About The Position

The Cardiovascular Technologist functions as the first assistant to the Cardiologist during the cardiovascular procedure Performs a wide range of diagnostic tests and support duties such as the collection of blood samples for analysis for research, coagulation studies and blood gas determination. Operates radiologic fluoroscopy equipment to allow the medical team to appropriately visualize images during the procedure. Assists or performs testing such as electrocardiograms (ECG), intravascular ultrasound, intracoronary pressure wire, drug exercise challenges, and the administration of dynamic electrocardiographic monitoring (Holter) analysis. Monitors cardiac rhythms and able to recognize abnormal and life-threatening rhythms. Performs other monitoring procedures such as oximetry, blood pressure, arterial monitoring, intracardiac monitoring and able to recognize abnormal readings. Performs patient care procedures such as applying dressings, and collection of specimens or blood samples for analysis, and removal of access sheaths. The technologist is scrubbed and gowned and responsible for preparing the catheters, guide wires, transducers, angioplasty balloons, stents, manifold and ACIST assembly, and intracardiac echocardiography and intravascular ultrasound assembly. The incumbent may also function in the non-sterile, role (circulator) by positioning the patient, preparing the vascular access site on the patient, operating the electric exam table and radiologic equipment, opening sterile supplies and monitoring patient physiologic response to the procedure. During cardiac arrest the incumbent operates the defibrillator and initiates CPR. Performs diagnostic tests, both invasive and non-invasive, of the cardiovascular and pulmonary systems. Monitors. and collects data from instruments used in procedures such as cardiac catheterization, angiography, valvuloplasty, angioplasty, electrophysiology studies, cardiac pacing, or cardiac pacemaker or lead wire insertion, and cardiac implantable electronic device monitoring and reporting. The incumbent supports the following medical procedures: right and left heart catheterization; ventriculography; coronary angiography; aortography; peripheral angiography; coronary and peripheral intervention; rotational atherectomy; endomyocardial biopsy; aortic valvuloplasty; percutaneous closure of interatrial shunts including patent foramen ovale and atrial septal defects; planned structural heart interventions including transcatheter aortic valve replacement and percutaneous mitral valve repair, temporary pacemaker insertion; insertion of intra-aortic balloon; transseptal puncture; pulmonary vein angiography. The technician operates the following equipment: multi-channel physiologic recorder; fractional flow reserve and intravascular ultrasound consoles; rotational atherectomy equipment; external defibrillator; PC with windows spreadsheet. The technologist sets up procedure suite ensuring sterile supplies and other required equipment are carefully selected and properly presented as determined by the procedure being performed. The technologist sets up fluoroscopy and hemodynamic monitoring computers, performs quality checks to ensure readiness for use during the procedure. The technologist also sets up the fluoroscopic system so that appropriate views of cardiac anatomy can be obtained and recorded for analysis. Current systems are Philips Medical, Biosense, ESI, and Medtronic cryoconsole. Performs check of lead shielding equipment in compliance with National Standards (Joint Commission, OSHA). The technologist prepares the various computer software and peripheral to quantitate coronary lesions and to generate reports, cardiac output (thermodilution, Fick determinations). The technologist also maintains logs of patient data, manage archiving of procedural logs, and maintains directory of archived studies currently in Siemens Syngo Dynamics. Performs daily calibration of equipment. Prepares physiologic monitoring equipment such as ECG, Oximetry, Intra-aortic Balloon Pump (IABP), balloon catheters, code cart, intravascular ultrasound, Fick cardiac output device, therapeutic pressure wire, defibrillator and various other complex equipment. Performs quality checks for various lab analysis equipment such as blood gas, coagulation studies that are used throughout the procedure. Ensures that emergency medication is available in the suite, performing quality checks to verify outdates and competency of like containers to ensure sterility and correct medication dosage. Ensures proper function of digital fluoroscopy system. Provides reports, keeps records. Reviews test results with the interpreting physician. Assists with data collection and reporting for Cardiology Division Quality Assurance. Assists with equipment and supply management. Uses Computerized Patient Record System (CPRS) for scheduling information, patient exam notes and results. Uses Personal Computer Network for access/input to Department files and information and computerized e-mail systems and internal Internet page. Must be able to use other computer-based data entry forms for recording preliminary data from each recorded examination. Assists in management of data transfer in Picture Archiving and Communication System (PACS) systems.

