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Cleveland, Ohio, Summary The VA Northeast Ohio Healthcare System is recruiting for a Medical Instrument Technician (Vascular). The Medical Instrument Technician (Vascular) will function in Surgical Service. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy English Language Proficiency Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2 - section D - paragraph 5a - this part May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria) Grade Determinations: Experience: At least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge - skills - abilities - and other characteristics related to the duties of the position to be filled Experience at the GS-7 includes Ability to perform noninvasive vascular ultrasound procedures or examinations of upper and lower extremity - abdominal - and extra-cranial cerebrovascular vessels which require adaptation of procedures or instruments Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular ultrasonography This would also include knowledge of physiological influences on the hemodynamics of blood flow Knowledge of pharmacology and chemistry to understand drug reactions - action - effects - and method of administration specifically related to vascular ultrasonography Knowledge of disease entities that impact the vascular system and their influence on the test results to select the appropriate procedures Ability to obtain a patient history and perform and appropriate physical assessment based on patient presentation and type of exam to include observation - inspection - auscultation - and palpation In addition - the candidate must demonstrate the following KSAs: Knowledge of cross-sectional and longitudinal vascular anatomy in normal and abnormal vessels - anatomical planes and tissue structures - physiologic effects of disease entities that impact the vascular system - signs and symptoms of acute and chronic vascular disease - and the characteristic appearance of aneurysms - pseudoaneurysms - thromboses - stenoses - occlusions - AV fistulae - and morphology of atherosclerotic plaque formulation Ability to provide Doppler information of peripheral vessels demonstrate characteristic differences related to the organs they supply accurately quantify carotid artery stenoses and identify and correlate specific waveform analysis - plethysmographic tracings - velocity changes - and pressure gradients characteristic of normal - obstructed - or occluded vessels or grafts Ability to perform intracranial (transcranial) vascular examinations Ability to operate the instruments to extract the highest quality image utilizing the appropriate transducer frequency - Doppler angle - focal zones - gain - depth - color map - wall filter - and sample volume Ability to provide objective data to document progression or regression of disease Preferred Experience: The Best Qualified candidates for this position will have the following preferred experience Basic Cardiac Life Support (BCLS) certification Advanced Cardiac Life Support (ACLS) certification Registered by the American Registry for Diagnostic Medical Sonography (ARDMS) as RVT (Please provide license) Graduate from an accredited vascular ultrasound program and registered as RVT through ARDMS (Please provide transcripts) May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria) Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS-8 Physical Requirements: Requires longs periods of standing - walking - bending - and moving of patients who are sometimes unconscious or disabled See VA Directive and Handbook 5019. Duties Total Rewards of a Allied Health Professional This position is located in the Louis Stokes Cleveland VA Medical Center - Surgical Service - Vascular Laboratory Section Vascular Technologists (Sonographers) perform all examinations and assumes responsibilities associated with the Vascular Lab The duties performed by the Vascular technologist will entail the performance of non-invasive examinations involving the application of high-frequency ultrasound waves to humans for the diagnosis of disease Performs noninvasive vascular ultrasound procedures or examinations of upper and lower extremity - abdominal - and extra-cranial cerebrovascular vessels which require adaptation of procedures Performance of high quality standardized and routine diagnostic vascular testing of the extremities - cerebrovascular - and abdominal vasculature using diagnostic Ultrasound and Plethysmography equipment Ability to perform additional testing including - but not limited to - evaluation of Arteriovenous Fistulas - Palmar Arch Studies - Thoracic Outlet Syndrome evaluation - and Ice Water Immersion The ability to assist physicians with thrombin injections Notify vascular surgeon or referring physician of significant abnormalities that would require their immediate attention and visualization while the patient is undergoing the examination Travel to satellite facilities on an as needed basis Required to go to the Operating Room when requested by surgeons for additional testing Ability to maintain a sterile field Maintain accurate and complete patient records and reports for examinations Performing complex and non-routine vascular ultrasound procedures Knowledge of anatomy and physiology including location and function of major body organs and structures as they relate to vascular sonography Knowledge of disease entities that impact the vascular system and their influence on the test results Follow departmental examination procedures and adapt testing as needed for the patient's condition or disease process Required to go to the Operating Room when requested by surgeons for additional testing Ability to maintain a sterile field Maintain accurate and complete patient records and reports for examinations Prepare preliminary reports from the examination including documentation of procedural difficulties Following proper coding procedures per departmental policies Travel to satellite facilities on an as needed basis Work Schedule: 7:30-4:00pm 8:00-4:30pm Flexible based on the needs of the service Recruitment/Relocation Incentives (Sign-on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Authorized Pay: Competitive salary and regular salary increases Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66 Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position Functional Statement #: 95390-0 Permanent Change of Station (PCS): Not Authorized

