UNITED HOSPITAL CENTER

POSITION DESCRIPTION AND COMPETENCY EVALUATION

 

 

TITLE:                         DIAGNOSTIC CARDIAC SONOGRAPHER

DEPARTMENT:           DIAGNOSTIC SERVICES

REPORTS TO:            DIAGNOSTIC SERVICES SUPERVISOR - IMAGING

 

q   ANNUAL

q   90 DAY

q     90 DAY TRANSFER

q     FOLLOW-UP

PROBATION

 

 

 

 

REVIEWED/APPROVED/DATE:    

 

UPDATED:   12/04, 12/05, 12/06, 12/07, 12/08,12/09,12/10, 2/11, 12/12__ UPDATED:_12/13, 5/14, 12/15, 2/16______________________________

 

 

 

 

BASIC PURPOSE:

 

Works independently and as part of a team, performing diagnostic cardiac sonography at a technical and professional level not requiring constant supervision.  The cardiac sonographer must assume responsibility, exercising independent judgment, initiative, and ingenuity in insuring quality images and pertinent information for diagnosis by the interpreting physician.

 

 

QUALIFICATIONS:

1.      Allied health background such as registered diagnostic medical sonographer, diagnostic cardiac sonographer, vascular technologist, radiologic technologist, registered nurse, etc.;

2.      A minimum of 2 years of experience performing sonography; registry in at least one major specialty through the ARMDS required within one year of employment , or

3.      Graduate of a CAHEA approved program in Diagnostic Medical Sonography, Cardiac Sonography or Vascular Technology; registry in at least one major specialty  through the ARDMS within one year of employment; or

        Certified as a Registered Cardiac Sonographer through CCI.

4.     ARDMS registry in adult echocardiography preferred.

5.      Departmental needs may necessitate significant experience and/or current ARDMS registration in Adult Echocardiography and/or other specialty areas (ie. Pediatric Echocardiography) to complement existing skills mix.

6.      Current BCLS certificate.

 

 

ESSENTIAL FUNCTIONS FOR DIAGNOSTIC CARDIAC SONOGRAPHER

 

 

THIS DESCRIPTION DOES NOT STATE OR IMPLY THAT THE DUTIES, ESSENTIAL FUNCTIONS, AND JOB REQUIREMENTS ARE THE ONLY PARAMETERS FOR THIS POSITION.  ASSOCIATES ARE REQUIRED TO FOLLOW JOB-RELATED INSTRUCTION AND PERFORM OTHER JOB RELATED ACTIVITIES REQUESTED BY THEIR SUPERVISOR.

 

ALL REQUIREMENTS ARE SUBJECT TO POSSIBLE MODIFICATION IN ORDER TO PROVIDE A REASONABLE ACCOMMODATION TO INDIVIDUALS WITH PHYSICAL OR MENTAL DISABILITIES AS DEFINED BY THE AMERICANS WITH DISABILITIES ACT.  SOME REQUIREMENTS MAY EXCLUDE INDIVIDUALS WHO POSE A DIRECT THREAT OR SIGNIFICANT TO THE HEALTH AND SAFETY OF THEMSELVES, THE PATIENTS, OR OTHER ASSOCIATES.

 

 

PHYSICAL REQUIREMENTS:

§  Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing sonographer duties throughout the work shift.

§  Must be able to lift, move, and position patients of all weights, with varying amounts of assistance in a fair manner on a regular and recurring basis.

§  Hearing within normal range is required.

§  Must be able to read and write legibly in English.

§  Visual acuity must be within normal range.

§  Must be able to perform heavy work:  exerting in excess of 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

 

 

 

 

 

 

 

 

 

MENTAL REQUIREMENTS:

§  Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly technical situations.

§  Must have the ability to work successfully under highly stressful conditions, and must be capable of adapting to varying workloads and work assignments on a constant basis.

§  Must have the ability to make sound, independent judgments based on scientific principles, and also be able to collaborate with other multi-disciplinary team members in an appropriate fashion.

§  Must have the ability to comprehend and perform oral and written instructions and procedures.

