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State of Washington Classified Job Specification


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Class Code: 301M
Category: Health Care


Independently perform professional level, highly complex diagnostic cardiac ultrasound procedures including transthoracic echo (TTE), transesophageal echo (TEE), dobutamine stress echo (DSE), and treadmill echo (TME), and performs cardiac ultrasound procedures on children, infants, neonates, and incubated premature infants requiring specialized knowledge. Acquire tomographic images of patients’ cardiac anatomy and Doppler assessment of blood flow dynamics by direct application of high frequency diagnostic ultrasound to patients to determine the nature and degree of patients’ heart disease.

Distinguishing Characteristics

Under general direction, perform and analyze findings of diagnostic ultrasound examinations on patients including adults, adolescents, children, infants, neonates and incubated premature infants referred for evaluation of suspected or known simple and complex congenital heart disease and/or referred for post-operative evaluation of surgical reconstruction, repair, or placement of cardiac prosthetic devices.

Typical Work

Perform echo/Doppler procedures to define complex congenital heart disorders for patients referred for evaluation of non-corrected congenital heart anatomy and function and/or evaluation of surgical reconstruction or repair;

Assist with correlation of findings with results from surgical reconstruction, repair, or placement of prosthetic devices;

Perform and analyze findings of portable TTE procedures in the NICU for newborn infants, premature infants, incubated premature infants; perform echo/Doppler procedures using proper NICU isolation sterilization techniques;

Assist with correlation of findings with results anticipated or reported from prior diagnostic fetal echo procedures;

Perform echo/Doppler procedures during invasive procedures such as providing guidance for needle extraction during pericardiocentesis; monitoring of cardiac function and hemodynamics during valvuloplasty or other therapeutic procedures; and directing bioptome placement for cardiac tissue samples during myocardial biopsy;

Perform echo/Doppler procedures on patients participating in heart and organ transplant programs including patients on mechanical "heart-assist" devices for maintaining life-support pre- or post-heart transplantation and patients requiring evaluation of heart function to determine viability for organ transplantation (liver, kidney, pancreas, lung, heart);

Provide clinical instruction and technical training in all aspects of echo/Doppler examination including theory, application, instrumentation, analysis and interpretation;

Perform the work of Cardiac Sonographer 2;

Perform related duties as required.

Legal Requirement(s)

There may be instances where individual positions must have additional licenses or certification. It is the employer’s responsibility to ensure the appropriate licenses/certifications are obtained for each position.

Desirable Qualifications

Completion of a training program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP), and current certification as Registered Diagnostic Cardiac Sonographer (RDCS) in both Adult and Pediatric Echocardiography by the American Registry of Diagnostic Medical Sonographers (ARDMS);


One year of experience as Cardiac Sonographer 1

Equivalent education/experience.

Class Specification History

New Class:6-9-2000
Revised new class code: (formerly 6424) effective July 1, 2007