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Ultrasonographer II

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Location: Traverse City
Status (FT/PT): Full-Time
Shift: Day shift
Req ID: 54343



The Ultrasonographer II functions as a healthcare provider who, working under the delegated authority of the supervising physician, serves as a medical imaging professional providing clinically relevant information to assist the physician with the diagnosis and treatment of patients. The Ultrasonographer II role and responsibilities include providing diagnostic medical sonography services and its various clinical specialties including vascular exams and/or high level ultrasound exams as listed below. The Ultrasonographer II activities are performed consistent with their education, training, ARDMS registry’s and sonographer experience in accordance with facility policies and procedures and applicable professional standards.  The Ultrasonographer II experience and knowledge level provides a mentor and teacher to other staff sonographers.
Completion of college or hospital based Vascular or Diagnostic Medical Sonography Program or completion of Allied Health Program approved by the AMA.  Extensive Sonography education, training, and experience in the specialty area(s) to be performed. Extensive clinical experience in providing sonography services and demonstrated ability to mentor and support staff sonographers.
Demonstrated competence in the specialty area(s) to be performed, including sonographer certification by the American Registry for Diagnostic Medical Sonography.
Maintains BLS certification with biannual renewal.
Commitment to professional growth and lifelong learning (e.g., continuing medical education in the specialty area(s) performed, higher education, research, staff training, etc.).
Ultrasonogragrapher II
  1. Registered Sonographer in both general (RDMS) and vascular (RVT) with less than 3 yrs vascular experience. Must have at least one RDMS subspecialty and is expected to perform both general and vascular exams during a work day. 
Dual registered sonographers must/will perform all vascular specific exams and will routinely perform these along with general ultrasound exams.  Vascular specific exams include:
Renal Artery DopplerMesenteric DopplerLiver Doppler      Renal Transplant
Upper ArterialLower ArterialPeripheral vascular arterialPeripheral venous studies including vein mapping          
  1. Registered Sonographer (RDMS) with 5+ years of experience who have at least 2 or more RDMS subspecialty registries and perform exams in these specialties or perform MSK, whole breast screening and are breast registered or perform fetal echocardiography. Technologists are expected to perform both general and vascular exams during a work day. 
  1. Registered Sonographer with 10 or more years’ experience who have at least 1 RDMS subspecialties (i.e. ABD and OB/GYN etc.) This elevated designation represents a highly skilled and knowledgeable General sonographer and are expected to be mentors and teachers for all technologists.
Technologists must perform basic ultrasound and vascular exams listed with Ultrasonographer I along with more highly skilled exams such as:
Appendix IntussusceptionHerniaOB-Multiple Gest
FollicularOR-all exams gen and vascularUpper extremity venousVein MappingInfant Spine
HysterosonogramParacentesisThoracentesisAmniocentesisAbscess DrainageBiopsies (any organ)OR-including:EndarterectomyPartial NephrectomyD/CTumor location for Excision
Receives functional supervision from designated Leadership at each Munson Healthcare (MHC) facility.
     Cares for patients in the age category(s) checked below:
       __Neonatal (birth-1 mo)                                   __Young adult (18 yr-25 yrs)
       __Infant (1 mo-1 yr)                                          __Adult (26 yrs-54 yrs)
       __ Early childhood (1 yr-5 yrs)                         __ Sr. Adult (55 yrs-64 yrs)
       __Late childhood (6 yrs-12 yrs)                       __Geriatric (65 yrs & above)
       __Adolescence (13 yrs-17 yrs)                        _X_All ages (birth & above)
       __No direct clinical contact with patients
  • Works in conjunction with a variety of other physicians. Must maintain working contact with several intra-hospital departments including Operating Room, Recovery Room, Emergency Room, Cardiac and Intensive Care Units.
  • Supports the mission statement of Munson HEALTHCARE (MHC). In partnership with physicians, we provide quality, compassionate, comprehensive and cost-effective services for improvement of the health of our patients and the communities we serve.
  • Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and work within those guidelines.  Performs job duties safely at all times, utilizing learned body mechanics and transferring/lifting techniques.  Plans actions to promote safety.  Reports any unsafe situation/equipment according to Hospital procedure.
  • Performs other duties and responsibilities as assigned.
Primary Responsibilities
  • Prepare exam room and ultrasound equipment to conduct sonography examinations in accordance with infections disease, sterilization, and patient safety protocols, policies, and procedures.
