Provides Computed Tomography imaging procedures within the scope of practice, including receiving and preparing patients and equipment for procedures and maintaining supplies for the CT department. Produces high-quality scans by following protocols set forth by the radiology department. Operates CT equipment in a safe and proficient manner within the boundaries of competence, based on documented education, training, supervised experience, state, and national professional credentials, and appropriate professional experience. Works with students from approved educational institutions.

Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self Determination and Education Assistance Act. Practices only within the boundaries of competence, based on documented education, training, supervised experience, state and national professional credentials, and appropriate professional experience. Selects appropriate scan parameters for the safety of pediatric and adult patients. Provides health services of scope, quality, and quantity consistent with Cherokee Nation policies. Communicates effectively with patient care team members to answer questions. Demonstrates knowledge and understanding of human cross-sectional anatomy, physiology, pathology and medical terminology to perform computed tomography exams on patients of all ages. Exams include CT and CTA of head, neck, heart, chest, abdomen, pelvis, extremities and advanced CT exams. Assists Radiologists in performing CT Guided Biopsies. Skilled in the safe operation of highly complex computerized tomography (CT) equipment and automated contrast agent pressure injectors (power injector) to perform computerized tomography (CT) and CT angiography (CTA) examinations per request by an authorized clinical healthcare provider. Performs quality control for CT equipment, power injector, crash cart, and blanket warmer devices. Maintains a stock supply of disposables used in the CT department. Ensures completion of all duties, accurately demonstrates anatomy and pathology, uses proper CT techniques, annotation, anatomical and pathological demonstration, and correct any errors. Maintains working knowledge of all CT equipment used in the department including protocols and procedures. Enters data accurately into the computer systems(s) and ensures completeness of patient paperwork. Demonstrates flexibility to the demands of patient care by coming in early and/or staying late. Practices responsible use of communication tools (paging system, telephones, e-mail, fax, etc.), corrects problems as they arise and notifies supervisor/manager when assistance is required to do so. Interprets orders such as patient requisition, including special instructions. Ensures the patient is imaged in a safe environment, free of hazards and identifies patients using approved identifiers. Provides full attention to the patient and the procedure, addressing and handling patient care concerns, and seeking opportunities to assist in overall patient care activities. Provides any life support measures needed. Identifies, interviews and screens patients for possible contradictions to contrast material. Administers contrast materials while adhering to prescribed aseptic technique under the direction of the radiologist. Notify provider of adverse reactions (i.e., patient identification, power injector operations, etc.). Images patients utilizing approved protocols/procedures, sterile or aseptic technique where applicable, and brings questions forward before imaging patients. Protects patients by following as low as reasonably achievable (ALARA) safety guidelines. Exhibits professional and courteous customer service at all times and demonstrates knowledge of Age-Specific Criteria in carrying out work duties and tasks. Initiates delegated tasks based on demonstrated competence in performing CT service for the patient population served (i.e., anatomical position, proper breathing instruction, compliance with procedure protocols, etc.). Recognizes examination findings that may require an immediate clinical response and notifies the interpreting radiologist (i.e. requesting a STAT Read). Discusses with the radiologist the CT findings and uses cognitive skills to identify, record, and adapt procedures based on diagnostic information received. Recognizes patient distress signs, initiates and follows emergency procedures. Maintains current required licensure and certifications and follows division and department-specific policies, procedures, guidelines, and protocols. Demonstrates adherence to accreditation standards, ethics, initiatives and applicable state/federal licensure and guidelines. Satisfies department in-services and continuing education requirements for the institution and section. Attends mandatory in-services, maintains expectations for safety preparedness including but not limited to: Orientation to new equipment, Employee education event, cardiopulmonary resuscitation (CPR) training, etc. and must document incidents, variances, unusual circumstances or patients concerns during the procedure and notify the radiologist or supervisor as needed. Attends, contributes and participates in regularly scheduled departmental meetings. Assures all necessary patient documentation is complete and accurate by clearly writing the required information on all necessary forms. Participates in the quality and performance improvement activities, identifies new ways to improve workflow and the patient experience. Manages patient flow effectively and minimizes delays by utilizing critical thinking to analyze and evaluate simple cause and effect outcomes. Takes appropriate action to categorize problems into high and low priority levels and exercises action(s) to maintain efficiencies. Coordinates patient flow through the department by maximizing resource allocation and communicating any problems to the supervisor(s). Complies with all Cherokee Nation Health Service policies and procedures to maintain equipment safety. Relays all equipment malfunctions to the appropriate team and supervisor with appropriate information readily available. During system failure, performs department downtime procedures and immediately reports failure to the supervisor. Maintains his/her presence in the area and provides needed support to maximize department productivity. Follows exams from start to finish through the complete system to ensure exams reach archive/interpreting radiologist site. Manages communications throughout the area and understands and participates in the importance of interrelationships between own units employees and customers (Providers, Nursing, Patients) and how various teams as a whole contribute to the success of the facility. Exhibits and maintains a high level of customer service and is respectful and professional at all times with staff, both internal and external to the Cherokee Nation. Listens when approached by others. Takes actions based on an understanding of the message and asks appropriate questions to clarify if clarification is needed. Reports monthly procedure totals to the supervisor/director as directed. Participates in on-going learning activities and demonstrates the application of it in his/her role. Actively seeks the opportunity to develop professionally and personally. Demonstrates excellent interpersonal skills and establishes and maintains a high level of professionalism through cooperation, receptiveness, and sensitivity to others. Demonstrates by example, a high-level customer service philosophy, ethical behavior, and institutional core values. Understands and promotes team participation over individual contributions. Ensures appropriate inventory and supplies are available throughout each day/week for procedures. Retrieves images needed from the Picture Archiving and Communication System (PACS) and Electronic Health Record (EHR). Works with Students from approved educational institutions rotating through Cherokee Nation Radiology Department for a learning experience in a clinical setting. Maintains verifiable records at an institution or facility that has a published records retention policy that is equal to or exceeds the retention required by federal, tribal and/or state regulations. Maintains the confidentiality of any information received from any person or source about a client, unless authorized in writing by the client or required by law or court order. Complies with the applicable state, tribal and federal regulations in regard to the security, safety, and confidentiality of any health services record created, maintained, transferred, or destroyed, whether the record is written, taped, computerized, or stored in any other medium. Other duties may be assigned.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

