Cardiac Sonographer - Level II

Non-Invasive Cardiology
Work Hours
Position Type
Per Diem
Hours Per 2-Week Pay Period
832 Hours (Per Year)
Weekend Requirements
Weekends and holidays as scheduled


The Cardiac Sonographer is primarily responsible for performing Echocardiograms as ordered by physicians. This will include Two-dimensional, color flow, pulse wave Doppler, continuous wave Doppler, and M-mode exams. Additionally, may include Transesophogeal Echo, Stress Echo, Dobutamine Stress Echo, Mobile Echo, Contrast Echo or Bubble Studies. This person assumes On-call for patient care and staffing needs.

Special Criteria Details

Working no more than 832 hours per year


  1. Adheres to the scope of practice for Diagnostic Ultrasound professionals and the code of ethics.
  2. Verifies patient identity using two methods, before performing exam.
  3. Reads charts, requisitions and physicians orders to ascertain the existence of valid requests for diagnostic ultrasound procedures.
  4. Able to analyze the patient’s clinical history fully, in order to identify the purpose of the examination, frame clinical question(s) that the exam is intended to answer and expand the exam as necessary to answer clinical questions
  5. Responsible for documenting patient history and assessment as required to perform the exam ordered.
  6. Performs exam according to according to ASE standards, documenting required organ assessments and measurements.
  7. Familiar with approved clinical protocols for each type of cardiovascular ultrasound exam he/she performs.
  8. Interacts and communicates effectively (orally and in writing) with Healthcare providers including other sonographers, physicians and nurses.
  9. Explains the purpose of the echocardiographic exam to the patient and answering the patient’s questions.
  10. Understands proper ultrasound instrument operation in obtaining diagnostic images.
  11. The ability to properly display cardiac structures and blood flow in each of the imaging views.
  12. Performs and demonstrates proficiency in obtaining two-dimensional, M-mode, and Doppler (pulse wave, continuous wave and color flow) echocardiographic procedures.
  13. Visualization of all cardiac chambers, valves and vessels, with appropriate structural and blood flow measurements following dept protocol.
  14. Understands abnormal echocardiographic and Doppler velocities that are indicative of cardiovascular pathophysiology.
  15. Understanding of contrast agents or Bubble study, potential side effects, indications and use for such agents.
  16. Use of independent judgment and systematic problem solving methods to produce high quality diagnostic information and optimize patient care.
  17. Handles / cleans ultrasound probes properly, following department procedures.
  18. Appropriate documentation on worksheet providing the physician a summary of findings to aid in patient diagnosis and management.
  19. Ensures completeness of exam and timely communication of important information.
  20. Keep accurate records of studies performed in a log book, enter appropriate charges and keeps files up to date.
  21. Assist physicians during those ultrasound procedures requiring a physician’s presence. IE; Transesophogeal Echo.
  22. Understands the indications for performance of the pediatric echocardiogram.
  23. Utilizes and obtains ultrasound probes of different frequencies to obtain the most comprehensive information possible, particularly infants and premature babies.
  24. Practices Infection Control procedures according to CVPH guidelines.
  25. Available for On-call Echo’s in emergency situations.
  26. Performs independently in Physician’s offices for Mobile Echo
  27. Completes required paperwork and billing for Mobile Echo.
  28. Understanding of Standardized Exercise Stress testing.
  29. Understanding of specificity, sensitivity, and diagnostic accuracy of Stress Echocardiography testing in different patient populations. (Exercise and pharmacological stress)
  30. Ability to apply Doppler data to the physiologic changes that occur during exercise. (Exercise and Pharmacological stress)
  31. Adept to using digital image acquisition images during and within 60-90 seconds after exercise examination
  32. Other duties as assigned.


  1. Understanding of cardiovascular and thoracic anatomy, Cardiovascular pathophysiology and hemodynamics.
  2. Knowledge and understanding of ultrasound physics, instrumentation, tissue characteristics, and measurements of blood flow including the biological effects of ultrasound.
  3. Familiar with diagnostic test and be able to integrate Echocardiography results with the results of these tests.
  4. Knowledge of congenital Heart Disease preferred.
  5. Knowledge of Pediatric Echo.
  6. BLS certified.
  7. Cardiac rhythm analysis required.
  8. Knowledge of Contrast Echocardiography including Bubble Studies.
  9. Three years of clinical experience required or completion of 3000 Cardiac Echocardiograms.
  10. Credentialed as a Registered Diagnostic Cardiac Sonography (RDCS), American Registry for Diagnostic Medical Sonography (ARDMS) or Cardiovascular Credentialing International (CCI) with specialty of Cardiac Sonography (RCS).
  11. Well versed in medical terminology, excellent interpersonal skills and communication skills.
  12. Experience in Transesphogeal Echo, Stress Echo and Dobutamine Stress Echo required.

As applicable, the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.


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