Medical Instrument Technician (Hemodialysis)

Medical Instrument Technician (Hemodialysis)

Department: Department of Veterans Affairs

Location(s): Fayetteville, North Carolina

Salary Range: $55882 - $72644 Per Year

Job Summary: The Medical Instrument Technician (Hemodialysis) position provides hemodialysis treatment to patients with chronic renal failure under the collaborative supervision of an RN Charge Nurse, Team Leader, or Nurse Manager and requires thorough technical knowledge, understanding, practice, maintenance, operation per AAMI standards of HD water treatment and purification process, equipment, cleaning, and sterilizing dialysis equipment.

Major Duties:

• Assigned Duties: The Medical Instrument Technician (Hemodialysis) is responsible for the operation of hemodialysis equipment in the treatment of patients with chronic renal failure. Duties include monitoring patients during dialysis treatments; cleaning, disinfecting, and maintenance of dialysis equipment; setting up and operating hemodialysis equipment; selecting, ordering, stocking, and preparing supplies needed for dialysis procedures; and mentoring new technicians. Dialysis equipment is highly complex mechanically and electronically. The Hemodialysis Technician performs his/her duties as part of the dialysis team under the direction of the Nurse Manager and Staff Nurse. Other responsibilities and duties include but not limited to the following: Medical Instrument Technician (Hemodialysis) GS-08 Duties: Performs and interprets test results including water treatment testing and is able to analyze deviations from the expected norm and responds appropriately. Is knowledgeable of the American Association of Medical Instruments (AMMI) standards and unit policies as the relate to water treatment, cell counts and disinfection. Performs routine dialysis start up and take off procedures under the supervision of the primary RN. Checks patient's condition and knowledgeable of proper treatment procedures, technique, and machine adjustments; understands medical treatment for patients with renal failure Is knowledgeable of the physiological and psychological changes and conditions related to ESRD. Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section. Calculates dialysis baths according to the physician's orders per patient by mixing concentrates, i.e., calcium, and potassium. Recognizes and reacts to signs and symptoms that signal the onset of complications of dialysis including hypotension, and cramping. Maintains unit stock levels of disposable dialysis items. Monitors and reports stocking discrepancies that would impact patient flow. Technician is aware of and practices the safety policies/procedures of the medical center, and participates in quality assurance activities as directed. Assists the physician in more complex procedures such as central venous catheter insertion. Assists in training patients in home/self-care dialysis by teaching components of dialysis operation such as water treatment and monitoring patients for compliance to any recommended water system changes. Mentor or precept less experienced technicians. Able to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings. 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. Knowledge of the hemodialysis process and equipment needed for home/self care including knowledge of common machine problems and repairs to such equipment. Knowledge of the equipment and procedures for peritoneal dialysis. Ability to assist the physician with percutaneous renal biopsies and peritoneal catheter insertion. Ability to provide instruction to dialysis patients in home/self care and in the maintenance of the equipment. Ability to provide instruction for physicians, nurses, and other personnel in dialysis procedures, equipment operation and maintenance. Performs dialysis Adequacy evaluations for Hemodialysis and Peritoneal dialysis patients. Performs unit Quality Assurance Audits. Maintains and updates unit database program and monitors system performance. Works under the general direction of the Dialysis Nurse Manager. NOTE: The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must be able to lift and transport bulky equipment and supplies, including large salt pellet bags. Work Schedule: 0600-1630; 10 hour shifts; 4 days a week (Mon-Sat) Telework: Not Eligible Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required Pay: Competitive salary, annual performance bonus, regular salary increases. Paid Time Off: Receive 13 to 26 days paid time off per year, not to include 10 paid federal holidays; and 13 sick days annual with no limitation on accumulation. 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). For More Information on Benefits: https://www.vacareers.va.gov/Benefits/EmploymentBenefits

Qualifications: 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. Education may be substituted for experience only at the GS-4 and GS-5 levels. See the grade requirements part of this standard for information regarding educational substitutions. Licensure or Certification. Licensure or Certification is not required for this occupation; however, it is strongly desirable at GS-6 or above as evidence of possession of the essential knowledge, skills, and abilities. For certain functional areas at the higher levels or supervisory assignments, specific certifications appropriate to the specialty are indicated in this standard under "Titles and Certification/Registrations". 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). Preferred Experience: 2-3 years of experience in Dialysis is preferred; 2 years' experience performing Medical Instrument Technician Hemodialysis duties in an acute care or outpatient setting and BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications II. SCOPE OF WORK Assignments involve performing hemodialysis procedures. III. QUALIFICATIONS- Knowledge of the hemodialysis process and equipment- Ability to provide instruction to dialysis patients in dialysis procedures, equipment operation and maintenance- Ability to provide instruction for Providers, Nurses, and other personnel in dialysis procedures, equipment operation and troubleshooting, 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. Grade Determination:GS-8: Experience. At least 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 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 treatment. 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. References: VHA Handbook 5005 Part II Appendix G27/Appendix G- Medical Instrument Technician (Hemodialysis)The full performance level of this vacancy is GS-08. Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. Mechanical lifts are provided. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings.

How to Apply: Please read the entire announcement and all the instructions before you begin an application. To apply for this position, you must complete the initial online application, to include the initial online questionnaire and submission of the required documentation specified in the How to Apply and Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on the closing date of the announcement to receive consideration. To preview the application questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/12897302. The application process is as follows: To begin, click Apply Online to create a USA JOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents. Answer the questions presented in the application and attach all necessary supporting documentation. Click the Submit Application button prior to 11:59 PM (ET) on the announcement closing date, 03/10/2026. If you are required to complete any USA Hire Assessments, you will be notified after submitting your application. The notification will be provided in your application submission screen and via email. The notification will include your unique assessment access link to the USA Hire system and the completion deadline. Additionally, in USAJOBS you can click "Track this application" to return to your assessment completion notice. Access USA Hire using your unique assessment link. Access is granted through your USAJOBS login credentials. Review all instructions prior to beginning your assessments. You will have the opportunity to request a testing accommodation before beginning the assessments should you have a disability covered under the Rehabilitation Act of 1973 as amended. Set aside at least 3 hours to take the USA Hire Assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue later, you can re-use your unique assessment link. NOTE: Your responses to the USA Hire Assessments will be reused for one year (in most cases) from the date you complete an assessment. If future applications you submit require completion of the same assessments, your responses will be automatically reused. Visit the USA Hire Applicant Resource Center for practice assessments and assessment preparation resources at https://support-usahire.opm.gov/hc/en-us. To update your application, including supporting documentation: During the announcement open period, return to your USAJOBS account, find your application record, and click Edit my application. This option will no longer be available once the announcement has closed. To view the announcement status or your application status: https://help.usajobs.gov/how-to. Your application status page is where you can view your application status, USA Hire assessment completion status, and review your notifications sent by the hiring agency regarding your application. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Application Deadline: 2026-03-10