The short answer Nicole is STANDING!
Why?
The established definition of “Pathologic Reflux is retrograde flow upon release of distal compression in a STANDING patient (Valsalva acceptable for proximal segments)”
Superficial System - Retrograde flow > 0.5 seconds
Deep System – Retrograde flow > 1.0 seconds”
If performed other than standing, the position must be noted in the report and considered in the interpretation
In contrast to what is commonly argued, we maintain that scanning the patient in a standing position is far more ergonomically friendly than reaching across the patient.
But – we also do not hesitate to NOT stand the patient if they cannot safely do so. Sometimes we will have them sit and dangle their legs, or only have them stand to quickly evaluate highly suspect segments. I mean we are trying to establish venous dysfunction, not diagnose a imminent life threatening condition. So we simply state that the patient was unable to stand for the exam. That must then be considered in the diagnosis and formulation of the venous treatment plan.
Make it a great weekend!
Regards,
Bill
William B Schroedter, BS, RVT, RPhS, FSVU
4120 Woodmere Park Blvd
Suite 8B
Venice, Florida 34293
From: UVM Flownet <[log in to unmask]> On Behalf Of Nicole Ball
Sent: Friday, February 5, 2021 7:08 AM
To: [log in to unmask]
Subject: Re: Full Time Position
Hello.
Is all venous insufficiency testing done standing or RV?
Sincerely,
Nicole Ball, BS, RVT
Technical Director, Vascular Lab
Concord Hospital
250 Pleasant Street
Concord, NH 03301
>>> Linda Antonucci <[log in to unmask]> 2/4/2021 3:31 PM >>>
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Registered Vascular Technologist - Full-Time
Employer: Weill Cornell Vein Center
Location: New York, NY
We have an immediate opening for an RVT for our outpatient vein practice. Monday-Friday with no on-call. The practice is part of Weill Cornell Medicine and is on the Upper West Side of Manhattan.
Ideal RVT credentialed technologists will be experienced in the evaluation of lower extremity superficial and deep venous disease and pelvic venous disease as well as having experience in assisting physicians performing US-guided procedures including saphenous ablation. The practice includes 2.4 full-time faculty in the Division of Interventional Radiology who care for acute and chronic superficial, deep and pelvic venous disorders. The position includes typical university benefits, including tuition assistance for education for the employee after a specific length of employment.
Position Summary
Under general guidance, performs a full range of non-invasive vascular testing procedures
Job Responsibilities
· Accompanies the provider into the exam room, updates or collects patient history, and inputs patient data into the practice management system. Explains procedure to be performed to the patient prior to procedure and answers any questions throughout.
· Performs non-invasive testing procedures to evaluate arterial and venous circulation using a handheld Doppler, pulse volume recorder, photoplethysmography, and duplex ultrasound imaging techniques.
· Performs more complex studies such as post-op graft evaluation, renal artery Duplex study, AVF/AVG evaluation, and Endovascular Duplex study.
· Compiles test results for interpretation by physician. May also provide preliminary interpretation of test results. Notifies consulting physician of any unusual or abnormal reports.
· Ensures that complete, accurate, and timely reports and billing is submitted and follow-up is completed.
· Provides educational resources to physicians, house staff, medical students, patients, and visitors regarding nature of, and applications for, non-invasive diagnostic testing.
· Assists with the accreditation/reaccreditation process and assists in maintaining the accreditation status as required by IAC (Intersocietal Accreditation Commission for Vascular Testing).
· Maintains inventory of supplies, equipment, and/or reagents. May order supplies/equipment/reagents as authorized or ensure that needs are escalated appropriately. Receives supply orders and confirms accuracy of delivery. May assist with cost control.
· Ensures that facilities and equipment are in optimal and proper working condition. Coordinates preventative maintenance and repairs as needed. May perform minor repairs if qualified and as needed. May advise on upgrades for performance enhancements.
· Attends workshops, seminars, and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
· Greets registered patients at the time of visit and triages patients through the patient flow process. Checks schedules and accompanies patients to exam/procedure room. Assists patients as needed with walking, transfers, dressing, and preparing for exams.
· Reviews and verifies patient identity, history, and requisition for the exam to be performed.
· Ensures patient safety is maintained at all times.
· Responsible for maintaining a sterile environment. Ensures standard infection control precautions are observed.
· Assists with the review of cases and literature regarding patient care and research protocols, as well as the collection of data for publications.
Education
High School Diploma
Experience
Approximately 3 years of experience as a Vascular Technologist or Technician
Knowledge, Skills, and Abilities
Graduation from an accredited diagnostic ultrasound vascular program
Licenses and Certifications
· Registered Vascular Technologist (RVT) or Registered Vascular Specialist (RVS) certification
· BLS Certification (issued by the American Heart Association)
Working Conditions/Physical Demands
This position requires the occasional lifting of equipment and patients
Competencies
· Appreciates and understands the connection between individual goals, departmental goals, and the organizational mission.
· Maintains a team-oriented approach, and possesses the ability to cultivate positive and collegial workplace relationships.
· Maintains a flexible and forward-thinking approach to the way work is done.
· Approaches our job knowing that there are internal and external customers whose expectations we strive to exceed.
· Possesses the ability to facilitate the flow of information through effective written and oral communication.
· Demonstrates integrity and ethics at all times.
· Possesses excellent work-related skills and the ability to apply them, while continually seeking ways to improve.
· Understands the need to be responsible for our own outcomes, and takes pride in delivering the best possible work product.
About Weill Cornell Vein Center:
Since its founding in 1999, Weill Cornell Vein Center has been at the forefront of minimally invasive vein care. We consult on the full gamut of deep and superficial venous conditions and perform venous ablation, phlebotomy, and sclerotherapy in our beautiful outpatient office. Deep and pelvic venous procedures are performed at New York Presbyterian Hospital-Weill Cornell Medical Center.
About Weill Cornell and New York-Presbyterian Hospital:
Weill Cornell Medicine is a leading academic medical institution with a strong mission to care, discover and teach and is ranked as the #11 best US medical school by the U.S. News & World Report. Founded nearly 250 years ago, New York-Presbyterian is one of the nation's most comprehensive, integrated academic healthcare systems. Recognized nationally for quality and excellence, New York-Presbyterian is ranked as the #4 hospital in the nation by U.S. News & World Report. As New York's top-ranked hospital for 20 years, it has more "Top Doctors" than any other hospital in the country.
Interested candidates should contact Karina Rekhels, the WCVC Practice Supervisor (details below).
Contact: Karina Rekhels
Email: [log in to unmask]
Phone (Office): 646-962-6762
Phone (Vein Center): 646-962-9179
Mailing Address: 2315 Broadway, 4th Floor, New York, NY 10024
Linda Antonucci, RPhS, RVT, RDCS
Board of Directors American Vein and Lymphatic Society
President/CEO
Linda Antonucci Veins, LLC
Mobile: 201 410-3054
email: [log in to unmask]
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