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Operates independently and with minimal supervision as the technologist responsible for the performance and coordination of all diagnostic CT examinations. Performs computerized tomography of the head, neck spine, chest and body. These exams are performed with and without the use of contrast materials. The purpose of these exams is to achieve diagnostic studies to bring about proper diagnosis and treatment. 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. 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. *** Copy required with Application packet Education. 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). ***Transcripts required with application packet. Computed Tomography (CT). This specialty modality requires specific knowledge of cross sectional human anatomy and its application in spiral, and/or, multi-slice computer tomography, inclusive of 3-D reconstruction scans, including drainages, biopsies, and peripheral vascular examinations. The technologist requires specific knowledge and training in the location, appearance, and function of the various major and minor systems susceptible to radiological illumination; to interpret the examination request accurately; to understand the functioning and inter-relationship of the various organs; to use the methods and techniques which will identify organs appearing on the digital display monitor, or on film, and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and to emphasize the aspects of interest to the physician. DRT assignments that include performance of independent duties in this subspecialty require advanced ARRT certification. Diagnostic Radiologic Technologist, GS-6 (CT) (1) Experience or Education. At least one year of experience equivalent to the next lower grade level or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging. (2) Assignment. Employees at this grade level serve as developmental DRTs, performing examinations which are routine and standardized in nature. They explain exams to patients in terms they can understand as well as potential hazards. They must also troubleshoot equipment used for diagnostic radiology and exercise extreme caution in the handling and safeguarding of all radiation producing equipment. DRTs must report major equipment malfunctions within a timely manner to service representatives and assist higher graded technologists in performing more complicated examinations. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs: (a) Knowledge of basic technique standards for minimum radiographic exposure. (b) Knowledge of anatomy and positioning. (c) Knowledge of all patient safety procedures. (d) Knowledge of radiographic producing equipment.(e) Ability to learn basic computer functions. Diagnostic Radiologic Technologist, GS-7 (CT) (1) Experience or Education. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level; or the successful completion of one full academic year of graduate education leading to a degree in radiography or other directly related field to diagnostic radiology/imaging; or successful completion of an advanced registry program, with certification, in addition to a 4-year baccalaureate degree program in radiography or other directly related field to diagnostic radiology/imaging. Education may relate to the duties of a specific position or to the occupation but must be appropriate for the position being filled. (2) Assignment. DRTs at this level perform a full range of duties but receive guidance and directions regarding unfamiliar or unusual situations for more complex patient issues. Candidates at this grade level may be qualified to provide services in specialized areas of radiologic technology and/or general radiologic technology services. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:(a) Knowledge of the technical adequacy of the digital image, including the ability to adjust the image quality in the digital system.(b) Knowledge of different contrast material required for the requested study.(c) Knowledge of radiation protection standards, minimum radiographic exposure techniques, appropriate beam limitation to anatomical area, and employing lead shielding when performing standard radiographic and fluoroscopic procedures.(d) Knowledge of computed radiography, CR readers and Digital Imaging systems.(e) Knowledge of PACS and basic computer skills. Diagnostic Radiologic Technologist, GS-8 (CT) - Full Performance Level (1) Experience. At least one year of experience equivalent to the next lower grade level that demonstrates the clinical competencies described at that level. (2) 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. (3) Demonstrated Knowledge, Skills, and Abilities. In addition to the experience above, the candidate must demonstrate all of the following KSAs:(a) Ability to check system for operation and assess acceptable performance based on established guidelines.(b) Knowledge of calibration parameters and the ability to make adjustments as needed.(c) Knowledge of patient's clinical record, diagnosis, and laboratory results.(d) Ability to monitor patient's physiologic changes during the procedure and keep the radiologist informed.(e) Skill in using tact, diplomacy, and courtesy in dealings with the customer base, patients, staff, family, visitors, and volunteers.