The Hemodialysis Medical Instrument Technician (HD-MIT) is assigned to the Dialysis Unit, which is organizationally under the Specialty Care Service. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: there are no specific educational requirements for this occupation. Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification. Physical Requirements: see VA Directive and Handbook 5019. English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English in accordance with chapter 2, section D, paragraph 5a, this part. May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Grade Determinations: GS-06: Experience: At least one (1) year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of a Medical Instrument Technician (Hemodialysis). In addition, the candidate must demonstrate the following KSAs (Demonstrated Knowledge, Skills, and Abilities): 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). Certification: No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification. Note: Please ensure how you meet these KSAs is clearly described in your resume; we may not make assumptions regarding your experience. GS-7 Experience: At least one (1) year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of a Medical Instrument Technician (Hemodialysis).This would be experience which provided knowledge the equipment, standard procedures, and typical machine problems and/or patient reactions to treatment. In addition, the candidate must demonstrate the following KSAs: (Demonstrated Knowledge, Skills, and Abilities): 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. Certification: No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. GS-8 Experience: At least one (1) year of experience comparable to the next lower grade level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of a Medical Instrument Technician (Hemodialysis).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 treatment. In addition, the candidate must demonstrate the following KSAs (Demonstrated Knowledge, Skills, and Abilities): 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 this level have BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications. Note: Please ensure how you meet these KSAs is clearly described in your resume; we may not make assumptions regarding your experience. References: VA HANDBOOK 5005 APPENDIX G27 - APPENDIX G The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-06 to GS-08. Physical Requirements: This position does require a pre-placement evaluation. see VA Directive and Handbook 5019. ["Major duties include, but may not be limited to: Delivers safe care to assigned End Stage Renal Disease (ESRD) patients, while developing technical competencies. Under the direction of a licensed Registered Nurse (RN) correctly/safely performs hemodialysis treatment. Demonstrates grade appropriate/consistent knowledge base. Performs more complex treatments/procedures per Medical Group Guidelines. Safely and effectively uses patient care equipment. Recognizes overt abnormal vital signs, signs/symptoms and/or changes in patient's condition and responds appropriately. Performs glucose checks as ordered. Implements nursing interventions/orders in a timely and complete manner. Uses proper infection control policies in performing duties. Tests, calibrates, utilizes, maintains and troubleshoots test instruments and devices used for dialysis. Maintains spare technical specialty equipment by performing daily rinse, checks and equipment disinfection. Tests HD water system as required. Performs and documents critical functional and safety tests of equipment as required. Routinely stocks/reorders supplies as required. Manages and organizes supply storages areas, notifies forwarding technician of supply needs. Inventories unit-specific patient care supplies for expiration dates. Demonstrates compliance with infection control practices, such as hand washing and use of personal protective equipment (PPE). Promptly reports all accidents, unsafe/unhealthy environmental situations/conditions to charge nurse or supervisor. Corrects safety hazards promptly. Reports/turns in broken equipment to Medical Equipment Repair Center (MERC) for repairs. Complies with relevant environmental regulations. Maintains safety equipment (eye wash stations & air/gas shut-off). Ensures assigned pod and work areas are kept orderly and free of clutter. Completes mandatory annual safety training. Ensures patient care/sensitive information is secured and data is stored. Military Health System Genesis (MHS Genesis) Electronic Medical Record (EMR) are consistently secure and patient identifiers are not left unattended for others to view. Positive role model for all applicable rules, policies, and regulations concerning information security and business integrity/compliance. Ensures procedural treatment delivery and specialty specific technical documentation are accurate and completed appropriately and within shift. Resolves customer issues at lowest level and reports variances, interventions, outcomes to appropriate supervisor chain. Demonstrates ICARE values using hospital wide Culture of Excellence infrastructure & Relationship based care concepts & principles with professional/patient centric demeanor. Recognizes and utilizes the expertise of others to gain own skills and knowledge in self-directed manner. Demonstrates professional behavior and works effectively with others in giving care to patients. Demonstrates positive effective communication skills and professional behaviors that promote cooperation and teamwork with internal/external customers. Displays personal and professional integrity in the workplace. Maintains professional boundaries with patients, families, and employees. Takes on specific unit-based and hospital wide team/group/responsibilities for tasks that utilize own strengths. Recognizes other's contributions & praises effective performance of others within team. Demonstrates effective group dynamic facilitation & conflict resolution in unit-based and hospital wide workgroups, committees/councils. Stays informed of changes to operating instructions, mandates, policies and procedures relevant to the position. Identifies innovative ways to make optimal use of limited resources in establishing high priority issues/concerns. Self-directed in completing Competency Assessment Skills, Orientation Checklists, and Computer Based Training (CBT). Submits completed annual self-evaluation to the supervisor by requested deadline. Performs other duties as assigned by charge nurse and or nurse manager. Work Schedule: Rotating Compressed/Flexible: Not Authorized Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required"]

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