3 PWS.pdf

804780

DIAGNOSTIC RADIOLOGIC TECHNOLOGIST

PWS

I. INTRODUCTION:

The purpose of this position is to serve as a Radiological Technologist and is responsible for the technical operation of stationary and portable roentgenolcgical equipment in conjunction with the taking of routine fluoroscopy and special examinations, and the processing of radiographic films.

II. MAJOR DUTIES

Independently performs a variety of routine to complex radiographic procedures.

Positions and transfers patients for some various 500 positions and tube angulations.

Explains procedures, selects and sets voltage, time and other technical factors and makes expo sures necessary for the requested procedure

Produces ionizing radiation within a safe permissible range so as to achieve a quality radiograph.

Selects and operates radiographic equipment for various MA. KVP and HAS settings.

Selects proper technical factors on an individual patient basis, either by means of phototimer exposures or various selector exposures.

Develops exposed x-ray film by automatic processing. Prepare chemicals for the automatic film processing unit so as to maintain a proper level for replenishment for every film entering the processor for development.

Provides patient protection in accordance with prescribed safety standards related to radiographic examination.

Maintains up-to-date current posting of technique exposure guide based on positioning for all radiographic units in the service unit.

Assists physicians in administering opaque media for all prescribed radiographic examination.

Takes radiographs such as IVP, Barium Swallow, Cystograms and Gallbladder.

Assists in performing first-aid as necessary initiate CPR when a cardiac arrest occurs within the Radiology Department.

Practices sterile techniques and prevent cross-contamination in various exams such as; Cystograms, Intravenous Pyelography and other procedures done within the confines of the Radiology Department.

Assists the Radiologist in the administration of ionizing radiation in special examinations performed in conjunction with the physician.

Positions or places the patient in the positions to obtain the views requested. (Positioning may include immobilizing the patient with straps, sandbags or cushions and shielding the patient from excess radiation with protective devices such as lead shields).

Performs technical radiological services for CCHCF for maintenance of prescribed standards. Maintain quality control for a given set-up standards processing and x-ray units.

Instructs, monitors and assists ancillary personnel in obtaining quality examinations at Field Clinics. Trouble shoot problems end provide continuing education to field personnel operating x-ray equipment.

Responsible for delegated areas of authority in the performance of routine or special procedures, including various tomographic examinations.

May be responsible for specific areas of instruction in the school of technology and ancillary personnel.

In the absence of the supervisor, may be designated as acting supervisor. Receives, requests and/or instructions for radiologic procedures. Interprets, requests and/or instructions of physicians for procedures. Securing confidence and cooperation of patients during examination procedures.

Assures that sterile supplies, contrast materials, catheters and other required equipment are present and laid out.

As required by procedure or patient's condition, monitor vital signs and notified Radiologist of significant change.

Keeps abreast of all the latest changes involved in the Radiological Sciences.

Maintains patient records, x-ray file folders, check-out files, quality assurance records, current operating policy manuals and other materials as necessary to insure adequate patient treatment and referral as necessary.

Keeps repair and maintenance records of radiographic unit. Records reading of each densitometer, reads (each unit) density and output of radiographic and graphs the reading daily in the graphic logs.

Assists the Radiology Section with techniques and procedures fundamental to instituting and maintaining a radiographic quality of control through: (1) Processor monitoring and control; (2) Monitoring equipment performance;

(3) Monitoring accessory equip-merit.

Procures, stores and routes supplies for room preparation. Recommends the procurement and necessity for maintenance of equipment.

Must have expertise to operate the sophisticated equipment for special examinations, ie., ultrasound equipment during the absence of the Ultrasound Technologist.

Under the direction of a Radiologist and Radiology Manager, performs those duties directly involved with a variety of technical procedures applying ionizing radiation or other forms of energy.

Participates in the formal teaching programs and in-service educational classes are required.

Subject to call backs, week end and evening shift duties as scheduled. Will perform other related duties as required of this position.

III. FACTORS:

FACTOR 1: KNOWLEDGE REQUIRED BY THE POSITION

Incumbent must have successfully completed some type of training in the Radiology field or have gained successful experience by working in an active Radiology Department.

Thorough knowledge of radiation protection standards, devices and techniques including concepts of accumulated dosage and genetic changes, effects of radiation on living organisms, x-ray technique on and operator exposure, in order to assure that adequate safeguards are maintained, recognize when changes of equipment or procedures might result in increased exposures and recommend methods to prevent such exposure.