§  Must have effective reading and comprehension skills.

§  Must have strong communication skills, written and verbal.

§  Must have basic math and algebra skills to perform measurements and calculations of size, volume, velocities, flow rates, ejection fractions, etc..

§  Must possess basic understanding of physics.

§  Must be able to work weekends, holidays, and all shifts.

§  Must have ability to prioritize tasks.

 

 

ENVIRONMENTAL CONDITIONS:

(POTENTIAL FOR)

§  Exposure to body fluids, human tissues, contagious diseases, sharps, and explosive gases.

§  Exposure to cleaning agents and disinfectants.

§  Exposure to high stress and constant interruptions.

§  Exposure to electrical current.

§  Exposure to ionizing and non-ionizing radiation.

 

 

EQUIPMENT USED:        This must be considered only a representative, partial list, since equipment changes may occur at any time.

§  Beepers,Telephone/Paging System,Computer Terminal and Printer,Fax Machine, Calculators, Echocardiography Equipment, Television/Monitors, Wheelchair,Stretcher. Sphygmomanometer,Electric Beds,Stethoscope,Syringes,In-Line and Portable Oxygen Delivery Systems,Calipers,Sterile Procedure Trays, Patient Restraint Devices, Patient Transfer Devices, Steris Resert System.

 

 

DIRECTIONS: Use the keys designated for Assessment, Learning, and Achievement sections.  More than one item may be used per section.  Prior to working in department, please complete self- assessment portion and return to manager.  Date and signature indicates independent/satisfactory performance.  Asterisks (*) indicate critical criteria for job title competency.  (OPTIONAL) Assessment/level key of 3 or 4 Required.

 

ASSESSMENT/LEVEL KEY

LEARNING/VALIDATION

METHOD KEY

EVALUATION KEY

1

INADEQUATE KNOWLEDGE/ PERFORMS INCOMPETENTLY

D

DEMONSTRATION

D

DEMONSTRATION

2

NEEDS REVIEW/PERFORMS W/DIRECT SUPERVISION

H

HANDOUT

T

KNOWLEDGE ASSESSMENT TEST

3

STATE W/ASSISTANCE/PERFORMS W/ASSISTANCE

L

LECTURE

 

 

4

STATE INDEPENDENTLY/PERFORMS COMPETENTLY & INDEPENDENTLY

E

EXPERIENCE

 

 

NA

NOT APPLICABLE FOR ASSOCIATE

V

VIDEO

 

 

 

 

SLM

SELF LEARNING MODULE

 

 

 

 

O

OBSERVE

 

 

 

 

C

COGNITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


JOB PERFORMANCE STANDARDS FOR DIAGNOSTIC CARDIAC SONOGRAPHER

 

IN COLLABORATION WITH THE PATIENT, FAMILY AND HEALTH CARE TEAM, THE DIAGNOSTIC/CARDIAC SONOGRAPHER WILL DEVELOP, IMPLEMENT AND EVALUATE NURSING CARE ACCORDING TO THE FOLLOWING WORK SYSTEMS.

 

 

STANDARD/CRITERIA

 

SELF ASSESSMENT

 

EVALUATOR

 

LEARNING/

VALIDATION METHOD

 

DATE/

SIGNATURE

 

I.       DOCUMENTATION

A.     Obtain patient consents per Department P/P manual.

 

 

 

 

 

 

 

 

 

B.     Actively participates in Quality Control Program as established by UHC and/or accrediting agencies (ie. ICAEL)

 

 

 

 

 

 

 

 

 

II.      EDUCATION

A.     Convey specifics of imaging procedures and accesses additional information as requested by patient and/or family member(s).

 

 

 

 

 

 

 

 

 

B.     Obtains and documents appropriate continuing education in compliance with national certification requirements to maintain Active registry status with the ARDMS.

 

 

 

 

 

 

 

 

 

C.     Provides indirect supervision and participates in documentation and evaluation of clinical performance of student radiographers/sonographers.

