Wentworth-Douglass Hospital, a subsidiary of Massachusetts General Hospital, is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.
1. Provide accurate diagnostic information that is used by physicians to render a formal final medical diagnosis.
a. Set up and prep patient for the procedure while adapting when necessary for patient comfort, safety, privacy and medical issues.
b. Explain procedure but does not discuss clinical findings Engages and addresses patient questions with appropriate explanation/response.
c. Position patient for procedure to their comfort adapting when necessary for patient comfort, safety, privacy and medical issues.
d. Acquires all previous vascular findings, a patient history, and a concise explanation of the patients current symptoms and general condition which may offer insight into a specific disease process.
e. Works jointly with Centralized Scheduling to accommodate add-ons, physician specific testing, and to help determine what test needs to be performed for specific patient symptoms Remains flexible for emergency department, Seacoast Cancer Center, inpatients and out patient add-ons.
f. Confer with on-call Vascular Surgeon on positive exams when more extensive testing may be required.
g. Notify on-call Vascular Surgeon and Referring Physician of a positive venous exam, positive carotid exam (>80%), and or positive arterial exam when tissue viability is questioned as per hospital critical values assessment policy.
h. Can organize and prioritize workload in high volume area.
2. Demonstrates a uniform high level of competency in numerous areas of expertise within vascular technology.
a. Is knowledgeable in vascular function, hemodynamics, anatomy, physiology,
b. Uses knowledge of vascular medications towards vascular diseases and vascular findings.
c. Is independently competent to perform various duplex imaging vascular exams. Obtaining all necessary data and with correct documentation of 2D, color flow doppler, pulse wave doppler, spectral arterial analysis with angle corrected velocities and spectral venous flow patterns
d. Is independently competent to perform various physiological vascular exams. Obtaining all necessary data with correct documentation of continuous wave arterial signals, photoplethysmographic waveforms, segmental pressures, pulse volume recordings, and photoplethysmographic venous refill times.
e. Knows all contraindications for specific exams as per protocol.
f. Can distinguish artifact/technical factors from pathology for appropriate diagnosis as reflected in our Q.A. program and peer evaluation.
g. Ensures that all equipment and supplies are available and functioning prior to the exam.
h. Review policies/procedures and protocols as outlined by department and ICAVL standards.
i. Demonstrates effective organizational and time management skills.
3. Acquires and maintains knowledge and competency in Vascular Technology as set forth by the ARDMS.
a. Strives for excellence and continued competence through continuing education.
b. Ensure that the Vascular lab maintains its accreditation within ICAVL by following department scanning protocols.
c. Document all educational programs/seminars as to keep up the pace with the ever changing profession.
d. Assist Technical Director with all ICAVL data collection and application process.
4. Self regulation and the promotion of higher standards to personnel in the field.
a. Promotes excellence in patient care(well-being)
b. Fosters responsibility and accountability.
c. Promote professional integrity and public trust.
d. Helps to gain cooperative relationships within the profession and w/ other members of the health care community.
5. Capable of applying skills to an environment with spontaneous changes occurring.
a. Is adaptive to a full range of body motion, including the handling and lifting of pts., manual dexterity, and hand-eye coordination.
b. Responsible for solving daily operational problems related to performing vascular testing including trouble-shooting equipment malfunctions.
c. Exhibits flexibility and independent judgement due to the unpredictable nature of vascular procedures, technical quality and unexpected vascular findings.
d. Must be prepared to recognize any condition, whether observed in the vascular lab or in patient behavior, that may pose an immediate threat to health of life and must react appropriately.
6. Technological Competency - Technology Management-uses technical equipment and devices to monitor patient condition or sustain life. a. Zoll Defibrillator
b. Siemens S2000
c. Parks Vascular Labs
d. Patient Tracking system
f. Unetix Flow Lab
7. Provides age-specific, individualized care that supports psychosocial and facilitates lifestyle changes.
a. Active Listening-Attends closely to and attaches significance to a patient's verbal and nonverbal message.
b. Emotional Support-Provides reassurance, acceptance and encouragement during times of stress.
8. Provides age-specific, individualized care that supports patient from harm and supports the family unit.
a. Code management: Coordinates emergency measures to sustain life
b. Fall Prevention-Institutes special precautions with patient at risk for injury from falling.
c. Infection Control-Minimizes the acquisition and transmission of infectious agents.
d. Surveillance: Safety-Collects and analyzes information about the patient and the environment for use in promoting and maintaining patient safety.
e. Vital Signs Monitoring-Collects and analyzes cardiovascular, respiratory and body temperature data to determine and prevent complications.
9. Flexibility - Essential functions are subject to change based in the needs of the department.
a. Exhibits flexibility and performance expectations as set forth by the department.
Experience Minimum Required
Minimum 2 years vascular ultrasound experience. Experience Preferred/Desired
2 plus years of comprehensive arterial and venous vascular ultrasound.
Education Minimum Required
Graduate of an accredited ultrasound program.
Registry eligible within one year.
Bachelor's degree. ARDMS (RVT)
Training Minimum Required
Ability to perform vascular examinations in compliance with protocols and standards identified in "Essentials and Standards" per ICAVL.
12 months full time training in all procedures for general/vascular ultrasound. Training Preferred/Desired
Renal studies within 6 months, ABI.
Special Skills Minimum Required
Computer manipulation, good written and verbal communication skills, mechanical aptitude, ability to work with little or no supervision, ability to work in a collaborative manner.
Command of computer processes.
Special Skills Preferred/Desired
RDMS, RVT, PACS, electronic workstations, templates reporting
Licensure and/or Certifications Required
RVT or CCI (1yr)
CPR within 3 MOS
Licensure and/or Certifications Preferred/Desired
Apply on company website