Interventional Radiologic Technologist

The Interventional Technologist Level 1 collaborates during procedures with physicians and senior technical staff and performs diagnostic and interventional radiographic procedures with the utmost concern for the patient's comfort and safety. Operates complex diagnostic and interventional radiographic equipment. Participates in IR procedures within the IR departments, peri-op environments, bedside, and elsewhere as needed. Cross-trains and supports the sub-specialties within IR including and not limited to abdominal procedures, vascular procedures, vascular surgery, Neuro IR, neurosurgery, endoscopic interventions, and cardiac surgery.

• Operates multi-modality imaging equipment to support interventional procedures. Ensures proper patient demographics and documentation for appropriate image storage for the medical record. Ensures the patient is properly positioned and immobilized, selects proper imaging factors, and utilizes and initiates fluoroscopy. Assists physicians during the procedure, including and not limited to positioning of the table and/or c-arm, set up for power injections, and advanced imaging techniques. Calibrates and verifies operation of all equipment to be used during the day and notifies appropriate personnel of equipment malfunctions. Begins trouble-shooting process and calls service engineers when repair is indicated. Ensures appropriate storage remains available on the device during daily QC checks. Performs proper post-processing of all images including reformatting and/or DYNA CT and advanced software for overlay, needle-guidance, embo-guidance and/or FUSION. Ensures availability of previous imaging for procedures through workstation and/or Pushpage. Knowledgeable and able to operate all various ancillary equipment used in interventional procedures.

• Delivers patient care under the scope of license and training. Supports procedures by maintaining aseptic conditions preparing procedure trays, associated medications, and equipment in accordance with institutional policies, including preparing patients for procedures, participating in cases, and sterile prep for procedure including following all infection control policies and Instructions for Use for associated products. Supports all role groups in handling and management of all labs and specimens obtained during IR procedures including correct labelling and appropriate delivery of samples. Uses appropriate personal protective equipment and precautions from all hazardous materials (bloodborne pathogens, radiation, etc.) as stated by unit policy and hospital authorization. Follows all hospital guidelines and policies around isolation precautions including those during aerosol generating procedures. Scrubbing in as a second operator as needed to assist the primary physician including catheter/wire management, administration of contrast, and assisting the physician to expedite the case and improve the quality of care. These practices adopted by the ASRT House of Delegates (Resolution 99-3.03, 1999).

• Ensures all hospital and departmental documentation as related to the Image-guided procedure is complete and accurate in a timely manner including EPIC, Nuance, Mobile Aspects, Visage PACS, etc. Follows two-identifier patient identification process (Name, MRN, DOB). Maintains inventory tracking, utilization and replenishment within the patient's medical record through the division's Inventory management software. Validates all documentation associated with procedure. Maintains procedure area in an orderly manner, prepares equipment, and stocks room supplies for daily use. Disposes of all patient information appropriately and ensures procedure space is always prepared for urgent cases. Supports drop-off and pick-up of sterile and soiled supplies between IR, soiled utility, and/or SPD as needed while following all hospital and regulatory guidelines around transport of soiled instruments. Under the guidance of the inventory coordinator, assists with various tasks related to RFID tagging of product and stocking of medical/surgical supplies in appropriate RFID cabinets throughout the units. Performs all other duties as directed.

• As a teaching hospital, technologist can oversee and instruct various personnel and technology students within the department, including precepting new staff and working closely with the IR Managers and supervisors while following the department Competency-Based Training program. Acknowledges and participates in research programs, quality assurance and other quality improvement projects carried on in the department. Remains up to date on the latest developments and trends in imaging techniques, procedures and equipment by readings, conference teachings, and seminars. Includes new technology and disposable supplies and understanding of function and usage as related to Image-guided procedures. Participates in educational programs and meets state and national requirements for continuing education credits including Radiation Protection per state guidelines.

• Participates in a rotating on-call schedule for evening, weekend, and holiday coverage. Includes urgent and routine case types deemed appropriate by IR and subspecialty call-service Attending physicians.

• Maintains professional, effective, and constructive working relations and communication with all departmental staff and other hospital personnel. Communicates effectively across all role groups. Represents IR well in communication to staff outside the department.

Certificate/Diploma in Medical Imaging required

ARRT(R) required within 90 days of hire

Massachusetts Rad Tech license required

BLS within 90 days Advanced Modality Licensure (VI/CV) preferred