The laboratory I work in is strictly Vascular, but some of this may apply.
1.In our little vascular lab, (approx 8300 cases per year) the sonographers
are compensated for obtaining the RVT credential. A increase of up to 10%.
(In almost all cases it has been 10%). There is a change in job grade and
the additional responsibility of assisting with training residents, and
instructing fellows and visiting physicians in the art of vascular
2. All of the staff members, RVT and non-RVT perform the same examinations.
UE and LE venous studies, including calf vein imaging, carotids, graft
scans, pseudoaneurysm checks, SDP's, ETT's. If we were able to add/offer
additional tests, that would not change the compensation or salaries. By
adding an additional test, you are decreasing the volume elsewhere. It
should not change the number of exams that someone is able to perform in a
day once they become proficient.
3. The only compensation question that has arisen is splitting the salaries
of the vacant positions among those working extra hard and long hours. This
has occurred through a 'short-staffing bonus' But this is temporary.
4. I am not sure what HR would say, but I do not believe that because you
add another test to the roster that your salary should go up. It is the same
job, but the lab is offering a wider variety of testing now. This happened
when we started imaging of bypass grafts. It was just added to the roster
(8 years ago), but we did not have a salary increase because of it.
Jean M. Alessi, RVT RDMS
Vascular Diagnostic Laboratory
Brigham & Women's Hospital
> -----Original Message-----
> From: Paul English [SMTP:[log in to unmask]]
> Sent: Wednesday, February 28, 2001 12:54 AM
> To: [log in to unmask]
> Subject: Tech volumes, exams done, and salaries attained
> Hello groups,
> Ah, my little band of sonographers, how they never cease to amaze me with
> what they are thinking. The most recent little pearl came to me today at
> work in a conversation about transcranial doppler imaging. A little over
> a year ago, the radiology ultrasound department of which I am the
> supervisor inherited a separate vascular lab that was elsewhere in the
> hospital. One of extra exams we inherited was transcranial doppler. I
> chose to perfrom these exams as imaging studies with an ATL 5000 HDI. I
> personally received some very limited training and proceeded to gather all
> of the books I could find on the subject and basically taught myself to do
> these procedures. The learning curve still somewhat continues. The staff
> sonographers have watched me sweat great drops of blood over learning to
> do diagnostic exams in this modality and the neurologist who primarily
> reads them has gained a good level of confidence in my findings. But the
> staff folks have not show an overabundance of enthusiasm in learning to do
> these studies. Besides, due to staffing constraints in ultrasound and
> nuclear medicine (the other department I supervise) I have not had the
> time nor the volume to train anyone else. But that is all changing and I
> have recently announced that I will be publishing a training schedule to
> teach this modality to all.
> One of my staff came forward and presented himself somewhat as a spokesman
> for some of the others. He explained that it was their opinion that since
> TCI represented such a "quantum leap" in knowledge and expertise above and
> beyond their current skills that they feel that they should be compensated
> extra for learning this modality. I should let you know that currently
> these sonographers are performing all manner of abdominal, OB/GYN, small
> parts, para- and thoracentesies, carotids, upper and lower peripheral
> venous and arterial studies, and surgical and guidance procedures. Our
> human resources also gives a $0.75/hour increase for each modality in
> ultrasound in which a sonographer become registered. The individuals in
> question are at least registered in abdomen or OB/GYN, some in both. None
> have their RVT but three are scheduled to begin their exams in the next
> 2-3 month with the others studying for their RVT.
> So here's the question to you, my cyberworld colleagues. I would like to
> conduct a very unscientific and informal survey of those of you in
> departments similar to mine. We perform the above mentioned exams
> including TCI (no ophthamology or echocardiography). Of the personell in
> departments like this please give me and my cohorts an idea of the
> following data:
> 1. Do you offer increasing compensation for additional registries
> 2. Of you non-RVT staff do they:
> a. Perform TCI?
> b. Perform other vascular studies?
> c. Perform both?
> d. Are they compensated extra for doing vascular/TCI/both?
> 3. Has a question like ever arisen in you department?4
> 4. What would you expect the response would be of you HR department
> if this was suggested?
> Thanks in advance for your input. I look forward to sharing your comments
> with my staff.
> Paul English