The VA Portland Health Care System (VAPORHCS) is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings. VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics. Histopathology Technologist performs a full range of routine and specialized tests. Utilizing information technology systems to apply histopathology techniques and broad scientific principles from the fields of biology, chemistry, anatomy and physiology. The incumbent will act as a technical resource, troubleshooting a variety of specialized lab tests, identifying suboptimal issues, and uses independent judgment and resources to resolve concerns. The histopathology technologist ensures goals are met by prioritizing work, as necessary, in times of short staffing, or heavy workload, and by performing simultaneous tasks. The incumbent will use professional skills in applying anatomic pathology principles, practices, concepts, and theories to perform new or difficult specialized testing methods, such as immunohistochemical, histochemical, and frozen section techniques, and grossing of uncomplicated specimens.Duties include, but are not limited to: Maintains knowledge of and complies with federal and VA policies as well as accreditation agency regulations, including but not limited to OSHA, CAP, JCAHO and FDA. Assumes responsibility for surgical, cytology, and autopsy, hematopoietic specimens after they are received in the laboratory. Evaluates and solves problems related to collection, accessioning and processing of biological specimens for diagnostic evaluation, taking into account physiologic processes and requirement. Following appropriate training and certification, performs all elements of gross examination and sectioning of all types of surgical pathology specimens (that they are qualified to perform) and preparing specimens for analysis according to standard operating procedures. Performs technical preparation of both routine and special tissues, including but not limited to, needle and punch biopsies, bone marrow aspirations, tissues from autopsies, and bone. Prepares technically adequate slides of surgical, cytology, and autopsy specimens by processing, embedding tissue, cutting, staining and cover slipping. Recognizes origin and type of tissue and properly orients and cuts small or complex specimens, choosing appropriate section thickness. Examines slides under a microscope to ensure tissue preparation meets laboratory requirements. Provides technical guidance to ensure all tissues are properly oriented when embedding them, according to established procedure and type of specimen being prepared. Identifies problems in processing and staining procedures and makes necessary adjustments as needed for diagnostic purposes. Prepares all stains and chemical solutions with competent, practical knowledge of chemistry. Performs complex immunohistochemical stains and procedures, including but limited to, special pre-treatment procedures, antigen retrieval, enzymatic digestion, antibody diluting and titers, immunofluorescence, and enzyme immunohistochemistry. Troubleshoots and corrects problems with these procedures and maintains records and QA, as required. Is responsible for preparation, labeling and storage of routine fixative solutions, special fixatives (decalcifying agents) and stains. Maintains and documents the optimal function of laboratory equipment. Uses, identifies malfunctions, repairs and performs preventative maintenance of laboratory equipment. Diagnoses deviations in test performance due to instrument malfunction. Prepares frozen tissue sections, utilizing the cryostat which includes; selecting, freezing, cutting, and staining tissue for a Frozen Section exam by a Pathologist. Maintains QA files and sufficient collection of cut sections, blocks and tissues for use with control slides; Performs examination of control slides to determine whether the slides are acceptable for diagnostic evaluation. Assists and educates incoming medical students and residents in the gross room on dictation, grossing of small biopsies, and the gross room workflow. Communicates effectively and courteously while working as a healthcare team member. Provides excellent service as defined by the customer (healthcare providers, patients, and others). Gives direction and guidance using underlying histopathology principles. Assists in autopsy procedures and the maintenance of the autopsy suite. Helps to ensure that the gross room (including all equipment and supplies) is maintained, stocked, clean, and organized. Work Schedule: Monday - Friday, Hours TBD. *Rotating on-call required Friday night and Saturday. Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #: Histopathology Technologist/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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.