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Billings Clinic Sonographer - Maternal Fetal Medicine in Billings, Montana

The incumbent in this position is responsible for performing diagnostic imaging services in the specialty of Ultrasound. The Diagnostic Medical Sonographer is responsible for the operation of a variety of equipment to produce images of the patient's body for diagnostic purposes. The sonographer is responsible for providing exposure in the field of Ultrasound to the Radiologic Technologist program students and may provide instruction to Ultrasound interns. Interviews patients, explains procedures, and assists in positioning the patient for procedures. Reviews test results with the radiologists and referring physicians.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.

• Performs clinical assessment and diagnostic sonography examinations as ordered by the physician.

• Assumes responsibility for the safety, mental and physical co mfort of all patients in the sonographic area. Interviews patient, explains examination procedures and process and assists in positioning the patient for scans.

• Uses cognitive sonographic skills to identify, record and adapt procedures as appropriate to anatomical, pathological, diagnostic information and images. Coordinates with other staff to assure appropriate patient care is provided.

• Coordinates scheduling, transportation and scanning of patients.

• Maintains patient examination records in accordance with Billings Clinic policies, procedures and standards.

• Assists physicians with invasive Ultrasound guidance procedures as appropriate to service needs.

• Analyzes sonograms, synthesizes sonographic information, medical history, and utilizes independent judgment during the sonographic exam to accurately differentiate between normal and pathologic findings. Prepares preliminary reports and/or checklist for the i nterpreting physician. Reviews exam with the interpreting physician as requested. Communicates with attending and referring physicians as appropriate.

• Maintains ultrasound equipment and work area in a neat, organized manner and maintains adequate supplies.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Participates in maintenance of laboratory accreditation. Complies with general training required by Billings Clinic as well as specific training required of the position.

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains knowledge of current trends and developments in the field of ultrasound, vascular and echocardiography technology.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Maternal Fetal Medicine (MFM) Procedures (Level III)

• US OB Complete >14 wks

• Addition Gestation >14 wks

• Early OB Complete< 14 wks

• Early OB Additional < 14 wks


• OB Detail Complete

• OB Detail Additional

• OB Ltd

• OB Follow-up

• Biophysical Profile

• Fetal Cord Doppler

• Fetal Doppler F/U of Ltd

• Color Flow only

• Fetal Ultrasound Guidance

• Aminiocentesis

• Nuchal Translucency screening

• Miscellaneous

Knowledge, Skills, and Abilities

• Billings Clinic policy and procedures, both organizational and departmental

• Billings Clinic Corporate Compliance Program

• Billings Clinic Code of Business Conduct

• Personal computers, hardware and software

• Various computer syste ms relating to ultrasound

• HIPAA and confidentiality requirements

• Patient/resident rights

• Customer service techniques and Personal Service Excellence (PSE) skills

• Regulatory requirements and standards governing sonography services

• Principles, practices and techniques sonography including guidelines for age appropriate care

• Infection control procedures

• Hazcom and safety criteria

• National Patient Safety Goals

• Professional communication skills, both verbal and written

• Operating complex ultrasound equipment, cameras, recorders and other patient assessment equipment pertinent to department needs. Selects appropriate equipment and transducer frequency/size for proper exam.

• Recognizing the significance of all structures visualized on the monitor and is able to differentiate normal from abnormal and recognize artifacts. Understan ds when to seek advice.

• Performing complex algebraic calculations for equipment settings, etc.

• Manual dexterity for operating technical equipment and may administer IV's

• Explaining the procedure to the patient and/or family

• Evaluating, synthesizing, communicating and reviewing preliminary diagnostic information with the interpreting physician, and/or referring physicians

• Integrate diagnostic sonograms, laboratory results, patient history and medical records and adapt sonographic examination as necessary

• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant to geriatric

• Transport and/or lift patients

• Function independently at a high level of competency with minimal supervision

• Cross train to work into different areas within the special imaging modalities of echocardiography and/or ultrasonography

• Establish and maintain collaborative relationships

• Work effectively in a team environment

• Respond calmly and professionally in an emergent or difficult situation

• Maintain flexibility to adapt to a variety of workload assignments

• Assist in orientation of new staff members and students

• Move equipment

• May be expected to rotate to several different imaging modalities during a shift

• Exposure to unpleasant odors from soiled linen or human waste and contact with patients exhibiting possible infectious diseases. Universal precautions are mandatory when working with all patients.

• Possibility of exposure to ionizing radiation or contact with corrosive darkroom chemicals, however, if adherence to safety and protection standards is followed, chance of accident is remote.

• Errors in calibrating e quipment and performing procedures could result in poor quality test results which could negatively impact the quality of patient care