Diagnostic Radiologic Technologist - Veterans Affairs, Veterans Health Administration

Summary The incumbent will serve in this developmental assignment until the full performance level of Diagnostic Radiologic Technologist,GS-647-6, target GS 647-7, target GS-647-8 is reached. The duties performed are those of an advanced trainee and are commensurate with the grade of the position. At the GS-5 level, the employee performs assignments that are planned to provide further technical development. Completed work is reviewed for accuracy, adequacy, and adherence to VA policies and methods. Responsibilities DUTIES: GS5: Performs procedures such as fluoroscopy, gastrointestinal examinations, conventional plain film radiography, tomography, ERCP, myelography, fluoroscopic guided, interventional procedures, portable radiography, digital radiography, and operating room radiography. Supports radiologists and clinicians in the performance of these exams; anticipates imaging, and equipment needs before and during the procedure, follows the progress of the procedure and facilitates an efficient flow. Performs radiographic procedures using the proper exposure techniques, including manual and photo timed exposures. These exams are performed using exposure tables, intensifying screens, buckies, collimators, filters, grids, and other technical aids to produce radiographs of diagnostic quality with the minimum of retakes. Reviews requests for appropriateness before performing exams. Incumbent 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. Presents discrepant or deficient indications to the supervisory technologist or radiologist as appropriate. Sets up the x-ray room assuring sterile supplies, contrast materials, catheters, and other required equipment are present and laid out. Prepares and administers contrast material orally, by enema, or intravenously under radiologist supervision. Monitors patient's vital signs during these examinations and initiates the appropriate response for varying levels of adverse contrast reactions. GS6: Performs procedures such as fluoroscopy, gastrointestinal examinations, conventional plain film radiography, tomography, ERCP, myelography, fluoroscopic guided, interventional procedures, portable radiography, digital radiography, and operating room radiography. Supports radiologists and clinicians in the performance of these exams; anticipates imaging, and equipment needs before and during the procedure, follows the progress of the procedure and facilitates an efficient flow. Performs radiographic procedures using the proper exposure techniques, including manual and photo timed exposures. These exams are performed using exposure tables, intensifying screens, buckies, collimators, filters, grids, and other technical aids to produce radiographs of diagnostic quality with the minimum of retakes. GS7: The technologist properly identifies radiographs/images with patient's full name, date of birth and social security number. Properly mark radiographs/images with right or left markers, so as not obscure anatomic detail: technologists initials, date and time completed, indicating supine, erect or decubitus view. Status tracking of patients must be done for each exam. Status tracking must be completed in the computer, to include VISTA and McKesson PACS, before advancing to the next exam. Supports CPT coding compliance; utilizes appropriate CPT codes for the exams performed. Sends images to PACS; ensures images are transmitted successfully. Works independently, without a supervisor, when working tours in the evenings, nights, weekends or holidays. Coordinates workflow with other technical team members. Interacts with supervisory and regular staff from other departments. Responsible for making on the spot decisions regarding patient care and procedures. GS8: The technologist provides direct, one on one, instruction to rotating technologist students and direct and indirect instruction to Radiology residents. Responsible for training, assisting, supervising and coordinating the work of one or more lower graded technologists when an assigned area requires more than one technologist. Must assure timely, competent, and efficient use of technologist resources to complete all assigned tasks. Uses knowledge, experience, and administrative and communicative skills to assist immediate supervisor in managing their assigned work area. Will be responsible to immediate supervisor for quality and quantity of work performed by themselves and lower graded technologist in their assigned work area. Performs radiographic procedures using the proper exposure techniques, including manual and photo timed exposures. These exams are performed using exposure tables, intensifying screens, buckies, collimators, filters, grids, and other technical aids to produce radiographs of diagnostic quality with the minimum of retakes. Makes adjustments as needed. Work Schedule: 8am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. 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). 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) NOTE: Assignment to the clinical program director requires meeting JRCERT minimum educational standards as noted in the assignment description 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: GS5: Experience or Education. None beyond the basic requirements 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. GS6: Experience or Education. At least one year of experience equivalent to the next lower grade 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. 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. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of basic technique standards for minimum radiographic exposure. (b) Knowledge of anatomy and positioning. (c) Knowledge of all patient safety procedures. (d) Knowledge of radiographic producing equipment. (e) Ability to learn basic computer functions. GS7: Experience or Education. 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. 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. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:(a) Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system. (b) Knowledge of different contrast material required for the requested study. (c) 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. (d) Knowledge of computed radiography, CR readers and Digital Imaging systems. (e) Knowledge of PACS and basic computer skills. GS8: Experience. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. 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. Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Ability to check system for operation and assess acceptable performance based on established guidelines. (b) Knowledge of calibration parameters and the ability to make adjustments as needed. (c) Knowledge of patient's clinical record, diagnosis, and laboratory results. (d) Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed. (e) Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers. (f) Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is 5. The actual grade at which an applicant may be selected for this vacancy is in the range of 8 Physical Requirements: See VA Directive and Handbook 5019. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.