Medical Instrument Technician (Hemodialysis)

Department of Veterans Affairs

The James J. Peters VA Medical Center located in the Bronx, NY has an opening for an Intermittent Medical Instrument Technician in the Renal/Dialysis Service. VHA Dialysis facilities are required to align with the End Stage Renal Disease (ESRD) conditions for coverage established by the Centers for Medicare and Medicaid Services (CMS).

• The Medical Instrument Technician (MIT) is responsible for the operation of hemodialysis equipment in the treatment of patients with renal failure, monitoring patients during dialysis treatments, cleaning and maintenance of dialysis equipment. The Medical Instrument Technician monitors the quality of the water used for dialysis including collecting, recording and reporting water culture results. The MIT is also responsible for setting up, selecting, ordering, stocking, and preparing supplies needed for dialysis procedures. Duties include, but are not limited to: Under the collaborative supervision of a registered nursing team, or charge nurse, provides hemodialysis treatment to patients with renal failure. Initiates and terminates dialysis treatments following standard procedures. Monitors patients throughout treatment and makes necessary adjustments without consultation according to the patient's medical condition. Monitors dialysis treatment parameters such as vital signs and weight loss. Collects and records vital signs using blood pressure cuff stethoscopes and scales and thermometers. Records patient condition and changes for example, blood pressure changes and excess fluid and determines proper treatment procedure, technique and machine adjustments. Assembles all necessary supplies and equipment at chair side. Selects appropriate instruments and techniques and troubleshoots complex equipment. Inspects and evaluates circulatory access site. Cleans and dresses site using sterile technique. Connects patients to the dialyzer and operates equipment to initiate extracorporeal circulation and performance of dialysis. Prepares and dismantles extracorporeal blood circuits and the dialysis machine to create a sterile, air free blood circuit. Operates and monitors dialysis machines and performance of dialysis procedures using prescribed standard procedures and the machine monitoring system. Establishes amount of fluid to be removed and sets the machine pressure according to the coefficient of ultrafiltration of the dialyzer. Obtain blood specimens for routine or special tests. Collects laboratory specimens from patients and prepares samples for transport to the laboratory or for shipment. Documents and charts accurately on flow sheets and electronic medical record. Assesses and records the results of dialysis treatment. Recognizes medical complications or altered response to treatment and notifies registered nurse and or provider. Administers saline or other solutions intravenously into the dialysis line when appropriate and according to established unit protocols. Adjust hemoglobin detector sensitivity during dialysis response to equipment alarms including making adjustments to correct the cause of malfunctions. Observes for and or test for blood leaks Recognizes when emergency measures are necessary and instills life saving measures until medical system is secured. Initiates our assistant cardio-pulmonary resuscitation and other emergency procedures using an ambulance bag, cardiac monitor, and oxygen equipment. Repairs or modifies chemical preparation for the concentrates or special chemical baths to produce specific treatments for patients with varying needs or values using different measures such as devices, chemicals and mixes or mixers. Assist patient with non- nursing requests. Knowledge of instruments used in hemodialysis and be able to make adaptations and adjustments as well as interpret test results based on previous experience and observation. Total Rewards of a Allied Health Professional Work Schedule: Intermittent. To be discussed during interview. Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 26341F Relocation/Recruitment Incentives: Not Authorized

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