The incumbent performs full field digital screening and diagnostic mammography examinations on a variety of patients, both male and female, ensuring correct patient positioning and proper compression and exposure techniques at the Temple Facility. The purpose of this position is to obtain digital mammogram for diagnosis and assist with the treatment planning of patients with palpable and non-palpable masses/nodules and with breast calcifications. Incumbent engages patients and inquiries about a history of prior mammograms performed at other health care facilities, the presence of breast implants, and pregnancy status. Ensures each patient completes or updates their mammography questionnaire form. Interviews patients regarding past medical history pertinent to the mammogram procedure and annotates any additional findings on the patient's mammography questionnaire. If a patient confirms having obtained mammograms at another health care facility, faxes properly completed release of information paperwork to the other health care institution to initiate the transfer of previous film screen or digital (on disc) mammograms to the CTVHCS Mammography section. Performs appropriate follow-up to ensure prior mammograms are received in a timely manner. Ensures that digital mammograms received on disc from outside institutions are given to the Imaging Service Chief Technologist for loading into the organization's PACS. Before examining any patient, ensures that previous digital mammograms have been properly transferred from the organization's Picture Archival and Communication System (PACS) into the mammography workstation. Explains the mammogram procedure to each patient before performing the examination. Answers any questions the patient may have about the exam. Instructs the patient on self breast exams and gives the patient handouts, to ensure they can perform the exam. Correctly positions patients for the examination, chooses correct size compression paddle and applies appropriate compression, selects appropriate equipment exposure factors, and performs the required exposures. Examines each patient's breasts for possible skin lesions (moles, scars, etc.) that may produce image artifacts and marks these findings with appropriate radiopaque skin markers before acquiring the initial mammogram images. Prepares completed mammogram reports/interpretations for filing in patient's mammography film jackets. If after performing a screening mammogram a diagnostic mammogram is requested by the interpreting radiologist, enters the appropriate diagnostic mammogram order in the Computerized Patient Record System (CPRS). Performs a variety of complex diagnostic views so that the radiologists can make an accurate assessment of any abnormal findings. Sends result letter to patients. Performs required quality control (QC) tests on both the mammography station and the dedicated mammography printer at the appropriate specified intervals to meet ACR and MQSA requirements/regulations. These QC tests include compression test, printer QC test, Phantom, Flat Field, Calibration Gain test, SNR and CNR tests, SMPTE, and View Box test. Keeps track of radiologist and mammography technologist workload totals and continuing medical education to help ensure that MQSA requirements are always fulfilled. Is responsible to maintain an outcome analysis log for all Bi-Rads categories 4 and 5. Maintains an infection control log for all equipment. Responsible for assisting with and keeping records for the annual FDA inspection and ACR inspections every three years. Reviews new developments in the field of mammography and recommends to the supervisor those developments that would improve the overall operation of the section. Maintains inventories of instruments, medications, supplies and emergency equipment. Work Schedule: Monday-Friday 07:30 AM - 4:00 PM Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.