The incumbent functions independently as a Diagnostic Cardiac Sonographer (Echocardiographer) in the Cardiology Section of Medical Service at the Cincinnati VA Medical Center. The cardiac sonographer is responsible for the performance of a full range of Transthoracic echocardiograms (TTE) and Transesophageal echocardiograms (TEE) utilizing the cardiac ultrasound equipment. Medical Instrument Technician (Echocardiography) duties include but not limited to: 1.Knowledge of anatomy and physiology of the complete cardiovascular system. 2.Knowledge of cardiac arrhythmias and their relationship to hemodynamic conditions of the cardiac cycle. 3. Knowledge of ultrasound physics and the acoustic mechanisms by which high quality cardiac images are obtained. a. Ability to produce diagnostic quality images and Doppler frequency shift recordings. Utilizing 2D imaging modes, M-mode, Pulse wave Doppler, Continuous wave Doppler, Color flow Doppler, tissue Doppler imaging (TDI), x-Plane imaging and 3D imaging modes. 4. Ability to set up and adjust the ultrasound equipment to meet the conditions of each specific examination and each individual patient to obtain diagnostic quality images. 5. Ability to communicate effectively and professionally with patients explaining procedures and with employees at varying professional levels. The patient population treated is at high risk for cardiopulmonary arrest and the sonographer must be competent to assist with the rescue during these events. a. Examinations require constant interaction between the patient, sonographer and the ultrasound equipment. 6. Skills and ability to set up, clean up and scan complete Transthoracic echocardiograms (TTE) in all acoustic windows with 2D real-time imaging, M-mode, Color flow Doppler, Pulse wave Doppler, Continuous wave Doppler , Tissue Doppler imaging (TDI) and Left ventricular opacification(LVO). Skills and ability to use 3D imaging modes for transthoracic echocardiograms 7. Skills and ability to set up, clean up and assist Cardiologists in performing complete Transesophageal biplane echocardiograms (TEE) in order to visualize all cardiac structures with 2D real time imaging, M-mode, Color flow Doppler, Pulse wave Doppler, Continuous wave Doppler and 3D imaging modes. 8. Skills and ability to carry out the most complex laboratory procedures by performing 3D Cardiac ultrasounds including 3D Transthoracic echocardiograms (3D TTE) and 3D Transesophageal echocardiograms (3D TEE). a. Image acquisition using Live 3D, Live 3D color flow, 3D Zoom, Full volume, Full volume color and X-plane imaging. The skills to use the 3D transducers to acquire diagnostic 3D images that allow assessment of all cardiac structures. 9. Ability to determine the need and able to perform complementary cardiac ultrasound studies by using agitated saline (bubble study) and contrast echocardiography when clinically indicated. This involves the patient having IV access and a small injection as spelled out in the standard operating procedure manual for the echocardiogram laboratory. Skills to utilize Left ventricular opacification (LVO) imaging mode when using contrast echocardiography. 10. Ability to assist the Cardiologist with stress echocardiography (pharmacological). Skills to acquire diagnostic quality images in 90 seconds or less for assessment of cardiac anatomy, pathology and function during a pharmacological induced stress assessment. 11. Ability to correctly identify which echocardiogram calculations are clinically indicated and properly perform all measurements and calculations for each individual cardiac ultrasound. Analyzing the 2D, M-mode, pulse wave Doppler, continuous wave Doppler, tissue Doppler and 3D images for specific measurements and calculations. 12. Advanced knowledge and ability to provide training and supervision of the ultrasound equipment, diagnostic image acquisition and interpretation of echocardiograms to cardiology fellows and sonography students on a daily basis. Also as needed, cardiac ultrasound training for other fellow physicians, medical residents, medical students and other staff. 13. Knowledge of other complex cardiac imaging and diagnostic procedures, such as: cardiac catheterization, auscultation, electrocardiograms(ECG), nuclear medicine studies, electrophysiology procedures in order to incorporate results of those procedures into imaging goals for echocardiogram procedures. 14. Ability to evaluate new products and equipment to make recommendations concerning developments which would improve diagnostic quality, more efficient collection and analysis of cardiac ultrasound data. 15. Able to respond to Cardiac emergencies with cardiac ultrasound guidance when needed Certifications Work Schedule: Monday - Friday; 8:00 am to 4:30 pm Telework: not available Virtual: This is not a virtual position. Position Title/Functional Statement #:Medical Instrument Technician (Echocardiography)/PD91460A Relocation/Recruitment Incentives: not authorized 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.