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Sonographer - Echo & Vascular

Methodist Health System Omaha, NE
  • Purpose of Job
    • Coordinates and performs vascular/echo procedures.

  • Job Requirements
    • Education
      • American Registry for Diagnostic Medical Sonography (ARDMS) registered or board eligible required.
      • Requires successful completion of an accredited ultrasound technical 2 year program.
      • Participates in mandatory in-services and continuing education programs as mandate by policies and procedures/ external agencies and as directed by Manager.

    • Experience
      • Two years of clinical experience (student and/or professional) in echo/vascular required. 

    • License/Certifications
      • Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
      • American Registry for Diagnostic Medical Sonography (ARDMS) registered or board eligible required.
      • RVT (Registered Vascular Tech) and/or RDCS (Registered Diagnostic Cardiac Sonographer) through the ARDMS required upon employment. With both being required after six months of employment.

    • Skills/Knowledge/Abilities
      • Ability to effectively communicate and interact with patients and family members as well as hospital personnel and coworkers required.
      • Ability to effectively organize work in order to perform several tasks at once required.
      • Computer skills required.
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force.

    • Physical Activity
      • Not necessary for the position (0%):
        • Climbing
        • Crawling
      • Occasionally Performed (1%-33%):
        • Distinguish colors
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Fingering/Touching
        • Grasping
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Reaching
        • Repetitive Motions
        • Speaking/talking
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Constantly Performed (67%-100%):
        • Hearing
        • Seeing/visual

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
        • Mechanical moving parts/vibrations
      • Rare (1-33%):
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
      • Occasionally (34%-66%):
        • Equipment/Machinery/Tools
  • Essential Job Functions
    • Essential Functions I

      • Exam performance/quality.
        • Identifies each patient by ID band verification and birth date.
        • Ensures patient understanding of pending procedure.
        • Cover appropriate body parts and position patient correctly.
        • Follows appropriate guidelines and departmental protocols.
        • Performs exams as priority dictates and as directed.
        • Critiques each exam for technical and positional accuracy and makes appropriate corrections if necessary.

      • Workflow management.
        • Review orders for clinical and demographic consistency and verifies accuracy prior to exam.
        • Willfully assists physicians, patients, and coworkers as needed and seeks opportunities to provide patient care.
        • Understand and support the direction and workflow of the department.
        • Maintain awareness of ongoing exams and assist co-workers as needed.
        • Provide exam information and status updates to pertinent staff members.
        • Relieves co-workers from procedures/exams as necessary.
        • Be in the department and ready to work at the start of scheduled shift.
        • Have processes set in place to allow for leaving at the end of scheduled shift.
        • Obtain and consolidate all images, reports and history with completed exam information for review.
        • Take call. Coordinates inpatient procedure flow. (Hospital Only)

      • Systems/Cerner.
        • Maintain a working knowledge of Cerner.
        • Starts and completes own exams correctly and in a timely manner.
        • Consistently uses the Online Worklist to monitor orders and order status.
        • Verify correct images matched with order.
        • Able to perform clean up functions on PACS workstation.

      • Department Policy/Procedures.
        • Ensures proper patient identification on all images to comply with department policies and procedures.
        • Willingly seeks opportunity to provide patient care, or assist others as needed.
        • Demonstrates knowledge of department guidelines through responsible behavior/actions.
        • Maintains updated ARDMS license.
        • Ensures that call reports and/or other specifications are followed through.
        • Report issues/concerns as soon as possible and provide assistance with resolution/follow-up.

      • Clinical Enrichment.
        • Provides and monitors “on the job training” per Methodist College standards.
        • Maintains professional and courteous relationship with students and instructors.
        • Provide leadership and guidance for students' education clinical experience.

      • Confidentiality.
        • Maintains patient confidentiality coinciding with HIPAA.
        • Maintain student/co-worker confidentiality coinciding with FERPA.

      • Provides appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the “Age Specific Criteria”.
        • Provides appropriate patient care.
        • Shows confidence and competency in all age specific categories.
        • Ensures patient comfort and understanding of ordered exam.

      • Coordinates and performs echo/vascular procedures according to the department policy and procedures approved by the Medical Director's and Intersocietal Accreditation Commission Echocardiography (ICAEL)/Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) governing body using digital imaging.
        • Selects from work list 100% of the time or follows the correct down time guidelines for patient demographic information in order to pass the information to medical records.
        • Works closely with IT when the work list is not working. IT feedback and notification of manual scanning of finalized results for medical records.
        • Competency check list on each procedure by technical director (echo/vascular).

      • Obtains accurate patient history, appropriate indications for the study and critical measurements for physician interpretation.
        • Measure feedback from Cardiologist/Vascular Surgeon, peers, business office and medical records.

      • Acquires all images digitally in Xcelera and assigned the images to a Cardiologist/Vascular Surgeon for final interpretation and report.
        • All studies sent and edited within 24 hours of procedure.

      • Educates patient on procedure and confirms understanding PRIOR to beginning the procedure.
        • Patient inquiry of education review prior to exam by supervisor on a prn basis. Rounding for outcomes.
        • Patient inquiry if educational material were provided by ordering physician's office.

      • Log each patient on log sheet and bill appropriately in Cerner following the procedure.
        • Feedback from Business office and Medical Records.

      • Provide critical lab results to the ordering department and provide instruction to repeat back the results for clarification and understanding per department policy.
        • Document on log sheet who the critical lab result was provided to with confirmation the results were read back to the sonographer. Initial log sheet after results are read back.
        • Round for outcomes on positive results.
        • Peer observation and feedback.

      • Collaborates in maintaining proper inventory and works with IT and Bio-Med when equipment or system goes down.
        • Keeps manager informed of maintenance issues and IT system issues.
        • Feedback from IT (PACS project manager).
        • Feedback from Bio-Med on ultrasound and SAP equipment issues.

      • Works the monthly assignments fairly and in the best interest of the department.
        • Managers observation.
        • Feedback from peers.
    • Essential Functions II

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.
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Date Posted September 29, 2022
Date Closes November 28, 2022
Requisition 24971
Located In Omaha, NE
SOC Category 00-0000.00

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