Diagnostic Radiologic Technologist (Computed Tomography )

Summary The incumbent's primary responsibilities are in the performance of Computerized Tomographic (CT) examinations. Performs computerized tomography of the head - neck spine - chest - body and extremities. These exams may be performed with the use of contrast materials. Operates independently and without direct supervision in the performance of computerized tomography examinations and special procedures. Qualifications Basic Requirements: Citizenship Be a citizen of the United States (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with VA Handbook 5005 - Part II - chapter 3 - section A - paragraph 3g.) 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).] [NOTE: Assignment to the clinical program director requires meeting JRCERT minimum educational standards as noted in the assignment description.] Credentialing Standards Public Law 97‑35 – the Consumer‑Patient Radiation Health and Safety Act of 1981 – requires that people who administer radiologic procedures meet the credentialing standards in 42 CFR Part 75 – Standards for the Accreditation of Educational Programs and the Credentialing of Radiographic Personnel Essentially – they must have successfully completed an educational program that meets or exceeds the standards described in that regulation and is accredited by an organization recognized by the U.S. Department of Education and be certified as radiographers in their field Loss of Credential An employee in this occupation who fails to obtain certification within two years – or who fails to maintain the required certification – must be removed from the occupation – which may also result in termination of employment 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) – and 7407(d)

GRADE REQUIREMENTS

a Creditable Experience Knowledge of Current Radiologic Technology Practice To be creditable – experience must have demonstrated possession of the knowledge – skills – abilities – and other characteristics (also referred to as clinical competencies) associated with current radiologic technology practice This may have been evidenced by the equivalent of one year of active practice – which is paid or non‑paid employment as a DRT as defined by ARRT Quality of Experience Experience is only creditable if it was earned after completion of the basic certification requirements identified in paragraph 2b above Experience as a graduate DRT is creditable provided the candidate functioned as a DRT and subsequently passed the certification examination Part‑Time Experience Part‑time experience as a DRT is creditable according to its relationship to the full‑time workweek For example – a DRT would receive one week of full‑time credit for each two weeks of half‑time work Specialized Assignments Computed Tomography (CT) This specialty modality requires specific knowledge of cross‑sectional human anatomy and its application in spiral – and/or – multi‑slice computer tomography – inclusive of 3‑D reconstruction scans – including drainages – biopsies – and peripheral vascular examinations The technologist requires specific knowledge and training in the location – appearance – and function of the various major and minor systems susceptible to radiological illumination to interpret the examination request accurately to understand the functioning and inter‑relationship of the various organs to use the methods and techniques which will identify organs appearing on the digital display monitor – or on film – and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician [DRT assignments that include performance of independent duties in this subspecialty require advanced ARRT certification.] [Diagnostic Radiologic Technologist] – GS‑8 [] (1) Experience At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level (2) Assignments Employees at this grade level serve as staff DRTs at the full performance level Candidates at this grade level must be qualified to independently provide services in specialized areas of radiologic technology and/or general radiologic technology services with only occasional oversight or direction for highly complex issues (3) Demonstrated Knowledge – Skills – and Abilities In addition to the experience above – the candidate must demonstrate all of the following KSAs: (a) Ability to check systems for operation and assess acceptable performance based on established guidelines

• b) Knowledge of calibration parameters and the ability to make adjustments as needed
• c) Knowledge of patient's clinical record – diagnosis – and laboratory results
• d) Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed
• e) Skill in using tact – diplomacy – and courtesy in dealings with the customer base – patients – staff – family – visitors – and volunteers
• f) Knowledge of anatomy and physiology – and cross‑sectional anatomy – recognizing unusual images – and determining proper positioning to best demonstrate areas of interest.

Duties VA Careers – Diagnostic Radiologic Technologist: Total Rewards of a Allied Health Professional Functions: a Schedules exams in a manner so as to optimize scanner times while maintaining flexibility for emergency cases This requires the ability to prioritize scheduled patients as well as the ability to accommodate the emergency patient who may need immediate emergency surgery – etc b Confers with radiologists to determine requirement of non‑standard exams Determines technical factors – positioning – number and thickness of scans – etc. – to produce and satisfy requirements of CT scanning Schedules patients for examinations Advises radiologists or referring physicians of examination results Notifies them of scans requiring their immediate attention Ensures all images and associated series are transmitted to the PACS immediately upon completion c Performs computerized axial angiography exams per protocol Performs reconstructions of CT angiography studies when requested or when part of a standard procedure d Assists radiologist when performing CT Guided Biopsies and aspirations Setting up equipment Prepare slides and specimens when lab personnel are not available and deliver to the laboratory service Maintains ample supplies prior to all scheduled exams and procedures e Responsible for routine monitoring and stocking of all CT supplies and related materials to ensure optimal inventory levels f Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique the storage of sterile supplies the disposal of body fluids and sharps proper attire hand washing practices and continuing education g Works in close collaboration with the radiologist as a member of the radiology team Must assist and anticipate the needs of the radiologists in the performance of the CT exam and related special procedures Must demonstrate effective situational awareness of but not limited to the patient's condition – examination protocols – equipment operability – environmental hazards – active/passive safety measures – and emergency procedures The alertness of the individual is essential to recognize patient reactions – anticipate technique factor difficulties – and effectively respond to workplace emergencies – etc h Prepares contrast materials that are used in CT exams Improper use or administration of contrast materials runs the risk of patient mortality and – therefore – it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it In addition – must be continuously alerted to the patient's condition and other disorders Reactions on the part of the patient require immediate attention so that harm does not come to the patient Is certified to insert IV needles for administration of contrast material when necessary i Public Law 97‑35 requires people hired after 1987 who administer radiologic procedures meet the credentialing standards in 42 CFR – Part 75 – must be certified as radiographers in their fields and maintain annual licensure renewal Per VA Handbook 5005/77 Part II Appendix G25 Diagnostic Radiologic Technologist Qualification Standard all CT technologists hired after June 26 – 2014 – must be ARRT certified with Advanced certification in CT CPR certification is required and recertification in accordance with American Heart Association guidelines j Practices radiation safety in order to reduce exposure to patients – staff and self This is achieved by the use of lead aprons – lead gloves – lead shields – lead lined walls – collimation – exam screening/verification – dose monitoring – annual staff safety training and daily QA Technologists must wear film badges in compliance with radiation regulations k Properly identifies patient images This is essential so that mistaken identity of patient images does not occur The technician must be certain that the patient I.D band and the request are identical Confirms patient identity by verbally confirming at least two identifiers: patient name – full date of birth or social security number l Responsible for explaining basic exam indications – preparation requirements and contraindications to alert and oriented patients so that patients understand the general exam procedure to include adverse effects – if any – are possible m Maintains records and files of exams performed on patients This includes the proper registration and editing of patient exams in the computerized information system – copying images (to PACS – CD or film) – logging patients onto the HIS‑RIS work list n Continually reviews new developments in the field of computerized tomography through continuing education compliance activities Continually strives to improve quality of exams utilizing the new technologies available The purpose of this review is to provide patients with the highest quality imaging for diagnostic purposes Work Schedule: M-F 12:30P to 9:00P #J-18808-Ljbffr U.S. Department of Veterans Affairs