Cardiac Sonographer Lead

About this role

JOB TITLE: Cardiac Sonographer - Lead STATUS: Full Time LOCATION: Rochester General Hospital - 1425 Portland Avenue Rochester, NY 14621 DEPARTMENT: Cardiology SCHEDULE: Days, M-F, 8 hrs, weekend rotation requirement

SUMMARY Performs medically prescribed diagnostic echocardiographic procedures to assess cardiac structures and hemodynamics, utilizing various modes and techniques, including but not limited to 2-dimensional, M-Mode, color flow, pulse wave, and continuous wave Doppler, in accordance with accepted protocols.

RESPONSIBILITIES • Ability to perform all transthoracic echocardiograms independently, as applicable in work setting

• Ability to perform stress echocardiograms, including dobutamine echocardiograms and bike stress tests independently, as applicable in work setting

• Ability to perform Transesophageal Echocardiograms (TEEs) independently, as applicable in work setting

• Ability to perform LVAD echocardiograms (and ramp studies) independently, as applicable in work setting

• Ability to perform Pericardiocentesis echocardiograms independently, as applicable in work setting

• Ability to perform RV Biopsies echocardiograms independently, as applicable in work setting

• Ability to perform Pediatric Transthoracic Echocardiograms independently, as applicable in work setting

• Ability and willingness to travel to greater than 2 sites, with more than 25% of time working at a site other than the home office site

• Ability to perform Transthoracic Echocardiograms (TTEs) and Transecophageal Echocardiograms (TEEs) in structural heart procedures (3D imaging for complex valve cases, such as VSD, PFO, V-Wave) independently, as applicable in work setting

Leadership Responsibilities • Oversees all SCHI Cardiac Sonographers for all inpatient and outpatient sites, including hospitals and ambulatory offices

• Leads quality assurance activities

• Participates in and leads special projects, such as Lean projects, process improvement projects, quality improvement projects

• Participates in the process to attain and maintain IAC accreditation for the echo lab, including IAC related QA processes and meetings.

• Assures compliance by Cardiac Sonographers of IAC objectives and quality assurance initiatives

• Under direction of the department director, provides supervision of sonographers including hiring process, orientation, annual performance appraisals, and coaching opportunities as needed.

• At the direction of the Department Director, assigns work to other Cardiac Sonographers, providing oversight and support as necessary

• Serves as a resource to staff in resolving complex issues and by providing technical skills

• Assists Department Director and Medical Director with development of new clinical protocols

• Able to appropriately determine clinical question being addressed:

• Refers to indication noted on requisition

• Reviews patient chart and history

• Refers to physician, as needed

Utilizes imaging protocols established by the Intersocietal Accreditation Commission (IAC) Echocardiography Accreditation. • Utilizes proper patient positioning techniques to obtain optimal image quality, and to avoid injury to patient and self.

• Selects appropriate transducer and imaging mode.

• Manipulates imaging control settings (i.e. Gain, Focus, Focus Range, and attenuation) to obtain optimal imaging quality.

• Performs / obtains all measurements required for study.

• Ends and transfers study to cardiology PACS.

​ Accesses patient study in Cardiology PACS system: • Verifies patient demographics, edits as needed.

• Manages orders to study, if needed.

• Verifies all images and measurements are transferred as expected.

• Accesses preliminary diagnostic report attached to procedure to formulate a preliminary interpretation for the reading cardiologist, also provides preliminary comments for each structure examined.

• Enters additional measurements as needed, and edits digital images as applicable, for reading cardiologist’s review.

• Obtains and provides previous echocardiographic studies for comparison with current study, if available.

• Discusses findings with reading cardiologist as needed.

Patient Interaction: • Follows HIPPA regulations, respecting and providing patient’s confidentiality and privacy.

• Introduces self to patient, and role in care.

• Explains procedure with instructions, to ensure patient cooperation, patient safety, and obtaining optimal results.

• Assists patient during transfer from wheelchair, stretcher or bed to exam table.

Personnel Interaction: • Participates with other team members, evaluating and managing daily procedure schedule.

• Participates with QA/QI process within the department, provides accurate documentation and comparisons.

• Maintains a positive attitude and cooperative working relationship with peers and supervisory staff.

• Participates in annual performance appraisal process.

• Accepts feedback and coaching in a positive manner.

Teaching and Education: • Attends and participates in echocardiography conferences.

• Completes all required annual competencies, health screening and mandatory education.

• Maintains active registry status in adult cardiac sonography (RDCS/RCS) through continuing professional educational credits.

• Participates with training and orientation of new team members.

• Participates in teaching and shadowing experience of student sonographers and/or nursing students, during clinical rotations through cardiology.

• Assists Medical Director and/or supervisory staff in the preparation of echocardiography conferences

• Ability to serve as preceptor for new graduate sonographers, sonography students and cardiology fellows

• Ability and willingness to travel to greater than 2 sites, with more than 25% of time working at a site other than the home office site

• Annually, deliver an educational presentation to cardiac sonographer colleagues or students

​ Equipment Maintenance: • Cleans equipment after ea

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