The Cytotechnologist functions primarily in the Pathology and Laboratory Medicine Section at Salem, Virginia VAMC. Cytotechnologists review clinical data of patients and evaluate all cytology preparations by light microscopy for the presence or absence of cellular patterns, presence of microorganisms, inflammatory reactions, endocrinopathies, benign changes, pre-malignant changes, neoplasia, and cellular responses to agents. The duties of the Cytotechnologist include but are not limited to: Issues and verifies the final diagnosis for negative gynecologic specimens. Prioritizes, prepares, and processes all specimens for cytodiagnostic and immunohistochemical testing in compliance with the guidelines of regulatory agencies. Instructs others on the proper collection methods and transportation of specimens and determines acceptability of patient samples for processing. Performs routine maintenance of equipment using standard operating procedures. Plans, directs and implements administrative and technical functions for the cytology area. Prioritizes workflow/specimen triage. Performs a broad range of cytology laboratory procedures including all testing and tasks of the cytotechnologist occupation. In addition, performs advanced and complex laboratory procedures; recognizes deviation from expected results; analyzes and corrects problems using scientific principles. Screens cytologic preparations prepared from fine needle aspirates/biopsies, effusion fluids, and exfoliated gynecological samples. Examines and evaluates the cellular sample for the presence or absence of normal/abnormal cellular patterns, microorganisms, inflammatory reactions, endocrinopathies, benign changes, premalignant conditions, neoplasia, and cellular responses to therapeutic agents. Makes primary cytodiagnoses, relating cytomorphologic changes to clinical data and using recognized cytopathologic/histopathologic terminology. Marks all typical, suspicious, or malignant cells for the pathologist's review. Coordinates specimen collection and preparation for complex procedures; determines the adequacy of such specimens and instructs clinician on an alternative approach or method for optimal diagnosis. Documents procedural deviations in the patient safety incident system, reports reportable diseases to Infectious Disease Control Committee, and participates in external Quality Assurance surveys with staff pathologists. Signs out negative gynecologic reports and coordinates complex and difficult special procedures (i.e. immunocytochemistry, molecular biology, FISH image analysis, flow cytometry, and special stains). Prepares surgical specimens for histologic analysis. Submits scheduled reports to management and conducts special assignments such as DSS turnaround studies, statistical data collection, incident reports, etc. Collects yearly statistical data for cytology and data for comparison and correlation of all positive cytology with corresponding biopsies. Administers, evaluates, and monitors a quality control review system to determine accuracy of cytologic diagnoses and quality and appropriateness of cyto-preparatory techniques. Conducts proficiency testing and preventative maintenance on the laboratory equipment. Processes and prepares all specimens for cytodiagnostic procedures while controlling physical conditions and responding to time factors to ensure that the physiological state of the specimen is maintained. Organizes work and sets priorities to meet deadlines. Maintains regulatory compliance related to duties, insures procedures are up to date with regulatory criteria, and participates in the inspection process. Maintains enough working levels of expendable and consumable supplies for the section, ensuring that stock is rotated to eliminate waste and expired reagents are discarded. Trains (classroom and on-the-job) technicians, cytotechnology students, medical students, physician residents, and others in new or specialized laboratory techniques, instrumentation, organization of work, and safety regulations. Reviews section specific procedures and recommends updates or changes by applying current testing and/or accreditation requirements knowledge. Grosses surgical tissues while describing the gross anatomic features using appropriate medical terminology, ensuring proper submission for histologic processing at the discretion of the Chief Pathologist. Work Schedule: Monday - Friday, 8:00am - 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.