Knowledge of anatomy and physiology such as the location, appearance and function of the various major systems including the muscular, circulatory, lymphatic, respiratory, digestive and urinary systems, in order to interpret the examination request accurately; to understand the functioning and inter-relationship of the various organs appearing on the film and the various stages of the examination to judge the acceptability of the radiograph for diagnostic use.

Knowledge of aspects of basic physics including the concepts of energy, electric power and types of electric-al circuits, construction, function and operating limitations of various types of x-ray tubes and the properties of x-rays in order to understand the operation of x-ray equipment, monitor the equipment for proper operation, make minor changes to standard procedures to compensate for equipment aging and determine when maintenance or repair is needed.

Incumbent must be registered and/or registry-eligible for the ARRT.

Knowledge of radiographic exposure techniques including use of formulae for determining technical factors, how to control density, contrast and distortion and use of intensifying screens, buckys, collimators, filters, grids and other accessories to produce radiographs of high diagnostic quality with a minimum of retakes.

Knowledge of basic nursing practices related to radiography including emergency cardiac arrest procedures, principles of hypodermic, subcutaneous, intramuscular and intravenous injections and sterile operating room practices.

Must have expertise to operate sophisticated equipment for routine as well as special examinations that are only performed at this facility.

Prior to all injections, he/she must consult with the patient to see if he/she may have an allergy to the drug being given, because some medications being injected are fatal to some people.

FACTOR 2: SUPERVISORY CONTROLS

Works under the general supervision of the Supervisory Diagnostic Radiologic Technologist, GS-647--8, who advises on natters such as general operating policies, work schedules of the Radiology section and patient relationships and occasionally spot checks radiographs for diagnostic quality. Repetitive assignments are made with general instructions on new procedures and techniques and advises on technical problems. Work is spot-checked for diagnostic value and for methods used in conducting the examination. When assisting with more difficult procedures receives direct instruction as to the duties to be performed.

FACTOR 3: GUIDELINES:

Standard operating procedures cover the number, types and sequence of exposures for each examination. Basic formulae for calculations of technical factors supplement tables of typical settings of kilovoltage, milliamperage, distance and time for exposures. Textbooks and technical manuals on radiography are available for additional guidance in adapting the general requirements of the procedure to the specific condition of the patient. The technologist must use judgement to deviate from standard procedures and tables to compensate for patient's injuries, illness or physical disabilities in accordance with established precedent and methods of calculation. The standard procedures change occasionally due to new developments in the field and, more frequently, to reflect the standards and experience of new contract radiologists.

Incumbent is expected to work side-by-side with a highly trained physician in doing various particular procedures, including fluoroscopy, arthrograrns, venograms, etc.

FACTOR 4: COMPLEXITY:

Work involves independent performance of a variety of routine radiographic examinations and performance of more complex examinations under the direction of a supervisor. Radiographic examinations require coordination of operation of auxiliary equipment such as stationary radiograph with photo time chest unit with the positioning of patients and operation of the more basic x-ray equipment. Technologist occasionally must use basic formulae to calculate technical factors, for example, to accommodate for patients who are substantially more robust or frail then normal. X-rays taken after accidents or of seriously ill patients require that the technologist devise nonstandard positioning and equipment setup to minimize further pain or injury to the patient.

Incumbent is also expected to work with the Radiologist while doing special procedure examinations and various fluoroscopic procedures.

FACTOR 5: SCOPE AND EFFECT:

Purpose of the work is to provide x-ray studies of diagnosis and treatment of patients for such things as localization of foreign bodies, disorders of gastrointestinal system, kidneys or accident trauma. Studies affect the accuracy and reliability of physician's diagnoses and treatment.

FACTOR 5: PERSONAL CONTACTS:

Contacts are with members of the general public, as individuals at the employee's work place. Patients are either coming here for primary health care or have been referred for a special exam or procedure.

Incumbent has daily contacts with Medical Officers, nurses and other members of the hospital staff. Contacts include advising what precautions should be considered prior to doing some of the more involved examinations that require special injections, etc. Also he/she should advise the Physician and/or nursing personnel about the possibilities of reactions and the severity of reactions with certain medications that are given for such examinations as Intravenous Cholangiograms

FACTOR 7: PURPOSE OF CONTACTS:

Personal contacts are for the purpose of taking x-ray studies. Contacts with fellow workers are to exchange information and resolve problems with equipment, procedures and scheduling of patients. Contacts with patients are to explain the procedures to be performed to patients who are unfamiliar with x-ray examinations and direct patients how to move to achieve correct positioning. Occasionally patients are ill, injured or nervous which requires the technologist to provide reassurance and comfort.