(f) Knowledge of anatomy and physiology, and cross-sectional anatomy, recognizing unusual images, and determining proper positioning to best demonstrate areas of interest. References: VA Handbook 5005, Part II, Appendix G25, Diagnostic Radiologic Technologist Qualification Standard dated December 13, 2019. This can be found in the local Human Resources Office. The full performance level of this vacancy is GS-8. Physical Requirements: Lifting (40 lbs. and under); Light Carrying (15 lbs. and under); Straight Pulling (up to 1 hour); Pushing (1 - 2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 3 hours); Standing (up to 3 hours); Repeated bending (up to 1 hour); Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16". The physical requirements for this position are in accordance with HRML No. 05-12-02, Employment of People with Disabilities, Including Under Schedule A, 5 CFR 213.3102(u). ["CLINICAL RESPONSIBILITIES A. Confers with requesting services so as to optimize scanner times while maintaining flexibility for emergency cases. This requires the ability to prioritize scheduled patients as well as the ability to accommodate the emergency patient who may need immediate emergency surgery, etc. B. Confers with radiologists to determine requirement of non-standard exams. Determines technical factors, positioning, number and thickness of scans, etc., to produce and satisfy requirements of CT scanning. Schedules patients for examinations. Advises radiologists or referring physicians of examination results. Notifies them of scans requiring their immediate attention. C. Performs exams utilizing surgical sterile techniques. This requires \"scrub-in technique,\" preparation of surgical trays, preparation of contrast, supplying of catheters and guide wires, sterile assurance of the patient and equipment that may come in contact with the sterile field with the purpose of assuring that all preventive measures have been taken to prevent contamination of the patient. Adheres to hospital infection control and safety policies/techniques with emphasis on sterile technique; the storage of sterile supplies; the disposal of body fluids and 'sharps'; proper attire; hand washing practices; and continuing education. D. Works with the radiologist as a member of the surgical/radiographic team. Must assist and anticipate the needs of the radiologists and the performance of the exam. Must be continuously on the alert for the patient's condition, sterile field, catheter and guide wire sizes and configurations, etc. The alertness of the individual is essential to prevent contamination, recognize patient reactions, anticipate technique factor difficulties, etc. E. Prepares contrast materials that are used in CT and other exams. Improper use or administration of the contrast materials run the risk of patient mortality and, therefore, it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it. ln addition, must be continuously on the alert to the patient's condition and other disorders. Reactions on the part of the patient require immediate attention so that harm does not come to the patient. ls trained to insert lV needles for administration of contrast material when necessary. Calculates eGFR values and utilizes iStat analyzer. F. Practices radiation safety to reduce exposure to patients, staff and self. This is achieved by using lead aprons, lead gloves, lead shields, lead lined walls and collimation. Film badges are worn by the technicians to ensure compliance with radiation regulations. G. Performs reconstructions of CT studies when requested or when part of a standard procedure. H. Maintains records and files of exams performed on patients. This includes patient registration and editing of patient exams in the computerized information system. I. Properly identifies patient images. This is essential so that mistaken identity of patient images does not occur. The technician must be certain that the patient l.D. band and the request are identical. Confirms patient identity by verbally confirming patient name and social security number. J. Responsible to explain exams to competent patients so that patients understand what is to be done as well as what hazards, if any, are possible. Obtains consent from the patient or authorized person for invasive procedures. K. Performs irregular hour emergency scans on standby, 24 hours per day coverage. Requires the technologist be available within 45 minutes from receipt of call so that proper and effective emergency care can be given to the patient. Performs diagnostic radiographic examinations as required. L. Continually reviews new developments in the field of computerized tomography and radiology. ls continually on the alert to improve quality of exams utilizing the new technologies available. The purpose of this review is to provide the patients with the best possible scans for diagnostic purposes. M. The primary age of patients treated and cared for are normally at the geriatric level, i.e. 60 years of age or older, although occasionally there may be younger patients between the ages of 18-60 years of age that require care. The position requires the incumbent to possess or develop an understanding of the particular needs of these types of patients. Sensitivity to the special needs of all patients in respect to age, developmental requirements, and culturally related factors must be consistently achieved. Work Schedule: Monday-Friday: 4:00pm to Midnight (CALL Optional) Functional Statement #: 000000 Financial Disclosure Report: Not required"]

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