The Radiation Oncology Service Therapeutic Radiologic Technologist is a graduate of an approved program in therapeutic radiology technology, evidence by a certificate or an associate's degree from an accredited institution by the Joint Review Committee on Education in Radiologic Technology (JRCERT) and certification by the American Registry of Radiologic Technologists (ARRT) (T). Must maintain certification and in good standing with governing bodies. Therapeutic Radiologic Technologist at a GS-11 must possess a minimum of four (4) years clinical TRT experience. Employees at this level must be able to carry out their assigned tasks independently in all areas of radiation therapy. The competencies will substantially exceed the full performance level and are unique and require advanced knowledge in all areas of radiation therapy specialties. The technologist maybe required to give guidance and direction regarding unfamiliar or unusual situations for more complex patient issues to lower grade therapists. The Radiation Oncology Service is a part of a large, complex, VA Medical Center VISN 10. Incumbent will perform CT treatment planning scans for treatment planning/tumor localization, compensators and customized patient immobilization devices. This is achieved by the use of a CAT scanner. Deliver the prescribed therapeutic radiation for the purpose cancer therapy. These treatments are performed by operating a Linear Accelerator. Incumbent will be expected to give oversight, training, and encouragement to lower grade therapists. Functions as a lead TRT for a group of TRTs who provide the full range of general therapeutic radiologic oncology treatment procedures. Provides technical oversight necessary for accomplishing the work of the radiation oncology unit. Plans, directs, and distributes work assignments to therapeutic radiologic technologists at lower grade levels. Provides feedback to supervisor on the technical aspects of work. Resolves informal employee complaints and approves leave requests for a few hours or in emergency situations. Instructs and trains TRT staff on newly acquired equipment. Schedules treatment in a manner as to optimize accelerator 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 simulation and treatment. Performs quality control of the treatment machines by taking recorded readings every morning prior to patient treatments using the dosimetry verification and record system for each energy level. Obtaining machine check for rotational therapy and electronic dynamic wedge verification. Performs daily imaging procedures to ensure correct operations. Alerts appropriate staff as necessary if parameters fall outside the recommendations. Identifies individual patient by the required identification methods set forth by hospital policy and departmental procedures before simulation and each daily radiation treatment is delivered. Has the knowledge of consultations, simulation, and treatment planning and treatment procedures. Ability to determine the appropriate timely sequence for patient studies and any special orders required. Verifies patient consent prior to initiating CT simulation. Prepares required contrast materials that are to be used for treatment simulations. Ensures proper use and administration of the contrast materials to avoid the risk of patient morbidity and mortality, therefore it is essential that the therapist has a· thorough understanding of contrast material usage. Must be alert to 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. Must be able to communicate orally exam preparations/special orders to patients and hospital staff. Ability to recognize abnormalities in relevant lab procedures and notifies appropriate staff. Properly operates CT simulator, provides reproducible patient treatment position sets-ups. That can be accurately used for daily treatments on the Linear Accelerator. Provides custom patient immobilization devices as instructed or departmental protocol. After CT scan is acquired and isocenter or reference point is obtained, the therapist will provide set-up DDR's for use in treatment planning and transfer the data set to the dosimetry treatment planning system. Indicates on patient's skin with tattoos and or markings required to locate treatment area. Understands the computer operations to ensure proper control of computer patient data input to ensure accuracy of data output and of complex computer applications relating to treatment planning. Verifies patient's treatment area daily in the treatment machine vault. Performs simulation verification before prescribed treatment. Accurately reproduces initial simulation set-up, with proper patient positioning, immobilizing devices, to ensure proper alignment and quality treatment. Obtains isocenter verification, treatment field verification of conformal blocking, with multi-leaf collimator, or cerro-bend blocking. Obtains isocenter verification as needed by the use to cone bean CT and or the use of the on-board imaging system. Work Schedule: Full Time; Monday - Friday, 8AM - 4:30PM
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