IHS1529978_PWS.docx

NON-PERSONAL SERVICE CONTRACT

CT/X-RAY TECHNOLOGIST PERFORMANCE WORK STATMENT

THIS POSTION IS LOCATED AT THE PUBLIC HEALTH SERVICE-INDIAN HEALTH SERVICE, PHS INDIAN HOSPITAL, PINE RIDGE, S.D. 57770

PERFORMANCE WORK STATEMENT:

This position serves as a CAT Scan Technologist and is responsible for performing Ct studies at the Pine Ridge Hospital. Performs examinations and procedures, which are used in medical diagnosis utilizing mobile CT equipment. When there are no CTs to perform, the CT tech will keep busy performing diagnostic Radiology or other departmental duties as assigned by the Radiology Supervisor.

PERIOD OF PERFORMANCE:

10 Weeks from time of Award

MAJOR DUTIES AND RESPONSIBILITIES:

Performs a variety of computerized tomography examinations according to physician instructions. Receives and reviews requests from physicians and other health care providers for examinations of patients. Schedules patients for examinations. Determines the condition(s) at issue and the procedures and equipment necessary to best meet the needs of the individual case. Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them. Confers with radiologists and/or higher graded tech. to establish requirements of nonstandard examinations or for cases outside of incumbent’s expertise, and determines technical factors, positioning, number and thickness of scans, etc., to satisfy requirements. Assists the radiologist in the performance of needle localizations and biopsies.

Receives and positions patient for examination. Explains procedures and actions to allay fears and secure maximum cooperation. Makes scans necessary for the requested examination. Advises radiologist or referring physician of results of examination and provides them with a preliminary diagnostic evaluation. Notifies them of significant cases requiring their immediate attention and visualization while patient is undergoing examination. If unanticipated conditions or anomalies are discovered, extends and modifies procedure to insure full and accurate information as to findings and patient condition. If necessary, renders emergency aid and summons assistance.

Selects, sets up, adjusts, and operates equipment, including laser imager. Conducts examination, adjusting technique and equipment to best present the medically significant aspects found. Performs operator level maintenance and care of equipment. Identifies need for and initiates action to obtain higher-level support. Makes minor adjustments to equipment. Performs preventative maintenance as required.

Establishes and maintains a variety of files and records relating to activities and functions. Prepares reports on examinations, equipment status and utilization, workload, supply status and consumption, and related matters.

Responsible for obtaining pertinent diagnostic examinations for the referring clinician and radiologist, requiring adequate and optimal positioning and recording of information on file.

Determines the number of scans necessary to obtain the information desired and adjusts the equipment parameters in such a way that a sufficient amount of information is obtained for each exam.

Recognizes the significance of all structures visualized on the screen at all times.

Independently operates a fixed and portable radiography machine to meet the needs of the department.

Receives patients, explains methods of procedures, positions and sets technical factors to attain a high quality radiograph.

Operates the Digital Radiography and workstation independently.

Performs a variety of routine to complex examinations to meet the needs of the medical staff.

Maintains accurate records of patient workload on a daily basis.

Keep accurate records of every x-ray, which they have to repeat.

Must be able to assist in a cardiac arrest situation and be CPR certified along with the rest of the medical staff.

Must have their own personal dosimeter to read radiation doses if doing x-ray duties. The Radiation badge is not furnished by Pine Ridge

WORK SCHEDULE:

Primary tour of duty will be various hours and shifts Monday thru Sunday to include all Holidays. There will be no Holiday pay or shift differential. The CT schedule will need to be arranged to benefit the Facilities needs. Overtime pay will not be allowed or approved. Any overtime accumulated must be taken as time off. If there are extra hours available it can be used for extra time worked and paid.

QUALIFICATIONS:

Individual must be :

Advanced-level certification by ARRT or NMTCB in CT or have one of the following qualifications :

And documented training in the provision of diagnostic CT

Must meet the continuing education requirement set by the ARRT. Must have at least six months of experience in performing CT examinations.

Pine Ridge Indian Health Service hospital policy requires all staff with direct patient contact, be able to provide proof of PPD and Tdap (Tetanus, Diphtheria, acellular Pertusis). This includes all permanent employees, volunteers, and contractors (for all contractors in this category, acceptable proof can be in the form of an immunization record or written documentation from a physician). Contractor personnel currently serving in a contract position can receive these immunizations from the facility.

Contract Provider Background Clearance

The contracting company shall be advised via this Performance Work Statement that any candidate presented to fulfill the requirements of this purchase order shall be required to undergo a background investigation and be able to obtain Security Clearance at a Level Tier 2. Further, any candidate shall first “be cleared” prior to begin any aspect of the requirements of this purchase order. This includes, but not limited to, hospital orientation, electronic health record training, ancillary service information, attending meetings, participating in medical rounds and evaluating and treating patients. The candidate may present to Pine Ridge IHS Hospital with personal escort in order to have fingerprints performed. Once the fingerprints have been completed the provider shall leave the hospital and not physically report back until the background investigation has cleared and/or yielded a favorable adjudication. If background investigation is found unfavorable and unable to be cleared, the contracting company shall submit a replacement provider immediately or risk breaching this the terms of this purchase order. A delay in securing a replacement provider shall be considered grounds for the Government to terminate the purchase order for the convenience of the Government.

