Radiologist Assistant

The Department of Radiology at Bayview Medical Center is seeking aRadiologist Assistant (RA). The RA enhances patient care by extending the capacity of the radiologist in the diagnostic imaging environment. Reporting to the director of Diagnostic Imaging, the Radiologist Assistant is able to perform a variety of Diagnostic exams on both in-patients and out-patients.

Specific Duties and Responsibilities:

• Review the patient's medical record to verify the appropriateness of a specific exam or procedure.
• Interview the patient to obtain, verify, or update medical history.
• Explain procedure to the patient or significant others, including a description of risks, benefits, alternatives, and follow-up.
• Obtain informed consent.
• Determine if the patient has followed instructions in preparation for the exam such as diet and pre-medications.
• Assess risk factors that may be contraindications to the procedure such as health history, medications, pregnancy, psychological indicators, and alternative medicines.
• Obtain and evaluate vital signs.
• Perform physical examination and analysis of data such as signs and symptoms, laboratory values, and significant abnormalities, as required by the imaging procedure to be conducted.
• Report findings related to Regulation to the supervising radiologist.

Scope of Practice: Includes the following general procedures:

• Apply ECG leads and recognize life threatening ECG abnormalities.
• Perform urinary catheterization; (3) Perform venipuncture.
• Monitor IV for flow rate and complications.
• Position patient to perform required procedure, using immobilization devices and modifying technique as necessary.
• Assess patient's vital signs and levels of anxiety and pain and inform radiologist when appropriate.
• Recognize and respond to medical emergencies, such as drug reactions, cardiac arrest, and hypoglycemia, and activate emergency response systems, including notification of the radiologist.
• Administer oxygen as prescribed.
• Operate a fixed/mobile fluoroscopic unit.
• Assure documentation of fluoroscopy time.
• Explain effects and potential side effects to the patient of the pharmaceutical required for the examination.
• Administer contrast agents as prescribed by the radiologist.
• Administer general medications, excluding radiopharmaceuticals and narcotic or sedating medications, as prescribed by the radiologist.
• Monitor patient for side effects or complications of the pharmaceuticals.

Scope of Practice: Includes performing the following examinations and procedures, including contrast media administration, placement of needle or catheter, and operation of imaging equipment, under the immediate available direction of a radiologist:

• Upper GI
• Esophagus
• Small bowel studies
• Barium enema
• Evaluation of percutaneous gastric and enteric tubes.

Scope of Practice: Includes performing the following examinations and procedures, including contrast media administration, placement of needle or catheter, and operation of imaging equipment, under the on­site supervision of a radiologist:

• Cystogram and voiding cyst urethrogram.
• Nasoenteric and or enteric feeding tube placement.
• Joint injection and aspiration.
• Arthrogram, including conventional, CT, and MR; PICC placement.
• Paracentesis with appropriate image guidance.
• Thoracentesis with appropriate image guidance.
• Lumbar puncture under fluoroscopic guidance.

On a case­by­case basis as specified in Regulation .12 of this chapter, the Board or its designee may approve a radiologist assistant to perform one or more of the following procedures under the level of supervision by a radiologist as specified in the request letter submitted by the radiologist and radiologist assistant:

• Lower extremity venography
• Lumbar, thoracic, or cervical myelography; Non­tunneled venous central line placement; Venous catheter placement for dialysis
• Breast needle localization; Ductogram (galactogram); T­ube cholangiogram
• Retrograde urethrogram
• Port injection
• Fistulogram
• Sinogram
• Loopogram
• Swallowing study
• Hysterosalpingogram
• Other specific procedures approved by the Board.

Minimum Qualifications:

Graduate from an ACR/ARRT approved RA program. Licensed as a Radiology Assistant in the State of Maryland. Completed ARRT R.A. registry. Minimum of 5 years of clinical experience in Diagnostic radiology, preferably in an acute care setting is desirable. Current CPR and ACLS Certified. Must maintain their license to practice and certifications during duration of employment.

Additional Knowledge, Skills, and Abilities:

• Knowledge of radiologic procedures at a level acquired through clinical experience in Diagnostic radiology.
• Proficiency in the use of software applications, databases, spreadsheets, and word processing required. Outstanding organizational skills required.
• Excellent attention to detail skills required.
• Must have excellent time management skill.
• Ability to understand and implement support for clinical trials.
• Ability to manage multiple projects at once, and effectively prioritize each.
• Requires outstanding verbal communication and interpersonal skills.
• Must adhere to guidelines regarding honest reporting of sensitive and confidential patient information.
• Understands the importance/impact of data integrity in terms of patients, study results, costs, quality of service and scientific research in general.
• Regular contact with physicians, other health care personnel and occasionally, patients, requires the use of good judgment, tact and sensitivity.
• Must be able to work independently, displaying initiative appropriate judgment as well as a team member in providing a collaborative approach to patient care.

Physical Requirements:

Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.

Classified Title: Radiologist Assistant
Role/Level/Range:ACRP/04/MG
Starting Salary Range:$82,325.00-$113,185.00; Commensurate with experience
Employee Group:Full Time
Schedule:Monday - Friday, 8:30am - 5:00pm
Exempt Status: Exempt
Location:Johns Hopkins Bayview
Department Name: Radiology, Bayview Radiology
Personnel Area:School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

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