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Interventional Radiologic Tech II

2 months ago

Beverly Hills, United States RemX Full time
JOB SUMMARY

The Cardiovascular-Interventional Radiologic Technologist II (CIRT) is registered by the state of California Radiologic Association and possesses a California state fluoroscopy permit. The CIRT has responsibility, training and competence with diagnostic, routine and complex interventional cardiac angiographic and cardiac implant procedures. The duties also include routine and complex vascular, peripheral vascular, non-vascular, interventional and trauma procedures. The technologist is also trained in OR radiographs. CIRT's must have a combination of technical, radiologic and clinical skills. The CIRT is under the direction of the physician of record during a procedure and reports to the clinical coordinators and Director of Cardiology. The CIRT has the responsibility, accountability, and the authority to deliver safe, effective, quality, cost effective care according to the philosophy and goals of the Patient Care Division. Care is provided according to the specific physiologic developmental and psychosocial needs of the patients.

PRIMARY JOB DUTIES/RESPONSIBILITIES

• Provides care that is consistent with the principles of Relationship Based Care

• Prepares room, x-ray equipment and completes procedural setup as needed for invasive cardiac, cardiac implant/explant, vascular, peripheral vascular, interventional radiologic and trauma based procedures.

• Under RN leadership, assists with procedural preparation of patients

• Instructs patients regarding x-ray procedures in a manner specific to the developmental age and special needs/behaviors of the patient.

• Assists with the transfer of patients when possible.

• Assist the cardiologist, interventional radiologist, vascular surgeon or other physicians in the performance of minimally invasive and invasive fluoroscopic guided diagnostic and therapeutic procedures

• Positions patients for fluoro and cine imaging during invasive cardiac, cardiac implants/explants, vascular, peripheral vascular and non-vascular, interventional radiologic and trauma based procedures in order to obtain optimal results. Under supervision of the physician, adjusts x-ray tubes for properly angled views.

• Observes patient during procedure, reporting unusual occurrences to RN assessing patient.

• Responsible for preparation of pressure injector and performing of DSA.

• Is familiar with and able to respond to all aspects and situations pertaining to codes

and emergency situations occurring in the Cath Lab.

• Performs and calculates ejection fractions.

• As assigned, proficient in assisting the physician as a Scrub Technician in invasive cardiac, cardiac implant/explant, vascular, peripheral, non-vascular, interventional radiology and trauma based procedures.

• Proficient in connecting the patient to all types of monitoring equipment for the procedure

• Utilizes effective communication skills to facilitate safe patient hand offs.

• Documents per hospital & departmental standards/policy. Utilizes manual and automated information systems to improve efficiency and effect productivity.

• Proficient in the set up and use of atherectomy systems and thrombus extraction devices.

• Proficient in use of advanced technologies (i.e. laser)

• Promotes a safe environment for staff, patients, physicians and reports unsafe conditions to appropriate personnel.

• Maintains clean environment and is responsible for upkeep of x-ray equipment, Medrad injector, PCACS and IVUS/FFR.

• Maintains equipment properly and demonstrates a current working knowledge and safe use of equipment, and instrumentation

• Reports any unusual occurrences with equipment immediately to the RN and physician.

• Proficient in Siemens, McKesson, MedRad, PCACS and IVUS.

• Archives all computer images to computer hard drive, and copies data to a CD. Maintains film and CD archive.

• Conducts and documents required quality control procedures to maintain proper image quality.

• Conducts and documents required annual examination of lead aprons. Reports discrepancies to director or clinical coordinator(s).

• Responsible to record all equipment problems in logbook and initiate services calls for all imaging equipment Medrad injector, PCACS and IVUS/FFR. Reports calls and resulting service to Clinical Coordinator(s) or designate. Keeps all other staff on duty abreast of problems with the equipment.

• Responsible for radiation safety. Responsible for JCAHO, ALARA and Title 22 Standards and department radiation safety policies. Reports deviations to the Clinical Coordinator(s).

• Serves as a role model and preceptor to students, orientees, and unregistered technologists.

• Acts as a clinical resource to staff, physicians, and families

• Collaborates with other members or the health care team. Assists in open, direct communication with other health care providers

• Remains flexible in staffing requests and during staffing shortages

• Participates as requested by the Supervisor/Director in interviewing prospective employees

• Escalates barriers to following policies/procedures/protocols, providing patient care, documenting/use of the EHR (Cerner/Phillips/McKesson) to Clinical Coordinator/Director.

• Aids in developing solutions to issues.

• Actively participates in unit huddles, unit meetings, shared governance activities/discussions and contributes to solid teamwork on the unit

• Utilizes time management skills to accomplish established tasks

• Unit and Organizational goals are met or exceeded

• Accountable to understand unit, organization, and national metrics (, core measures, national patient safety goals) and contributes in their day to day work to meeting those metrics

• Organizational standards for Joint Commission, Patient Safety and department of Health will be met.

• Organizational standards for Joint Commission, Patient Safety and the Department of Health will be met.

• Unit and Organizational Patient Satisfaction HCAHPS goals are met or exceeded.

• Contributes to positive patient care experience metrics through individual interactions with patients and families. Accountable to understand the impact of personal behaviors on HCAHPS results.

• Initially receives physician, employee, and patient complaints and provides information to Supervisor or Director. Assists in resolution of complaint with the goal of immediate resolution if possible

• Proficient in the procedures for charging of procedures and supplies.

• Takes individual responsibility for appropriate use of financial resources including staffing resources, equipment, and supplies

• Actively participates in and contributes to programs and/or initiatives designed to maximize the return on organization financial resources through improvements or service delivery, reduction in expenses, and/or optimization of revenue

• Integrates evidence based practice strategies to guide practice decisions, organizes and presents/educational topic.

• Participates in departmental and other continuing educational opportunities in his/her area of expertise.

• Demonstrates commitment to lifelong learning for self and others

• Attends required skills fair, unit and organizational based educational sessions within allotted timeframe

• With professional and positive attitude, remains flexible to quickly adapt to the needs of the patient, unit, and organization

• Participates in policy development, review, and revision.

• Holds self-accountable for deadlines and outcomes

• Seeks mentorship appropriately

• Performs other duties as assigned

JOB SPECIFICATIONS
  1. Education: Graduate of an accredited two-year school of x-ray technology.
  2. Licensure/Certification: Current CA CRT, ARRT, and CA Fluoroscopy permit required. Current AHA or AHA equivalent BLS required. ACLS preferred. RCIS preferred.
  3. Experience Must have a year recent experience in an interventional lab performing peripheral vascular procedures/intervention and/or interventional radiology and/or interventional cardiology. Experience in coronary interventions preferred. Experience with CPACS preferred.
  4. Skills: Demonstrates competence in clinical specialty. Ability to work quickly and efficiently in a complex situation. Independent and reliable with excellent critical thinking and problem solving skills.
  5. Communication - Proficient written, verbal, and electronic communication skills in the English language.
  6. Standards of Performance: Demonstrate performance by adhering to established policies and procedures and exhibiting the defined characteristics associated with attendance and punctuality. Attendance is an essential function of the job.
  7. Physical Skills: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  8. Physical Effort: Performs all physical duties of the job. Requires lifting, bending, pushing, pulling, sitting, standing, walking, kneeling, twisting, reaching, and fine motor skills. Ability to move equipment.
  9. Age Specific: The CIRT delivers care that is specific to the special behavior/needs within the scope of services for Cardiology.
  10. Hours of Work: Variable. Stand-by availability required with 30-minute arrival time.