The VA Portland Health Care System (VAPORHCS) is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics. The Medical Instrument Technician (Ultrasound) supports VAPORHCS status as the Renal and Liver transplant facility for VISN20. Evaluates the nature of critical and emergency procedures, and manages patients scheduled to accommodate them. Incumbent will maintain records and imaging files of patients examined. The incumbent acts, among other sonographers at this level, as the point of contact for lower level employees requiring hands on assistance and additional training. Duties include, but are not limited to: Reviews orders and notes in CPRS to verify appropriate exam and patient's medical history. Performs routine administrative procedures for the purpose of maintaining accurate ultrasound records. Schedules appointments, processes exam requests, and registers patient exams, cancels and case edits exams in the Radiology Information System (RIS). Gathers related information such as current symptoms, prior imaging, patient history et, so that correlation of examinations may be made by the radiologist in diagnosis and recommendation of treatment for medical disorders. Properly identifies patient with at least 2 patient identifiers in accordance with VAPORHCS policy, confirms identity on order, and properly identifies patient images. Accurately utilizes PACS for acquisition, transmission, storage, and review of images, performs QC of all completed studies to ensure timely and accurate interpretation by the Radiologist. Explains examinations to be performed, in a manner appropriate to the patient's ability to understand, the purpose of the study as well as any requirements of the patients so they are thoroughly understood. Advises radiologists of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing examination. Makes multiple simultaneous settings and adjustments in operation of equipment to insure accurate results based on sonographic findings. Acquires high quality images of the abdomen, small parts, chest and extremities, and retroperitoneal space that assist in the diagnosis and treatment of patient medical disorders, while applying elements of the As Low As Reasonably Achievable (ALARA) Principle. Incumbent will adhere to all infection control procedures according to Joint Commission and VAPORHCS guidelines and advises Supervisor of possible noncompliance with said standards. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Maintains adequate supplies so that examinations are not delayed due to the lack of necessary equipment and supplies. Develops and maintains patient prep procedures so that patients and wards understand the proper preparations for ultrasound examinations in an effort to minimize delays of examinations. Distributes ultrasound examinations and related information to the radiologist responsible for the interpretation of the exams. Performs or supervises routine housekeeping duties to assure that the ultrasound area is clean and sanitary. Interpret requests and instructions from medical providers under the guidance of the radiologist. Experience in Joint Commission readiness preparation. Incumbent is aware of and practices the RME processes for various pieces of equipment including disinfection and sterilization processes Incumbent shall identify system errors and work with the Supervisor, Assistant Chief Technologist, Chief Technologist and BioMed department to facilitate the effective and timely service of sonographic equipment. Supports VAPORHCS status as the Renal and Liver transplant facility for VISN20 by demonstrating expertise in liver and renal transplant exams. Independently assists/guides the radiologist/physician using ultrasound techniques in the performance of aspirations and image guided biopsies for the purpose of diagnostic treatment. Takes call and is the subject matter expert in obtaining appropriate information and imaging of emergent exams after hours when limited staff is available. Leads the training of new sonographers and students, and provide less experienced medical instrument technologists the training and guidance necessary for their development in becoming a more proficient and expert medical instrument technologist. Work Schedule: Monday - Friday, Rotating schedule 7am tot 3:30pm and 8am to 4:30pm * On call requirement. Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: PD000000 Recruitment Incentives: Authorized. This applies to New to Federal Service ONLY. 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.