City and County of San Francisco

Under direction, the Diagnostic Medical Sonographer Lead, functions as lead Diagnostic Medical Sonographer (DMS) of the ultrasound department.

This class functions as lead Diagnostic Medical Sonographer in the ultrasound department. The 2474 Diagnostic Medical Sonographer Lead is distinguished from the 2473 Diagnostic Medical Sonographer III in that the latter performs, under general supervision, diagnostic imaging and therapeutic procedures in three (3) or more DMS specialties, while the former performs diagnostic imaging and therapeutic procedures in two (2) or more DMS specialties and is a lead worker. The 2474 Diagnostic Medical Sonographer Lead is distinguished from the 2496 Imaging Supervisor in that the latter class has supervisory responsibility for Diagnostic Imaging Technologists and ancillary personnel.

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According to Civil Service Commission Rule 109, the duties specified below are representative of the range of duties assigned to this job code/class and are not intended to be an inclusive list.

1. Functions as lead worker in an assigned area or for a shift; manages workload relative to available resources; prioritizes work and assigns tasks to Diagnostic Medical Sonographers and support staff; prepares and monitors work schedules and perform time reporting duties; inventories supplies and stocks area.  
2. Acts as preceptor to new staff, or to an employee learning new skills or equipment; trains, orients and documents initial and annual competencies of staff; assists others with technical or positioning advice.  
3. Performs diagnostic imaging procedures in two (2) or specialties of Diagnostic Medical Sonography; selects and operates a variety of diagnostic ultrasound equipment; applies non-ionizing high frequency ultrasonic waves to patients through the use of transducers to produce images of internal organs for diagnostic interpretation by a physician, including obstetrical, gynecological, abdominal evaluations; performs specialized diagnostic and therapeutic procedures such as aspirations, Doppler and vascular work, breast, neonatal, neuro-sonography, carotid and thyroid scans,  and portable scans.  
4. Assesses general patient condition, including stability, pain and safety, and as necessary takes action consistent with appropriate standards; monitors medical equipment and promptly adjusts or reports problems; observes and documents patient physical and procedural restraints.  
5. Documents procedures and events in the patient’s medical record and departmental logs, in accordance with regulatory, hospital and departmental standards; identifies images and documents with patient, technologist, date/time and laterality information. May perform CPR.  
6. Transports patients using gurneys, wheelchairs and beds; transfers patients to and from the exam table.  
7. Schedules procedures and patients; transfers paper orders into an electronic order entry system; collates images and paperwork, and submits them for interpretation; receives and assists patients and other customers; answers departmental telephones; may be assigned to coordinate patient flow.  
8. Sets up sterile and non-sterile trays, and provides instruments, medical devices and supplies as requested.  
9. Trains medical and technical personnel such as radiology residents and student diagnostic imaging technologists in the science and practice of diagnostic sonography.  
10. Participates in departmental Quality Improvement efforts.  
11. Cleans imaging equipment and calibrates as necessary; cleans supplies and procedure rooms; acts as liaison with field service engineer to effect necessary repairs.

Knowledge of: the science of diagnostic sonographic imaging; abdominal, obstetrical/gynecological, neo-natal, neuro-sonography, vascular, Doppler and other imaging or therapeutic procedures; anatomy and anatomical landmarks; safety standards, including body substance precautions and body mechanics; general knowledge of Title 22.

Ability and Skill to: effectively follow oral and written instructions and to perform diagnostic imaging procedures in sonography; plan, organize, assign, instruct and evaluate the work of assigned staff; care for patients’ needs; perform venipuncture and CPR; communicate, interact and resolve problems with patients, physicians, co-workers, students and other customers; adhere to preventive and safety standards to limit exposure to health hazards and disagreeable elements; perform the full range of body motion, manual dexterity and hand eye coordination; stand, walk or sit for extensive periods of time; lift and carry heavy items; maintain clinical competency and pertinent continuing education; and adapt to changing technologies.

These minimum qualifications establish the education, training, experience, special skills and/or license(s) which are required for employment in the classification. Please note, additional qualifications (i.e., special conditions) may apply to a particular position and will be stated on the exam/job announcement.

Education:

Experience: 

Four (4) years of experience working as a Diagnostic Medical Sonographer.

License and Certification:
Valid certifications and registration in two (2) specialties with the American Registry of Diagnostic Medical Sonographers (ARDMS) used at the San Francisco Department of Public Health; AND

Possession of a valid Cardiopulmonary Resuscitation (CPR) certificate issued by the American Heart Association.

Substitution:

PROMOTIVE LINES
From: 2473 Diagnostic Medical Sonographer  Level II or Level III To: 2496 Imaging Supervisor
ORIGINATION DATE:	05/14/2019
AMENDED DATE:
REASON FOR AMENDMENT	To accurately reflect the current tasks, knowledge, skills & abilities, and minimum qualifications.
Business unit(s):	COMMN