Cardiovascular Interventional Technologist (CIT)

Positions in these classifications perform imaging procedures primarily in their respective area(s) of competency. The following is a descriptive list of the range of duties performed by employees in this classification and is not intended to reflect all duties performed by every incumbent in this classification:

• Conducts product evaluation and inventory management of supplies used in the CCL;

• Trains Registered Nurses and Radiology Technicians on procedures performed in the Cardiac Catheterization Laboratory (CCL);

• Directly assists the physician(s) during cardiovascular, interventional, neurovascular, vascular, electrophysiology, and angiographic procedures; 

• Archives images in Picture Archive Communication System (PACS) or Cardiovascular Information System (CVIS) and verifies all required images are stored, properly specified, names corrected, and in the proper archive;

• Operates ancillary equipment at a more advanced level for the modality, including measurements, indications, and troubleshooting;

• Organizes technical assignments and assists patient flow in the Cardiac Catheterization Lab;

• Completes daily room calibration and weekly fluoroscopy checks of all equipment;

• Correctly obtains and identifies angiographic images, utilizing radiation reducing techniques according to best practice; 

• Manipulates and sends images via the PACS and CVIS;

• Operates and trouble-shoots, as necessary, diagnostic equipment and Interventional Adjuncts, via AngioJet, Rotoblator, Laser, etc.;

• Tracks and bills each procedure and associated supplies;

• Mixes, fills, and administers contrast media and medications from an automatic pressure injector and physician manifold during the procedures under direction of a physician;

• Instructs patient, positions patient and equipment, computes and/or selects technical factors, and obtains images as instructed;

• Performs other assigned radiographic procedures;

• Performs routine administrative tasks;

• Cleans and re-stocks procedure rooms and ancillary areas, and maintains proper inventory levels;

• Adheres to all applicable Federal, State, and local regulations, including Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA);

• Records, stores, retrieves, and analyzes data obtained during procedures;

• Provides advanced scrub assistance, including patient positioning, prep, table set-up, draping, and supply selection during advanced procedures;

• Performs patient assessment and reassessment during the procedure and relays information to nurse or physician in the room;

• Verifies physician orders and properly organizes necessary equipment, supplies, and positioning;

• May be assigned as a Disaster Service Worker, as required;

• Performs other related duties as required.

Sufficient education, training, and experience to demonstrate the possession and direct application of the following knowledge and abilities:

Training and Experience Note: The required knowledge and abilities are attained through six (6) years of experience performing Interventional Radiology procedures, including two (2) years of recent experience in a cardiac catheterization lab.

Special Requirements:

• Possession of a valid California Certified Radiologic Technologist (CRT) license.

• Possession of a valid California Fluoroscopy license.

• Possession of any of the following certifications: 

  • American Registry of Radiologic Technologists (ARRT) Cardiovascular Interventional Radiography (CV)

  • ARRT Cardiac Interventional Radiography (CI) 

  • ARRT Vascular Interventional Radiography (VI)

  • CCI Registered Cardiovascular Invasive Specialist (RCIS)

Knowledge of:

• Services including interventional, neurovascular, vascular, cardiovascular, and electrophysiology;

• Ancillary equipment for the modality, including measurements, indications, and troubleshooting;

• Radiographic and fluoroscopic techniques, methods and equipment;

• Specialized diagnostic imaging principles, techniques, methods, and equipment relative to angiography procedures; 

• Structural and organic anatomy;

• Methods of positioning patients for radiographic and specialized diagnostic imaging exposures;

• Principles of radiation physics;

• Principles of image processing and development;

• Scrub procedures, including patient positioning, prep, table set-up, draping and supply selection;

• Regulatory requirements regarding Radiologic Technologist and radiation safety;

• Physician orders to properly organize necessary equipment, supplies, positioning, and prior patient safety testing;

• Basic computer applications.

Ability to:

• Perform complex radiographic and diagnostic imaging procedures;

• Accurately bill complex procedures and supplies in a timely fashion; 

• Provide safe and appropriate care to all patients, even in stressful situations;

• Troubleshoot, document, and communicate equipment problems;

• Effectively communicate in English with patients and medical staff, both orally and in written form;

• Follow written and oral instructions;

• Prioritize tasks for safety and timeliness;

• Work independently with minimal supervision;

• Perform advanced scrub procedures;

• Perform basic patient assessment and reassessment during the procedure and relay information to nurse or physician.

• Willingly be placed on on-call status as needed.