Supervisory Med Inst Tech (Vascular)

Department of Veterans Affairs•Philadelphia, PA

30d

About The Position

This is above the full performance level for the Supervisory Medical Instrument Technician (Vascular) requiring specialized advanced knowledge and assignments. The work involves operating or monitoring diagnostic and therapeutic medical instruments and equipment associated with vascular and general sonography duties, to include carotid ultrasound and complex doppler studies, as well as general ultrasound. Duties include, but not limited to: Coordinates technical procedures that require independent judgment, ingenuity, and initiative in the application of non-ionizing high frequency ultrasonic waves to humans for diagnosis of disease in the clinic or on the inpatient unit Portable and emergent examinations are required. Knows and understands the principles of grayscale and color Doppler ultrasound as well as segmental, plethysmography, pulse volume recordings, ankle brachial indices and pre-and post-exercise testing and equipment, and the highly specialized equipment well enough to approve the quality and acceptability or non-acceptability of each examination. Sets up and adjusts all equipment and manually maneuvers the transducer to perform the exam. Receives and identifies patients, explains methods of procedures, assists movement of patients to and from wheelchairs, carts and tables, positions the patient and performs examinations requested. Performs vascular sonography studies, records and prepares the processed media for interpretation by the staff radiologist. Maintains records of patients in the Vista radiology package and any other commercial PACS. Schedules and prepares patients for exams and explains-procedures to patients while performing the studies. Obtains pertinent diagnostic vascular examinations for the physician. Routinely performs vascular studies. Performs ultrasound examinations of the abdomen, neck, chest and extremities, retroperitoneal space, pelvis, OB, and Vascular studies. Differentiates artifacts from normal or pathological processes and recognizes electronic equipment limitations. Recognizes all the elements of a diagnostic ultrasound examination and consults with Staff Vascular Surgeons to determine the proper diagnosis. Knowledge of cross-sectional, coronal, longitudinal and variable plane vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenosis, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation. Ability to provide Doppler information of central and peripheral arteries and veins; demonstrate characteristic differences related to the organs they supply; accurately quantify central and peripheral arterial vascular stenosis; and identify and correlate specific waveform analysis, plethysmograph tracings, velocity changes, and pressure gradients characteristic of normal, partially obstructed, or occluded vessels or grafts. Operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume. Provide objective data to document progression or regression of disease. Performs training of technicians or technologists for any new ultrasound or vascular procedure. Performs routine clerical procedures as necessary. Reviews new developments in the field and provides recommendations. Maintains adequate supplies. Provides and sends ultrasound images and related information to the vascular surgeon responsible for the interpretation of the exams. Operates multi-image cameras. Assures that preventative maintenance and any required QA is completed in a timely manner. Performs or supervises routine housekeeping duties. Follows standard operating procedures for disinfection of ll transducers utilized. Be aware of and practice the safety policies/procedures of the medical center and participate in quality assurance activities as directed. Trains new and established technologists. Help develop, coordinate, and maintain formal orientation, training, and evaluation for established an incoming technologist. Responsible for teaching the correct methodology of diagnostic ultrasound procedures, theory of operations, and theory of interpretation of results to trainees. Assists in the development of new protocols, policies and procedure manuals. Preparing work assignments, Conducting performance appraisals, and other clinical and administrative responsibilities. Assures compliance with accrediting agency and regulatory requirements, and the quality management program, assuring corrective action is initiated as needed. Assures orientation and competency assessment of assigned staff. Develops policies and procedures and Manages document control; Develops performance standards, position descriptions and functional statements; Assumes responsibility for professional and administrative management of an assigned area to include budget execution. Maintains interdepartmental relations with other services.

Requirements

specialized advanced knowledge
knowledge of cross-sectional, coronal, longitudinal and variable plane vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenosis, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation.
Ability to provide Doppler information of central and peripheral arteries and veins; demonstrate characteristic differences related to the organs they supply; accurately quantify central and peripheral arterial vascular stenosis; and identify and correlate specific waveform analysis, plethysmograph tracings, velocity changes, and pressure gradients characteristic of normal, partially obstructed, or occluded vessels or grafts.