 

 

 

 

 

 

 

 

 

III.     SAFETY

A.     Utilizes appropriate Time/Distance/Shielding to minimize radiation exposure, as indicated in department P/P manual.

 

 

 

 

 

 

 

 

 

B.     Provides a safe environment.  Reports unsafe equipment, devices, etc. to supervisor.

 

 

 

 

 

 

 

 

 

C.     Maintains equipment in proper working condition.  Reports equipment problems to BioMed Department, and supervisor for follow-up.

 

 

 

 

 

 

 

 

 

D.     Complies with safety policy and procedure:

 

 

 

 

 

 

 

 

 

1.        Side Rails

 

 

 

 

 

 

 

 

 

2.        Fall Risk

 

 

 

 

 

 

 

 

                4.        Patient Transfer Devices

 

 

 

 

 

 

 

 

                5.        Personal Protective Devices

 

 

 

 

                6.        Probe Disinfection

 

 

 

 

 

 

 

 

 

B.     Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, communication, safety, education level and related criteria for  adult, geriatric patient per the established age-specific standard.

 

 

 

 

 

 

 

 

 

C.     Recognizes and meets the psychosocial and emotional needs of patient by thoroughly explaining the planned procedure to facilitate cooperation and alleviate anxiety.

 

 

 

 

 

 

 

 

 

D.     Recognizes the patient’s level of comfort and any limitations which may be due to patient condition when selecting appropriate equipment, techniques, assistance, and support devices for performance of echocardiographic procedures.

 

 

 

 

 

 

 

 

 

E.     Regularly performs basic nursing functions in regards to care of patient; monitors patient for changes in condition and initiates life support measures, if necessary.

 

 

 

 

 

 

 

 

 

F.      Demonstrates respect for patient’s modesty by assuring that the patient remains properly clothed during exam and transfer situations.

 

 

 

 

 

 

 

 

 

G.     Follows appropriate UHC on-call policy.

 

 

 

 

 

 

 

 

 

H.     Organizes and distributes echocardiography billing information, as appropriate.

 

 

 

 

 

 

 

 

 

V.     EQUIPMENT

Demonstrates proficiency with regards to use of the following according to equipment manuals:

 

 

 

 

 

 

 

 

 

A.     Echocardiography Systems

 

 

 

 

 

 

 

 

 

B.     Hemodynamic Monitor (Pulse Ox, HR, BP)

 

 

 

 

 

 

 

 

 

C.     Performs defibrillator/crash cart checks as per policy

 

 

 

 

 

 

 

 

 

D.     Centricity Cardio Imaging

 

 

 

 

 

 

 

 

        E.     Steris Resert

 

 

 

 

 

VI.    PROCEDURES

Performs the following imaging procedures according to the department P/P manual:

 

 

 

 

 

 

 

 

 

A.     Adult Transthoracic Echocardiography

 

 

 

 

 

 

 

 

 

1.        Complete 2D/M-Mode

 

 

 

 

 

 

 

 

 

2.        Color doppler

 

 

 

 

 

 

 

 

 

3.        Limited doppler

 

 

 

 

 

 

 

 

 

4.        Complete doppler

 

 

 

 

 

 

 

 

 

B.     Invasive Procedures

 

 

 

 

 

 

 

 

 

1.        Adult Transesophageal Echocardiography     

 

 

 

 

 

 

 

 

 

C.     Special Echo Procedures

 

 

 

 

 

 

 

 

 

1.        Contrast / Bubble Study

 

 

 

 

 

 

 

 

 

2.        Portable Procedures

 

 

 

 

 

 

 

 

 

D.     Disinfection of Transesophageal Probe

 

 

 

 

 

 

 

 

 

 

 

q   Meets Overall Performance Standards

 

q   Does Not Meet Overall Performance Standards

 

  The undersigned acknowledge the successful completion of the criteria listed above.

 

 

ASSOCIATE SIGNATURE:

 

DATE:

 

EVALUATOR SIGNATURE:

 

DATE:

 

DEPT.  DIRECTOR SIGNATURE:

 

DATE: