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Summary The Eastern Colorado Health Care System VA Hospital is located on the Fitzsimmons Campus in Aurora, Colorado and is currently recruiting for two GS 4/5/6/7/8 Medical Instrument Technician-Hemodialysis. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Medical Instrument Technician, MIT-Hemodialysis duties include, but are not limited to the following: Performs and monitors all aspects of hemodialysis treatments under the Supervision of the Dialysis RNs in the Chronic Dialysis Unit Works in the Renal Section of Nursing Services & operates the dialysis machines, the Portables Reverse Osmosis, RO, machines, & main RO system used for dialysis treatments Assembles equipment, prepares dialysis machine, cannulation access or appropriate use of central venous catheter, connects patient to machine, assesses patient during dialysis treatment & communicates status to RN, monitors & documents vital signs, administered designated dialysis medications approved for MIT administration per Unit Standard of Practice, terminates dialysis, (including rinse back of blood), extracts needles from access site, ensures needle site stops bleeding, documents care Sets up, manages troubleshoots, calibrates, repairs, & operates highly technical equipment Explains various procedures/possible symptoms during treatment-assesses basic deviations to determine if machine/patient related Assists RN in responding to variety of routine/unusual/emergency dialysis complications: symptomatic hypotension, inadequate access flow, cramping, infiltrated access, clotted dialyzer &/machine alarm assessments Performs inpatient treatment care: transporting, setting up, disinfecting, cleaning, equipment/performing rinsing procedures, record keeping, communicating machine repair needs to Leads Investigates/evaluates new technology/treatment methods: presents findings/makes recommendations to multi-disciplinary team Inventories supplies/re-stocks dialysis supplies in patient care area upon arrival, etc Performs water performance testing for chorine/chloramines prior to patient shift-ensuring water treatment equipment is operating properly to make suitable water for hemodialysis procedures Recognizes abnormal water sample results/responds accordingly Participates educational activities, completes unit based in-services, & mandatory educational activities in a self-directed manner by deadlines Demonstrates positive, effective communication skills & professional behavior that promote cooperation & teamwork Practices good customer customer service and demonstrates VA I-CARE values Participates in unit-based quality of care performance improvement activities, unit based performance improvement measures & results Identifies problem areas by practicing evidence-based practices on unit Perform other duties as assigned Work Schedule:0400-1630 Mon-Sat compressed, rotating schedule including Saturdays & holidays. Compressed/Flexible: Available Recruitment Incentive (Sign-on Bonus): Not Authorized Pay: Competitive salary and regular salary increases 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) 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 #: PD04-55533-O, 05-55534-O, 06-55535-O, 07-55536-O, 08-55537-O Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details. Qualifications Applicants pending educational/certification/licensure completion requirements may be referred & tentatively selected but can't be hired until all requirements are met Basic Requirements: US Citizenship. Non-citizens may only be appointed when you can't recruit qualified citizens English Language Proficiency. Must be able to speak & write English Education. There aren't specific educational requirements for this occupation. Education can only be substituted for experience at the GS-4 & GS-5 level. See grade requirements for information regarding educational substitutions. 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). Titles & Certifications/Registrations: All individuals assigned to this occupation MUST have an approved parenthetical title. For individuals at the GS-4 & GS-5 levels, the approved title is Medical Instrument Technician-Trainee. Hemodialysis Technicians operate & monitor kidney dialysis instruments to provide dialysis treatment to patients w/ kidney failure or maintain patients w/ irreversible kidney disorders. Agencies that offer national certification are Nephrology Certification Commission, NNCC, Board of Nephrology Examiners, Inc., Nursing & Technology, BONENT, National Nephrology Certification. Training. Completion of appropriate training i.e. in-service training programs, on the job training, training acquired while in the Armed Forces, government sponsored developmental training programs, &/or training under physicians certified in the functional area are allowed on a month-for month basis through the GS-5 level. Grade Determinations. In addition to basic requirements for employment, criteria discussed in applicable headings, or defined in appendices, must be met when determining candidates' grades. Education/Training. Creditable education must have been attained in an accredited Community College, College or University. Foreign Education: To be creditable, education completed outside the US must have been submitted to private organizations that specialize interpreting foreign educational credentials & such education must be found at least equivalent to US conventional programs. Basic Developmental Levels GS-4 Experience. At least 1 year experience comparable to next lower grade demonstrating KSAs & characteristics related to position duties. 