Responsibilities

Coordinates technical procedures that require independent judgment, ingenuity, and initiative in the application of non-ionizing high frequency ultrasonic waves to humans for diagnosis of disease in the clinic or on the inpatient unit Portable and emergent examinations are required.
Knows and understands the principles of grayscale and color Doppler ultrasound as well as segmental, plethysmography, pulse volume recordings, ankle brachial indices and pre-and post-exercise testing and equipment, and the highly specialized equipment well enough to approve the quality and acceptability or non-acceptability of each examination.
Sets up and adjusts all equipment and manually maneuvers the transducer to perform the exam.
Receives and identifies patients, explains methods of procedures, assists movement of patients to and from wheelchairs, carts and tables, positions the patient and performs examinations requested.
Performs vascular sonography studies, records and prepares the processed media for interpretation by the staff radiologist. Maintains records of patients in the Vista radiology package and any other commercial PACS.
Schedules and prepares patients for exams and explains-procedures to patients while performing the studies.
Obtains pertinent diagnostic vascular examinations for the physician.
Routinely performs vascular studies.
Performs ultrasound examinations of the abdomen, neck, chest and extremities, retroperitoneal space, pelvis, OB, and Vascular studies.
Differentiates artifacts from normal or pathological processes and recognizes electronic equipment limitations.
Recognizes all the elements of a diagnostic ultrasound examination and consults with Staff Vascular Surgeons to determine the proper diagnosis.
Knowledge of cross-sectional, coronal, longitudinal and variable plane vascular anatomy in normal and abnormal vessels, anatomical planes and tissue structures, physiologic effects of disease entities that impact the vascular system, signs and symptoms of acute and chronic vascular disease, and the characteristic appearance of aneurysms, pseudoaneurysms, thromboses, stenosis, occlusions, AV fistulae, and morphology of atherosclerotic plaque formulation.
Ability to provide Doppler information of central and peripheral arteries and veins; demonstrate characteristic differences related to the organs they supply; accurately quantify central and peripheral arterial vascular stenosis; and identify and correlate specific waveform analysis, plethysmograph tracings, velocity changes, and pressure gradients characteristic of normal, partially obstructed, or occluded vessels or grafts.
Operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency, Doppler angle, focal zones, gain, depth, color map, wall filter, and sample volume.
Provide objective data to document progression or regression of disease.
Performs training of technicians or technologists for any new ultrasound or vascular procedure.
Performs routine clerical procedures as necessary.
Reviews new developments in the field and provides recommendations.
Maintains adequate supplies.
Provides and sends ultrasound images and related information to the vascular surgeon responsible for the interpretation of the exams.
Operates multi-image cameras.
Assures that preventative maintenance and any required QA is completed in a timely manner.
Performs or supervises routine housekeeping duties.
Follows standard operating procedures for disinfection of ll transducers utilized.
Be aware of and practice the safety policies/procedures of the medical center and participate in quality assurance activities as directed.
Trains new and established technologists.
Help develop, coordinate, and maintain formal orientation, training, and evaluation for established an incoming technologist. Responsible for teaching the correct methodology of diagnostic ultrasound procedures, theory of operations, and theory of interpretation of results to trainees. Assists in the development of new protocols, policies and procedure manuals.
Preparing work assignments,
Conducting performance appraisals, and other clinical and administrative responsibilities.
Assures compliance with accrediting agency and regulatory requirements, and the quality management program, assuring corrective action is initiated as needed.
Assures orientation and competency assessment of assigned staff.
Develops policies and procedures and Manages document control;
Develops performance standards, position descriptions and functional statements;
Assumes responsibility for professional and administrative management of an assigned area to include budget execution.
Maintains interdepartmental relations with other services.