Basic Requirements:
- United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- Certification: All applicants must be certified in nuclear medicine technology by the Nuclear Medicine Technology Certification Board (NMTCB) or the American Registry of Radiologic Technology (ARRT) (N). NMTCB or ARRT (N) certification eligibility requirements are normally satisfied by one of the following:
- Completion of a NMTCB-recognized nuclear medicine technology program, OR
- Completion of a nuclear medicine technology program accredited by the Joint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT), or other accrediting agencies as recognized by the U.S. Department of Education (DOE), culminating in a certificate, associate, baccalaureate, or master's degree. Educational programs must have structured clinical training sufficient to provide clinical competency in radiation safety, instrumentation, clinical procedures, and radio-pharmacy, as deemed acceptable by the NMTCB.
- Loss of Credential: Once certified, NMTs must maintain a full, valid, and unrestricted certification. Loss of credential will result in removal from the GS-0601 NMT occupation and may result in termination of employment.
- English Language Proficiency: NMTs must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, of this part.
Grade Determinations:
Nuclear Medicine Technologist (Multi-Modality Technologist) GS-11
Experience. For assignments above the journey level, the candidate must have 1 year of creditable experience equivalent to the next lower grade level directly related to the position being filled, and must fully meet the KSAs at that level.
Assignments. For all assignments above the journey level, the higher-level duties must consist of significant scope, complexity (difficulty), range of variety, and be performed by the incumbent at least 25% of the time. NMTs at this level are fully functional as an advanced NMT and carry out their assigned tasks independently. NMTs in this assignment perform fusion imaging such as PET/CT, SPECT/CT and/or PET/MR procedures that include diagnostic nuclear medicine, CT, and/or MR fused images. Multi-modality technologists must hold appropriate specific certifications in nuclear medicine (NMTCB or ARRT(N)), as well as CT (NMTCB(CT)) or ARRT (CT)), and/or MR (ARRT (MR)) applicable to independently perform the assignment duties. They carry out these complex assignments independently as part of nuclear medicine procedures. Assignments may include injection of contrast and recognition of allergic reaction, contraindications, and medication interactions. The work must be of sufficient scope and complexity to meet the knowledge, skills, and abilities to perform at this level.
Demonstrated Knowledge, Skills, and Abilities. The candidate must demonstrate all of the following technical KSAs:
i. Knowledge of contrast media, side effects, medication allergic reactions, drug interactions, and extravasation assessment.
ii. Skill to differentiate multi-modality protocols and adjust protocols according to patient needs, body mass index, or area of interest.
iii. Knowledge of unique scanning and processing parameters required of multimodality imaging.
iv. Ability to troubleshoot and make simple repairs to PET/CT and/or PET/MR imaging systems.
v. Ability to care for patients during all stages of the procedure and provide emergency response care when necessary.
vi. Knowledge of all contraindications for performing CT and/or MR scans.
Physical Requirements: This work requires moderate lifting (15-44lbs), light carrying (under 15lbs), reaching above shoulder, use of fingers, both hands required, walking, standing, kneeling, repeated bending, depth perception, ability to distinguish basic colors, hearing (aid may be permitted). Environmental factors are working with radiant energy, electrical energy, working around machinery with moving parts, and working in a "hot lab" with radiopharmaceuticals.