Summary:
The Cardiac Sonographer has the task of capably and reliably evaluating a complex intricately moving three-dimensional vital organ the heart using the two-dimensional modality of ultrasound. It is crucial that the sonographer has a thorough comprehension of cardiac pathology in order to recognize and distinguish abnormal pathologies from normal and a complete understanding and familiarity of the intricate computer-driven sonography system in order to capture the necessary digital images for the cardiologist to make the proper determination for the patient. As it is the examination and evaluation of a moving dynamic organ the echocardiogram is very *operator-dependent* and a great responsibility is placed on the sonographer to present the physician with a thorough examination in order for the physician to properly treat the patient.

The Cardiac Sonographer is responsible to participate in daily operations of the Echocardiography Laboratory patient schedule equipment maintenance the report of equipment failures and quality assessment (QA).

Responsibilities:
Performs clinical assessment and diagnostic echocardiography examinations * M-Mode two-dimensional Doppler and Color Doppler Echocardiography Exercise Stress Echocardiograms and Dobutamine Stress Echocardiograms.

Uses cognitive sonographic skills to identify record and adapt procedures as appropriate to anatomical pathological diagnostic information and images.

Understands basic and complex hemodynamics. Possesses an understanding of wall motion abnormalities.

Uses technical ability to properly position patients correctly angulate the transducer and to optimally adjust machine controls gain settings and frequency of different machine types to provide the best resolution and cardiac ultrasound images possible.

Performs accurate and thorough measurements and calculations including wall thickness chamber size valve orifice blood velocity measurements and pressure gradients across valve orifices.

Obtains an appropriate patient medical history and maintains a clear understanding of the patient*s diagnosis and the goals and limits of each study. A thorough understanding of cardiac pathology is essential to assure that proper and complete data is recorded.

Provides quality cardiac ultrasound examinations on a varied adult population * patients who are elderly patients in critical care units and patients with complex congenital heart anomalies.

Uses independent judgment during the cardiac ultrasound to accurately differentiate normal and pathologic findings.

Explains the procedure to patients to allay anxiety and to elicit cooperation always maintaining a professional and friendly attitude. Is responsive to any special needs that may arise and assists appropriately.

The sonographer*s daily workflow procedure is organized and efficient which reduces waiting time and exam time for the patients while still obtaining a complete and quality echocardiogram.

Addresses problems of patient care as they arise and make decisions to appropriately resolve the problems. Handles difficult patients and difficult situations appropriately and competently.

Assumes responsibility for the safety mental and physical comfort of patients while they are in the sonographer's care.

Coordinates with other staff to assure appropriate patient care is provided.

Appropriately follows the departmental Echocardiogram Protocol.

Recognizes when the use of a contrast agent (i.e. Optison Definity) and Agitated Saline is needed and obtains optimal images.

Coordinates work schedule with Departmental Director and/or scheduling desk to assure workload coverage.

Assists with the daily operations of the Echocardiography laboratory.

Maintains a daily log of patients seen.

Maintains ultrasound equipment and work area and maintains adequate supplies.

Evaluates equipment malfunctions and speaks with the appropriate equipment representative. Reports equipment failures to the appropriate supervisor or staff member.

Participates in the maintenance of laboratory accreditation.

Establishes and maintains ethical working relationships and good rapport with all interrelating hospitals referral or commercial agencies.

Provides in-service ultrasound training for the Cardiology Fellows and junior sonographers.

Performs all requested cardiac ultrasounds as ordered by the attending physician * Outpatient Inpatient Portable and Urgent ultrasounds.

Participates in research studies which may include performing cardiac ultrasound on animals imaging various vascular structures (i.e. brachial artery and carotid artery) in addition to performing any aspect of cardiac ultrasound.

Possesses an interest and is active in the field of echocardiography and in the studies he or she performs

Identifies patient by checking arm bands and/or asking patient to confirm name DOB and test to be done.

Complies with infection control policies/procedures at all times.

May take precept/charge as needed.

Performs other work-related duties as assigned.

Other information:
Completion of an Associate Degree in Biological Sciences or its equivalent to comprehend and apply principles of physiology to cardiac disease.

Graduate of a formal Diagnostic Medical Sonography Program or Cardiovascular Technology Program that is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) is preferred.

Passing of the registry certification by American Registry of Diagnostic Medical Sonographers (ARDMS) in Adult Echocardiography and Physics is anticipated during the first two years of employment.

Registered sonographers must maintain an *active* status by the ARDMS in Adult Echocardiography.

Current compliance with ARDMS Continuing Medical Education (CME) requirements for registered sonographers.

A minimum of 15 CME*s is required over a three-year period for sonographers who are not registered.

In the absence of the minimum educational requirement a sufficient amount of actual cardiac ultrasound work experience is acceptable.

SKILLS AND ABILITIES REQUIRED:

Ability to integrate diagnostic sonograms laboratory results patient history and medical records and tailor the echocardiogram as necessary.

Ability to use independent judgment to acquire the optimum diagnostic sonographic information in each examination performed.

Ability to communicate effectively with the patient and the health care team recognizing the special nature of cardiac ultrasound examinations and patient's needs.

Ability to establish and maintain effective working relationships with the public and health care team.

Ability to follow established departmental procedures.

Ability to work efficiently and cope with emergency situations.

Ability to obtain optimal images on technically difficult patients.

Possesses an understanding of basic and complex hemodynamics and of wall motion abnormalities.

Possesses knowledge of the *true* two-dimensional imaging planes because the imaging plane may change during a stress echocardiogram.

Possess the ability to progress to the next skill level.

A sonographer must possess competency in performing all aspects of echocardiograms to be able to perform Exercise and Dobutamine Stress Echocardiograms. It is imperative that the sonographer obtains the proper views. Because the procedure has inherent risks skilled sonographers are essential.

PHYSICAL REQUIREMENTS:

The employee must be physically capable of carrying out all assigned duties:

- Emotional and physical health sufficient to meet the demands of the position.

- Strength sufficient to lift some patients move heavy equipment on wheels (up to approximately 500 lbs.) and to move patients in wheelchairs and stretchers.

- Ability to maintain prolonged arm positions necessary for scanning.

RISK OF EXPOSURE TO BLOOD BORNE PATHOGENS:

Category I - Tasks involve exposure to blood body fluids or tissues.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital USA:RI:Providence

Work Type: Per Diem

Shift: Shift 1

Union: UNAP