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Required Skills

1. All Imaging Technologists shall provide the best possible care for the patient. Provide assistance to the Radiologist in the performance of special exams. Provides the Radiologist with the best possible images for interpretation.  
2. Transfers, maintains basic quality assurance issues and recalls images from a PACS system.
3. The Technologist checks the patients chart or script to be sure the exam ordered by the physician matches the requisition that has been received by the department.
4. Use independent judgment to assure exam will clinically evaluate the diagnosis given.
5. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Prepares the room, equipment, medicine and materials as needed for the performance of diagnostic procedures.
2. Performs imaging procedures on all age groups, mentally and physically handicapped, traumatically injured and oncology patients.
3. Maintains rooms and equipment in a clean and disinfected state.
4. Prepares barium and other chemical mixtures in preparation for x-ray procedure.
5. Prepares patient for exam explaining procedure, transferring patient to exam table, positions patient and assists patient during the procedure.
6. Follows prescribed techniques in administering general and specific x-rays by adjusting equipment, determining proper voltage, current and desired exposure time; arranges immobilization and support devices to obtain proper position of patient; adjust lead shields. Abides by guidelines set forth in ALARA and Image Gently National Campaigns.
7. Observes patient and equipment during procedure, reports unusual occurrences and records patients’ condition when necessary.
8. Maintains stock supplies and performs general clerical duties when necessary.
9. Perform mobile x-rays at the patients’ bedside, in the ER and in the Operating Room.
10. Actively participates in quality assessment and quality improvement programs.
11. Transports patients when necessary. Adheres to all hospital and departmental policies and procedures.
12. Adheres to all hospital and departmental policies and procedures including, but not limited to, those regarding Infection control, Hand Hygiene, Attendance and Appearance.
13. Maintain continuing education credits in compliance with licensing agency.
14. Actively support the mission, vision, and values set forth by the organization.
15. Performs other related work as required or requested.

Required Skills

1. Maintains responsibility to the Cardiac Surgeon during cardiopulmonary bypass (CPB) procedures.
2. Functions and operates the heart lung machine.
3. Inspects all tubing and other items inserted into the heart lung machine.
4. Administers blood, blood products, drugs, and fluids into CPB equipment as prescribed by attending physician.
5. Maintains a working knowledge of the intra-aortic balloon pump.
6. Identifies and distinguishes various equipment used for different bypass procedures.
7. Uses of blood processors and sequestering devices (autologous blood processors and hemoconcentrators).
8. Maintains basic knowledge of anatomy, physiology, pharmacology, blood gas analysis, electrolytes, gas exchange, and hemodilution as it relates to CPB.
9. Maintains certification and licensure as indicated in specifications above.
10. Maintains continuing education.
11. Abides by the operating room rules and regulations as related to dress code, sterile technique, and sterilization.
12. Maintains correct and precise charting on the appropriate record during an open heart procedure.
13. Rotates call, providing coverage 24 hours per day, seven days per week.
14. Maintains knowledge in the theory and use of circulatory assist devices, portable cardiopulmonary bypass, and other related devices and procedures.
15. Acquires the knowledge of the different preferences of each surgeon and adjust accordingly.
16. Abides by MHS Behavioral Standards.
17. Maintains working knowledge of HIPEC procedure.
18. Performs other related work as required or requested.

Required Skills

1. Leads and coordinates the work of other Registered Polysomnographic Technologists and sleep lab operations, including: patient scheduling, scheduling of employees to ensure proper coverage, PTO requests, customer service recovery, maintaining chargemaster, advising manager regarding staff performance reviews, and working with manager to formulate yearly budget.
2. Performs sleep disorder testing on assigned patients.
3. Analyzes the polysomnographic recording and prepares detailed report of sleep stages, sleep architecture, limb movements, respiratory and cardiac events.
4. Provides continuing education for professionals, patients, students, and the public to facilitate the proper identification and treatment of patients of all ages with sleep disorders.
5. Maintains necessary patient records and performs required billing procedures.
6. Maintains equipment and records as required.
7. Performs majority of scoring activities for tests performed at TMH.
8. Collaborates with Insurance Verification Specialist to obtain precertification and verification of benefits.
9. Maintains log book for studies performed/cancelled/rescheduled.
10. Tracks wait times for physician reading.
11. Participates in and maintains quality improvement initiatives/accreditation for the program.
12. Maintains constant contact with physicians regarding departmental operations.
13. Assists manager in sleep lab staff development and advancing the level of clinical expertise within the sleep lab department.
14. Performs other related work as required or requested.

