Registered Radiologist Assistant (NYS Specialist Assistant License Required)

NYU Langone Hospital—Brooklyn is a full-service teaching hospital and Level I trauma center located in Sunset Park, Brooklyn.

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Position Summary

We have an exciting opportunity to join our team as a Registered Radiologic Assistant (NYS Specialist Assistant License Required).

Responsible for medical histories, patient monitoring, and diagnostic tests. Performs a patient risk assessment geared towards the relevant data needed pertinent to the patients radiologic exam. Monitors patients under the care of the Supervising Physician during radiologic exams.

Recognizes and responds to medical emergencies (e. g., drug reactions, cardiac arrest, and hypoglycemia) and activates emergency response systems, including notification of the radiologist.

Verifies appropriateness of radiologic diagnostic procedures in accordance with criteria established by the Department of Radiology and the supervising physician and performs certain procedures, such as lumbar punctures and joint aspirations.

Job Responsibilities

• Participates in the development and monitoring of patient outcomes per established practice protocols for purposes of quality and performance improvement. Uses evidence-based health care literature to advise and support appropriate practice changes within the designated service.
• Obtains and evaluates vital signs. Performs limited physical examination as appropriate. Records appropriate data where needed, copying documents where needed, and filing data where appropriate. Presents information (e. g., signs and symptoms, laboratory values, and significant abnormalities) to the Supervisor or Attending Physician in a meaningful and concise manner.
• Obtains informed consent. Patient must be able to communicate with the radiologist if they request or if any questions arise that cannot be appropriately answered by the radiologist assistant. Determines if patient has followed instructions in preparation for the exam (e. g., diet, pre- medications). Assesses risk factors that may contraindicate the procedure (e. g., health history, medications, pregnancy, psychological indicators, alternative medicines). (Note: Must be reviewed by radiologist).
• Reviews the patient? s medical record (including previous reports) to verify the appropriateness of a specific exam or procedure and report significant findings to radiologist. Interviews patient to obtain, verify, or update medical history. Explains procedure to patient or significant others, including a description of risks, benefits, alternatives, and follow-up. Patient must be able to communicate with the radiologist if he/she requests or if any questions arise that cannot be appropriately answered by the radiologist assistant.
• Documents any adverse occurrence, reaction, extravasation on department forms and in computer if required. Follows up calls made to the patient within 24 hours (except on Fridays) after an adverse reaction or extravasation.
• Aware of backup procedures during an emergency. Reports any adverse reaction to an Attending Radiologist and to the patients referring Physician as required for any reactions that are moderate or severe.
• Able to recognize and initiate treatment for anaphylaxis.
• Able to recognize signs and symptoms of IV contrast reactions.
• Able to recognize and respond to contrast reactions including and up to cardiovascular collapse.
• Maintains BLS/CPR, and ACLS certifications.
• Monitors patients under the care of the Supervising Physician during radiologic exams. Recognizes and responds to medical emergencies. (e. g., drug reactions, cardiac arrest) with notification of the radiologist.
• Performs follow-up patient evaluation and communicates findings to the radiologist. Documents procedure in appropriate record and documents exceptions from established protocol or procedure. Writes patient discharge summary for review and co-signature by radiologist. Participates in quality improvement activities within radiology practice (e. g., quality of care, patient flow, reject-repeat analysis, patient satisfaction). Assists with data collection and review for clinical trials or other research.
• Communicates radiologist's report to referring physician consistent with ACR Communication Guideline. Provides physician-prescribed post care instructions to patients.
• Reviews imaging studies (diagnostic, US, CT, MR), makes initial observations and communicates observations only to the radiologist. Records previously communicated initial observation of imaging procedures according to approved protocols.
• Operates a fixed/mobile fluoroscopic unit. Assures documentation of fluoroscopy time. Evaluates images for completeness and diagnostic quality, and recommend additional images as required (general radiography, US, CT and MR). (Note: Additional images only in the same modality such as additional CT cuts).
• Performs the following procedures including contrast media administration and needle or catheter placement: Joint injection, arthrography and aspiration using image guidance.
• Performs Midline, PICC, and tunneled catheter placements, paracentesis, thoracentesis, random and targeted biopsies of organs or masses and fluid collection drainages with appropriate image guidance under personal supervision.
• Performs the following fluoroscopic examinations and procedures including contrast media administration and operation of fluoroscopic unit: Upper GI Study; Esophagram; Swallowing Study; Small Bowel Study; Barium Enema; Cystogram; T-tube Cholangiogram; Retrograde Urethrogram; Nasoenteric and Oroenteric Feeding Tube Placement; Port Injection; Fistulogram/Sonogram; Loopogram.
• Administers contrast agents and radiopharmaceuticals as prescribed by the radiologist. Administers general medications as prescribed by the radiologist. (Note: for purposes of this document, the term medications excludes contrast media and radiopharmaceuticals). Monitors patient for side effects or complications of the pharmaceutical.
• Ensures proper documentation of all procedures in the medical record.
• Explains effects and potential side effects to the patient of the pharmaceutical required for the examination.
• Verifies appropriate tests and medications according to criteria previously established by the supervising physician. Explains the necessity, preparation, nature, and anticipated effects of scheduled diagnostic radiologic procedures to the patient.
• Pursues a planned program of professional growth through continuing education conferences, etc., in order to maintain and upgrade clinical skills.
• Serves as a clinical expert and resource for the education of peers and other health professionals. Participates in conferences and conducts lectures as assigned.
• Maintains annual CME requirement for re-appointment and privileging. Maintains RRA board certification, registration, and state license.
• Monitors and trends the cost effectiveness of the position, particularly as it relates to the efficiency and performance indicators established for the service. Coordinates implementation of clinical research studies or clinical trials, including patient screening, enrollment and data collection.
• Assists in the preparation, implementation, and evaluation of research protocols when applicable.
• Works collaboratively with nursing and other disciplines in the development and implementation of clinical studies within the area of expertise

Minimum Qualifications

Master's Degree Required (a bachelor's degree meets the education requirement for individuals who started earning their R.R.A. certification before Jan. 1, 2023). Graduate of an A.R.R.T. approved Registered Radiologist Assistant Program; current license by the New York State Department of Education as a Specialist Assistant in Radiology (a. k. a. Registered Radiologic Assistant (R.R.A.) BLS/CPR and ACLS certifications required.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Hospital—Brooklyn provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement.

The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support.

Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness