Radiological Technologist will provide services to the medical staff, support staff, inpatients and outpatients for Walter Reed National Military Medical Center. Occasionally, the HCWs may need to provide services at one of the other sites within the National Capital Area, Joint Task Force National Capital, 8901 Wisconsin Avenue, Bethesda Naval Hospital, MD 20889 as needed to meet its mission. While specific tasks are outlined as listed below, responsibilities include but are not necessarily inclusive of tasks in which the HCW shall provide.
All services shall be performed in accordance with established principles, practices, and ethics of the medical, and specialty professions/organizations. The standards of performance shall reflect the degree of care, skill, and learning expected of a reasonably prudent Radiological Technologist.
Graduation from an interventional radiology technologist education program accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT).
Certification and Licensure:
- Cardiopulmonary Resuscitation (CPR) that is approved by the American Heart Association and reads BLS Healthcare Provider Course in the subjects listed.
- Possess a Certificate of Vascular-Interventional Radiology (VIR or Cardiovascular Interventional Radiology (CVIR). Current registration by the American Registry of Radiologic Technology (ARRT) as a Registered Technologist (R.T.) (ARRT).
- Have a minimum of two-year experience as an Interventional Radiology Technologist.
- Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other healthcare providers.
- Shall be knowledgeable of equipment and supply terminology and skill sufficient to identify and use necessary equipment and supplies properly and to communicate proper use with radiologist, medical staff, patients, and family members.
- Shall be sufficiently skilled to teach patients proper self-care and to motivate patients and family members to continue the procedures for promoting rapid healing.
- Shall be knowledgeable and possess skills necessary to provide care appropriate to any age-related needs of the patients. The Contract Radiologist shall demonstrate knowledge of the principles of growth and development appropriate to the appropriate patient population served: Infants, Children,
Adolescent, Adults, and Geriatric (>65).
- Assess, coordinate, facilitate, deliver and evaluate care for infant to geriatric patients using the nursing process.
- Knowledge of a wide range of medical disorders/conditions, diagnostic studies and treatments related
to prevention, and detection of illnesses in adults is desirable.
- The contracted Radiologist shall be knowledgeable in professional care theories, principles, practices,
and procedures to perform radiologist assignments of moderate difficulty and experience in assessing adult and geriatric patients, as appropriate.
- Knowledge of computer operations and proficiency in the use of basic word processing, data entry, and automated medical records.
- Be a U.S citizen.
SPECIFIC DUTIES/TASKS THE CONTRACT EMPLOYEE SHALL PERFORM
The Interventional Radiology Technologist shall provide the following services and in strict compliance with standing orders and protocols set forth by the MTF, and IAW JC guidelines to include the following:
- Collaboration, and the understanding that the presence of family is a strength, not an inconvenience. PFCC should be incorporated throughout the healthcare experience and across the organization. Participation from the entire healthcare team is critical to achieve successful outcomes. It is essential that the contractor embrace the tenets of PFCC in the performance of their duties. Contractors will also be allowed to participate in PFCC improvement initiatives and activities as approved by their supervisors. As an integral part of the WRNMMCB staff, contractors may also participate in the WRNMMCB Healthy Staff Initiatives at the discretion of their supervisors.
- Technologist within the last 3 years experience with preferably 2 years working in an Interventional Radiology laboratory.
- The contractor shall provide sufficient personnel to cover the schedule in the following table. All healthcare Providers under this Position
- Description will not accrue leave and will be subject to replacement coverage by the contractor in accordance with basic contract. The contractor is responsible for providing the leave benefit for these personnel and for approving leave for these personnel.
- The contractor shall maintain sufficient backup personnel to ensure coverage of the schedule during periods of both scheduled and unscheduled absences. Services shall normally be provided for an 8.5 hour period (to include an uncompensated 30-minute meal break). At the discretion of the supervisor and as workload permits, the healthcare Provider may take a compensated 15-minute break in the morning and in the afternoon. Services will not be required on weekends (Saturday & Sunday) and on the day of observance of the Federal holidays.
OTHER TASK AND RESPONSIBILITIES THE CONTRACT EMPLOYEE SHALL PERFORM:
The HCP shall perform all applicable duties given within the General Duties and Labor Category Specific:
- Assist in the maintenance of the archiving and recording of patient studies.
- Accept accountability and responsibility for all technical demands in the IR Clinic.