Required Skills

1. Obtain, review and bring together pertinent patient history, physical examination and supporting clinical data to facilitate diagnostic result.
2. Perform cardiac and/or vascular ultrasound diagnostic and/or therapeutic procedures on patients of all ages by producing, assessing and evaluating ultrasound images and related data according to established standards, policies, procedures and guidelines.
3. Provide interpreting physicians with an oral or written summary of technical findings.
4. Maintain technical skills related to all ultrasound imaging factors; maintain knowledge of other testing modalities.
5. Demonstrate knowledge in human gross and sectional anatomy and physiology and pathophysiology to image and evaluate normal and abnormal tissue structure or function.
6. Understand biological effects of ultrasound.
7. Adheres to behavioral standards.
8. Utilize proper infection control procedures according to department and hospital procedures.
9. Ensure proper recording, documentation, confidentiality and transmission of patient information. Develop and maintain skills in digital imaging and information practices.
10. Monitor the condition of equipment and supplies to ensure safe and efficient operation of the department.
11. Comply with departmental policies regarding employee/patient incident reports.
12. Participate in the department’s continuing education program, Laboratory accreditation and case review/quality review processes.
13. Keep current with clinical developments in the field of ultrasound imaging. Be responsible for continual learning.
14. Maintain ARDMS credential through documentation of continuing education requirements of the credentialing organization.
15. Organize and participate in daily activities that maintain operations: cleaning stocking, equipment evaluation, moving equipment to bedside studies, data entry and evaluation, emergency call rotation, imaging system electrical safety, equipment repair and diagnostics, Imaging and reporting system Dbase maintenance and Sys Admin functions.
16. Serve as liaison to other hospital departments for coordination of quality assurance and process improvement activities.
17. Serve as resource to technical staff, medical staff and visitors for clinical or educational information and activities.
18. Maintain and advance abilities to assimilate and report clinical information in complex patients.
19. Follow MMC policy directives and procedures the performance of duties and responsibilities.
20. Be an example to the laboratory staff of professionalism, teamwork and patient advocacy.
21. Demonstrate leadership in helping the team meet strategic goals of the department and the organization.

PERFORMANCE CRITERIA (CARDIAC):

1. Maintain skills and expand knowledge in the performance and evaluation of transthoracic echocardiography in the adult population.
2. Maintain skills and expand knowledge in the performance and evaluation of transesophageal echocardiography in the adult population in standard settings, the surgical suites and Cath Labs.
3. Maintain skills and expand knowledge in the performance and evaluation of stress echocardiography procedures.
4. Maintain skills and expand knowledge of the application of echocardiography in pericardial centesis, myocardial biopsy, intracardiac echo, or other interventional procedures.
5. Maintain skills and expand knowledge in the performance and evaluation of transthoracic echocardiography in the pediatric, neonatal and fetal population.
6. Possess knowledge and understanding of other cardiac diagnostic testing: cardiac cath, EP, Holter, EKG and arrhythmias, radionuclide imaging.
7. Maintain skills and expand knowledge of ultrasound contrast agents and their applications.
8. Recognize and address critical pathology through modification of scan protocols, recommendation of ancillary testing and notification of interpreting physician.
9. Demonstrate leadership in clinical application of echocardiography

Required Skills

1. Set ups and operate a variety of electrical equipment in a Cardiac Catheterization Laboratory during a variety of procedures.

1. Monitors the patient’s electrocardiogram during procedures, alerts the physician of any irregular heart activity or change in pressure. Charges the patient appropriately for the procedure.

1. Explains all procedures to the patient along with risks involved. Obtain consent forms signed by the patient prior to the procedure.

1. Prepares patients for procedures.  

1. Acts as a circulator in the case, connects monitoring lines, checks pulses, collects and sets up appropriate equipment for the case.

1. Performs as a sterile assistant, assists the physician in scrubbing and maintaining a sterile field, assists the physician with catheter and/or equipment insertion and removal. Dresses and/or sutures insertion site following the procedure.  Sets up arterial pressure line (if needed) or pulls sheath and obtains hemostasis.

