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Small Town Heart. Big City Soul! The Community – Mingle with some of the world's sharpest minds while exploring unexpected delights in this sunny Silicon Valley city, Palo Alto! Exclusivity is part of Palo Alto's allure. Stanford University accepts fewer than 5 percent of its applicants, and hiring rates for nearby tech giants Google and Facebook are estimated to be under 0.2 percent. But for visitors, the opposite is true. Anyone can visit Palo Alto – located conveniently close to both San Francisco and San Jose – and feel welcomed by the sunny climate, rich culture, and fascinating innovation – no application necessary. While here, be sure to explore University Avenue and downtown, stretching between the Stanford Campus and U.S. 101. University Avenue cuts right through downtown, so you're able to enjoy Palo Alto's nearly perfect climate easily with a stroll down the street, popping into shops like the historic Mills Florist or Books Inc. or stopping for a cone at Scoop Microcreamery. Every Saturday morning, local vendors flock here, selling everything from raw milk to freshly made pasta at the Palo Alto Farmers Market. A few other things you won't want to miss while here in Palo Alto is what is commonly known as "The Dish," a 150-foot-wide radio telescope nested in Stanford's foothills. A 3.5-mile hike leads you to the UFO-like structure, still in use today. And for the "arts" part of "arts and sciences," opt for a classic movie at the Stanford Theatre. The Theater, founded in 1925, screens only film (no digital) and is home to the Might Wurlitzer Organ, played during intermission. For posh open-air shopping, head to the Stanford Shopping Center for a mix of luxury designers (Burberry, Coach, Kate Spade) and well-known retailers, surrounded by gardens, fountains, and sculptures. Explore more on your own of course, but to learn more of what you can do before getting there, check out their website.

About the Facility – Palo Alto VAMC

VAPAHCS is a teaching hospital associated with the Stanford University School of Medicine. It provides patient care services as well as education and research. Health care is provided in areas of medicine, surgery, psychiatry, rehabilitation, neurology, oncology, dentistry, geriatrics, and extended care. 1,300 University residents, interns, and students are trained annually. VAPAHCS operates nearly 900 beds, including three nursing homes and a 100-bed homeless domiciliary serving more than 85,000 enrolled veterans. Facility Address: 3801 Miranda Ave, Palo Alto, CA 94304

• Complete a variety of complex physiological and radiological procedures ordered by and/or in collaboration with the Physicians or Cardiology Fellow without direct supervision.
• Special procedure radiographic exams for patients include, but are not limited to: cardiac catheterizations, percutaneous coronary interventions, coronary stent placement, coronary atherectomy, coronary flow evaluation, fluoroscopic imaging, intravascular coronary ultrasound, electrophysiology testing, and radio frequency ablation.
• Knowledge of radiation techniques and protection standards for the proper use, quality control and preventative maintenance of single and biplane x-ray systems, contrast injectors, image management, systems, recording, duplicating analysis, playback equipment for angiography and angioplasty procedures.
• Must be alert and recognize changes in the patient's condition, including emergencies, which may necessitate immediate intervention.
• Observe the patient's condition, making notation of pertinent information, vital signs and other clinical information in accordance with the established practices and in response to physician demand or changes in the patient's condition.
• Recognizes serious patient abnormalities and individualizes each procedure to the needs of the situation to produce reliable results.
• Make adjustments to equipment: frame rates, exposure time, kV, mAs settings, shutter openings, cardiac shielding, magnification factors, source intensifier distance to decrease radiation exposure.
• Performs proper calibrations on pressure transducers to maintain the accuracy of arterial and venous pressure tracings.
• Prepares patients for angiographic, angioplasty, Swan Gan placement and temporary pacemaker placement procedures and preparation of A-line setups adhering to aseptic and sterile techniques.
• Perform duties in the Cardiac Catherization Suite during procedures such as: diagnostic cardiac catherizations, balloon angioplasties and electrophysiology studies. Using equipment to obtain physiologic measurements such as: cardiac pressure transducers, thermodilution cardiac output computers, blood gas oximeters and oxygen consumption computers.
• Operation of medical equipment including: video equipment, CD archiving system, ECHO archiving system, contrast media injectors, EKG recorders, pressure transducers, intra-aortic balloon pumps, intravascular ultrasound machine, flow wires, rotoblator unit, dash portable monitors, EP Med monitoring station, EP mapping unit, oxygen equipment, suction equipment, CD recording units, defibrillators, Bovie cautery unit, power injectors and Acuson TEE unit.

• Shall have a full, unrestricted license in a State, Territory, or Commonwealth of the United States of the District of Columbia.
• Must have a minimum of five years relevant clinical experience and a minimum of one year of general radiology in a level 1 hospital setting and proven clinical work experience within the past 12 months. Prior VA experience is desirable.
• Must be a Registered Cardiovascular Invasive Specialist and/or Registered Radiologic Technologist with American Registry of Radiologist Technologists (ARRT) and/or American Society of Radiologist Technologists (ASRT).
• Must have current and active experience in: Electrophysiology Procedures in a Cardiac Catherization Suite.

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