Cardiac Sonographer II (Campus Flex)/Echo Tech/ Echocardiographer

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Company: Confluence Health

Location: Wenatchee, WA 98801

Description:

Salary Range

$46.82 - $75.39
Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.
  • Medical, Dental & Vision Insurance
  • Flexible Spending Accounts & Health Saving Accounts
  • CH Wellness Program
  • Paid Time Off
  • Generous Retirement Plans
  • Life Insurance
  • Long-Term Disability
  • Gym Membership Discount
  • Tuition Reimbursement
  • Employee Assistance Program
  • Adoption Assistance
  • Shift Differential

For more information on our Benefits & Perks, click here!

Summary

Up to $15,000 in Bonuses!

$5,000 sign on - paid after 90 day probationary period, $5,000 paid after 6 months, and $5,000 retention bonus at 1 year.

*Additional rules apply*

External applicants only.

Join our team of experienced cardiac sonographers. Enjoy our professional and supportive work environment, with a reasonable work-life balance and a positive team-oriented culture. Experienced cardiac sonographers will appreciate the great relationship that we have with our cardiology team and reading physicians, the positive work environment, supportive management, and the ability to continue to grow and develop professionally. If you value the opportunity to be a part of a team committed to technical excellence, where quality is not sacrificed for quantity, and where you are valued and appreciated by a supervisor who is also a cardiac sonographer, then this may be the position for you.

Under general supervision, The Cardiac Sonographer II will perform, analyze, and provide preliminary interpretation for comprehensive, complex diagnostic cardiac ultrasound procedures on patients referred for evaluation of suspected or known heart disease, post-operative evaluation of surgical therapy, or placement of cardiac prosthetic devices.

The Cardiac sonographer II will adhere to approved lab protocols to independently perform:
  • Adult Transthoracic Echo
  • Adult Congenital and Pediatric Transthoracic Echo
  • Exercise and Dobutamine Stress Echo
  • 3D and Myocardial Strain Cardiac Assessments
  • Structural Heart Assessments, including pre- and post-surgical valve repair/replacement, TAVR, Mitral/Tricuspid Clips, Watchman, and other interventions
  • Assist physicians with Transesophageal Echo (TEE) procedures

The Cardiac Sonographer II will tailor examination as necessary to provide accurate representation of cardiac anatomy and pathology throughout examination; monitor patient's vital signs and condition during examination; measure cardiac structures and blood flow throughout the heart; and complete preliminary report for the reading cardiologist.

