The Diagnostic Radiologic Technologist (DRT) independently performs General Diagnostic routine exams of the head, neck, chest, abdomen, pelvis and extremities as well as specialized exams such as gastric, urology, endoscopic, fluoroscopic and portable exams. DRTs perform procedures and examinations in hospitals or clinics under the direction of radiologists and other medical officers. The objective of the examinations and procedures is to produce radiographic studies used in medical diagnosis. FUNCTIONS: The duties and responsibilities include but are not limited to the following: The Technologist independently reviews each requisition to assure that the patient history and area of complaint is consistent with the exam requested. If a discrepancy exists, the Technologist will make an independent determination and take the appropriate corrective action. The Technologist may need to interview the patient to obtain additional clinical information, and if needed will contact the clinician and/or clinic that made the request for clarification and may recommend a more appropriate exam to order, the Technologist will determine what views and technique to use based on this information for maximum diagnostic effectiveness. If the diagnostic goal is not met initially, the Technologist will make an independent decision to take additional views or alter the technique to achieve the goal before the patient leaves the department. The technologist verifies patient demographic information to be sure it is correct and compatible with the DICOM format that is needed to validate patient and exam information so it can be viewed on PACS and electronically stored in the archive system. The Technologist takes the x-ray exposure on a digital imaging system. The Technologist will select the most appropriate processing algorithm, window and level settings for maximum diagnostic quality. The Technologist electronically transmits the image through the hospital and Radiology network to the PACS system for image viewing distribution in PACS and WENPACS throughout Radiology and the hospital. Technologist must be fully competent in the use of all computerized equipment in the Diagnostic section. The Technologist must make continuous assessments of the image quality and equipment performance for optimum performance and image quality. The Technologist will determine if the image quality problem can be corrected independently or if the problem needs to be reported to the Supervisor, Biomedical Engineering and /or appropriate vendor for repair. The technologist independently performs a wide variety of highly specialized exams, such as gastric, urology, endoscopic, fluoroscopic and all type of diagnostic x-ray exams. The Technologist may perform venous puncture and administer intravenous contrast for some exams. SUPERVISORY CONTROLS: Area or room assignments are made by the Supervisor. The Technologist works independently with only indirect supervision. Some examinations such as UGI, GE, vascular procedures and some other fluoroscopic exams are done with the technologist directly assisting the Radiologist. The Technologist makes independent decisions for each exam based on the clinical history provided on the request, or information obtained in his/her interview with the patient. The Technologist will adjust the radiographic technique, determine the views and angles of positioning and determine the best processing and post processing algorithm to use to enhance the area of interest and suspected pathology and disease. Work is reviewed by the radiologist at the time of interpretation. Feedback on quality may come from the Radiologist directly or through the Supervisor. For the most complex studies, the Technologist may consult the Radiologist for instructions or calcification. CUSTOMER SERVICE: Meets the needs of customers while supporting VA missions. Consistently communicates and treats customers (veterans, their representatives, visitors, and all VA staff) in a courteous, tactful, and respectful manner. Provides the customer with consistent information according to established policies and procedures. Handles conflict and problems in dealing with the customer constructively and appropriately. COMPUTER SECURITY: Protects printed and electronic files containing sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy, and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc. SAFETY: Maintains knowledge of current safety guidelines and regulations. Consistently and appropriately carries out safety responsibilities and functions as defined in the Medical Center Memoranda, Radiology Service Safety policies and according to OSHA and NRC requirements. The Technologist may be required to wear a lead apron for extended periods of time. Reports any accident to self or patient with appropriate form. INFECTION CONTROL: Demonstrates infection control practices for disease prevention (i.e. hand washing, universal precautions/isolation procedures, including TB requirement/precautions). Work Schedule: Monday to Friday, 12:00 Noon to 8:30 pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.