Essential Functions and Responsibilities: Demonstrates correct technique, efficiency, and judgment in the performance of advanced cardiac and/or peripheral vascular procedures. Performs adequately adult and/or pediatric cardiac ultrasound procedures including TEE and stress echo and/or can perform either adult and/or pediatric cardiac procedures and perform peripheral vascular procedures including arterials, renals, and transcranial Doppler. Reviews pertinent patient data and reports before procedures. Operate equipment necessary to perform all required procedures and to obtain optimal diagnostic recording; utilize ancillary devices such as selected transducers and digital networking system. Exercises appropriate judgment in notification of abnormal results to reading physician, as well as evaluating and reporting findings to the cardiologist. Assist the physician with studies and aid them in proceeding with complex procedures to decrease potential associated procedural risks including Procedures in the (OR, Hybrid lab, Cath lab and CAD) to include TAVR (Transcatheter Aortic Valve Replacement), SAVR (Surgical Aortic Valve Replacement), Tandem heart, Lariet procedures and pseudoaneurysm compression. Maintains proper documentation of data according to lab, departmental, and hospital policy. Documents all procedures accurately in departmental tracking process. Documents accurately and efficiently all procedural data necessary. Processes charging and other necessary data efficiently/accurately. Documents consistently and accurately in patient chart. Collaborates in the maintenance of departmental efficiency. Anticipates needs in equipment and supplies. Uses resources wisely to assist in cost containment. Able to schedule patients in an efficient manner. Supports unit/hospital goals through QA and educational activities. Maintains current competency and registry (ARDMS or CCI) in the 2 specialty practices. Demonstrates initiative in personal/professional development. Maintains compliance with mandatory unit/hospital education standards. Participates in departmental QA process and National Accreditation process. Modifies behavior/performance to meet changing hospital/departmental goals. Complies with departmental and hospital policies. Maintains clean environment. Practices infection control. Promotes patient, visitor, and personnel safety. Maintains patient, employee, physician and corporate confidentiality. Collaborates effectively with all members of the health care team.