6 months of experience may have been in medically related fields: nursing assistant, practical nursing, or similar fields. The other 6 months must have been operating diagnostic & therapeutic MIT equipment. Experience gained operating MIT equipment for animal diagnosis/treatment may be credited at this level. In addition, candidates must demonstrate the following KSAs OR Education. Successful completion of 2 years of education above high school or associate's degree w/ major field study directly related to MIT occupation Demonstrated KSAs 1) Basic medical terminology knowledge 2) Ability to learn components, operating characteristics & equipment settings 3) Ability to learn typical patient reactions to basic procedures involved & ability to recognize distress signs 4) Ability to learn standard positions for conducted procedures 5) Ability to communicate orally & in writing GS-5 Experience. At least 1 year experience comparable to next lower grade which demonstrates KSAs, & characteristics related to position duties. This should be experience operating equipment related to the MIT specialization you applied for or in related functional areas. Experience gained in operating equipment for animal diagnosis/treatment may be credited through this grade level. In addition, candidate must demonstrate the following KSAs OR Education. Successful completion of 4 academic years above high school leading to bachelor's degree w/ courses related to occupation or bachelor's degree in major field of study appropriate to MIT functions Demonstrated KSAs 1) Knowledge of standard medical terminology to interpret physician orders or instructions 2) Knowledge of common physical disabilities & ability to position patients for the examination or treatment 3) Ability to learn the normal & abnormal results for routine procedures to recognize & report obvious abnormalities 4) Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures 5) Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, & calibrate the machine GS-6 Experience. At least 1 year experience comparable to next lower grade which demonstrates KSAs & characteristics related to position duties. In addition, candidate must demonstrate the following KSAs Demonstrated KSAs 1) Skill in setting up, operating & performing calibrations as required on variety of dialysis equipment 2) Skill in performing & interpreting test results, dialysate chemistries, water treatment testing for contaminates, etc. including ability to analyze deviations from expected norm & responding appropriately 3) Knowledge of American Association of Medical Instrumentation, AMMI standards & unit policies as they relate to water treatment 4) Knowledge of physiological & psychological changes & conditions related to end stage renal disease 5) Ability to calculate dialysis baths according to physician's orders per patient by mixing critical concentrates, i.e., calcium, potassium & bicarbonate 6) Knowledge of Basic Cardiac Life Support, BCLS GS-7 Experience. At least 1 year experience comparable to next lower grade level demonstrating KSAs & characteristics related to position duties. These experiences should have provided knowledge of equipment, standard procedures, & typical machine problems &/or patient reactions to treatment. In addition, candidate must demonstrate the following KSAs GS-7 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 & monitoring patients for compliance 3) Ability to act as mentor or preceptor to lower graded technicians 4) Ability to analyze deviations from the expected, determine whether deviations are machine or patient related & respond according to findings GS-8 Experience. At least 1 year experience comparable to next lower grade level demonstrating KSAs & characteristics related to position duties. These experiences should have provided knowledge of complex procedures, pharmacology, & knowledge of related acute disorders & diseases & their effects on organs/treatment methods. In addition, candidate must demonstrate the following KSAs GS-8 KSAs 1) Knowledge of hemodialysis process & equipment needed for home/self-care including common machine problems knowledge & equipment repairs 2) Peritoneal dialysis equipment & procedures knowledge 3) Ability to assist physician w/ percutaneous renal biopsies & peritoneal catheter insertion 4) Ability to provide instruction to dialysis patients in home re self-care & maintaining equipment 5) Ability to provide instruction to physicians, nurses & other personnel in dialysis procedures, equipment operation & maintenance etc Preferred Experience: Hemodialysis experience preferred including Reverse Osmosis, RO water monitoring & testing, Preferred certifications as either Certified Clinical Hemodialysis Technician, CCHT or Bonent- Dialysis Patient care Technician. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. This vacancy's full performance level is: GS-8. Actual grade an applicant may be selected is in the range of a GS-4 to a GS-8. QUALIFICATIONS CONTINUED IN ADDITIONAL INFORMATION SECTION OF JOB ANNOUNCEMENT Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Transcripts must include your name, the school's entire name, can be unofficial transcripts, must have the name of the course, date course taken, grade received for the course, amount of credits earned for the course, date degree conferred, (if applicable), (name of degree received, (if applicable). Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/. Additional Information PHYISCAL REQUIREMENTS FROM QUALIFICATIONS SECTION CONTINUED: Visual acuity, including color blindness screening, keen hearing, clear distinctive speech & manual dexterity Must be able to carry/push bulky equipment/supplies usually that don't exceed 50 lbs Assist in handling patients w/ various disabilities/impairments-which may involve lifting, positioning, restraining or assisting them w/ tasks Regular/recurring walking, standing, crouching, kneeling Must be mature, flexible, sensible individual able to handle stressful situations & multiple shifting priorities Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.