This position is located within the Loma Linda Radiology/Joint Imaging Service Line. Diagnostic Radiologic Technologists perform procedures and examinations in hospitals or clinics under the direction of radiologists and other medical officers. The objective of the examinations and procedures is to produce radiographic studies that are used in medical diagnosis and interpreted by medical officers to locate injuries, foreign bodies, pathological conditions, or lesions within the body. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Applicants must be certified in general radiologic technology by the American Registry of Radiologic Technology, Radiography (ARRT) (R). Education. Applicant must have completed a full-time training course of at least 24 months in a 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 other accrediting agencies as recognized by the Department of Education (DOE). Grade Determinations: In addition to the basic requirements above, candidates must meet the following grade requirements GS-8 Experience: Applicants must have at least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. In addition to the experience above, the candidate must demonstrate the following KSAs: Ability to check system for operation and assess acceptable performance based on established guidelines. Knowledge of calibration parameters and the ability to make adjustments as needed. Knowledge of patient's clinical record, diagnosis, and laboratory results. Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed. Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers. Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. 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. References: VA Handbook 5005, Part II, Appendix G25- Diagnostic Radiologic Technologist Qualification Standard. Physical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation and would generally not require a pre-placement examination. ["Major Duties include, but are not limited to: Receives/Interprets Exam Requests -Receives written requests or instructions for procedures. Receives assignments for a variety of difficult examinations. Independently interprets and carries out the requests made by physician. Secures the confidence and cooperation of patients during procedures; Independently explains procedures, positions the patient for optimal results, and cushions and shields patients as appropriate. Administers contrast materials orally, by enema, or, in some circumstances, intravenously under the supervision of a Radiologist, other Physician, or medical officer. Administers anesthetic or antispasmodic drugs under close control. Analyzes the patient needs, determines and selects the technical factors for optimum diagnostic quality, sets the controls and operates equipment. Performs quality control procedures as required and maintains an adequate level of supplies and safety equipment. Operates Radiology Equipment -Operates Direct Radiography (DR) equipment as well as conventional Radiology equipment, portable, fluoroscopic and O.R. equipment. Determines technical factors (i.e., calculates the correct exposure factors of time, distance, kilovoltage, and milliamperage) based on the body part and the individual patient factors. Sets the controls and operates equipment ensuring that the portion of the body specified receives the correct calculated exposure necessary for high quality images, but at the lowest possible exposure to the patient. Alters, selects and sets technical factors for very difficult patient situations, and specialized radiographic examinations. Sets up and adjusts accessory equipment required, and makes exposures necessary to successfully complete the requested procedures. Performs additional procedures such as bone densitometry. As a team member with a Radiologist, and other medical officers performs procedures such as cystograms, urethrograms, ERCPs, VFSS, U.G.I. series, and barium/ air contrast barium enemas and all other routine radiological examinations. Sets up the X-ray room with appropriate supplies and equipment, assuring that sterile supplies, local anesthetics, contrast materials, catheters, and other required equipment are present and ready for the upcoming procedure. Performs procedures on the Units, the Emergency Department and the Operating Rooms with portable x-ray machines, and portable fluoroscopic C-arm machines. Registers patients for examinations and updates status as necessary. Performs relevant clerical duties as they relate to patient care within the section, maintaining logs of patients and procedures used as required. Reviews new developments in the field and makes recommendations to the Lead Tech and Supervisor of the unit to adopt those which would improve the operations of the Diagnostic Radiology section. Independently performs all routine and specialized radiographic examinations of head, spine, trunk, G.I. track, urological system and extremities for diagnosis of illness or injuries. Performs consultations with clinicians to obtain complete clinical history; and gather pertinent clinical data prior to performing the procedure requested. Provide education to patients and their families on Imaging procedures. Cleans and sterilizes equipment and the area after each use and in preparation of the next procedure to be performed. Performs required routine maintenance and recognizes and reports malfunctioning equipment to ensure repair. Performs picture archival duties - The technologist captures direct radiographic(DR), applies an algorithm, configures the image and verifies patient information before transmitting them to the picture archive system (PACS). Incorrect patient images, or patient information must be reported to the Supervisor, and the Technologist must fill out a patient mis-archived form for documentation of the correction. Performs other related duties as assigned. Work Schedule: Full-Time, Tour of Duty may vary based on the needs of the service to include nights and weekends Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required"]

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