Med Inst Tech (Hemodial)

About the role

The Department of Veterans Affairs is seeking a Medical Instrument Technician (MIT) for the Hemodialysis unit in Bronx, NY.

What you will do

• 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).
• CMS ESRD Conditions for Coverage require that dialysis facility patient care technicians meet all applicable state requirements for education, training, credentialing, competency, standards of practice, certification and licensure; have a high school diploma or equivalency; have completed a training program approved by the medical director and governing body.
• The Medical Instrument Technician 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.
• The Medical Instrument Technician's 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 cardio­pulmonary 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.
• Work Schedule: Full-time, rotating 10-hour shifts 7:00am-5:30pm/6:00am-4:30pm Compressed/Flexible: Available Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

• 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.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Acceptable form(s) of identification will be required to complete pre-employment requirements (***).
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.
• As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest.
• In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service.
• Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Education

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: ***

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: ***

How you will be evaluated

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC.

WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.

Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).

Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

Documents you must provide

• Long-form resume/Curriculum vitae (CV) The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position.
• Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc. Cover Letter DD-214/ Statement of Service Disability Letter (Schedule A) Disability Letter (VA) License Long-form resume/Curriculum vitae (CV) Other (1) PCS Orders Professional Certification Separation Notice (RIF) SF-15 SF-50/ Notification of Personnel Action 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 Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
• Veterans' preference does not apply for internal or other current permanent Federal agency employees.

What to expect next

Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met.

After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.

You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center. NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service.

HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities.

HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities.

HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

Additional information

Receiving Service Credit for 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. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

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.