- Demonstrate thorough knowledge of radiation protection standards, devices, and techniques including concepts of accumulated dosage and genetic changes, effects of radiation on living organisms and the Effects of x-ray technique on patient and operator exposure in order to assure that adequate safeguards are maintained, to recognize when changes of equipment or procedure might result in increased exposure, and to adopt methods to prevent such exposure.
- Demonstrate thorough knowledge of aspects of basic physics including the concepts of energy, electrical power and types of circuits, construction and use of x-ray tubes and the properties of x-rays in order to understand the operation of the x-ray equipment, monitor the equipment for proper operation, make changes to standard procedures to compensate for equipment aging, and determine
when maintenance or repair is needed.
- Demonstrate knowledge of physiology and anatomy, such as the location, appearance and function of various major and minor systems susceptible to Radiologic exposure and the physical abnormalities with most diseases or lesions which are customarily depicted by the procedures performed in the IR Clinic, in order to interpret examination requests accurately Demonstrate knowledge required to operate intravenous (I.V.) pumps and high-pressure dye injector pump and to interpret proper settings as directed by the radiologist. Required to know how to recognize, understand, and correct abnormal conditions and alarms produced by this equipment.
- Demonstrate knowledge of basic nursing practices related to IR, such as administration of oxygen and performance of cardiopulmonary resuscitation. Scrubs in, when directed to by the radiologist, to assist with the procedure being performed.
- Understand and operate state of the art Digital Subtraction Angiography equipment, stationary and portable, and portable x-ray machines.
- Have the ability to work constructively with on-call WRNMMCB consultants and support staff.
- Assists the physician (radiologist) in conducting highly specialized diagnostic examinations in the IR Clinic which include, but are not limited to:
1. Neurologic, Arteriography,
2. Intracranial, Extracranial,
4. Demography, Intracranial Extracranial,
5. Interventional Procedures, Embolization,
7. Angioplasty Stent,
9. Foreign Body Retrieval Genitourinary,
10. Arteriography, Renal,
11. Adrenal Reproductive,
13. Adrenal Gonadal,
14. Venous Sampling,
15. Interventional Procedures,
19. Stone Removal.
27. Portal Shunts Chemoembolization
28. Drainage Procedures
29. Biopsy, (percutaneous or transvascular)
30. Peripheral Arteriography
31. Abdominal aortography
32. Upper Extremity
33. Lower Extremity Pelvic
Interventional Procedures Mechanical:
- Upper Extremity
- Lower Extremity
- Inferior Vena Cava PVA
- Streptokinase Caval Filter Placement
- Central Venous Access/Port Placement Stent Grafts Foreign Body Retrieval AV Dialysis
- Diagnostic Angiography Intervention Thoracic
- Angiography Aortography Pulmonary Bronchial Superior Vena Cava
- Interventional Procedures
- Embolization Thrombolysis/Thrombectomy
- Angioplasty Stents
- Drainage Procedures
- Foreign Body Retrieval
- Scrub in with the physician to assist in handing off medical instruments (catheters, guidewires, dilators, needles, sponges, flush and contrast solutions. Dress operation site as needed.
- Demonstrate thorough knowledge of sterile technique, to assist physicians and nurses throughout the procedure.
- Demonstrate knowledge of basic nursing practices related to IR such as administration of oxygen and emergency cardiopulmonary resuscitation.
- Demonstrate awareness of vital sign monitors and is able to recognize abnormal settings/trends. Prepare opaque media, loads and operates high-pressure injector systems.
- Prepare intravenous infusions and sets up and programs infusion pumps.
- Understand and practices all safety regulations such as quality accreditation, radiation safety, standard and Transmission-based precautions.
- Incumbent is responsible for all aspects of patient care while the patient is in the clinic. This includes correct recording of pertinent paperwork for patient care.
Staffing and Scheduling:
The Walter Reed Nation Military Medical Center Bethesda provides Radiological Technologist services 24 hours a day, 365 days per year (366 days during leap years), including holidays. The Program Manager will schedule HCWs hours as determined by the needs of the Department of Radiology and terms of the contract. The Radiological Technician shall normally provide services for an 8.5 hour period (to include an uncompensated .5hour for lunch). At the discretion of the supervisor and as workload permits, the Radiological Technologist may be compensated for two (2) 15-minute breaks per shift. Overtime is not authorized and any overtime granted must be approved in writing by the Program Manager.