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Radiologist Assistant (Part-Time, 24 Hours)

Location: Boston, MA
Post Date: 4/2/2020
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Under the supervision and direction of the Manager of Radiology, is responsible for assisting the Radiologist in the care of patients within the Department of Radiology. The care will be in accordance with the role delineation set by the American Registry of Radiologic Technologists (ARRT), the Practice Standards set forth by the American Society of Radiologic Technologists (ASRT) or other such governing documents that may be jointly approved by the American College of Radiology (ACR), the ASRT and American Registry of Radiologic Technologists (ARRT). This position will supplement the current radiology team structure and provide an added dimension for patient care. The RA will be directly involved with patients undergoing identified fluoroscopic and/or invasive procedures as their training and expertise dictates, and serve, under the supervision of the Radiologist, as a liaison between the Department of Radiology and the referring physicians. The job will require effective communication with referring physicians about the above stated patients. They will communicate with all staff involved with the patient's care. This may include, but not be limited to, Radiologic Technologists, Radiology attending physicians, Fellows, Nurse Coordinators, and the Physicians and Nurses caring for the patients.

POSITION SUMMARY:

Under the supervision and direction of the Manager of Radiology, is responsible for assisting the Radiologist in the care of patients within the Department of Radiology. The care will be in accordance with the role delineation set by the American Registry of Radiologic Technologists (ARRT), the Practice Standards set forth by the American Society of Radiologic Technologists (ASRT) or other such governing documents that may be jointly approved by the American College of Radiology (ACR), the ASRT and American Registry of Radiologic Technologists (ARRT). This position will supplement the current radiology team structure and provide an added dimension for patient care. The RA will be directly involved with patients undergoing identified fluoroscopic and/or invasive procedures as their training and expertise dictates, and serve, under the supervision of the Radiologist, as a liaison between the Department of Radiology and the referring physicians. The job will require effective communication with referring physicians about the above stated patients. They will communicate with all staff involved with the patient's care. This may include, but not be limited to, Radiologic Technologists, Radiology attending physicians, Fellows, Nurse Coordinators, and the Physicians and Nurses caring for the patients.

ESSENTIAL RESPONSIBILITIES / DUTIES:

Perform Routine Fluoroscopic Exams

  • Barium Enema (Single and/or Double Contrast)
  • Upper GI (Single and/or Double Contrast)
  • Barium Swallow
  • Modified Barium Swallow (Adult and Neonate)
  • Small Bowel Follow Through
  • Fistulagram
  • Loopograms, through existing catheter
  • Cholangiogram, through existing tubing
  • Hysterosalpingograms
  • (Voiding) Cystourethrograms
  • Lumbar Puncture under fluoroscopy
  • Myelogram (Cervical, Thoracic, and/or Lumbar) with image acquisition
  • Abscess, fistula, or sinus tract study

Performance of Arthrograms (CT and MR)

  • Hip, Knee, Ankle, Shoulder, Elbow, Wrist, Any Other (Small) Joint

Performance of Injections and/or Aspirations

  • Joint aspirations or joint injections with steroids or other medications with fluoroscopic guidance
  • Bursa injections and/or aspirations
  • Iliopsoas Tendon Injections

Performance of:

  • Bladder Catheterization
  • Remove Sutures
  • Provide Wound Care

Administer Daily/Routinely:

  • Local Anesthesia
  • Steroids and contrast to various musculoskeletal joints
  • Bowel Evacuant and Preps: Fleet Enemas, oral bowel preps, oral and rectal contrast, Bulk Agents, enemas, fecal softeners, mineral oil, stimulants

Daily/Routine Duties Required:

  • Obtain Full H&P on All Scheduled or Add-On Patients
  • Provide Initial Evaluation of Patients
  • Evaluate images for completeness and diagnostic quality, and recommend additional images as required
  • Review imaging procedures, make initial observations, and communicate observations only to the radiologist.
  • Record initial observations of imaging procedures following radiologist approval.
  • Adheres to and Enforces Protocols for all Exams (very often communicating these protocols with various ordering physicians, PAs, NPs, clinicians, etc.), including Premedication Protocols for Contrast Allergies, Interventional procedure anticoagulation guidelines and requirements, Required Imaging Protocol for Specific Exams (HSG's, Myelograms, etc.), Fluid acquisition and laboratory protocols, per exam.
  • Prepare and Present Case Histories, Problems, and Complications
  • Document Progress Notes in Patient's Chart
  • Provide physician-prescribed pre and post care instructions to patients.
  • Round on Patients, as applicable
  • Initiate Consultation Requests to Other Health Professionals
  • Communicate radiologist's report to appropriate health care provider consistent with the ACR Practice Parameter for Communication of Diagnostic Imaging Findings.
  • Obtain Patient Consent for Procedures
  • Provide First-Level Response to acute patient complications and emergencies, and initial appropriate measures
  • Participate in Staff Quality Improvement and Peer Review Programs
  • Attends Continuing Education Programs and Participates in In-Service Programs

Duties, Procedures, and Exams (may require additional credentialing):

  • Paracentesis
  • Thoracentesis
  • Baker's Cyst Aspiration
  • PICC Line Placement with Fluoro Guidance
  • PICC Line Placement with Ultrasound Guidance
  • A/V Fistulagram
  • Venous Access Sheath
  • Venous Interventions including Ports and tunneled ports
  • Arterial Interventions including sheath placement for angiography
  • Venography
  • IV Contrast
  • IV Fluids
  • Liver Biopsies for diffuse disease - Non-focal Lesions
  • Liver or Thyroid Biopsies of a targeted lesion
  • Perform Phlebotomy and IV Insertion
  • Port Injections
  • Breast Needle Localization
  • Biopsy - Thyroid, Liver, Superficial Lymph Node
  • Percutaneous Drainage with or without placement of catheter
  • Change of percutaneous tube or drainage catheter
  • Placement of catheter for pneumothorax
  • Other duties as assigned

Must adhere to all of BMC's RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

Graduate of accredited RA or RPA program (Must subsequently pass ARRT RA certification or hold CBRPA certification dated prior to 12/31/07)

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

  • Active and valid ARRT certification and Massachusetts state RT license
  • Maintain license and all certifications by completing the required hours of CEUs (Continuing Education Units) designated by the ARRT and Massachusetts licensing authority
  • BLS and ACLS certification required (AHA standards)

EXPERIENCE:

2-3 years of Radiologic Technologist experience

KNOWLEDGE AND SKILLS:

  • Knowledge of PACS systems
  • Department preceptor
  • Must be involved in a professional society
  • High level of computer efficiency
  • Strong interpersonal and communication skills
  • Possess the maturity, self-confidence and ability to follow complex patient management plans as directed by the attending/supervising radiologist.
  • Must be able to demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patients served
  • Possess the highest level of customer service in interacting with referring physicians; all other care providers, patients and their families.

Req ID: 13704

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