Reviews the patient's clinical history, indication, and relevant prior imaging before performing the echocardiogram • Provides appropriate patient positioning, explanation of the procedure, reassurance, and monitoring throughout the echocardiogram • Maintains patient safety, privacy, dignity, and comfort during echocardiograms and procedures • Recognizes technically limited echocardiographic studies and communicates significant or unexpected findings to the interpreting physician or appropriate clinical leadership • Documents echocardiogram information, measurements, technical limitations, required post operative surgical dressings and applicable contrast and/or agitated saline administration • Maintains equipment and echo lab areas and reports equipment malfunctions or safety concerns • Participates in training and. parameters • Performs special procedures that may include but not limited to echo guided myocardial biopsies and device implantations, transesophageal echocardiograms (TEE), agitated saline and contrast-enhanced studies, exercise and dobutamine stress tests.