*Incentives Not Available* The vascular technologist serves in the Vascular Surgery Section of Surgical and Perioperative Care and functions independently to diagnose patients with suspected peripheral arterial and venous disease, oversee scheduling of patients for examination, and provide continuity of follow-up. The duties are performed in the peripheral vascular laboratory, on hospital wards, in the peripheral vascular clinic, and in the operating room. The technologist evaluates the nature of critical and emergency procedures and rearranges the schedule to accommodate them. They maintain a record of the results of angiograms and other imaging studies to correlate with vascular laboratory results as part of the quality assurance program. The technologist will advise vascular surgeons or the referring physician of significant abnormalities that would require immediate attention. Duties, roles, and responsibilities in the Noninvasive Vascular Laboratory: Measure peripheral blood pressures at rest and following the conduction of exercise treadmill testing or hallway walk using Doppler ultrasound and/or plethysmography. Evaluate the extracranial carotid vascular system using duplex scanning and interpretation of spectral analysis. Evaluate the abdominal and pelvic arterial system including mesenteric and renal arteries using duplex scanning and interpretation of spectral analysis. Evaluate the lower extremity arterial system, including bypass grafts using duplex scanning and interpretation of spectral analysis. Evaluate the status of the abdominal and pelvic deep venous system using duplex scanning. Evaluate the status of the lower extremity deep venous system using duplex scanning. Evaluate the upper extremity arterial system using duplex scanning and interpretation of real time spectral analysis. Evaluate the status of the upper extremity deep venous system using duplex scanning. Perform upper extremity arterial blood pressure exams to test for arterial occlusive disease as well as digital arterial photo plethysmography with digital blood pressures, temperature measurement, and/or cold immersion test. Evaluate the patency and caliber of upper and lower extremity superficial veins to determine their suitability for use as bypass conduits. Evaluate arterial diameters to determine the presence or absence of aneurysms. Use duplex scanning to determine the patency of endovascular grafts, to rule out endoleaks, and to determine residual sac size of treated aneurysms. Use duplex scanning to determine the presence or absence of pseudoaneurysms. Regularly check the performance of equipment used in the evaluation of patients. Participate in training physicians, students, and other technicians so these individuals may acquire an understanding of the principles of non-invasive vascular testing and how it relates to other diagnostic exams. Train and provide direction for other peripheral vascular technologists. Perform or supervise routine housekeeping duties to assure that the laboratory is clean and sanitary. Review new developments in the field and recommend to supervisor those that would improve the operation of the section. Maintain adequate supplies so examinations are not delayed due to the lack of necessary equipment and supplies. Explain examinations to be performed so the patient understands the purpose of the study as well as any requirements of the exam. Duties, roles, and responsibilities on hospital wards: As time allows, measure peripheral blood pressures at rest of ankle and arm using the pocket Doppler for patients who had any kind of arterial reconstructive procedure. Duties, roles, and responsibilities in the operating room: Assist physicians by operating duplex scanner when requested. The vascular technologist must have knowledge of: Human arterial anatomy Human venous anatomy Human arterial physiology Human venous physiology Pathology of the arterial and venous systems Doppler and ultrasound physics Other knowledge, skills, and abilities include: Knowledge of the classical clinical features, including history and physical findings of the various types of arterial and venous disease. Knowledge of the use of spectral analysis and interpretation of this modality as a means of detecting abdominal, visceral, and peripheral arterial and venous disease. Skill in operating continuous wave Doppler and duplex scanner, photoelectric plethysmograph, and B-mode ultrasound; and in placing Doppler sample volume to get accurate readings and output. Skill in reading the B-mode image to determine if the image is an accurate representation of the patient's arterial anatomy. Skill in keeping accurate records to ensure that meaningful clinical data is available for patient decision making. Skill in teaching technical test methods to a variety of individuals, including medical students, residents, and ultrasound interns. Knowledge of the physical principles involved in the use of equipment listed as a means of data collection to ensure accuracy of acquisition. Knowledge of VA and hospital policies and procedures regarding supplies and work orders to be able to keep the laboratory well stocked and the equipment in good running order. Work Schedule: Monday - Friday; Hours negotiable from 0700-1630 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.