1. Assists in the use of arterial closure devices.

1. Records, interprets, and calculates various types of data collected during the procedure.

1. Maintains equipment, corrects equipment malfunctions and reports malfunctions for repair.

1. Instructs technologists and others in the performance of technical procedures, operations of equipment, and collection and interpretation of data.

1. Demonstrates knowledge of the proper operation of x-ray equipment used in the Cath Lab.

1. Monitors and is responsible for quality assurance of the x-ray equipment.

1. Maintains continuing education classes to assure certification.

1. Participates in the on call rotation.

1. Collects appropriate past patient information for the physician to review (old cine films, cath records, etc.).

1. Adheres to behavioral standards.

1. Performs other related work as required or requested.

Required Skills

1. All Imaging Technologists shall provide the best possible care for the patient. Provide assistance to the Radiologist in the performance of special exams. Provides the Radiologist with the best possible images for interpretation.  
2. Transfers, maintains basic quality assurance issues and recalls images from a PACS system.
3. The Technologist checks the patients chart or script to be sure the exam ordered by the physician matches the requisition that has been received by the department.
4. Use independent judgment to assure exam will clinically evaluate the diagnosis given.
5. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Prepares the room, equipment, medicine and materials as needed for the performance of diagnostic procedures.
2. Performs imaging procedures on all age groups, mentally and physically handicapped, traumatically injured and oncology patients.
3. Maintains rooms and equipment in a clean and disinfected state.
4. Prepares barium and other chemical mixtures in preparation for x-ray procedure.
5. Prepares patient for exam explaining procedure, transferring patient to exam table, positions patient and assists patient during the procedure.
6. Follows prescribed techniques in administering general and specific x-rays by adjusting equipment, determining proper voltage, current and desired exposure time; arranges immobilization and support devices to obtain proper position of patient; adjust lead shields. Abides by guidelines set forth in ALARA and Image Gently National Campaigns.
7. Observes patient and equipment during procedure, reports unusual occurrences and records patients’ condition when necessary.
8. Maintains stock supplies and performs general clerical duties when necessary.
9. Perform mobile x-rays at the patients’ bedside, in the ER and in the Operating Room.
10. Actively participates in quality assessment and quality improvement programs.
11. Transports patients when necessary. Adheres to all hospital and departmental policies and procedures.
12. Adheres to all hospital and departmental policies and procedures including, but not limited to, those regarding Infection control, Hand Hygiene, Attendance and Appearance.
13. Maintain continuing education credits in compliance with licensing agency.
14. Actively support the mission, vision, and values set forth by the organization.
15. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Perform a variety of diagnostic ultrasound procedures, interventional ultrasound and sonographic vascular exams on outpatients of all ages, according to established standards, policies, procedures, protocols and guidelines.

1. Perform a variety of diagnostic ultrasound, interventional ultrasound and sonographic vascular procedures on inpatients both in the department and bedside via portable Sonography as needed, according to established standards, policies, procedures, protocols and guidelines.

1. Maintain technical skills relating to imaging factors.

1. Maintain an excellent guest relations rapport with patients, visitors, physicians and fellow employees.

1. Maintain skills in performing emergency and routine patient care as required.

1. Utilize proper infection control practices per the department procedure manual.

1. Monitor the condition of equipment and supplies to ensure safe and efficient operations of the department.

1. Ensure proper recording and transmission of patient information.

1. Comply with department procedures regarding employee / patient incident reports.

1. Review and recommend equipment / supply purchases.

1. Participate in continuing education, meet requirements for all mandatory in-services and maintain knowledge of current and new technology.

