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Summary This position is located in the Diagnostic Imaging Service within the Central Arkansas Veterans Health Care System in Little Rock, AR. The position is responsible for and is knowledgeable of performing complex radiologic procedures in Computerized Tomography (CT) and Interventional Radiology procedures with CT guidance. Responsibilities If you ARE NOT a current, permanent VA employee or Federal employee from another agency, you should apply under CBST-12565709-25-KMS Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf The duties of the Advanced Diagnostic Radiologic Technologist in the Diagnostic Imaging Service include but are not limited to: Computerized Tomography Scans (CT): Performs a wide range of complex CT examinations for patients at this medical center to provide diagnostic and therapeutic imaging. These examinations include but are not limited to CT imaging of: neuro- brain, sinus, orbit, sella, temporal bone, facial bone, neck, cervical, thoracic and lumbar spine, body- chest, abdomen, pelvis, upper and lower extremities. CT Angiography of cardiac and peripheral vascular system. Establishes intravenous access via cannula for the purpose of contrast administration. Applies appropriate IV solutions to maintain access. Determines safety of existing IV fluids and discontinues temporarily those fluids that are contraindicated for mixing with contrast media. Performs screening process for consent and safe application of contrast administration, obtaining written consent as criteria mandates. Obtains applicable lab value prior to contrast administration. Prepares and administers oral contrast when prescribed. Appropriately documents in CPRS the screening process and the administration of contrast. Administers IV contrast under the direction of a Radiologist. Is knowledgeable of the effects and adverse reactions associated with contrast administration and monitors patient for signs of any reaction. Takes appropriate action if reactions occur, documenting reaction in CPRS and VISTA. Programs power injector for specific examination to be performed. Operates injector safely, according to established guidelines. Monitors patients for indications of complications such as IV infiltration. When complications occur, takes appropriate action and documents accordingly. Programs examination protocols according to anatomy to be visualized and pathology indicated, as prescribe by a Radiologist. Applies knowledge of bony, arterial and visceral anatomy and the effects of disease processes on these systems to select most appropriate protocol. Applies understanding of imaging parameters and their affect on image quality, making necessary adjustments specific to each patient. Operates CT scanner and ancillary equipment according to established guidelines. Performs routine troubleshooting and adjustments to assess imaging equipment operations. Incorporates radiation safety practices and dose optimization to all CT examinations. Adheres to established guidelines for Diagnostic Reference Levels. Effectively manages CT equipment protocol parameters with dose optimization in mind. Positions patient for the specific examination and anatomy to be visualized, utilizing immobilization devices and patient comfort accessories when possible. Verifies patient identifications according to hospital policy, informs patient what is being done, answers questions. Provide education to patients and their families on imaging procedures. Maintains a clean work area. Stocks room with supplies needed to perform examinations and provide emergency treatments. Prepares the room and equipment necessary prior to each patient examination. Performs complex image manipulation and reconstruction to accomplish thorough diagnostic imaging (including CTA reconstructions) applying knowledge of anatomic systems to insure optimum visualization. The technologist is responsible for the quality assurance of the image. Work Schedule: Monday - Friday, 8:00am - 4:30pm, Rotating On-Call after-hours, weekends, and holidays Relocation Incentive (Sign-on Bonus): not authorized Permanent Change of Station (Relocation Assistance): not authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: not authorized Virtual: This is not a virtual position. Functional Statement #: 00068F Permanent Change of Station (PCS): not authorized Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical evaluation. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications 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. English Language Proficiency. DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d). 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: Applicants must have 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). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: Advanced Diagnostic Radiologic Technologist, GS-0647-10 Experience. At least one year of experience equivalent to the next lower grade level directly related to the position being filled that demonstrates the clinical competencies described at that level. Demonstrated Knowledge, Skills and Abilities. In addition, the candidate must demonstrate all of the following KSAs: - Knowledge of radiation protection standards, devices and techniques, including concepts of accumulated dosage, dose monitoring, and genetic changes. - Ability to utilize advanced imaging software that supports complex imaging programs and recognize changes in equipment and procedures that might result in increased exposures, and ability to recommend methods to prevent such exposures. - Knowledge of basic physics including concepts of energy, electric power, magnetic fields, and properties of x-ray, to understand the operation of the equipment. - Knowledge and skill in positioning of patients for a wide variety of highly complex imaging (CT, MRI, IR, ultrasound, mammography) studies. Preferred Experience: An Advanced Registry in CT through ARRT. References: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The actual grade at which an applicant may be selected for this vacancy is GS-10. Physical Requirements: Heavy lifting (45 pounds and over), moderate carrying (15-44 pounds), pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, climbing (legs only), near vision correctable at 13" to 16" to Jaeger 1 to 4, far vision correctable in one eye to 20/20 and to 20/40 in the other, both eyes required, depth perception, ability to distinguish basic colors, hearing (aid permitted). (See VA Directive and Handbook 5019, Employee Occupational Health Services). Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.