This position is located in Ultrasound Division of the Radiology Department at the Ralph H. Johnson VA Medical Center in Charleston SC, which is a Complexity Level 1Ac facility. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. English Language Proficiency. Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph. Education. There are no specific educational requirements for this occupation. Education may be substituted for experience only at the GS-4 and GS-5 levels. See the grade requirements part of this standard for information regarding educational substitutions. Licensure or Certification. Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 and above. Basic and Advanced Cardiac Life Support certifications are desirable. Grade Determinations: GS-10. In addition to the core competencies defined at the GS-9 level, applicant must also display experience and KSAs listed below. Experience. At least 1 year of experience comparable to the next lower grade level, which is directly related to the duties of the position to be filled, and must fully meet the KSAs at that level. GS-9 Level KSAs. Demonstrated Knowledge, Skills, and Abilities. (KSAs) 1. Knowledge of the more complex examination and treatment procedures and techniques in order to provide training and supervision in these procedures, to evaluate and initiate performance improvement projects, and to write policies, procedures, and protocols that pertain to diagnostic ultrasonography. *2. Knowledge of JCAHO and other regulatory requirements. 3. Ability to communicate effectively and professionally with employees at varying grade levels. In addition, the candidate must demonstrate the following technical KSAs and the potential to acquire the assignment specific KSAs designated by an asterisk (*): GS-10 Level KSAs. Demonstrated Knowledge, Skills, and Abilities. (KSAs) 1. Advanced knowledge of complex and non-standard treatment and examination procedures and techniques. *2. Ability to plan and assist in the establishment of a completely integrated treatment and examination program. *3. Ability to evaluate new products and equipment and make recommendations concerning developments which would improve operations. Preferred Experience: American Registry Diagnostic Medical Sonographers: RDMS or RVT or American Registry of Radiologic Technologists: RT(S) or RT (VS) certifications is highly desirable. 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). References: VA HANDBOOK 5005/15 MARCH 17, 2006 PART II APPENDIX G27 II-G27-58 The full performance level of this vacancy is GS-10. Physical Requirements: See VA Directive and Handbook 5019. ["The Medical Instrument Technician (Diagnostic Ultrasound) serves as a Staff Sonographer performing routine to complex ultrasound exams at the Ralph H. Johnson VA Medical Center in Charleston, SC. Major duties include, but are not limited to: The Ultrasound Technologist coordinates a variety of technical procedures that require independent judgement, ingenuity and initiative in the application of non-ionizing high frequency ultrasonic waves to humans for diagnosis of disease. The technologist must be competent in the production, use, recognition, and analysis of ultrasound images and patterns used for patient diagnosis and treatment. The sonographer at this level is regarded as an expert source and the interpreting radiologist relies heavily on the skills, knowledge, and abilities of the sonographers in providing a final interpretation. Performs outpatient, inpatient or emergent ultrasound studies either in the Ultrasound department or bedside (portable), records and processes images and prepares the processed media for interpretation by the Staff Radiologist. Assures images are properly identified with patient demographics and verifies archiving on PACS. The studies include but are not limited to: Abdomen - liver, gallbladder, spleen, pancreas, abdominal aorta, vena cava and femoral arteries using Gray Scale, Real Time and multiple Doppler techniques to evaluate these structures for size, abnormal contour, cysts, tumors and various pathological disorders. Retroperitoneum - kidneys, adrenal glands, nodes, and urinary bladder using Gray Scale, Real Time and multiple Doppler techniques. Pelvis - urinary bladder, scrotum, prostate. Female pelvis performed with transabdominal and/ or endocavity probe for ovaries, and uterus. Miscellaneous scans (small parts) to include thyroid, skin lesions, baker's cyst, hernias, etc. May also perform vascular imaging, both arterial and venous. Receives and identifies patients using two (2) patient identifiers, prepares patients for exams and explains procedures, assists movement of patients to and from exam table, positions the patient, sets up and adjusts all imaging equipment including appropriate selection of technical factors, manually maneuvers transducer/probe to perform the exam. Evaluates the nature of critical and emergency procedures and rearranges priorities to accommodate them. Knowledge of anatomy, cross sectional anatomy, and physiology such as the location, appearance and function of the various major and minor systems applicable to sonographic illustration in order to interpret the requested examination accurately. Differentiates artifacts from normal or pathological processes and recognizes electronic equipment limitations. Maintains and stocks all supplies used in the ultrasound work area, ensuring applicable products are within expiration date and stored properly. Thoroughly comprehends all processes for reusable medical devices including initial training, proper setup, use and reprocessing (cleaning, disinfection, sterilization, and preparation of equipment to full readiness for its subsequent use) and maintenance according to Ralph H. Johnson VA Healthcare System Standard Operating Procedures and specific manufacturer guidelines. Training and demonstration of achieved independent skill level is validated annually. Assures timely completion of assigned workload. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Preferred experience: American Registry Diagnostic Medical Sonographers: RDMS or RVT or American Registry of Radiologic Technologists: RT(S) or RT-(VS) certifications American Registry of Radiologic Technologists: RT(S) or RT (VS) certifications Must maintain BCLS. Performs all other duties as assigned Work Schedule: Various Shifts Virtual: This is not a virtual position. Financial Disclosure Report: Not required Telework: Not available Virtual: This is not a virtual position. Functional Statement #: F5000 Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required"]

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