifies normal echocardiography findings and deviations produced by a wide variety of cardiovascular diseases and record anomalies indicative of diseases, injury, and other medically significant condition from ultrasound imaging and simultaneous recording of the Doppler. Conducts cardiac testing to determine the severity and variety of cardiac problems, i.e., valvular dysfunction, myocardial wall kinesia, effusions, endocardial lesions, etc. Able to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc. Able to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings. Incorporates the cause and change and develops sounding techniques to accommodate such variables as limited patient mobility, variation in physical condition or dimension of the patient, presence of prosthesis or foreign objects, and ultrasonic response of different body parts. Incorporate the causes and results of a variety of symptoms and conditions into a plan of ultrasonic diagnostic examination. Uses problem-solving skills to optimize the evaluation and adjust the exam to ensure that it is comprehensive and accurate. Receives patients, explains procedure and performs exam. Independently sets, calibrates and operates the ultrasound equipment. Performs quality assurance testing on the ultrasound unit using phantom and test checklists for the purpose of assuring peak performance of the ultrasound equipment. Maintains records of the quality assurance testing so that easy reference is available should servicing be necessary. Makes adjustments to the machine when necessary. Differentiates artifacts from normal or pathological processes and recognizes electronic equipment limitation. Makes multiple simultaneous settings and adjustments in operation of equipment to ensure accurate results. On basis of findings, determines necessary ultrasonic procedures to yield definitive diagnostic findings. Recognizes a diagnostic or non-diagnostic scan and consults with the physician to determine the proper diagnosis. Responsible for the quality and quantity of cardiac exams performed in order to assure a high level of acceptability of images. Performs echocardiography independently, without direct supervision. Electrocardiography Able to perform Electrocardiograms and Rhythm Strips and recognize artifacts. Recognizes critical results and notify the physician. Knowledge of pharmacology including the classification and administration of drugs, patient responses, and common dosages as related to this specialty is required. Able to recognize special patient needs such as disabilities, impaired mobility, and complicating medical conditions in order to prepare and position the patient for the prescribed procedure. Knowledge of the specialized equipment and accessories appropriate to Holter monitoring and ability to perform such tests. Knowledge to apply Holter Monitor and scan Holter tape for physician interpretation. Recognizes critical rhythm defects and notify the physician. Knowledge of universal precautions and sterilization techniques and ability to follow CDC guidelines in cleaning equipment. Monitor the patient for adverse reactions and take appropriate action. Able to operate the equipment to perform standard and routine highly specialized procedures including exercise stress testing. Knowledge of typical patient reactions and signs of distress including the ability to recognize, report and treat potentially lethal arrhythmias. Knowledge of pharmacology related to specialized procedures. Assists physician with treadmill stress testing including Cardiolite Persantine stress by monitoring patient vials (Heart Rate & Blood Pressure). Corroborate with other departments as necessary, including, Imaging, Pharmacy, Nursing and Medical. Performs the all above duties independently; without direct supervision. Work Schedule: Monday - Friday, 8:00am - 4:30pm Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Medical Instrument Tech (Echocardiography)/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required