Current, permanent VA employees or Federal employees from another agency should apply under CBST-11331236-22-AK. The incumbent works in the Ambulatory Care section of the Central Arkansas Veterans Healthcare System (CAVHS). Echocardiography technicians at this level perform/satisfy all requirements of a GS- 8 sonographer and have specialized advanced knowledge and assignments. The cardiac sonographer works under the general supervision of the Specialty Clinic supervisor. The duties of the MEDICAL INSTRUMENT TECHNICIAN (Echocardiography) in the Nursing Service include but not limited to: Ability to identify and record anomalies indicative of disease, injury, or other medically significant conditions from ultrasound imaging and simultaneous recordings of the Doppler. They incorporate the causes and results of a variety of symptoms and conditions into a plan of ultrasonic diagnostic examination. They change and develop sounding techniques to accommodate such variables as limited patient mobility, variation in physical condition or dimension of the patient, presence of prosthetics or foreign objects, and ultrasonic response of different body parts. They produce diagnostic quality images and Doppler frequency recordings using M-mode, two-dimensional, and Doppler ultrasound. Knowledge of complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to develop analysis interpretation formats, and to receive inquiries concerning results. Incumbent demonstrates possession of the knowledge required in order to provide all aspects of echocardiography services. Knowledge of JCAHO, ASE, ACC/AHA and other regulatory requirements. Ability to communicate effectively and professionally with employees at varying grade levels. Ability to provide, or provide for, staff development and training. Ability to manage and supervise employees. Ability to judge/adapt change for the better, adopt or develop new procedures or techniques for individual problems. Takes Initiative to learn new developments in the field, recommend changes to improve service, correct deficiencies, and improve reliability of test and treatment results. The procedures and techniques adapted or developed by the technician may be considered to form the basis for hospital standardization. Knowledge of evaluation and initiation of performance improvement projects, ability to write Policies, Procedures and Protocol development. Knowledge of the impact of emergent echocardiographic findings on patient care and active involvement in improving outcomes SPECIAL ASSIGNMENTS: These special and complex duties are performed by the incumbent at least 25 % of the time. Assists in performing Treadmill stress tests, Nuclear stress tests (treadmill, lexiscan, dobutamine). Assists with immediate patient management in cases of emergent echocardiographic findings. Assists with immediate patient management in cardiology clinic when required per local site policies. Teaches basic techniques to cardiology residents and fellows, and students assigned to the laboratory. Provides patient with basic tobacco cessation education when needed. Provides on call echo coverage during off duty hours including weekends and holidays. Manages echo call schedules and provider procedure interpretation schedules. Performs preventive maintenance of the equipment and coordinates service with biomedical engineering including help with researching/obtaining quotes for parts/services needed. Assists in writing Policies, Procedures and Protocol development. Assists in performance of stress echocardiograms including contrast stress echo. Assists in performance of contrast echocardiograms- Agitated saline, Optison. Ability of assisting cardiologist in performing transesophageal echocardiograms. Performs electrocardiograms (EKGs) and trains other staff on performing EKGs. Performs Halters/Ambulatory Cardiac Monitoring and trains other staff on performing the same. Maintains EKG, stress test, Holter reports on the MUSE system. Assists in maintaining and ordering adequate supplies and medications used in the department. Assist Medical Service with all cardiology clinic consultations tracking to include inpatients and outpatients consults. Ability to prepare an equipment request for needed equipment and follow through with the process of acquiring it. Any other duty as assigned by the supervisor. Work Schedule: Monday-Friday, 8:00a-4:30p, other coverage as required Telework: Not available Virtual: This is not a virtual position. Position Title/Functional Statement #:MEDICAL INSTRUMENT TECHNICIAN (Echocardiography)/PD000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial 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.