This position is in the Diagnostic Imaging Service and serves all locations at VA Central Texas Health Care System. This specialty modality requires specific knowledge of breast imaging examinations including mammography - interventional procedures of the breast - and extensive knowledge of Mammography Quality Standards Act - VHA certification in mammography - ACR accreditation in mammography - tomography - breast ultrasound - stereotactic biopsy - and breast MRI.
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
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
Completion of a full-time training course of at least 24 months in duration (or the 2 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)
Physical Requirements
See VA Directive and Handbook 5019
English Language Proficiency
DRTs must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) - and 7407(d)
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:GS-10 Experience
One year of experience equivalent to the next lower grade level GS-09 - directly related to the position being filled that demonstrates the clinical competencies described at that level
Experience includes full range of general radiologic imaging exams - broad knowledge of the different modalities within the diagnostic radiologic area - and is accountable to the next higher-level supervisor
NOTE: to be equivalent to the GS-9 level - experience must also be earned while having an Advanced AART Certification
Certification
Advanced American Registry of Radiologic Technology - Mammography (ARRT) (M)
Demonstrated Knowledge - Skills - and Abilities
In addition - the candidate must demonstrate the following technical 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: Licensed and accredited through ARRT
certified in Mammography Licensed and accredited through ARDMS in Ultrasound or on-the-job training in lieu of Knowledgeable of equipment QA functions Knowledgeable of FDA/MQSA regulations and requirements Minimum of 1 years' experience in mammography and ultrasound Knowledgeable of applicable computer programs Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
The full performance level of this vacancy is GS-10
Physical Requirements: Heavy Lifting (45 lbs and over)
Heavy Carrying (45 lbs and over)
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"
Hearing (aid permitted).
Duties
Major duties include - but are not limited to: Accurately operates diagnostic mammography equipment to obtain screening mammography - diagnostic mammography - digital breast tomosynthesis - etc
examinations of acceptable quality - utilizing the least amount of radiation to obtain quality imaging for diagnosis and localization purposes
Works under the supervision of the Assistant Chief Technologist and Chief Technologist and rotates all responsibilities within the Mammography section
Knowledge of breast anatomy and physiology including location - appearance - and function of the breast - and knowledge of changes to the breast caused by common medical and surgical diseases
Performs all aspects of Mammography imaging to include all breast imaging examinations including QA - mammography - and interventional procedures of the breast
Works independently on most exams but confers with Assistant Chief Technologist or Chief Technologist - Radiologists and Lead Interpreting Physician on more difficult problems
Evaluates work performance of lower-level employees and recommends performance ratings to Assistant Chief Technologist or Chief Technologist
Provides on-the-job training for employees
Assists in managing day-to-day operations of the Mammography section to include reviewing of upcoming scheduled appointments to ensure appropriateness of exam and assist radiologist in the pre-screening and protocoling process
Review incoming orders for appropriateness and defer any unique requests to the radiologist for review
Incumbent will report machine deficiencies and ensure work orders are submitted for Biomedical assistance or vendor to access issue
Ensures all supplies needed to perform procedures
Responsible for clinic cancellation due to tech call-out or on leave
Assists in managing leave - to ensure there is a minimum number of staff to cover operating three machines
Deals with emergency leave as they come up and defers requests beyond their scope to the Assistant Chief Technologist
Responsible to train new staff upon hiring and ensure they have completed all mandatory training as required yearly
The Advanced DRT/Mammography is the primary interface with schedulers
Will work individually with the section nurse to get biopsies or special procedures on the schedule and inform the radiologist of the exam
Responsible to handle informal complaints from the employees and do what he/she can do to resolve the issue
The incumbent will interface with the Assistant Chief Technologist and Chief Technologist on areas of concern that are outside the scope of their duties and requiring supervisory intervention
The Advanced DRT/Mammography is the go-to person to assist staff in resolving work related problems
The incumbent must evaluate the patient body habitus based on the patient's age - size - condition of skin (placing markers if indicated) - position limiting disabilities and previous breast augmentation or surgeries to determine proper exposure technique settings
Positions patients accurately - applying knowledge of anatomy and imaging equipment to provide optimal visualization
Incorporates equipment components to obtain all required visualization - including angulations - compression paddles - and manipulation of imaging factors
Performs diagnostic mammograms on patients with identified breast problems
Performs additional mammographic projections from protocol or direction from Radiologist
This procedure requires extensive knowledge of special projections and non-standard patient positioning that is essential to resolve identified problems Total Rewards of a Allied Health Professional Work Schedule: Monday-Friday
0730-1600 Recruitment 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 Available Virtual: This is not a virtual position
Functional Statement #: 674-53513-F Permanent Change of Station (PCS): Not Authorized
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.