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Job Title: Medical Instrument Technician (Hemodialysis)
Company Name: Veterans Affairs, Veterans Health Administration
Location: Green Bay, WI
Position Type: Full Time
Post Date: 11/07/2017
Expire Date: 01/06/2018
Job Categories: Finance/Economics, Healthcare, Practitioner and Technician, Human Resources, Information Technology, Installation, Maintenance, and Repair, Quality Control, Research & Development, Medical
Job Description
Medical Instrument Technician (Hemodialysis)

This Medical Instrument Technician (MIT) - Hemodialysis position is located at the Green Bay Outpatient Clinic. The MIT is responsible for performing a variety of technical and patient care functions which include direct patient care, and operation and maintenance of all dialysis related equipment. This positon serves as a member of the dialysis team performing dialysis on patients in acute and chronic renal failure.

MAJOR DUTIES:
-Evaluates patient's condition and determines the treatment procedure, using instrument adjustments based upon patient weigh, lab results and overall medical condition.
-Sets-up, calibrates and operates a variety of dialysis equipment; including Hemodialysis machine, Reverse Osmosis Systems (main and portable), and Dialysate and bicarbonate baths.
-Connects patients to dialysis machines via various circulatory access devices; including A-V fistula or graft cannulation and central venous-access, including perm catheters, internal jugular, subclavian or femoral catheters.
-Adjusts reports and documents dialysis machine settings according to the physician prescription based upon the individual patient needs.
-Observes and records the physical, mental and emotional status of the patient throughout the dialysis treatment and recognizes, reports and documents any and all changes to the registered nurse and/or physician.
-Participates in patient education as identified by the plan of care.
-Assists in the formulation of long and short-term patient goals in collaboration with the dialysis team members.
-Recognizes cardio-pulmonary arrest and initiates CPR (cardio-pulmonary resuscitation).
-Maintains the equipment in the Hemodialysis unit and identifies equipment problems to the Charge Nurse and/or biomedical technician.
-Assists Nephrology staff physician or trainees in approved research studies.
-Inventories and orders supplies for the performance of patient hemodialysis treatments and the functioning of the dialysis unit.
-Draws blood samples from patients.

Work Schedule: Part-time 16 hours per week. Variable Schedule starting as early as 6am and late as 8am.
Financial Disclosure Report: Not Required

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement.

BASIC REQUIREMENTS:
Must be a citizen of the United States.
Must be proficient in spoken and written English

GRADE REQUIREMENTS:
GS-6 Experience: At least 1 year of experience comparable to the next lower grade level (GS-5) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled of operating and monitoring dialysis systems for chronic patients; checking patient condition and determining the proper treatment procedures, technique, and machine adjustments; understanding medical treatment for patients with renal failure; administering prescribed medication and observing the patient for desired action or adverse reaction; and recognizing and reacting to signs and symptoms that signal the onset of complications of dialysis including hypotension, disequilibrium, seizures, and arrhythmias.
In addition, the candidate must demonstrate the following KSAs:
1. Skill in setting up, operating, and performing calibrations as required on a variety of dialysis equipment.
2. Skill in performing and interpreting test results (dialysate chemistries, water treatment testing for contaminates, etc.) including the ability to analyze deviations from the expected norm and responding appropriately.
3. Knowledge of American Association of Medical Instrumentation (AMMI) standards and unit policies as they relate to water treatment.
4. Knowledge of physiological and psychological changes and conditions related to end stage renal disease.
5. Ability to calculate dialysis baths according to the physician's orders per patient by mixing critical concentrates, i.e., calcium, potassium, and bicarbonate.
6. Knowledge of Basic Cardiac Life Support (BCLS).

GS-7 Experience: At least 1 year of experience comparable to the next lower grade level (GS-6) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge the equipment, standard procedures, and typical machine problems and/or patient reactions to treatment and providing hemodialysis for chronic patients, assisting the physician during central venous catheter insertion, assisting in the training of patients for home dialysis/self-care, and acting as a mentor or preceptor to lower graded hemodialysis technicians.
In addition, the candidate must demonstrate the following KSAs
1. Ability to assist the physician in more complex procedures such as central venous catheter insertion.
2. Ability to assist in training patients in home/self-care by teaching components of machine operation including water treatment and monitoring patients for compliance.
3. Ability to act as a mentor or preceptor to lower graded technicians.
4. Ability to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings.

GS-8 Experience: At least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge of the more complex procedures, the pharmacology related to this occupation, and knowledge of related acute disorders and diseases and their effects on organs and methods of treatments and serving as a member of a dialysis team performing dialysis on acutely ill patients including those within an intensive care setting. Assignments involve performing both peritoneal and hemodialysis procedures. Participating in percutaneous renal biopsies, watching the patient during the procedure and properly processing the specimen. Assisting the physician in peritoneal catheter insertions and observing the patient for vital signs and provides post-operative care. Providing instruction and monitors patients for home dialysis. Performing training of physicians, nurses, and technicians on hemodialysis and peritoneal dialysis techniques.
In addition, the candidate must demonstrate the following KSAs:
1. Knowledge of the hemodialysis process and equipment needed for home/self-care including knowledge of common machine problems and repairs to such equipment.
2. Knowledge of the equipment and procedures for peritoneal dialysis.
3. Ability to assist the physician with percutaneous renal biopsies and peritoneal catheter insertion.
4. Ability to provide instruction to dialysis patients in home/self-care and in the maintenance of the equipment.
5. Ability to provide instruction for physicians, nurses, and other personnel in dialysis procedures, equipment operation and maintenance, etc.

