The Albuquerque, New Mexico VA Healthcare System is recruiting for one (1) Diagnostic Radiologic Technologist (Mammography) within the Radiology/Joint Imaging Service. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. BASIC REQUIREMENTS: Citizenship. Citizen of the United States. Certification. All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology, Radiography (ARRT) (R). Advanced ARRT certification is required for assignments that include computed tomography (CT), magnetic resonance imaging (MRI), [or Mammography (M) duties performed independently, as applicable]. Advanced certification indicates that the incumbent [can operate independently] and has demonstrated specific clinical competency in the appropriate specialty and taken and passed the designated examination. [In modalities that require advanced certification, to support their continued development, technologists who do not possess an advanced certification may be provided on the job training with oversight from a certified radiologic technologist.] Education. Applicant must have completed a full-time training course of at least 24 months in a duration (or the equivalent) in a post-high school diagnostic radiologic technology program, evidenced by a certificate or an associate degree, accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT) or other accrediting agencies as recognized by the Department of Education (DOE). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-5 Experience: None beyond the basic requirements above. Assignment. DRTs at this level operate and monitor commonly used equipment performing routine procedures under general supervision. The technician functions somewhat independently in carrying out these standardized procedures of limited complexity. Deviations from regular procedures, unanticipated problems, and unfamiliar situations are referred to the supervisor for a decision or help. Some assignments at this level also include developmental duties involving more complex procedures designed to prepare the technician for promotion to higher grades in a functional area. Such duties are performed under closer supervision. GS-6 Experience: Applicants must have at least 1 year of experience equivalent to the next lower grade level (GS-5) or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging. In addition, the candidate must demonstrate the following KSAs: Knowledge of basic technique standards for minimum radiographic exposure. Knowledge of anatomy and positioning. Knowledge of all patient safety procedures. Knowledge of radiographic producing equipment. Ability to learn basic computer functions. Assignment. Employees at this grade level serve as developmental DRTs, performing examinations which are routine and standardized in nature. They explain exams to patients in terms they can understand as well as potential hazards. They must also troubleshoot equipment used for diagnostic radiology and exercise extreme caution in the handling and safeguarding of all radiation producing equipment. DRTs must report major equipment malfunctions within a timely manner to service representatives and assist higher graded technologists in performing more complicated examinations. GS-7 Experience: Applicants must have at least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level; or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging; or successful completion of an advanced registry program, with certification, in addition to a 4-year baccalaureate degree program in radiography or other directly related field to diagnostic radiology/imaging? Education may relate to the duties of a specific position or to the occupation but must be appropriate for the position being filled. In addition to the experience above, the candidate must demonstrate the following KSAs: Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system. Knowledge of different contrast material required for the requested study. Knowledge of radiation protection standards, minimum radiographic exposure techniques, appropriate beam limitation to anatomical area, and employing lead shielding when performing standard radiographic and fluoroscopic procedures. Knowledge of computed radiography, CR readers and Digital Imaging systems. Knowledge of PACS and basic computer skills. Assignment. DRTs at this level perform a full range of duties but receive guidance and directions regarding unfamiliar or unusual situations for more complex patient issues. Candidates at this grade level may be qualified to provide services in specialized areas of radiologic technology and/or general radiologic technology services. GS-8 Experience: Applicants must have at least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. In addition to the experience above, the candidate must demonstrate the following KSAs: Ability to check system for operation and assess acceptable performance based on established guidelines. Knowledge of calibration parameters and the ability to make adjustments as needed. Knowledge of patient's clinical record, diagnosis, and laboratory results. Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed. Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers. Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. Assignments. Employees at this grade level serve as staff DRTs at the full performance level. Candidates at this grade level must be qualified to independently provide services in specialized areas of radiologic technology and/or general radiologic technology services with only occasional oversight or direction for highly complex issues. The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-08. References: VA Handbook 5005, Part II, Appendix G25- Diagnostic Radiologic Technologist Qualification Standard. Preferred Experience: Two years of Mammography experience with screening and diagnostic mammography. References: VA Handbook 5005/119, Part II, Appendix G25 The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-08. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service. ["This position is located within the Radiology/Joint Imaging Service Line. Diagnostic radiologic technologists perform procedures and examinations in hospitals or clinics under the direction of radiologists and other medical officers. The objective of the examinations and procedures is to produce radiographic studies that are used in medical diagnosis and interpreted by medical officers to locate injuries, foreign bodies, pathological conditions, or lesions within the body. Duties include but are not limited to: Track 100% of all mammography patients Track number of screening exams read by each radiologist Track number of work-ups ordered by each radiologist Track number of work-ups V's positive/negative results per radiologist Track 100% of all needle localization's and surgical referral mammography patients Perform analysis of mammography practice audit data Vs section's desired goals Ensure quality control tests are being accomplished per ACR/FDA requirements Ensure all data for ACR/FDA accreditation is updated and ready for review at all times Works with Tumor Board Registry in data collection of breast disease and tracks internal biopsy results to calculate sensitivities and specificities Disseminates and interprets policies to wards and clinics as needed, as well as orienting house staff and other medical center personnel to mammography processes and procedures Assist radiologists in the fluoroscopic examinations. Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as cystogram, cholangiograms fistulagrams and arthrography and for the purpose of performing oral and rectal exams of the GI tract. In the case of injected contrast media, a patient consent form must be obtained, when appropriate. These procedures require the use of needles, syringes, intravenous contrast agents, barium, enema bags and drinking cups. Responsible to the radiologists and supervisor for the quality and quantity of radiographic exams performed in order to assure a high level of acceptability of radio graphs while minimizing patient dosage and reducing costs. Practices radiation safety in order to reduce exposure to patient, staff and self. This is achieved by the use of lead aprons, lead gloves, lead shields, lead-lined walls and collimation. As part of compliance with radiation safety regulations and guidelines the technologists/technicians must wear radiation exposure monitoring badge when in designated radiation areas. The incumbent must also be aware of and practice the safety policies/procedures of the medical center and participate in quality assurance activities as directed. Performs image processing procedures such as loading and unloading cassettes on CR digitizers, adjusting image quality when necessary and printing images when required in order to provide adequate and proper processed radiologic examinations. Maintains records and files of exams performed on patients. Edits and when necessary registers patients in the computerized Radiology Information System (RIS) as well as the work list management portion of the HISRIS interface. Properly identifies the patient and the image. Uses left and right markers. This is essential so that mistaken identity does not occur. The technologist must confirm the identification of the patient prior to beginning any study by using two (2) identifiers such as Full name, the patient's Social Security number, birthdate or, in the case of ER or inpatients, the patients ID band. It is imperative that patient and the requested exam are identical. Responsible to explain exams to competent patients so that the patient understands what is to be done as well as what hazards, if any, are possible. May be required by procedure or patient's condition to monitor vital signs, recognize allergic reactions and initiate cardiopulmonary resuscitation. Performs radiographic exams at the bedside and in the operating rooms providing diagnostic x-rays to the surgeons and professional staff on patients that are unable to be x-rayed in the Radiology Service due to incapacity or surgical procedures. These exams are achieved by the use of portable x-ray units and mobile intensifier units (CArms) that may be located in Surgery or other areas within the medical center. Performs other related duties as assigned. Work Schedule: 7:00a.m. - 3:30p.m. Monday through Friday (may include weekends)\nTelework: Not Available\nVirtual: This is not a virtual position\nFunctional Statement #: 00000\nRelocation/Recruitment Incentives: Not Authorized\nPermanent Change of Station (PCS): Not Authorized\nFinancial Disclosure Report: Not required"]
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