COMPUTED TOMOGRAPHY (CT) TECHNICIAN I

EDUCATIONAL REQUIREMENT

Associate's degree from 2-year college or technical school; or two years (60 credit hours) coursework from 4-year college or university; or three years related experience; or equivalent combination of education and experience.

EXPERIENCE REQUIREMENTS

No additional experience. Computed Tomography Experience preferred but not required.

COMPUTED TOMOGRAPHY (CT) TECHNICIAN II

EDUCATIONAL REQUIREMENT

Associate's degree from a 2-year college or technical school; or two years (60 credit hours) coursework from 4-year college or university; or three years related experience; or equivalent combination of education and experience.

EXPERIENCE REQUIREMENTS.

At least six months experience in a related field. Computed Tomography Experience.

COMPUTER SKILLS

An individual should have knowledge of Database software; Internet software; Inventory software; Order processing systems; Spreadsheet software and Word Processing software.

CERTIFICATES, LICENSES, REGISTRATIONS

Must be currently certified in Radiography with the American Registry of Radiologic Technologists (AART) (R). Must obtain BLS and maintain during employment. Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating.

OTHER QUALIFICATIONS

Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIGs Cumulative Sanction Report, or the GSAs List of Excluded Providers, or listed on the OIGs List of Excluded Individuals/Entities (LEIE).

Must pass the ARRT CT Registry within one year of hire date. Must meet and maintain pre-employment and periodic background investigation and adjudication for child care.

PHYSICAL DEMANDS

While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; talk or hear and taste or smell. The employee is frequently required to sit and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this Job, the employee is regularly exposed to moving mechanical parts; risk of radiation and vibration. The employee is occasionally exposed to wet and/or humid conditions; high, precarious places; fumes or airborne particles; toxic or caustic chemicals; outside weather conditions; extreme cold; extreme heat and risk of electrical shock. The noise level in the work environment is usually moderate.