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Medical Instrument Technicians (Diagnostic Ultrasound) perform a full range of procedures including special complicated examinations for which there are no standard instructions or procedures. They are expected to perform the full range of general, vascular, and/or echo ultrasound procedures including the most complex and non-routine and to make appropriate adjustments in established procedures and techniques to obtain the results required for clinical diagnosis and documentation. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with VA Policy. Grade Determinations: GS-9 Experience. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. This would be specialized experience which demonstrates possession of the knowledge required in order to provide all aspects of diagnostic ultrasonography services. Demonstrated Knowledge, Skills, and Abilities. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols that pertain to diagnostic ultrasonography. Knowledge of JCAHO and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. Certification. Registration by Cardiovascular Credentialing International (CCI) or by the American Registry of Diagnostic Medical Sonographers (ARDMS) is highly desirable. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications are also desirable. References: VA Handbook 5005/15, Part II, Appendix G27 Physical Requirements: Incumbent exercises physical effort in the performance of duties-continually standing, bending, walking, stooping, frequently pushing and pulling patients stretchers and mobile imaging equipment, occasionally lift and carry items weighing up to thirty pounds. Position also requires operation of the computer keyboard which requires frequent involvement (flexion and extension) of both wrists. Positioning patientswho are unconscious or disabled requires considerable effort and working in awkward positions. Heavy lifting of totally incapacitated patients is done only with the help of other employees. Eyestrain may be encountered. Work is performed in areas having adequate heating and cooling and is exposed to disagreeable odors and minor injuries. Portable examinations may be required, which entail transporting equipment to bedside and examining the patient on the ward. ["Advises radiologists or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Performs ultrasound examinations of the abdomen, neck, chest and extremities, retroperitoneal space for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders. Participates in the training of physicians, students and radiology technologist so that these individuals may acquire an understanding of the principles of ultrasound and how it relates to other diagnostic exams. Performs routine clerical procedures for the purpose of maintaining accurate ultrasound records so that easy recall of patient examinations may be achieved. Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results. On the basis of radiologic findings, determines necessary ultrasonic procedures to yield definitive diagnostic findings. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Maintains adequate supplies so that examinations are not delayed due to the lack of necessary equipment and supplies. Assists the radiologist in the performance of fine needle aspiration, biopsies, and catheter placements for the purpose of diagnostic treatment using ultrasound techniques. This requires the use of surgical sterile techniques, syringes, needles, contrast, etc. Develops and maintains patient prep procedures so that patients and wards understand the proper preparations for ultrasound examinations in an effort to minimize delays of examinations. These preps are disseminated either by written preparation information or by telephone conversation. Explains examinations to be performed to the patients so that an understanding of the purpose of the study as well as any requirements of the patients are thoroughly understood. This is done so that an adequate ultrasound study may be obtained in an effort to get diagnostic examinations for the purpose of treatment and diagnosis of disorders. Gathers related information such as patient chart, x-rays, etc., so that correlation of examinations to other studies may be made by the radiologist in diagnosis and recommendation of treatment for medical disorders. Distributes ultrasound examinations and related information to the radiologist responsible for the interpretation of the exams. This is done so that treatment based on diagnosis may be effectuated in a timely manner. Performs or supervises routine housekeeping duties to assure that the ultrasound area is clean and sanitary. This is done so that when sterile procedures are required in the ultrasound area, there is minimal possibility of cross contamination due to unsanitary conditions. The incumbent must be aware of and practice the safety policies/procedures of the medical center, and participate in quality assurance activities as directed. Work Schedule: Full Time, Monday-Friday 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 54899-A Financial Disclosure Report: Not required"]

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