Echo Tech/Cardiac Sonographer

Job Title

Performs diagnostic ultrasound imaging studies in the echocardiography lab including Stress Echo Sonographers and/or TAVRS/procedures or holds two or more registries.

Job Description

The performance of this function is the reason the job exists. There are limited employees among whom the performance of this function can be distributed. This function occupies a great deal of the employees time. This function is highly specialized. Employees are hired for the skill/ability to perform this function. Failure to perform this function may have serious consequences. The function was performed by past employees and is performed by current employees. Exposure to blood borne pathogens that require the use of protective equipment Exposure to tuberculosis that requires the use of protective equipment

Job Responsibilities and Requirements

POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (Percent of Time)

Essential Functions: The following are essential job accountabilities and performance criteria:

Position Accountabilities

1) Performs ultrasound procedures and examinations according to established department guidelines. 60-75%

Criteria Echocardiology specific: Performs two dimensional, three-dimensional, m-mode, color flow, Doppler flow, ejection fraction, dobutamine and stress echocardiograms according to the Echo Lab policy and procedures manual and standards set forth by the Intersocietal Commission for Accreditation of Echocardiography Laboratories.

B) Clearly communicates & explains the exam procedure to the patient and any family member present to insure understanding and patients consent for explained test.

C) Assesses patients medical, cardiac or vascular status by taking a history before the exam.

D) Assembles a chart with the patients information and enters information into the current PACS System or Electronic Medical Record (EMR).

E) Records all imaging studies (digital archive) for the Medical Director or his/her designee to review and interpret.

2) Completes patient billing to insure accurate and timely billing procedures. 5%

Criteria

Enters charges daily for procedures performed with no more than 1 error per week. Prints reports from PAC, Epic and On Demand. Checks each charge to ensure the right account number is used and the correct procedures are charged.

3) Supports all functions, goals and objectives of the department as well as development of any new programs. 5%

Criteria

A) Participate in development of new diagnostic testing procedures to be performed in the department. Participates in the evaluation of new equipment for potential purchase.

B) Educates residents and other medical or technical staff in the technical aspects, indications and limitations.

C) Enhances professional growth and development through annual participation in educational programs, in-services, workshops, reading current publications, on line CME through various professional organizations & manufacturers and viewing videotaped education programs. Complete required CEUs to maintain specialty certification.

D) Participates in research studies that require services of the department.

4) Safety/Infection Control: Practices according to safety and infection control policies. 3-5%

Criteria

A) Practices universal precautions and disposes of hazardous wastes per established guidelines. Disinfects and cleans equipment according to manufacturers guidelines and standards outlined by Infection Control and department policy, including high level disinfection (HLD).

B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards.

1. Maintains clutter free environment.

2. Keeps conversations and background noise to a minimum

Adheres to dress code. Properly displays ID badge worn with picture visible and above the waistline at all times. Maintains equipment in clean & proper working condition on a daily basis. Troubleshoots & corrects technical problems as needed. Contacts Clinical Engineering or manufacturers service department (if under contract) when malfunctions occur.

C) Reports risk management concerns.

D) Assumes responsibility for completing all assigned annual hospital and department specific mandatory requirements.

1. Safety/Fire

2. Blood Borne Pathogens

3. Hazardous Communication

4. TB

5. Department Specific

6. Age Appropriate Care (for clinical staff only)

E) Works in a constant state of alertness and safe manner.

5) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. 2-5%

Criteria

A) Demonstrates Care and Courtesy to all patients, family members, hospital and medical staff. Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety

B) Communicates Effectively and Maintains Confidentiality as outlined in the hospital policy.

C) Demonstrates Competence and Collaboration as outlined in the hospital policy.

D) Provides Cost Effective Services:

Minimizes overtime by scheduling and performing patient procedures in the most efficient manner (flex time). Appropriately uses/handles equipment and orders supplies to minimize expenditures on repairs, replacement items and inventory.

E) Attends regularly scheduled hospital and department meetings that support and explain the Mission of St. Louis University Hospital and its operation.

6) Performance Improvement (PI): Incorporates Quality Assessment into ones daily work. 2%-3%

Criteria

A) Assists in the daily collection of data for the departments Performance Improvement Program (volume indicators monthly & quality indicators are based upon department operation & requested monitoring by the procedure review committee).

B) Wisely and responsibly utilize the resources within the facility. Take care of equipment and report problems to result in a longer usage life.

C) Recommends changes in practices to increase efficiency and minimize waste to manager.

7) Age Appropriate Care: Provides age-appropriate care to: 1%

_____Infant _____Child ___x___ Adolescent ___x__ Adult ___x__ Geriatric

Criteria

A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department.

B) Demonstrates ability to assess and interpret age specific data to identify patient needs.

C) Utilizes communication skills necessary to interpret age specific responses to service and interaction.

D) Involves family or significant other in decision making related to services provided.

Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.

8) Specialized Care: Provides specialized care to patients at high risk for injury. <1%

Restraint Care

Initiates/evaluates alternatives to restraint prior to application.

Applies restraints consistent with the approved procedure.

Monitors and assesses patients response throughout the restraint period at the appropriate intervals.

Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.

Provides for trail release and removal of restraint as soon as possible.

Adhere to hospital policy Restraints.

Pain Management

Follows pain management plan of care, e.g.: repositioning, message, immobilization, etc.

Reports patient complaints of pain to the nursing staff and/or physician.

Evaluates and addresses pain concerns in accordance with Pain Management Policy (see hospital policy on pain management).

Abuse Assessment

Is aware of abuse recognition criteria and incorporates it into assessments.

Reports signs of possible abuse/neglect to the physician and Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation.

Adhere to hospital policy on Abuse and Neglect Clinical Assessment and Reporting.

9) Assists in the day-to-day operation of the assigned department. 1-3%

Criteria

A) Utilizes work order entry system to report functions which need to be performed by housekeeping, maintenance and clinical engineering.

B) Retrieves previously archived studies for viewing/printing as requested.

C) Assists in clerical duties as required, including telephone responsibilities, processing of reports, posting/mailing of reports, filing, scheduling, etc.

D) Participates in preparing and performing regular safety and infection control surveys. Reports non-compliant issues to manager/administrator and if