Cytotechnologist

Summary

The Cytotechnologist is part of Pathology and Laboratory Medicine Service within the Cincinnati VA Medical Center.

Duties

Functions or Scope of assigned duties of Cytotechnologist are but limited to the following: Diagnostic Duties (35%): Perform highly complex testing on cellular material from all human body sites. Microscopically examines prepared cytological specimens and renders diagnoses. Recognizes normal and abnormal cytology, including but not limited to, malignant neoplasms, precancerous lesions, infectious agents and inflammatory processes in gynecologic, non-gynecologic and fine-needle aspiration (FNA) specimens. Detects, selects and clearly marks the cells most representative of the pathological process. Develops differential diagnoses based on cellular evidence in conjunction with pertinent cognitive knowledge, clinical data, histological correlative material, review of previous patient material and knowledge of the various modes of treatment and their effect on the cytological interpretation. Independently screens and evaluates gynecologic cytologic specimens (Pap smears) for evidence of infection, precancerous changes of malignancy. Determines which Pap smears are within normal limits, separating them from those that show possible abnormalities and require pathologist review. Issues final pathologic report on negative Pap smears under his/her own name, with sole responsibility for the diagnosis. Formulates a provisional diagnosis on all atypical gynecologic cytology specimens and on all non-gynecologic specimens and forwards them to the attending pathologist for review. Functions as attending pathologist's assistant in FNA/core biopsy procedures in special radiologic procedures and clinics. In addition, independently prepares FNA specimens on-site, stains and microscopically examines to determine adequacy of cytological interpretation. Gid the clinician in obtaining further samples, if needed. Determines appropriate triage of procure FNA specimens for further diagnostic studies. Lab Oversight (25%): Together with the Anatomic Pathology Supervisor, develops, implements, and monitors the lab's Quality Control/Assurance Program (QC/A) to provide improved Veteran care. Monitors workload and productivity and recommend improvements where needed. Recognizes and reacts to indicators of abnormal findings or aberrant results. Determines, plans and implements new procedures and technologies to achieve and maintain a state-of-the-art cytopathology laboratory. Responsible for establishing, validating, and writing procedures for Standard Operating Procedures (SOP) manual for newly procured tests and instruments to further improve cytopathology service to the Veterans. Instructs cytopathology/anatomic pathology staff on processing of cytologic specimens, emphasizing proper patient safety issues, workflow and equipment operations. When changes in specimen collection/processing and diagnostic classification occur, actively participates in medical staff meetings and conferences to provide providers with current information and ensure continued quality Veteran care. Responsible for preparation for accreditation inspections and correction of identified deficiencies of the lab. Attends and participates in various department meetings for the improvement of inter and intradepartmental relations and the maintenance of optimal Veteran care. Monitors resources used in lab in terms of supplies, stock levels and re-order points; maintains good inventory and ordering practices; reviews budget reports and makes recommendations for cost containment, when necessary.. Technical Duties (20%): Evaluates requested procedures to determine the suitability of specimens for processing and request new specimens, if specimen is determined unusable. Has experience and knowledge in processing and preparation of specimens for cytopathology testing while controlling physical conditions and complying with time factors to ensure that the physiological state of the specimen is maintained. Acknowledges technical limitations and various possibilities for procedural errors in Cyto-preparation and takes corrective action. Develops procedures for new testing methods to include new molecular diagnostics technology. Establishes standards and writes instructions for calibrating and standardizing instruments and equipment. Obtains the necessary approval to implement new techniques or practices in the local laboratory. Prepares professional implementation plan, including test and evaluation of the technique in meeting stated objectives. Develop quality control measures for implementation. Work Schedule: Monday - Friday, 7:30am - 4:00pm Virtual: This is not a virtual position. Functional Statement #: 93529-0 Recruitment Incentives: A Recruitment Incentive may be authorized for a Highly Qualified Individual.

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. 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. Education: Individuals must have success completed a baccalaureate degree from a regionally accredited college/university and successfully completed a Commission on Accreditation of Allied Health Education Programs accredited cytotechnology program. Foreign Education: To be creditable, education completed outside of the U.S. must have been submitted to a private organization approved by the American Society for Clinical Pathology (ASCP) that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs. Certification: Candidates must currently possess the Cytotechnologist (CT) (ASCP) or Specialist in Cytotechnology (SCT)(ASCP) certification given by the ASCP Board of Certification. English Proficiency: Cytotechnologist must be proficient in spoken and written English. See 38 U.S.C. § 7403(f). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Cytotechnologists that do not meet the basic requirements for education and certification may be reassigned, promoted up to and include the full performance level, or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. Cytotechnologists appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended, or be reappointed on a temporary or permanent basis, until they fully meet the basic requirements of the standard. Cytotechnologists initially grandfathered into this occupation, who subsequently obtain education and/or certification that meets all basic requirements of this qualification standard, must maintain the required credentials as a condition of employment in the occupation. Cytotechnologists who were retained in this occupation, under this provision, and subsequently leave the occupation, lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation. And, Grade Determinations: Cytotechnolgist GS-11: Experience. The candidate must have one year of creditable experience equivalent to the journey level (GS-09) that is directly related to the position to be filled. 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 255 of the time. At the advanced lee, the cytotechnologist independently performs and monitors processes