Raleigh, North Carolina, At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.   Duke Health Integrated Practice Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.   $15,000 Commitment Bonus & $3,000 Relocation Assistance for qualifying candidates!   JOB LOCATION: Duke Vascular Surgery and Vein Center at Brier Creek - 10207 Cerny St #312b, Raleigh, NC 27617 and Duke Vascular Specialists of Raleigh 3300 Executive Dr #304, Raleigh, NC 27609. *Will float to other locations as needed.   JOB DUTIES AND RESPONSIBILITIES: Performs clinical assessment and diagnostic ultrasound examinations. Follow established departmental policy. Uses cognitive sonographic skills to identify, record, and adapt procedures as appropriate to anatomical, pathological, diagnostic information and images. Uses independent judgment during the sonographic exam to accurately differentiate between normal and pathologic findings. Analyzes sonograms, synthesizes sonographic information and medical history, and communicates findings to the Radiologist. Assume responsibility for the safety, mental and physical comfort of patients while they are in the sonographer's care. Communicate effectively with the patient and the health care team, recognizing the special nature of sonographic examinations and patient's needs. Assists with the daily operations of the ultrasound department. Completes exam tracking/billing accurately on a daily basis. Maintains ultrasound equipment and work area, and maintains adequate supplies. Establishes and maintains productive ethical working relationships with coworkers, referring providers and commercial agencies. Performs other work-related duties as assigned. Assist in training of ultrasound students during clinical rotations. Performs other work-related duties as assigned Proficient in the performance of ultrasound procedures and does not require assistance from fellow sonographers. Provide direction and instruction to existing personnel and training to new sonographers. Assist in teaching of ultrasound technology to new physicians, residents, and fellows. Coordinates with other staff to assure appropriate patient care is provided. Reports equipment failures to the appropriate supervisor or staff member. Participates in the maintenance of laboratory accreditation. Perform other related duties incidental to the work herein   JOB ELIGIBILITY REQUIREMENTS: Graduate or completion of program that meets eligibility requirements for registry/certification or currently holds required registry or certification. ARDMS certification within 18 months of hire. BLS Certification Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Durham, North Carolina, Comprehensive Vascular Surgeon in Raleigh/Durham, NC The Duke Division of Vascular and Endovascular Surgery seeks an academic vascular surgeon with expertise and interest in comprehensive vascular disease management, noninvasive vascular diagnostics, vascular laboratory leadership, and longitudinal care of patients with arterial and venous disease. The successful candidate will develop an outpatient-focused practice centered on vascular diagnosis, surveillance, medical optimization, and venous interventions while contributing to the Division's clinical, educational, and research missions. This position offers a unique opportunity that includes the following: Work within a multidisciplinary academic environment that brings together expertise in surgery, cardiology, vascular medicine, radiology, and other disciplines to deliver comprehensive care for patients with complex vascular conditions Contribute to the education of medical students, residents, fellows, and other learners through clinical teaching and scholarly activities Children?s college tuition assistance to up to 2 eligible dependents Up to 13.2% employer retirement contribution Sign-on bonus & relocation funds The successful candidate will have: Completion of an ACGME-accredited Vascular Surgery residency or fellowship American Board of Surgery certification in Vascular Surgery (or board eligibility) Eligibility for medical licensure in North Carolina Demonstrated excellence in the evaluation and management of vascular disease across the spectrum of arterial and venous disorders Interest in outpatient vascular care and multidisciplinary management of complex vascular disease Experience with duplex ultrasound interpretation and noninvasive vascular testing Commitment to resident, medical student, and fellow education Willingness and ability to travel between Duke locations, with main clinical footprint being in Wake County. Additional time possible at Duke Ambulatory Surgery Center in Durham, Brier Creek clinic, and Apex Sweetwater Clinic Preferred qualifications: RPVI certification Experience with vascular laboratory quality initiatives and accreditation processes Interest in vascular medicine and longitudinal disease management Experience performing office-based venous procedures including: Endovenous ablation Ambulatory phlebectomy Ultrasound-guided sclerotherapy Interest in clinical research, outcomes research, and quality improvement Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.    Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   PLEASE NOTE: To be considered for this position, please attach your CV, select SUBMIT APPLICATION, and complete the application questions.