Summary

Position is located at the James H. Quillen VAMC - Mountain Home - TN in the Radiology Department. The employee is an intermittent functional Diagnostic Radiologic Technician. The incumbent operates equipment both mobile and fixed radiographic and fluoroscopic equipment and assists the radiologist/physician in fluoroscopic procedures as part of the diagnostic plan for patients.

Qualifications

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:

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy
• Certification
• All applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology - Radiography (ARRT) (R)
• Education
• Completion of a full-time training course of at least 24 months in 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 from other accrediting agencies as recognized by the Department of Education (DOE)
• Credentialing Standards
• Public Law 97-35 - the Consumer-Patient Radiation Health and Safety Act of 1981 - requires that persons who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75 - Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel
• Essentially - they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the U.S. Department of Education and be certified as radiographers in their field
• English Language Proficiency
• DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) - and 7407(d)
• 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)
• Grandfathering Provision
• All persons employed in VHA as a DRT on the effective date of this qualification standard (December 13 - 2019) are considered to have met all qualification requirements for the title - series and grade held - including positive education and certification that are part of the basic requirements of the DRT occupation
• For employees who do not meet all of the basic requirements in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: DRTs that require a certification - may be reassigned - promoted up to and including the full performance (journeyman) level - or changed to lower grade within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions
• DRTs that require a certification only at higher grade levels must meet the certification requirement before they can be promoted to those higher grade levels
• DRTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard
• DRTs initially grandfathered into this occupation - who subsequently obtain additional education and/or certification that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation
• Employees who are retained as a DRT under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry as a DRT
• NOTE: Each uncertified VHA DRT who was permanently employed on June 21 - 1986 - and whose competence in the safe administration of ionizing radiation was affirmed - in writing - by a VA licensed physician not later than January 1 - 1987 - is considered fully qualified
• These employees may be promoted - changed to lower grade - or reassigned within the GS-0647 occupational series
• Any employee initially retained in this manner who leaves this job series loses protected status and must meet the full requirements in effect at the time of reentry Grade Determinations: Diagnostic Radiologic Technologist - GS-9 Experience
• At least one year of experience equivalent to the next lower grade level (GS-8) - directly related to the position being filled that demonstrates the clinical competencies described at that level
• Quality of Experience
• Experience is only creditable if it was earned after completion of the basic certification requirements identified above
• Experience as a graduate DRT is creditable provided the candidate functioned as a DRT and subsequently passed the certification examination
• Assignments
• For all assignments above the full performance level - the higher-level duties must consist of significant scope - complexity (difficulty) - and range of variety - and be performed by the incumbent at least 25% of the time
• Diagnostic Radiologic Technologist
• Employees at this level are fully functional as an advanced DRT and carry out their assigned tasks independently
• DRTs at this level may have varying assignments including special and complex imaging procedures beyond the full performance level - clinical instruction - and basic QM type duties within the program
• Regardless of the nature of the specific assignment - the work must be of sufficient scope and complexity to meet the knowledge - skills - and abilities to perform at this level
• The candidate must demonstrate all of the following technical KSAs and demonstrate the potential to acquire the assignment-specific KSAs designated by an asterisk (*): Ability to balance the needs of patients and staff while still performing complex scans and procedures
• Knowledge of techniques for gathering relevant information from the medical record - significant others - and health care providers
• Ability to assess factors that may contraindicate the procedure
• Knowledge of basic first aid and basic life support practices related to radiography
• Knowledge of physical assessment - aseptic techniques - intravenous methods and techniques and universal precautions
• Knowledge of pre-procedural - procedural - and post-procedural care of patients
• Reference: VA Handbook 5005 - Part II - Appendix G25 - Diagnostic Radiologic Technologist Qualification Standards The full performance level of this vacancy is GS-09
• Physical Requirements: See VA Directive and Handbook 5019.

Duties

• Functions or Duties of this position include but are not limited to: IMAGING PROFESSIONAL: Coordinates daily schedule and consults with other medical center physicians - clinical - administrative - and clerical personnel of next day and future day's availability for patient examinations
• Employee works independently after normal duty hours - weekends - and holidays
• Reviews request for appropriateness before perfom1ing exams
• Uses appropriateness criteria - the clinical history provided on the request - interviews the patient - reviews the patient chart - or contacts the ordering clinician as needed for clarification
• Conduct an orderly flow of patients by prompt scheduling of patients and being thoroughly knowledgeable of all protocols to aid inquiries of anyone needing to know the status and availability of specialized program studies
• Ensures compliance in hospital safety and radiation safety protocols in addition to infection control and universal precautions always in accordance with age and/or gender specific departmental procedures
• Utilizes the hospital system's electronic medical record system along with the radiology PACS management system and participates in other clerical activities to ensure smooth workflow and provide documentation for the patient chart
• DIAGNOSTIC RADIOLOGIC TECHNOLOGIST (REGISTERED): Prior to imaging - incumbent selects and sets protocols for each individualized patient examination
• Safely transfers patients from stretcher or wheelchair to radiographic table Anticipates the imaging and equipment needs before and during the procedures Follows the progress of tl1e procedure and facilitated flow Prepares room - equipment - and material needed for patient procedures Follows prescribed protocols required to perform procedures Observes patients during procedures and reports complications or unusual events Utilize independent judgment - ingenuity - and initiative to apply prescribed ionizing radiation for radiological diagnosis Checks and makes minor adjustments to equipment Reports equipment failure to supervisor/appropriate staff Always maintains a clean work area and adequate level of supplies within their assigned rooms Carry out assigned tasks independently - varied assignments - including special and complex radiographic procedures Performs the full spectrum of radiographic exams - including standard radiographs - gastrointestinal exams - and genitourinary exams Utilizes textbooks and radiologist to perform exams requiring specialized or modified techniques Performs digital radiography - image manipulation - configures the image and verifies patient information before transmitting them to the PACS system Responsible for the quality assurance of the image (positioning/label/technique/network information) prior to transmission to the PACS network
• Can digitize films/burn CDs for the network and/or transmission to offsite locations
• Maintains the detectors/workstations (i.e.: primary/secondary plate erase - cleanliness of QA stations - etc.) as directed by the manufacturer Reports obvious abnormalities to radiologist before patient leaves department Maintain optimal imaging handling and processing conditions of the x-ray equipment Reviews history in CPRS for allergies Prepares oral contrast (barium or other contrast agents)
• Administers contrast material - under the direction of the radiologist - according to protocols Observes the patient for signs and symptoms of adverse contrast reactions and initiates the appropriate response for varying levels of severity
• Supports radiologist in performance of fluoroscopic exams such as gastrointestinal studies - fluoroscopy guidance studies - and swallowing evaluations
• Fluoroscopic Barium Studies including - but not limited to Esophagus - UGI - Small Bowel - BE - MBS - etc Fluoroscopic Special Procedures including - but not limited to Lumbar Puncture - Joint Injection - G/J Tube Evaluations - IT Chemo Injections - Myelogram - Arthrogram - Central Linc Assessments - etc
• Non-Sterile Environment Fluoroscopic Procedures including - but not limited to Pulmonology Bronchoscopies - EBUS - and Navigational Bronchoscopies along with Gastrointestinal ERCPs OR - Sterile Environment Fluoroscopic Procedures Knowledgeable of sterile technique - including - but not limited to general surgery - gastrointestinal - neurosurgery/pain management - orthopedics - urology along with radiography for foreign bodies and sponge/instrument counts Work Schedule: Intermittent Telework: Not Available Virtual: This is not a virtual position
• Functional Statement # 60175F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required