Employees at this grade level serve as an advanced staff DRT beyond the full performance level of DRT. Employees at this grade level are qualified to provide services in specialized areas of radiologic technology include general diagnostic radiologic technology and ultrasound (Diagnostic/Vascular sonography). 50% General Radiology 50% Ultrasound ([Diagnostic/Vascular] Sonography 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). 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. 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. Physical Requirements. See VA Directive and Handbook 5019. 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). Grade Determinations: In addition to the basic requirements for appointment, the following criteria must be used when determining the appropriate grade assignment of candidates: Diagnostic Radiologic Technologist, GS-9 Experience. At least one year of experience equivalent to the next lower grade level, directly related to the position being filled that demonstrates the clinical competencies described at that level. Examples of experience is as follows: 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, and knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. 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. Assignment: 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. Knowledge, Skills and Abilities: 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. General Radiologic Technology (R). DRTs 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. They prepare and administer contrast media and medications in accordance with State and Federal regulations. All DRTs must be knowledgeable in computerized [and digital radiography (CR/DR),] and picture archiving and communications systems (PACS). Ultrasound ([Diagnostic/Vascular] Sonography) (S), [ (VS)]. Positions should be assigned to the DRT, GS-0647 series, when both ultrasound and other modalities which require the delivery of ionizing radiation are performed. Positions in which ultrasound duties are performed exclusively (no other modalities are performed), should be assigned to the medical instrument technician, GS-0649 series, since ultrasound duties solely do not require the delivery of ionizing radiation. Diagnostic ultrasound uses high frequency sound waves and other diagnostic techniques for medical purposes. The practitioner must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment. The sonographer is regarded as the expert source of all ultrasound imaging, and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. Within this specialization, there is a diverse range of ultrasound imaging sub specialties. These include: 1) diagnostic medical sonography - abdominal, neurologic, obstetrical/gynecologic, [musculoskeletal (MSK), a breast; and 2) vascular sonography-arterial and venous doppler, spectral analysis, and calculating ankle brachial index (ABI)]. Preferred Experience: Basic Life Support (CPR) References: VA Handbook 5005/119 Part II Appendix G25 The full performance level of this vacancy is GS-9. Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of evaluation or examination. ["VA Careers - Diagnostic Radiologic Technologist: https://youtube.com/embed/I-4ku5UMvWM Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Duties Include but are not limited to the following: This specialty technologist uses high frequency sound waves, ionizing radiation and other diagnostic techniques for medical purposes. The technologist must be competent in the production, use, recognition, and analysis of X-ray and ultrasound images and patterns used for patient diagnosis and treatment. The technologist is regarded as the expert source and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. Performs patient assessments, acquiring and analyzing data obtained using ultrasound and related technologies. The technician is required to perform a full range of procedures including special complicated examinations for which there are no standard instructions or procedures. Provides a summary of findings to the physician and/or radiologist to aid in patient diagnosis and management. Requires systematic problem-solving methods to produce high quality diagnostic information and optimize patient care. Knows and understand the principles of ultrasound and the highly specialized ultrasound and radiology equipment to approve the acceptability or rejectability of each scan. This includes preparation and supplies, scanning motions, Time Compensated Gain (TCG ), zoom or expansion, hard copy, picture-oriented examination, organ-oriented examination and initial interpretation of the examination. Uses independent judgment to adapt a procedure plan to optimize examination results or modifies the procedure plan according to the patient's disease process or condition using accessory equipment when appropriate. Responsible for critiquing images for quality and notifying the Radiologist of significant exams requiring immediate attention while the patient is undergoing the examination. Controls technical factors on ultrasound unit, which will affect time, gain, amplitude, velocity, frequency, attenuation, absorption, reflection, scattering, refraction and diffraction. Selects between non-focused, fixed-focus, linear phased array, an annular phased array. Knowledge of anatomy, cross sectional anatomy, and physiology such as the location, appearance, and function of the various major and minor systems applicable to sonographic illustration in order to interpret the requested examination accurately. Receives written requests or instructions for procedures. Interprets the requests or instructions from Radiologists or medical officer. Independently explains procedures, positions the patient for optimal results, and cushions and shields patients as appropriate. Operates Direct Radiography (DR) equipment and Computerized Radiography (CR) equipment. Performs monthly as needed calibrations for the equipment along with running reports such as repeat analysis and patient tracking. Inputs CPT codes and update procedures on the equipment as needed. Independently performs all routine and specialized radiographic examinations of head, spine, trunk, G.I. track, urological system, and extremities for diagnosis of illness or injuries. The technologist captures direct radiographic (DR) and applies proper algorithm, configures the image, and verifies patient information before transmitting them to the picture archive system (PACS). Work Schedule: Monday-Friday 8:00am to 4:30pm Compressed/Flexible: Not Authorized Recruitment Incentive (Sign-on Bonus): May Be Authorized for Highly Qualified Candidates Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Financial Disclosure Report: Not required"]

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