KNOWLEDGE REQUIRED BY THE POSITION:

Knowledge of physiology and cross sectional anatomy such as location, appearance and function of the various major and minor systems susceptible to radiological exposure and the physical abnormalities associated with most diseases or lesions to conduct computerized scanning examinations. In addition, knowledge of anatomy and physiology including location, appearance, and functioning of the major and minor systems susceptible to radiological illumination, and knowledge of changes to systems and organs caused by common medical and surgical diseases.

Ability to optimize scans for clarity for diagnostic use and to recognize when additional scans or different positioning is needed to fully illustrate exam area. Knowledge of complex radiographic exposure techniques such as determination of technical factors and machine geometry of linear tomographic X‑ray machines or equipment of similar complexity. Ability to perform calculations of critical technical factors needed to show the difference between organs, glands, etc. of similar density when contrast material cannot be used such as adapting for age, structure and patient size when performing mammographies, or use of contrast materials in invasive examinations. Knowledge of radiographic positioning required in complex procedures such as lumbar myelography including sequences of positioning, alignment of X‑ray beams and localizing of contrast medium. Skill to apply such knowledge to perform complex radiographic procedures such as bronchography, lymphangiography, or xerographic mammography. Ability to visualize the position and functioning of three-dimensional forms within the body from a two dimensional presentation (sonogram or cathode ray screen).

Skill in setting up, adjusting, operating, and maintaining diagnostic, tomography and ancillary equipment. In addition to the knowledge described above, a practical knowledge of instruments used in the specialization to make adaptations and adjustments and interpret test results based on previous experience and observation. This level requires a practical knowledge of intricate examination or treatment procedures. A basic knowledge of anatomy and physiology including location and function of the major body organs and structures as they relate to the specialization. Knowledge of the common diseases and their effects associated with the specialization. Skill to apply knowledge in adapting instruments to perform a full range of specialized tests or nonroutine diagnostic or treatment procedures requiring many steps, and various approaches and procedures based on findings from the early steps. Knowledge of pharmacology and chemistry to understand drug action, effects, and method of administration. Ability to work as a member of a team when performing procedures that require making rapid and accurate observations or adjustments to established practices. Skill to prepare summary of test results, workload reports, and related documents.

1. Complete knowledge of complex instrumentation utilized to extract finest quality performance from the equipment.

2. Ability to deviate from normal techniques when necessary and to develop new and better techniques to keep diagnostic capability up to date.

3. Knowledge of radiation protection standards, devices, and techniques.

4. Knowledge of anatomy and physiology.

5. Knowledge of methods, techniques and quality control for digital imaging.

SUPERVISION AND GUIDANCE RECEIVED:

Works under the supervision of the Chief Radiologic Technologist who advises on matters such as general operation of the Radiology section and patient relationships and occasionally spot checks radiographs for diagnostic quality. When working on CT procedures, the Radiologist will indicate which actions should be performed. The technologist is responsible for the technical procedures to accomplish these directions.

Radiologists provide guidelines initially, but textbooks, technical manuals, and current articles are available for additional guidelines in adapting the general requirements of the procedure to the specific condition of the patient.

Standard operating procedures cover the number, type and sequence of exposures for each kind of examination. Technique charts are available for typical settings of kilovoltage, milliamperage, distance and time for techniques. 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 judgment 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 calculations. The technologist maintains up-to-date knowledge of new developments in the field and exercises judgment to evaluate their usefulness.

PERSONAL CONTACTS AND PURPOSE OF CONTACTS:

Personal contacts are with patients, with doctors, and with fellow employees in a hospital setting. These contacts are for the purpose of making x-ray studies. Contacts with doctors are to resolve problems concerning scheduling of patients and requested procedures. Those with fellow workers are to establish a working relationship to accomplish the job. Contacts with patients are to explain the procedure to be done, often to patients who are unfamiliar with x-ray examinations and to direct patients how to move to achieve correct positioning. Some patients are ill, injured or nervous which requires the technologist to provide reassurance and comfort.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

The work requires long periods of standing and walking. There is some bending and carrying of moderately heavy items such as cassettes. It is often necessary to physically lift the patient from carts to x-table with assistance from others. The work area is well lighted and temperature controlled. Special safety precautions are used to reduce exposure to x-rays. These include using minimum exposure settings for 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. The contract vendor will provide the radiation dosimeter badge for their employee.

QUALITY ASSURANCE:

In working with the Chief Technologist assuring work is satisfactory, work will be thoroughly monitored and approved. Contract will be monitored by Quality Assurance Surveillance Plan put into place. After approval, payment shall be invoiced to Property and Supply Procurement for payment. Along with this invoice, shall be a record of time worked, signed by office or designee