FACTOR 8: PHYSICAL DEMANDS:

Individual is required to be available for emergency call back services on occasions. Physical strain can be very demanding when his/her services are required for long and strenuous hours during the evening and early morning hours. Individual is required to be at the duty station as assigned even though he/she may have had to work all night long on emergency call back cases.

FACTOR 9: WORK ENVIRONMENT:

Work area is well lighted and temperature controlled positive mental around moving including his/her assigned working with and on the respective involves moderate to excessive hazards requiring an attitude at all times. Individual will be working equipment, carts and with various types of machine portable x-ray units. Employee is required to use protective radiation monitoring badge at all times the portable x-ray units in the surgery department floors of patient wards. He/she must use proper lead shields for gonads and hands when doing fluoroscopic procedures. The risks with high energy exposures of ionizing radiation are potentially dangerous, therefore, one must always use proper shielding garments that are provided by the facility.

DIAGNOSTIC RADIOLOGIC TECHNOLOGIST

GS-647-05

I. INTRODUCTION:

The purpose of this position is to serve as a Radiological Technologist and is responsible for the technical operation of stationary and portable roentgenolcgical equipment in conjunction with the taking of routine fluoroscopy and special examinations, and the processing of radiographic films.

II. MAJOR DUTIES AND RESPONSIBILITIES:

Performs a variety of standard radiographic procedures. Positions patient, explains procedures, selects and sets voltage, time, and other technical factors and makes exposures necessary for the requested procedure.

Selects and operates radiographic equipment for various MA, KVP and MAS settings.

Develops exposed x-ray film by automatic processing. Prepare chemicals for the automatic film processing unit so as to maintain a proper level for replenishment for every film entering the processor for development.

Provides patient protection in accordance with prescribed safety standards related to radiographic examination.

Maintains up-to-date current posting of technique exposure guide based on positioning for all radiographic units in the service unit.

Takes radiographs such as IV, barium swallow, cystograms and gallbladder.

Assists in performing first-aid as necessary. Initiate CPR when a cardiac arrest occurs within the department.

Practices sterile technique and prevent cross-contamination in various exams such as: Cystograms, Intravenous pyelography and other procedures done within the confines of the department.

Assists other radiologists in the administration of ionizing radiation in special examinations performed in conjunction with the physician.

Performs technical radiological services for maintenance of prescribed standards. Maintain quality control for a given set-up standards processing and x-ray units.

Assists ancillary personnel in obtaining quality examinations at Field Clinics. Receives, requests and/or instructions for radiologic procedures.

Secures confidence and cooperation of patients during examination procedures.

Positions or places the body of the patient in the positions to obtain the views request. (Positioning may include immobilizing the patient with straps sandbags or cushions and shielding the patient from excess radiation with Protective devices such as lead shields).

Assures that sterile supplies, contrast materials, catheters and other required equipment are present and laid out.

As required by procedure or patient's condition, monitors vital signs and notifies Radiologist of significant change.

Keeps abreast of all the latest changes involved in the Radiological Sciences.

Maintains patient records, x-ray file folders, check-out files, quality assurance records, current operating policy manuals and other materials as necessary to ensure adequate patient treatment and referral as necessary.

Assists the Radiology Section with techniques and procedures fundamental to instituting and maintaining a radiographic quality of control through: (1) Processor monitoring and control; (2) Monitoring equipment performance;

(3) Monitoring accessory equipment.

Procures, stores and routes supplies for room preparation. Recommends the procurement and necessity for maintenance of equipment.

May perform EKG exams and pulmonary function tests requested by service urit personnel.

Performs other related duties as required.

Administrative/Application/Onboarding/Credentialing. The Vendor or Contractor will provide from the beginning all accurate Candidate information for the application, onboarding, credentialing, security clearance, computer access, required computer-based learnings and throughout contract if awarded. The applicant will list one working e mail that they check on a daily basis for this process. The applicant will regularly check their spam e mail for e mail from any e mail from xxx.IHS.gov or xxx.na.ihs.gov The applicant should be easily and readily contacted from initiation of the process, meaning: from initial application/presentation of the candidate, to the first day of work. For any candidate contact information change, IHS needs to be updated within 2 days of the change with acknowledgement from either Acquisitions, Hiring Manger, Credentialing, HR, Security or IT. All outbound IHS queries shall be responded to with pertinent answer within 3 business days. The answer should come from who was directly asked to who was asking.