Certification. No certification is required; however, it is desirable that employees at each grade level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications.

References: VA Handbook 5005/5, Part II, Appendix G27, Medical Instrument Technician Qualification Standards. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS-8.. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-8.

Physical Requirements: The work is primarily sedentary. Physical demands do not exceed those of a typical office setting. There may be some walking, standing twisting, turning, sitting, pushing, bending, repetitive keyboarding, or carrying of light items. Some positions may require sitting for long periods of time at a computer terminal typing data while talking on a telephone headset.

Selected applicants will be required to complete an online onboarding process.

To apply for this position, you must provide a complete Application Package which includes:

  • Resume


VA Form 10-2850c Application for Associated Health Occupations can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), documentation to support Veterans Preference or ICTAP/CTAP documentation (for displaced Federal employees).

  • Cover Letter
  • DD-214
  • OF-306
  • Other
  • Other Veterans Document
  • Resume
  • SF-15
  • SF-50
  • Transcript


Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx.
Qualifications & Requirements

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement.

BASIC REQUIREMENTS:
Must be a citizen of the United States.
Must be proficient in spoken and written English

GRADE REQUIREMENTS:
GS-6 Experience: At least 1 year of experience comparable to the next lower grade level (GS-5) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled of operating and monitoring dialysis systems for chronic patients; checking patient condition and determining the proper treatment procedures, technique, and machine adjustments; understanding medical treatment for patients with renal failure; administering prescribed medication and observing the patient for desired action or adverse reaction; and recognizing and reacting to signs and symptoms that signal the onset of complications of dialysis including hypotension, disequilibrium, seizures, and arrhythmias.
In addition, the candidate must demonstrate the following KSAs:
1. Skill in setting up, operating, and performing calibrations as required on a variety of dialysis equipment.
2. Skill in performing and interpreting test results (dialysate chemistries, water treatment testing for contaminates, etc.) including the ability to analyze deviations from the expected norm and responding appropriately.
3. Knowledge of American Association of Medical Instrumentation (AMMI) standards and unit policies as they relate to water treatment.
4. Knowledge of physiological and psychological changes and conditions related to end stage renal disease.
5. Ability to calculate dialysis baths according to the physician's orders per patient by mixing critical concentrates, i.e., calcium, potassium, and bicarbonate.
6. Knowledge of Basic Cardiac Life Support (BCLS).

GS-7 Experience: At least 1 year of experience comparable to the next lower grade level (GS-6) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge the equipment, standard procedures, and typical machine problems and/or patient reactions to treatment and providing hemodialysis for chronic patients, assisting the physician during central venous catheter insertion, assisting in the training of patients for home dialysis/self-care, and acting as a mentor or preceptor to lower graded hemodialysis technicians.
In addition, the candidate must demonstrate the following KSAs
1. Ability to assist the physician in more complex procedures such as central venous catheter insertion.
2. Ability to assist in training patients in home/self-care by teaching components of machine operation including water treatment and monitoring patients for compliance.
3. Ability to act as a mentor or preceptor to lower graded technicians.
4. Ability to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings.

GS-8 Experience: At least 1 year of experience comparable to the next lower grade level (GS-7) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This would be experience which provided knowledge of the more complex procedures, the pharmacology related to this occupation, and knowledge of related acute disorders and diseases and their effects on organs and methods of treatments and serving as a member of a dialysis team performing dialysis on acutely ill patients including those within an intensive care setting. Assignments involve performing both peritoneal and hemodialysis procedures. Participating in percutaneous renal biopsies, watching the patient during the procedure and properly processing the specimen. Assisting the physician in peritoneal catheter insertions and observing the patient for vital signs and provides post-operative care. Providing instruction and monitors patients for home dialysis. Performing training of physicians, nurses, and technicians on hemodialysis and peritoneal dialysis techniques.
In addition, the candidate must demonstrate the following KSAs:
1. Knowledge of the hemodialysis process and equipment needed for home/self-care including knowledge of common machine problems and repairs to such equipment.
2. Knowledge of the equipment and procedures for peritoneal dialysis.
3. Ability to assist the physician with percutaneous renal biopsies and peritoneal catheter insertion.
4. Ability to provide instruction to dialysis patients in home/self-care and in the maintenance of the equipment.
5. Ability to provide instruction for physicians, nurses, and other personnel in dialysis procedures, equipment operation and maintenance, etc.

Certification. No certification is required; however, it is desirable that employees at each grade level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications.

References: VA Handbook 5005/5, Part II, Appendix G27, Medical Instrument Technician Qualification Standards. This can be found in the local Human Resources Office.

The full performance level of this vacancy is GS-8.. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-6 to GS-8.

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Contact Information
Contact Name:
Company Name: Veterans Affairs, Veterans Health Administration
Phone Number:
Fax Number:
Contact Email:Michael.Fogel@va.gov
Website:http://www.ecentralmetrics.com/url/?u=45129049883%2D311&r=http%3A%2F%2Fwww%2Evacareers%2Eva%2Egov%2Fjob%2Dsearch%2Fjob%2Ddetail%2Easp%3Fjob%3D294303
Company Description:

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