Rad Tech - Interventional Radiology

Days, 40 hrs per week.

Definition of Position: The Interventional Radiology/Cardiology Radiologic Technologist supports diagnostic and interventional procedures through expert operation of fluoroscopic imaging equipment, sterile technique, and procedural workflow coordination. This role works collaboratively with physicians, nurses, and the interdisciplinary team to ensure safe, efficient, and high-quality patient care. The technologist demonstrates advanced technical competence in procedural imaging, radiation safety, sterile field maintenance, and hemodynamic monitoring while adhering to departmental protocols and regulatory standards. Exercises professional judgment in performance of services and maintains a demeanor complementary to medical ethics. Provides appropriate patient care and recognizes patient conditions essential for successful completion of the procedure. The Interventional Rad Tech is responsible to the Unit Manager and Surgical Services Director.

Essential Job Functions:

Perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure

Imaging Role

Operates fluoroscopic and radiographic imaging systems during diagnostic and interventional procedures (e.g., vascular, non-vascular, cardiac catheterization without EP or structural components). Operating fluoroscopy (pressing the pedal, initiating exposure) must follow OBMI supervision rules.

Performs any image post-processing and ensures images are sent to PACS.

Ensures optimal image quality, positioning, and equipment settings based on procedural needs.

Verifies imaging readiness, room setup, and equipment functionality prior to each case.

Maintains strict adherence to ALARA principles and all radiation safety policies.

Enters charges into Epic when necessary.

Scrub Role

When assigned, functions as the scrub technologist using sterile techniques to assist physicians during interventional and catheter-based procedures.

Prepares and organizes sterile instruments, guidewires, catheters, sheaths, embolic materials, and procedural trays.

Anticipates physician needs and responds quickly and accurately during critical moments.

Demonstrates familiarity with vascular anatomy, device sizing, catheter selection, and table-side procedural flow.

Actively communicate with monitor person to ensure procedure activities and times are documented

Monitor Role (Hemodynamic & Procedural Monitoring)

When assigned, functions as the primary monitor technologist, recording hemodynamic data, pressures, and procedural events.

Ensures allergy considerations are communicated during the timeout and reflected in procedural documentation.

Operates and troubleshoots physiological monitoring systems (e.g., hemodynamic recorders, ECG, oxygen saturation).

Documents all supplies used, implants, contrast usage, and procedural details accurately.

Communicates real-time findings to the procedural team, ensuring accurate documentation of events, medications, and device deployment.

Peri-Procedure

Assists with patient preparation, patient positioning, connecting monitoring equipment and equipment placement.

In collaboration with nurses, verify allergies, NPO status, renal function, and other relevant clinical factors.

Performs patient identification, procedure verification, and timeout processes in accordance with institutional policy.

Provides support during sedation, as needed, under the direction of nursing and medical staff.

Help to monitor patient condition, respond to changes during procedures and assist team, as needed or requested.

Perform sheath pulls and vascular access management as needed.

Contrast Allergy Management Collaboration

o Works collaboratively with nursing and physicians to identify and address contrast allergies or sensitivities.

o Participates in pre-procedure discussions regarding appropriate contrast agents (e.g., switching to iso-osmolar).

o Ensures allergy considerations are communicated during the timeout.

Department Support

Assist with managing supplies and par levels, restocking procedure room, tracking expiration dates, rotating stock, and receiving, unpacking, labeling, and shelving incoming inventory.

Assist with room turnover efficiency by assisting with post procedure cleanup such as sharps and biohazard materials disposal according to policy and preparing the room for the next case (restocking, setting up basic items, checking lead availability).

Perform basic daily/weekly equipment checks (fluoro readiness, imaging equipment diagnostics, injector checks, lead apron integrity inspections, etc.), ensuring all equipment is inspected, calibrated, and functioning properly before use.

Report and document malfunctioning equipment; assist with placing service calls when needed.

Assists with tracking radiation dose metrics and equipment service needs.

Ensure devices are cleaned, charged, and stored properly (e.g., ultrasound, IVUS, etc.).

Work independently, making evaluations and decisions based on measurable or verifiable criteria

Recognize the rights, responsibilities, and confidentiality of all patients from every socioeconomic background, conveying empathy and communicating effectively

Qualifications:

Education

Required: Graduate of an accredited Radiologic Technology program

Preferred: BS Radiologic Science/Medical Imaging

Licenses/ certifications/ registrations

Required: Current Oregon State licensure issued by OBMI, ARRT certification, RT(R).; current BLS, ACLS certification (or within 6 months of hire); Certifications specific to areas of clinical specialty preferred (e.g., RCIS, NIH Stroke Scale).

Preferred:

Experience

Required: At least one years experience in Interventional Radiology and/or Cath Lab managing fluoroscopy and scrubbing interventional cases.

Preferred: At least three years in Interventional Radiology or Cath Lab managing fluoroscopy, scrubbing interventional cases and functioning in monitor role.

Other:

Equipment/Tools/Work Aids: Fixed fluoroscopy equipment, portable ultrasound, IVUS.

Ability to provide care for the patient's age-specific, cultural, physical, and psychosocial wellbeing.

Bilingual and/or English-Spanish speaking preferred.

Ability to work with culturally diverse patient conditions essential for successful completion of the procedure. The Interventional Rad Tech is responsible to the Unit Manager and Surgical Services Director.