  • Actively monitor worklist and take initiative to start and complete exams.
  • Assume responsibility for the safety of the patient during the sonographic examination.
  • Review patient medical history and supporting clinical information.
  • Ensure that the sonography examination order is complete, contains relevant information, and meets the standard of “medical necessity.” Confirms two patient identifiers per MHC protocol on every patient prior to examination and/or performs time out procedure on all invasive procedures.
  • Evaluate any contraindications, insufficient patient preparation, and the patient’s inability or unwillingness to tolerate the examination and associated procedures.
  • Communicate with the patient in a manner appropriate to the patient’s ability to understand.
  • Follows MHC wash in/ wash out for every examination per the Hand Hygiene policy.
  • Use proper patient positioning tools, devices, equipment adjustment, and ergonomically correct scanning techniques to ensure patient comfort and safety, and to prevent compromised data acquisition and musculoskeletal injury to the sonographer.
  • Observe and maintain a sterile work environment during an Ultrasound guided procedure or in the Operating Suite in the presence of open surgical wound
  • Conduct patient clinical assessment and perform the diagnostic medical sonography examination ordered by the supervising physician in accordance with MHC Ultrasound protocols approved by the supervising Radiologist.
  • Performs examination completely and accurately with minimal supervision within appropriate time allowance.
  • Apply independent, professional, ethical judgment, and critical thinking to safely perform diagnostic sonography procedures.
  • Apply independent judgment during the sonography examination to ensure that appropriate anatomical, pathological, and clinical conditions are accurately captured in the examination images.
  • As necessary, acquire additional ultrasound imaging to facilitate optimum diagnostic results for the interpreting physician.
  • Identify and document any limitations to the sonography examination.
  • Review examination images, synthesize examination results, and prepare the preliminary findings for use by the interpreting physician.
  • Except as authorized by written facility policies and procedures, refer specific diagnostic, treatment or prognosis questions to the appropriate physician or healthcare professional.
  • Maintain patient privacy and confidentiality in accordance with privacy laws (e.g., HIPAA) and facility policies, and procedures.
  • Adhere to accepted professional and ethical standards.
Equipment Use and Maintenance
Primary Responsibilities
  • Perform quality control procedures to ensure that the ultrasound equipment operates at optimal levels.
  • Exercise responsibility to ensure that the ultrasound equipment is functioning accurately.
Other Responsibilities
  • Assume responsibility for the preventive maintenance program for ultrasound equipment.
  • Clean equipment and or ultrasound transducers as per the recommendations after each patient, utilizing HLD when advised.
Documentation and Reporting
Primary Responsibilities
  • Document any incidental findings that might impact patient safety or patient care and provide that information to the interpreting physician.
  • Operate the Picture Archiving and Communication System (PACS).
Other Responsibilities
  • Exercise responsibility for the maintenance and accuracy of facility reports, database records and logs.
Quality Assessment/Quality Improvement
Primary Responsibilities
  • Ensure that the sonography examination results meet the facility standards for Quality Assurance before findings are released for interpretation.
  • Work with the appropriate staff to ensure quality patient care.
  • Assist with the daily operation of the sonography facility.
Other Responsibilities
  • Carry out Quality Assurance protocols and Quality Improvement measures within the facility.
Health Care Team Interaction
Primary Responsibilities
  • Establish and maintain collaborative working relationships with co-workers, administrators, and members of the health care team.
  • Foster a collaborative atmosphere with other members of the healthcare team.
  • Maintains professional appearance by adhering to HR Dress Code policy and/or Radiology department dress code.
  • May as needed, work off shift, weekends and/or participate in the modality’s patient on-call responsibilities including holiday rotation
Other Responsibilities
  • Assist with the education and training of sonography students and physician residents.
  • Must perform and be proficient at basic vascular studies (such as, carotids, upper and lower venous studies) and maintain knowledge of color Doppler principles.
  • Performs other duties and responsibilities as assigned including but not limited to;
  • Monitoring personal hospital email regularly, keeping current on Healthstream assignments, continued CPR and Ultrasound Registration(s) and copies given to the Coordinator or Leadership to keep on file.
  • Stocking exam rooms, basic housekeeping of department, cleaning and maintenance of ultrasound machines along with documentation, checking for outdated supplies, organizing supply room and putting away new supplies.
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