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SCOPES OF PRACTICE
ACVP offers members complimentary scopes of practice and
associated competencies. If you are a member, simply
request this endorsed document to
info@acp-online.org
Scopes of Practice for Cardiovascular Technology
The profession of Cardiovascular Technology was first recognized by the American
Medical Association in 1982. The educational guidelines for cardiovascular
technology were approved and adopted in 1985. Cardiovascular technologists
are qualified by specialized training and education to perform established cardiovascular
diagnostic and therapeutic procedures at the request or direction of a physician.
The
profession of Cardiovascular Technology is a multi-disciplinary science which requires
the technologist to be trained and educated in the basic and applied principles
of several modalities. Once training is completed, the cardiovascular technologist
will usually specialize and perform procedures in cardiac catheterization, echocardiography,
or vascular ultrasound.
Cardiovascular
technology is a field recognized by the American Medical Association.
Cardiographic
Technician
The position of Cardiograhic Technician is an entry level position, involving technicians
working in EKG, stress testing or Holter monitoring. Technicians working in
EKG are trained on the job, as a rule. Training usually is conducted by an
EKG supervisor or a cardiologist and lasts no more than 4 to 6 weeks for the basic
resting EKG. Training for specialized EKG testing, stress testing
and Holter monitoring is much more extensive and involves in-depth study of cardiovascular
anatomy and physiology. These programs can involve 18 months to 2 years study.
There
are no licensing requirements for EKG technicians and credentialing is voluntary
at this time. The credential awarded to a Cardiographic Technician, upon successful
completion of the certified cardiographic examination, is that of Certified Cardiographic
Technician.
Non-Invasive
Cardiovascular Technologist
The Cardiovascular Technologist specializing in non-invasive cardiovascular technology
is a health care professional who, through the use of specific high technology equipment
and at the direction or prescription of a qualified physician, performs procedures
on patients leading to the diagnoses of congenital heart disease, acquired heart
disease, coronary artery disease, and peripheral vascular disease.
The
technologist is proficient in the use of physiologic analytical equipment during
diagnostic procedures. The non-invasive cardiovascular technologist is trained
in advanced life support techniques as the patient population is often at high risk
for cardiopulmonary arrest.
The
non-invasive cardiovascular technologist performs diagnostic procedures involving
patients in the non-invasive cardiovascular laboratory as well as coronary care
and medical / surgical intensive care unit environments. The technologist
may perform procedures in hospitals, specialized clinics and private offices.
The non-invasive cardiovascular technologist is a highly specialized diagnostician
of the various presentations of cardiac and cardiovascular disease.
The
credential awarded to the non-invasive cardiovascular technologist upon completion
of the non-invasive registry examination is that of Registered Cardiac Sonographer
(RCS).
Invasive
Cardiovascular Technologist
The invasive cardiovascular technologist is a medical professional who is highly
skilled and trained in the applied science of invasive cardiovascular technology
with experience in all aspects of diagnostic and interventional cardiovascular procedures
and who has demonstrated proficiency and knowledge through a credentialing examination.
Academic
training in the science of invasive cardiovascular technology includes: a bachelor
of science degree, an associate of science degree awarded from a two-year course
of study, or a certificate of completion awarded from a hospital, trade, or technical
cardiovascular educational program. Qualifying programs have been accredited
by the Commission on the Accreditation of Allied Health Education Programs (CAAHEP)
or an equivalently accredited allied health or science degree with practical experience.
Confirmation of educational preparation, knowledge, and competence is evidenced
by the achievement of professional credentials in invasive technology.
The
invasive cardiovascular technologist position generally requires working in a cardiac
catheterization laboratory or special procedures laboratory. The cardiac cath
lab provides professional cardiovascular care to the patient undergoing cardiac
evaluation, diagnosis, and treatment for cardiovascular disease known or suspected
or for cardiac anomalies.
In this
setting, the procedures require either puncture or incision of an artery or vein
which is used to thread a thin catheter that will traverse the vessel and position
itself in the heart or adjoining arteries or veins. This position requires
high levels of understanding of cardiovascular anatomy and physiology, pharmacology,
radiation, physics and safety, as well as radiological imaging and positioning.
In some instances, an understanding of Intra-Aortic Balloon pumping is necessary
depending on the acuity of the patient and the complexity of procedures performed
in this setting.
Accuracy
in waveform and hemodynamic analysis and measurement, preparing and administering
medications, acquiring a viable image and proper sterile procedure are all prerequisites
for a person in this position.
The
credential awarded to the invasive cardiovascular technologist, upon completion
of the invasive registry examination, is that of Registered Cardiovascular Invasive
Specialist (RCIS).
Pulmonary
Function Technologist
The pulmonary technologist is an allied health professional specifically concerned
with the diagnosis and detection of a patients pulmonary anatomy and physiology
as well as treatment of related diseases. The technologist performs pulmonary
testing at the request of and under the direction of a physician.
The
technologist is proficient in the use of analytical equipment and sundry apparatus
including placing such equipment on or into the patient or placing the patient on
or into the equipment. Through subjective sampling and/or recording, the technologist
proceeds with the examination to develop an easily definable foundation of data
from which a correct anatomic and physiologic diagnosis may be established for each
patient.
The
pulmonary technologist should have a background and/or demonstrate competency in
the areas of: cardiopulmonary anatomy and physiology, cardiopulmonary resuscitation,
biology, chemistry, computer science, pathophysiology, pulmonary pharmacology, physics,
medical terminology, medical instrumentation, and medical/legal ethics. The
pulmonary technologist therefore is a highly specialized diagnostician of the various
presentations of pulmonary disease.
Supervised
by a licensed physician, a pulmonary technologist is employed in a variety of practice
settings such as hospitals, clinics, private practice offices, home care facilities,
free-standing medical facilities, rehabilitation centers, diagnostic centers, educational
institutions, research facilities, and government institutions.
In any
patient care, pulmonary laboratory or clinic setting, the pulmonary technologist
has the responsibility for selecting and setting up of equipment, instructing patients
and obtaining maximum cooperation, performing procedures, supervising other personnel
who are performing procedures, monitoring patient response, calculating test results,
evaluation the reliability of the test results, and evaluating patient performance
and clinical implications.
Salary
Information
ACVP performed a salary survey across our membership. A strong cross section
of the membership responded from which to make a determination regarding salary
comparisons and determinations. For information, please
click here.
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