Requirements

  • Complete an accredited educational program
  • Pass a certification exam
  • Obtain certification in Registered Vascular Technologist offered by the American Registry of Diagnostic Medical Sonographers (ARDMS)
  • The technician shall also have performed catheterization and electrophysiology laboratory procedures a minimum of 12 months within the past 24 months not including training.
  • The Cardiovascular Technologist shall have performed catheterization and electrophysiology lab services, procedures, all principle duties and responsibilities listed below for a minimum of two years.
  • Must be able to recognize normal anatomy and functional anatomy in diseased conditions.
  • Must be able to recognize normal ECG and recognize abnormal rhythms.
  • Must have knowledge and clear understanding of the coronary arteries and cardiac chamber anomalies as well as pressure requirements of the heart to anticipate and set up for the specific catheterization and/or electrophysiology procedures needed to make a diagnostic evaluation.
  • Requires extensive knowledge and understanding of electrocardiography (ECG), how to perform the procedure accurately, understanding of abnormal cardiac rhythm during catheterization and electrophysiology procedures so that proper therapy is initiated

Responsibilities

  • Functions as the first assistant to the Cardiologist during the cardiovascular procedure
  • Performs a wide range of diagnostic tests and support duties such as the collection of blood samples for analysis for research, coagulation studies and blood gas determination.
  • Operates radiologic fluoroscopy equipment to allow the medical team to appropriately visualize images during the procedure.
  • Assists or performs testing such as electrocardiograms (ECG), intravascular ultrasound, intracoronary pressure wire, drug exercise challenges, and the administration of dynamic electrocardiographic monitoring (Holter) analysis.
  • Monitors cardiac rhythms and able to recognize abnormal and life-threatening rhythms.
  • Performs other monitoring procedures such as oximetry, blood pressure, arterial monitoring, intracardiac monitoring and able to recognize abnormal readings.
  • Performs patient care procedures such as applying dressings, and collection of specimens or blood samples for analysis, and removal of access sheaths.
  • Prepares the catheters, guide wires, transducers, angioplasty balloons, stents, manifold and ACIST assembly, and intracardiac echocardiography and intravascular ultrasound assembly.
  • Positions the patient, preparing the vascular access site on the patient, operating the electric exam table and radiologic equipment, opening sterile supplies and monitoring patient physiologic response to the procedure.
  • Operates the defibrillator and initiates CPR during cardiac arrest.
  • Performs diagnostic tests, both invasive and non-invasive, of the cardiovascular and pulmonary systems.
  • Monitors and collects data from instruments used in procedures such as cardiac catheterization, angiography, valvuloplasty, angioplasty, electrophysiology studies, cardiac pacing, or cardiac pacemaker or lead wire insertion, and cardiac implantable electronic device monitoring and reporting.
  • Sets up procedure suite ensuring sterile supplies and other required equipment are carefully selected and properly presented as determined by the procedure being performed.
  • Sets up fluoroscopy and hemodynamic monitoring computers, performs quality checks to ensure readiness for use during the procedure.
  • Sets up the fluoroscopic system so that appropriate views of cardiac anatomy can be obtained and recorded for analysis.
  • Prepares the various computer software and peripheral to quantitate coronary lesions and to generate reports, cardiac output (thermodilution, Fick determinations).
  • Maintains logs of patient data, manage archiving of procedural logs, and maintains directory of archived studies currently in Siemens Syngo Dynamics.
  • Performs daily calibration of equipment.
  • Prepares physiologic monitoring equipment such as ECG, Oximetry, Intra-aortic Balloon Pump (IABP), balloon catheters, code cart, intravascular ultrasound, Fick cardiac output device, therapeutic pressure wire, defibrillator and various other complex equipment.
  • Performs quality checks for various lab analysis equipment such as blood gas, coagulation studies that are used throughout the procedure.
  • Ensures that emergency medication is available in the suite, performing quality checks to verify outdates and competency of like containers to ensure sterility and correct medication dosage.
  • Ensures proper function of digital fluoroscopy system.
  • Provides reports, keeps records.
  • Reviews test results with the interpreting physician.
  • Assists with data collection and reporting for Cardiology Division Quality Assurance.
  • Assists with equipment and supply management.
  • Uses Computerized Patient Record System (CPRS) for scheduling information, patient exam notes and results.
  • Uses Personal Computer Network for access/input to Department files and information and computerized e-mail systems and internal Internet page.
  • Uses other computer-based data entry forms for recording preliminary data from each recorded examination.
  • Assists in management of data transfer in Picture Archiving and Communication System (PACS) systems.
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