1. Assume Ultrasound call as assigned.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
  • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
  • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
  • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. The technologist checks the patients’ chart or scripts to be sure the exam ordered by the physician matches the requisition received by the department.
2. Use independent professional judgment to assure exam will clinically evaluate the given diagnosis. Refer discrepancies to radiologist or ordering physician.
3. Prepares the room, equipment, medication and secures supplies need to perform the exam and maintain a clean and safe environment for patient. Chooses appropriate transducer and disinfects used medical equipment per policy.
4. Will adhere to safety standards set forth by the organization in accordance with ACR guidelines.
5. The technologist will explain the procedure and the function of the equipment to the patient as well as answer any questions the patient may have, will intently review the medical history prior to starting procedure, check patient record for previous pertinent information or procedures, contact radiologist when direction is needed, document appropriate information in the patient record/PACS system.
6. Performs requested US exams of appropriate regions in accordance with accepted standards of practice and protocols of the organization and the reading radiologist. Observes patient during procedure, reports unusual occurrences and records patients’ condition when necessary.
7. Lifts, moves, and transports patients via wheelchair or cart when necessary.
8. Transfers, maintains basic quality assurance issues and recalls images from PACS system.
9. Performs equipment quality checks and troubleshoots when appropriate. Reports any need for service or repair to appropriate leadership.
10. Participates in ongoing QA/QC and process improvement programs.
11. Assists in providing a safe work environment and is dedicated to providing patient satisfaction.
12. Maintain continuing education credits in compliance with licensing agency.
13. Maintains clinical competency.
14. Adheres to all hospital and departmental policies and procedures including, but not limited to, those regarding infection control, hand hygiene, attendance, and appearance.
15. Performs other duties as required or requested.

Required Skills

1. Obtain, review and bring together pertinent patient history, physical examination and supporting clinical data to facilitate diagnostic result.

1. Perform cardiac or vascular ultrasound diagnostic and/or therapeutic procedures on patients of all ages by producing, assessing and evaluating ultrasound images and related data according to established standards, policies, procedures and guidelines.

1. Provide interpreting physicians and supervising sonographer with an oral or written summary of technical findings.

1. Learn technical skills related to all ultrasound imaging factors; maintain knowledge of other testing modalities.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Demonstrate knowledge in human gross and sectional anatomy and physiology and pathophysiology to image and evaluate normal and abnormal tissue structure or function.

1. Learn and understand biological effects of ultrasound.

1. Behavior in accordance with hospital behavioral standards, goals, mission and vision statement of values.

1. Maintain certification in CPR.

1. Utilize proper Infection Control procedures according to department and hospital procedures.

1. Ensure proper recording, documentation, confidentiality and transmission of patient information.

1. Monitor the condition of equipment and supplies to ensure safe and efficient operation of the department.

1. Comply with departmental policies regarding employee/patient incident reports.

1. Keep current with clinical developments in the field of ultrasound imaging. Be responsible for continual learning.

1. Participate in daily activities that maintain operations: cleaning stocking, equipment evaluation, moving equipment to bedside studies, data entry and evaluation, emergency call rotation and customer support.

1. Follow PAH Policy directives and procedures the performance of duties and responsibilities.

1. Adhere to behavioral standards.

1. Performs other related work as required or requested.

PERFORMANCE CRITERIA (CARDIAC):

1. Learn and maintain skills and expand knowledge in the performance and evaluation of transthoracic echocardiography in the adult population.

1. Recognize and address critical pathology through modification of scan protocols and notification of interpreting physician or supervising sonographer.

Required Skills

1. Perform a variety of diagnostic ultrasound procedures, interventional ultrasound and sonographic vascular exams on outpatients of all ages, according to established standards, policies, procedures, protocols and guidelines.

1. Perform a variety of diagnostic ultrasound, interventional ultrasound and sonographic vascular procedures on inpatients (General, IMC and ICU) both in the department and bedside via portable Sonography as needed, according to established standards, policies, procedures, protocols and guidelines.

1. Perform a variety of diagnostic ultrasound procedures in surgical environment according to established standards, policies, procedures, protocols and guidelines.

1. Perform Transcranial Doppler Exams.

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Maintain technical skills relating to imaging factors.

1. Maintain an excellent guest relations rapport with patients, visitors, physicians and fellow employees.

1. Maintain skills in performing emergency and routine patient care as required.

1. Utilize proper infection control practices per the department procedure manual.

1. Monitor the condition of equipment and supplies to ensure safe and efficient operations of the department.

1. Ensure proper recording and transmission of patient information.

1. Comply with department procedures regarding employee / patient incident reports.

1. Review and recommend equipment / supply purchases.

1. Participate in continuing education, meet requirements for all mandatory inservices and maintain knowledge of current and new technology.

1. Capable of working independently and provide guidance to Level I Sonographer.

1. Coordinate daily patient flow within the department.

1. Performs other related work as required or requested.