Routine duties shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and the United States executed under the authority of the Indian Self-Determination and Education Assistance Act. Practices only within the boundaries of competence, based on documented education, training, supervised experience, state and national professional credentials, and appropriate professional experience. Provides health services of a scope, quality, and quantity consistent with the Cherokee Nation policies. Performs studies/procedures as outlined in the Cherokee Nation Policy and Procedures including routine and immediate care. Applies principles of ultrasound in the execution of imaging requirements while ensuring quality assurance activities on technical equipment and collaborating with appropriate parties to resolve image quality issues. Enters data accurately into the computer system(s) and ensures completeness of patient paperwork. Assures all necessary patient documentation is complete and accurate by clearly writing the required information on all necessary forms. Demonstrates flexibility to the demands of patient care by coming in early and /or staying late. Practices responsible use of communication tools (paging system, telephones, e-mail, fax, etc.), corrects problems as they arise and notifies supervisor/manager when assistance is required to do so. Ensures completion of all duties, accurately demonstrates anatomy and pathology through proper diagnostic scanning, uses proper scanning techniques, annotation, anatomical and pathological demonstration, and corrects any errors. Maintains working knowledge of all ultrasound equipment used in the department including protocols, procedures, and disease processes performed in ultrasound. Interprets orders such as patient requisition; including special instructions. Ensures the patient is imaged in a safe environment, free of hazards and identifies patients using approved identifiers. Provides full attention to the patient and the procedure, addressing and handling patient care concerns, and seeking opportunities to assist in overall patient care activities. Images patients utilizing approved protocols/procedures, sterile or aseptic technique where applicable, and brings questions forward before imaging patients. Protects patients by following "as low as (is) reasonably achievable" (ALARA) safety guidelines. Exhibits professional and courteous customer service at all times and demonstrates knowledge of Age-Specific Criteria in carrying out work duties and tasks. Recognizes examination findings that may require an immediate clinical response and notifies the interpreting radiologist (i.e. requesting a Stat Read). Discusses ultrasound findings with the radiologist and uses cognitive sonographic skills to identify, record, and adapt procedures based on diagnostic information received. Recognizes patient's distress signs, initiates and follows emergency procedures. Maintains continuing education requirements for licensure(s) and certification(s) and follows department-specific policies, procedures, guidelines, and protocols. Demonstrates adherence to accreditation standards, ethics, initiatives and applicable state/federal licensure and guidelines. Attends mandatory in-services, regularly scheduled department meetings, and maintains expectations for safety preparedness including but not limited to: Orientation to new equipment, Employee Education Event, and Cardiopulmonary Resuscitation (CPR) training, etc. Documents incidents, variances, unusual circumstances or patients' concerns during the procedures and notifies the radiologist or supervisor as needed. Participates in quality and performance improvement activities, identifies new ways to improve workflows and the patient experience. Manages patient flow effectively and minimizes delays by utilizing critical thinking to analyze and evaluate simple cause and effect outcomes. Takes appropriate action to categorize problems into high and low priority levels and exercises appropriate action to maintain efficiencies.

Ensures appropriate inventory and supplies are available throughout each day/week for procedures. Relays all equipment malfunctions to the appropriate team and supervisor with appropriate information readily available. During system failure, performs department downtime procedures and immediately reports failure to the supervisor. Reports to the assigned work area on time and maintains his/her presence in the area and provides needed support to maximize department productivity. Uses knowledge of area-specific processes, scheduling capacity, and applies knowledge of the work area to maximize efficiencies. Follows exams from start to finish through the complete system to ensure exams reached archive/interpreting radiology site. Exhibits and maintains a high level of customer service and is respectful and professional at all times with staff, both internal and external to the Cherokee Nation. Reports monthly procedure totals to the supervisor/director as requested. Assists providers with radiology projects in any capacity (scanning patients, retrieving reports, logging data, and other). Demonstrates by example, a high-level customer service philosophy, ethical behavior, and institutional core values. Understands and promotes team participation over individual contributions. Coaches and mentors others relating to specific aspects of the job. Provides leadership and training to students, technologists, and other staff members on an ongoing basis. Fosters, assists, and encourages a receptive and nurturing environment by actively contributing to the educational activities of patients, family members, faculty, co-workers, and students. Establishes and maintains a high level of professionalism through cooperation, receptiveness, and sensitivity to others. Maintains verifiable records at an institution or facility that has a published records retention policy that is equal to or exceeds the retention required by federal, tribal and/or state regulations. Maintains the confidentiality of any information received from any person or source about a client/patient, unless authorized in writing by the client/patient or required by law or court order. Complies with the applicable state, tribal and federal regulations in regard to the security, safety, and confidentiality of any health services record created, maintained, transferred, or destroyed, whether the record is written, taped, computerized, or stored in any other medium. Other duties may be assigned.

SUPERVISORY RESPONSIBILITIES

No supervisory responsibilities.

Graduate of a Diagnostic Medical Sonograph program or college.

or

Certified/registered through ARRT or ARDMS in one of their approved certifications/registrations. If ARRT, beginning on January 1, 2015, all candidates for primary pathway certification must have earned an academic degree before becoming certified.

COMPUTER SKILLS

An individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software.

CERTIFICATES, LICENSES, REGISTRATIONS

Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets requirements for Cherokee Nation underwriting rating. Must possess Sonography Technologist licensure/registration with the American Registry of Diagnostic Medical Sonographers (ARDMS) or American Registry of Radiological Technologist (ARRT). Basic Life Support (BLS) certification must be obtained within ninety (90) days of hire and maintained throughout employment.

OTHER SKILLS AND ABILITIES

Must possess demonstrated competency in all sonographic modes (e.g. A-mode, M-mode, B-scan, real-time Duplex Doppler scan with or without color, endovaginal/endorectal scan).

Must meet and maintain pre-employment and periodic background investigation and adjudication for childcare.