If there are new Agency employees in management of the Contractor, there will be an introduction as to who the Agency employee is and what their role is.

Emergencies-such as clinic closure will enable to the contractor to work at alternate sites within the Chinle Service unit at the same rate and travel to and from the location, nor lodging at the designated site will be compensated. If possible given their required duties; Telework will be authorized from the local lodging/housing in the emergent circumstance given the contractor already has a secure telephone and internet line.

III. FACTORS:

Factor 1 - Knowledge Required by the Position:

Knowledge of radiation protection standards, including the effects of x-ray technique on patient and operator exposure in order to assure that adequate safeguards are maintained, recognize when changes of equipment or procedures night result in increased exposures and recommend methods to prevent such exposures.

Knowledge of basic anatomy and physiology such as the location, appearance and functions of the major organs, to understand the functioning and interrelationship of the various organs appearing on the film and the various stages of the examination to judge the acceptability of the radiograph for diagnostic use.

Knowledge of basic physics including the concepts of energy, electric power and types of electrical circuits, the construction, functions operating limitations of various types of x-ray tubes and the properties of x-rays, in order to understand the operation of x-ray equipment, monitor the equipment for proper operation, make minor changes to standard procedures to compensate for equipment aging and determine when maintenance or repair is needed, Knowledge of basic medical terminology.

Ability to position patients for a variety of radiographic examinations.

Knowledge of first-aid practices, including artificial respiration.

Factor 2 - Supervisory Controls:

Works under the general supervision of the Supervisory Diagnostic Radiologic Technologist who advises on matters such as operating policies, and work schedules of the radiology section and patient relationships and occasionally spot checks radiographs for diagnostic quality. Work is periodically spot-checked for diagnostic value and for methods used in conducting the examination.

Factor 3 - Guidelines Standard operating procedures cover the number and sequences of exposures for each examination. Basic formulae for calculations of technical factors supplement tables of typical settings of kilovolt age, milli-amperage, distance, and time for exposures. Textbooks and technical manuals on radiography arc readily available for additional guidance. The technologist must use judgement to deviate from standard procedures and tables to compensate for patient's injuries, illness or physical disabilities in accordance with established precedent and methods of calculation. The standard procedures change occasionally due to new developments in the field.

Factor 4 - Complexity:

The work involves a variety of routine limited radiographic examinations. The radiographic examinations require coordination of standard operation of auxiliary equipment and operation of the basic x-ray equipment. The technologist uses basic formulae to calculate technical factors, for example, to accommodate for patients who are substantially more robust or frail than normal. This position is located in the Radiology Department of the Chinle Comprehensive Health Care Facility in Chinle, Arizona, which is a 60-bed General Medical and Surgical Hospital. Specialty services include Outpatient, Emergency, OB/GYN, Pediatrics, Intensive Care, Surgical services, Mental Health and Social Services; Optometry, Dental Services and Community Health Nursing, Factor 5 - Scope and Effect:

The purpose of the work is to provide x-ray studies of diagnosis and treatment of patients for such things as localization of foreign bodies, disorders of gastrointestinal system or kidneys or accident trauma. The studies affect the accuracy and reliability of physicians' diagnoses and treatment.

Factor 6 - Personal Contacts:

Personal contacts are with patients, fellow employees, physicians and contract radiologists. These contacts are within the structured setting of the Radiology Department.

Factor 7 - Purpose of Contacts:

Contacts with patients are to explain the procedures to be performed to patients who are not familiar with x-ray examinations, and direct patients how to move to achieve correct positioning. Occasionally patients are ill, injured or nervous which requires the technologist to provide reassurance and comfort.

Factor 8 - Physical Demands:

The work requires long periods of standing and walking. There is some bending, lifting and carrying of moderately heavy items such as jugs of film processing chemicals. Positioning patient who are unconscious or disabled requires considerable effort and working in awkward positions. Heavy lifting of totally incapacitated patients is done only with the help of other employees.

Factor 9 - Work Environment;

The work area is well lighted and temperature controlled. Special safety precautions are required to reduce exposure to x-rays. These include using minimum current settings in the x-ray machine and never operating the machine except from behind a protective screen or when wearing protective clothing such as a lead apron.

IV. OTHER SIGNIFICANT FACTORS:

Incumbent must be registered, Radiologic Technologist, American Registry of Radiologic Technologists.

Work is on a regularly assigned rotational or call back basis to provide continuity of services during evenings, nights, holidays and weekends.