Position Reports To: Echocardiography Supervisor

Essential Functions

  • Independently perform high-quality, professional level, complex diagnostic cardiac ultrasound examinations adhering to the Echo Lab protocols, policies and procedures and the American Society of Echocardiography standards and guidelines.
  • Determine diagnostic parameters and adjust imaging as needed throughout the exam to acquire accurate images of cardiac anatomy, pathophysiological data, and blood flow analysis relative to patient's clinical presentation, review of previous imaging studies, and relevant cardiac history.
  • Provide real-time assessment of image quality to adjust imaging protocols and to determine the need for and utilize echo contrast/ultrasound enhancing agents, agitated saline "bubble" studies, 3-D quantification, Myocardial Strain Imaging, and other specialized imaging techniques following established lab protocols and American Society of Echocardiography standards and guidelines.
  • Perform echocardiographic studies in the Cath Lab to provide imaging to guide pericardiocentesis and to evaluate TAVR valve placement.
  • Provide Treadmill Stress Echo, Dobutamine Stress Echo imaging as a part of the cardiac stress testing team, including, pharmacological viability and valve stress echocardiograms.
  • Assist the physician in the performance of 2-D and 3-D Transesophageal Echocardiograms (TEE) and other special procedures.
  • Perform accurate measurements and calculations on acquired images, adhering to established lab protocols for pathology identified during exam.
  • Summarize and enter patient history, exam measurements, and other relevant data as necessary in order to complete an accurate preliminary assessment of cardiac structures and function to be sent to the reading cardiologist for final interpretation and reporting.
  • Recognize and alert the attending reading cardiologist of critical findings requiring immediate attention.
  • Provide excellent patient care consistent with professional practice standards published by the American Society of Echocardiography and adhering to all Confluence Health policies and procedures.
  • Contribute to the professional development of self, peers, and others through participation in departmental meetings, training, peer review and case presentations as required for professional development and IAC lab accreditation.
  • Demonstrate excellent communication skills with physicians, colleagues and support staff to promote best quality patient care.
  • Participate in the training and orientation of new hires and cardiac sonographer students completing clinical internships.
  • Provide on-call coverage, as assigned.
  • Required to maintain active Basic Life Support (CPR) certification.
  • Maintain a monthly productivity index per department standard.
  • Maintenance of technical proficiency in all specialized cardiac sonography procedure areas below through the independent performance of the following minimum number of procedures each year:
    • 300 Adult Transthoracic Echocardiograms
    • 10 Pediatric Transthoracic Echocardiograms
    • 10 Exercise and 3 Dobutamine Stress Echocardiograms
    • 20 Myocardial Strain Cardiac Assessments
    • 20 Three-dimensional Cardiac Assessments
    • 20 Structural Heart Assessments, including any of the following: pre- and post-surgical valve repair/replacement, TAVR, Mitral/Tricuspid Clips, Watchman, or other structural heart interventions
    • Assist physicians with 10 Transesophageal Echo (TEE) procedures
  • Required to orient, train, and be regularly scheduled across both campuses.
  • Other duties as assigned.

  • Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

    Qualifications

    Required:
    • Current Registered Diagnostic Cardiac Sonographer (RDCS) credential from ARDMS or Registered Cardiac Sonographer (RCS) credential from CCI.
    • Registered Diagnostic Cardiac Sonographer (RDCS) with Pediatric Echocardiography (PE) specialty certification from ARDMS, or Registered Congenital Cardiac Sonographer (RCCS) credential from CCI.
    • Minimum of one (1) year as a Registered Cardiac Sonographer having performed all of the following procedures: Adult and Pediatric Echo, Exercise and Dobutamine Stress Testing, Myocardial Strain Cardiac and 3-D Assessments, and assisting physicians with Transesophageal Echo (TEE) procedures.
    • Current BLS certification.

    Physical/Sensory Demands

    O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

    F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

    C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

    Physical/Sensory Demands For This Position:
    • Walking - F Sitting/Standing - C
    • Reaching: Shoulder Height - O
    • Reaching: Above shoulder height - O
    • Reaching: Below shoulder height - F
    • Climbing - O
    • Pulling/Pushing: 25 pounds or less - O
    • Pulling/Pushing: 25 pounds to 50 pounds - O
    • Pulling/Pushing: Over 50 pounds - O
    • Lifting: 25 pounds or less - O
    • Lifting: 25 pounds to 50 pounds - O
    • Lifting: Over 50 pounds - O
    • Carrying: 25 pounds or less - O
    • Carrying: 25 pounds to 50 pounds - O
    • Carrying: Over 50 pounds - O
    • Crawling/Kneeling - O
    • Bending/Stooping/Crouching - O
    • Twisting/Turning - O
    • Repetitive Movement - C


    Working Conditions:
    • The staff cardiac sonographer will work in both an outpatient clinic and inpatient hospital environment. Staff will share after hours hospital call coverage equitably, generally per week. There may be light travel to satellite clinics periodically

    Job Classification:
    • FLSA: Non-exempt
    • Hourly/Salary: Hourly

    Physical Exposures For This Position:
    • Unprotected Heights - No
    • Heat - No
    • Cold - No
    • Mechanical Hazards - Yes
    • Hazardous Substances - No
    • Blood Borne Pathogens Exposure Potential - Yes
    • Lighting - No
    • Noise - No
    • Ionizing/Non-Ionizing Radiation - Yes
    • Infectious Diseases - Yes

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