Independently, works in two difficult and complex modalities: Computerized Tomography (CT) and General Imaging, and is responsible for clinical, research, and educational duties in these modalities.: Performs routine to moderately complex General Diagnostic/Bone Densitometry and Computerized Tomography (CT) procedures. The purpose of these exams is to achieve diagnostic studies to bring about proper diagnosis and treatment. 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).] 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.] Grandfathering Provision. All persons employed in VHA as a DRT on the effective date of this qualification standard are considered to have met all qualification requirements for the title, series and grade held, including positive education and certification that are part of the basic requirements of the DRT occupation. For employees who do not meet all of the basic requirements in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) DRTs that require a certification, may be reassigned, promoted up to and including the full performance (journeyman) level, or changed to lower grade within the occupation, but may not be promoted beyond the journey level or placed in supervisory or managerial positions. (2) DRTs that require a certification only at higher grade levels must meet the certification requirement before they can be promoted to those higher grade levels. (3) DRTs who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (4) DRTs initially grandfathered into this occupation, who subsequently obtain additional education and/or certification that meet all of the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (5) Employees who are retained as a DRT under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry as a DRT. NOTE: Each uncertified VHA DRT who was permanently employed on June 21, 1986, and whose competence in the safe administration of ionizing radiation was affirmed, in writing, by a VA licensed physician not later than January 1, 1987, is considered fully qualified. These employees may be promoted, changed to lower grade, or reassigned within the GS-0647 occupational series. Any employee initially retained in this manner who leaves this job series loses protected status and must meet the full requirements in effect at the time of reentry. Physical Requirements. See VA Directive and Handbook 5019. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and7407(d). 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: GS-9 Diagnostic Radiologic Technologist Experience. At least one year of experience equivalent to the next lower grade level, directly related to the position being filled that demonstrates the clinical competencies described at that level. Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity (difficulty), and range of variety, and be performed by the incumbent at least 25% of the time. DRTs at this grade level may be appointed to one of the following assignments: Diagnostic Radiologic Technologist. Employees at this level are fully functional as an advanced DRT and carry out their assigned tasks independently. DRTs at this level may have varying assignments including special and complex imaging procedures beyond the full performance level, clinical instruction, and basic QM type duties within the program. Regardless of the nature of the specific assignment, the work must be of sufficient scope and complexity to meet the knowledge, skills, and abilities to perform at this level. The candidate must demonstrate all of the following technical KSAs and demonstrate the potential to acquire the assignment-specific KSAs designated by an asterisk (*): i. *Ability to balance the needs of patients and staff while still performing complex scans and procedures. ii. Knowledge of techniques for gathering relevant information from the medical record, significant others, and health care providers. iii. *Ability to assess factors that may contraindicate the procedure. iv. Knowledge of basic first aid and basic life support practices related to radiography. v. Knowledge of physical assessment, aseptic techniques, intravenous methods and techniques and universal precautions. vi. Knowledge of pre-procedural, procedural, and post-procedural care of patients. References: VA Handbook 5005/119, Part II, Appendix G25, dated December 13, 2019, Diagnostic Radiologic Technologist Qualification Standards, GS-0647. This can be found in the local Human Resources Office. Physical Requirements: Light to Moderate lifting and carrying, up to 44 pounds; straight pulling; reaching above shoulders; use of both hands and fingers required; walking, standing; crawling; kneeling; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; depth perception; ability to distinguish basic colors and shades of colors; hearing (aid permitted). ["Major duties include but not limited to: The incumbent is an expert in all CT and CTA studies. Performs Computerized Tomography (CT) imaging studies of the human anatomy. The types of exams performed CT Abdomen and Pelvis, CT Angiography, CT Biliary Drainage, CT Body, CT Brain, CT Coronary Angiography with EKG Gating, CT Chest, CT Colonography, CT Bone Densitometry, CT Extremities, CT Guided BCT Head, CT Nephrostomy Drainage, CT Perfusion, CT Sinuses, CT Spine, and CT Virtual Colonoscopy. Confers with the radiologists to establish the requirements of non-standard examinations, and determines technical factors, positioning, thickness of slices, radiation levels, and clinical requirements of the CT examinations. Responsible for verifying and executing physician orders for diagnostic CT examinations, ensuring the proper preparation of the exams, and the safety and well-being of the patient during the procedures. Determines the best methods of obtaining optimal CT examinations while ensuring patient safety, regulates patient flow, consults with the radiologists to determine procedural protocols or variances in established procedures. Evaluates exam quality and makes necessary corrections to improve image quality. Incumbent is the designated radiology technologist responsible for the performance and coordination of (a) General Imaging examinations, which are of typical examinations of the skull, skeletal spine, abdomen series, chest, skeletal bone, and all extremities of the skeleton, (b) Fluoroscopic examinations, which are typical examinations of the gastrointestinal tract, genitourinary tract, (c) Performs radiographic exams at the bedside and in the operating rooms providing diagnostic x-rays to the surgeons and professional staff on patients that are unable to be x-rayed in the Radiology Service due to incapacity or surgical procedures, by using portable x-ray units and mobile intensifier units. While performing the examinations mentioned above, the patient's condition may vary from seriously ill, comatose, and under anesthesia (often under sterile conditions). Prepares contrast materials under the direction of the radiologist for the purpose of performing exams requiring injectable solutions such as IVP, cystogram, arthrography and for oral and rectal exams of the GI tract. In the case of injected media, a patient consent form must be obtained. The incumbent monitors all patients receiving contrast media. If a procedure requires contrast, the technologist must prepare the patient for vital sign monitoring, connect the patient to the automatic blood pressure unit, and check the patient's creatinine level to ascertain if IV contrast media can be used. Work Schedule: Typically Monday - Friday; 7:30 AM - 4:00 PM; 8:00 AM - 4:30 PM.\nTelework: Not Available.\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not Authorized.\nPermanent Change of Station (PCS): Not Authorized.\nFinancial Disclosure Report: Not required."]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.