Senior Sonographer, Ultrasound FTE, Nights

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Night - 12 Hour (United States of America)

This is a Stanford Health Care job.

Under the supervision of the supervisor/manager and a physician in the department, who is responsible for the use and interpretation of ultrasound procedures, conducts sonographic procedures on assigned patients of all ages through the use of ultrasound diagnostic equipment. Performs vascular studies, including peripheral vascular, abdominal and carotid duplex scans as requested. Uses complex ultrasound equipment to perform echo cardiographic procedures. Participates in training of residents and ultrasound students.

Does not supplant the physician in the sphere of decision making required to establish a diagnosis, but will assist in gathering sonographic, duplex and other medical data necessary to reach a medical diagnosis and decision. Shows a high degree of judgment and skill in use of sonographic equipment. Ensures that equipment is constantly functional and maintained for immediate use. Maintains records and reports on equipment, procedures performed and billing.

Stanford Health Care

• Documents observations made during the procedure for final interpretation by the physician or other qualified medical professional; obtains pertinent diagnostic images for record documentation when presenting cases.
• Ensures that ultrasound equipment & accessories are maintained and functioning. Reports problems to Lead Tech and supervisor.
• Explains examination process to the patient and instructs and assists patient throughout the procedure.
• Operates diagnostic ultrasound equipment, observes sound wave pattern produced, produces and processes diagnostic images and presents completed sonograms to physician.
• Participates in maintaining records for research cases. Participates as needed in evaluation of new equipment for research or possible future use in department.
• Participates in training of residents and ultrasound students.
• Performs a variety of complex sonographic procedures utilizing ultrasonic high frequency sound waves to detect abnormalities including masses, abscesses, and stones.
• Performs appropriate infection prevention techniques including CIDEX testing, neutralization disposal. Performs proper probe handling & cleaning according to procedures if necessary.
• Performs basic Doppler scans, i.e.: hepatic/portal veins, hepatic art, venous Doppler studies, renal transplant art/v. Doppler within allotted time frames;
  Spot check exams consistently show understanding and demonstration of proper doppler technique and documentation of doppler information, color and doppler spectral imaging, color & spectralscale setting at a velocity that demonstrates psv after flow direction and angle correction displayed appropriate to vessel.
• Performs procedures that require familiarity and use as needed the following equipment: 2D gray scale and color doppler and pulsed wave scanners, BP cuffs & sphygmomanometer, stethoscope, analog strip chart recorder, segmental blood pressure machine & hand held CW doppler.
• Performs without assistance the following exams: peripheral vascular duplex, abdominal duplex, segmental blood pressure & exercise testing, carotids, & other physiology exams as requested.
• Reviews patient medical history in chart information system. Reloads prior exams for comparison. Utilizes ancillary equipment appropriately (Kinetdx, PACS - Picture Archiving and Communication systems).
• Spots check exams for required views and adequate demonstration of anatomy. Completes exam within required timeframe.

• Requirement met by License/Certification Requirement

• At least five (5) years of progressively responsible and directly related work experience.
• ARDMS (any two credentials)

• Ability to apply judgment and make informed decisions
• Ability to communicate effectively, both orally and in writing
• Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation
• Ability to follow written and oral instructions
• Ability to interpret physician instructions and patient medical and clinical records to determine type of ultrasonic procedure/test to be performed
• Ability to perform general abdominal, small parts, OB-GYN and limited vascular sonography on varied patient population
• Ability to perform vascular exams to include: segmental occlusion pressures, ABI's, carotid and venous dopplers, vein mapping and abdominal dopplers
• Ability to work effectively as a team player
• Knowledge of anatomy, physiology and congenital/acquired pathology as they relate to the use and interpretation of ultrasound diagnostic procedures
• Knowledge of computer systems and software used in…