Under supervision, to scrub in and perform highly specialized and routine diagnostic and interventional cardiac and radiology procedures in a Cardiac Catheterization Laboratory (CCL).

Please note: All applicants are required to attach proof of valid licenses and/or certificates. Applicants that do not attach proof to their application will be rejected.

COVID-19 Risk Tier: High-Risk

Positions in these classifications perform imaging procedures primarily in their respective area(s) of competency. The following is a descriptive list of the range of duties performed by employees in this classification and is not intended to reflect all duties performed by every incumbent in this classification:

• Directly assists the physician(s) during cardiovascular, interventional, electrophysiology, and angiographic procedures;
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  Archives images in Picture Archive Communication System (PACS) or Cardiovascular Information System (CVIS) and verifies all required images are stored, properly specified, names corrected, and in the proper archive;
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  Operates ancillary equipment at a more advanced level for the modality, including measurements, indications, and troubleshooting;
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  Organizes technical assignments and assists patient flow in the Cardiac Catheterization Lab;
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  Completes daily room calibration and weekly fluoroscopy checks of all equipment;
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  Correctly obtains and identifies angiographic images, utilizing radiation reducing techniques according to best practice;
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  Manipulates and sends images via the PACS and CVIS;
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  Operates and trouble-shoots, as necessary, diagnostic equipment and Interventional Adjuncts, via AngioJet, Rotoblator, Laser, etc.;
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  Tracks and bills each procedure and associated supplies;
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  Mixes, fills, and administers contrast media and medications from an automatic pressure injector and physician manifold during the procedures under direction of a physician;
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  Instructs patient, positions patient and equipment, computes and/or selects technical factors, and obtains images as instructed;
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  Performs other assigned radiographic procedures;
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  Performs routine administrative tasks;
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  Cleans and re-stocks procedure rooms and ancillary areas, and maintains proper inventory levels;
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  Adheres to all applicable Federal, State, and local regulations, including Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA);
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  Records, stores, retrieves, and analyzes data obtained during procedures;
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  Provides advanced scrub assistance, including patient positioning, prep, table set-up, draping, and supply selection during advanced procedures;
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  Performs patient assessment and reassessment during the procedure and relays information to nurse or physician in the room;
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  Verifies physician orders and properly organizes necessary equipment, supplies, and positioning;
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  May be assigned as a Disaster Service Worker, as required;

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  Performs other related duties as required.

Sufficient education, training, and experience to demonstrate the possession and direct application of the following knowledge and abilities:

Training and Experience Note: The required knowledge and abilities are attained through five (5) years of experience performing Interventional Radiology procedures, including one (1) year of recent experience in a cardiac catheterization lab.

Special Requirements:

• Possession of a valid California Certified Radiologic Technologist (CRT) license.
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  Possession of a valid California Fluoroscopy license.
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  Within two years of appointment, possession of one of the following certificates:
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    American Registry of Radiologic Technologists (ARRT) Cardiovascular Interventional Radiography (CV)
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    ARRT Cardiac Interventional Radiography (CI)
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    ARRT Vascular Interventional Radiography (VI)

  • 
    CCI Registered Cardiovascular Invasive Specialist (RCIS)

Knowledge of:

• Services including interventional, cardiovascular, and electrophysiology;
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  Ancillary equipment for the modality, including measurements, indications, and troubleshooting;
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  Radiographic and fluoroscopic techniques, methods, and equipment;
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  Specialized diagnostic imaging principles, techniques, methods, and equipment relative to angiography procedures;
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  Structural and organic anatomy;
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  Methods of positioning patients for radiographic and specialized diagnostic imaging exposures;
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  Principles of radiation physics;
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  Principles of image processing and development;
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  Scrub procedures, including patient positioning, prep, table set-up, draping, and supply selection;
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  Regulatory requirements regarding Radiologic Technologist and radiation safety;
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  Physician orders to properly organize necessary equipment, supplies, positioning, and prior patient safety testing;

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  Basic computer applications.

Ability to:

• Perform complex radiographic and diagnostic imaging procedures;
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  Accurately bill complex procedures and supplies in a timely fashion;
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  Provide safe and appropriate care to all patients, even in stressful situations;
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  Troubleshoot, document, and communicate equipment problems;
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  Effectively communicate in English with patients and medical staff, both orally and in written form;
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  Follow written and oral instructions;
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  Prioritize tasks for safety and timeliness;
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  Work independently with minimal supervision;
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  Perform advanced scrub procedures;

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  Perform basic patient assessment and reassessment during the procedure and relay information to nurse or physician.

• Willingly be placed on on-call status as needed.