Advanced Practice Sonographer

UT Southwestern Medical CenterDallas, TX
Onsite

About The Position

The Advanced Practice Sonographer (APS) functions as a physician extender, working under the delegated authority of supervising physicians. The successful candidate will focus on providing advanced clinical sonography services at Clements and Zale Lipshy University Hospitals, and/or associated outpatient/clinic imaging centers.

Requirements

  • Associate's Degree In biology, physiology, or other related field
  • 6 years of full-time clinical ultrasound experience including at least three (3) years performing advanced procedures
  • Extensive clinical experience in providing sonography services and demonstrated ability to mentor and support staff sonographers
  • Demonstrated proficiency with computer skills and software programs used for imaging viewing and interpretation, documentation and report generation
  • Registration with American Registry of Diagnostic Medical Sonography Upon Hire
  • Advanced certification in Abdominal, Neurological, Vascular, Obstetrics and Gynecology, or other area of specialization as dictated by unit or standard of care. Upon Hire
  • (BLS) BASIC LIFE SUPPORT Course accredited by the American Heart Association (AHA) or American Red Cross (ARC) prior to hire and/or placement in job Upon Hire
  • Maintain proficiency in at least three advanced ultrasound techniques (e.g., peripheral vascular; 3D ultrasound; CEUS; elastography; MSK; etc.)
  • Attend all faculty-led ultrasound-specific lectures, journal clubs and staff meetings
  • Attend 50% of ultrasound quality improvement and clinical journal club meetings
  • Attend other conferences as necessary to stay current with latest ultrasound practices
  • Maintain 10 CME hours per year.

Responsibilities

  • Reviews ultrasound images with sonographers upon completion of their clinical examination for appropriateness, image quality, and protocol completion.
  • Reviews patient clinical history, including signs and symptoms, to ensure complete patient history and aid in appropriate billing of examination.
  • Reviews prior relevant reports and images including prior ultrasounds, CT's, or MRI's.
  • Provides scanning assistance for technically challenging and/or complicated exams. Authorizes patient release or rescan patient to resolve diagnostic questions.
  • Provide real-time quality assurance feedback, and coordinate department-level quality-improvement initiatives.
  • Synthesizes sonography examination results and prepare draft report in the departmental dictation or reporting system.
  • Assists with new sonographer onboarding and trainee education.
  • Helps communicate new service line and protocol changes to ultrasound staff and/or providers.
  • Participates directly in advanced techniques such as contrast-enhanced, 3D, and musculoskeletal ultrasound.
  • Coordinates guided procedures and searches for relevant history and laboratory values.
  • Facilitates clinical and translational research activities.
  • Performs additional advanced sonography services or other tasks (e.g., peripheral intravenous line placement; contrast injection; endocavitary ultrasound; 3D ultrasound) delegated by the supervising physician, consistent with education, training, and facility protocols, policies, and procedures.
  • Must be able to demonstrate patient-centered/patient-valued behaviors.
  • Assumes responsibility for the safety of the patient while in the ultrasound department.
  • Must be proficient in general ultrasound and/or vascular exams.
  • Apply independent, professional, and ethical judgment, and critical thinking to ensure that appropriate anatomical, pathological, and clinical conditions are accurately captured in the examination images.
  • Ensures the sonography examination order is complete, contains relevant clinical information, and meets the standard for "medical necessity".
  • As necessary, acquires additional images to facilitate optimum diagnostic results for the interpreting physician.
  • Must be virtually self-supervising.
  • Must be able to read, interpret and report ultrasound examinations.
  • Adheres to applicable professional and ethical standards.
  • Ensures compliance with all applicable laws, regulations, policies and procedures.
  • Provides patient services consistent with the Scope of Practice and Clinical Standards for the Diagnostic Sonographer.
  • Excepts as authorized by written facility policies and procedures, refer specific diagnostic, treatment or prognosis questions to the appropriate physician or healthcare professional.
  • Exercises responsibility to ensure that the ultrasound equipment is functioning accurately.
  • Shows ability to troubleshoot quality control procedures to ensure that the ultrasound equipment operates at optimal levels to ensure patient safety and high image quality.
  • Conducts sonography examinations in accordance with infectious disease, sterilization, and patient safety protocols, policies, and procedures.
  • Provides education and training to sonographers in the utilization of new equipment features/benefits or scanning techniques.
  • Directly oversees use/performance of advanced ultrasound techniques such as 3D ultrasound, contrast-enhanced ultrasound, elastography, peripheral vascular Doppler, and musculoskeletal ultrasound.
  • Shows proficiency in post-processing of 3D data for volumetric and multiplanar assessment.
  • Documents any incidental findings that may impact patient safety or patient care and provide that information to the interpreting physician and/or ordering provider.
  • Identifies and documents any limitations to the sonography examination.
  • Exercises responsibility for the preparation, maintenance, and accuracy of reports, database records, and logs.
  • Provides oversight of imaging quality within Picture Archiving and Communication System (PACS).
  • Oversees quality assurance, monitoring sonographer's scanning capabilities, accuracy, protocol completeness, and technique before findings are released for interpretation.
  • Works with the supervising physician to ensure quality patient care.
  • Functions as a technical or clinical leader/expert in sonography.
  • Develops templates to use in reporting examination findings.
  • Creates descriptive preliminary reports for review and finalization by radiologist.
  • Accounts for the creation, oversight and implementation of scanning protocols and quality control activities that positively affect patient care and outcomes, workflow, and/or cost-effective imaging.
  • Provides re-scanning support to staff sonographers, when appropriate.
  • Ensures that appropriate accreditation is secured and maintained.
  • Acts as an effective liaison between sonographers, radiology faculty, imaging service line, hospital administration, department administration, and clinical research office.
  • Demonstrates good verbal and interpersonal skills.
  • Positive, pro-active attitude with willingness to problem solve; ability to build trust and facilitate a collaborative working relationship within a busy clinical service and among multiple sonographers and other stakeholders.
  • Assists with the education and training of sonography students, medical students, residents and/or radiology physicians trainees.

Benefits

  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
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