Lead Med Inst Tech - Inpatient Hemodialysis

Clarification from the agency

United States Citizens NOTE: The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below.

The Medical Instrument Technician (Inpatient Hemodialysis) duties include but are not limited to:

• Operation and Oversight of the Water Treatment System (Reverse Osmosis/RO System).
• Responsible for the daily operation, monitoring, and testing of the dialysis center's water treatment system. This includes ensuring the RO system is functioning within established standards, documenting performance, and identifying any issues before they impact patient safety.

Equipment Maintenance, Troubleshooting, and Contractor Coordination:

• Coordinates and interacts with equipment contractors and biomedical engineers to manage both preventive and corrective maintenance of dialysis equipment and the water treatment system. This includes troubleshooting technical problems, ensuring timely repairs, and documenting all maintenance activity.

Quality Assurance and Water Safety Monitoring:

• Oversees the collection, recording, and reporting of water culture results and ensures the quality and safety of the water used in dialysis treatments. Responsible for adhering to regulatory standards and promptly addressing any deviations.

Supply Management and Inventory Control:

• Selects, orders, stocks, and prepares the necessary equipment and supplies for dialysis procedures and water treatment operations.
• Maintains an organized inventory and ensure that all critical supplies are available and up-to-date.

Mentorship and Team Support:

• Mentors and trains new technicians, shares best practices, and supports the dialysis team. Serve as a key resource for technical expertise, working under the direction of the nurse manager and staff nurse to maintain high standards of patient care and operational efficiency.

Total Rewards of a Allied Health Professional

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)
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)

Work Schedule: 7:00am - 5:30pm, Monday - Saturday (Alternating Weekends and Holidays).
Functional Statement #: 95254A
Financial Disclosure Report: Not Required

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.
• 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 (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). 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.

Qualifications

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.
• Licensure or Certification: Licensure or Certification is not required for this occupation
• Physical Requirements: See VA Directive and Handbook 5019.
• English Language Proficiency: Medical Instrument Technicians must be proficient in spoken and written English.

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).

Hemodialysis Technicians operate and monitor kidney dialysis instruments to provide dialysis treatment to patients with kidney failure or to maintain patients with irreversible kidney disorders. The agencies that offer national certification are Nephrology Certification Commission (NNCC), Board of Nephrology Examiners, Inc, Nursing and Technology (BONET), National Nephrology certification Organization (NNCO), and the International Certification Commission for Clinical Engineering and Biomedical Technology (ICC) in conjunction with the United States Certification.

Grade Determinations: GS-09 Lead Medical Instrument Technician Hemodialysis.

Experience: At least 1 year of experience comparable to the next lower grade level (GS-08) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position 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.

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.

Preferred Experience:

• 6 years of Acute/Chronic Experience
• Dialysis technician certification through the State of Ohio board of Nursing (OCDT) or other state
• Certification: Must have basic life support (BLS) certification prior to performing patient care duties. Certification as Hemodialysis Technician under a State certification program or a national certification program is required. The agencies that offer certification are the Nephrology Certification Commission (NNCC), Board of Nephrology Examiners, Inc., Nursing and Technology (BONENT), National Nephrology Certification Organization (NNCO), and the International & Certification Commission for Clinical Engineering and Biomedical -Technology (ICC) in conjunction with the United States Certification Commission (USCC).

Experience

• 6 years of chronic dialysis experience in dialysis including: experience maintaining dialysis machines and reverse osmosis systems.

Demonstrated Knowledge, Skills, and Abilities

• 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, etc.

Please make your resume fully demonstrates the Knowledge, Skills and Abilities.

Assignment: GS-09: This represents the full performance level. At this level the hemodialysis technician serves as a member of a dialysis team performing dialysis on acutely ill patients including those within an intensive care setting. Assignments involve performing both peritoneal and hemodialysis procedures. The dialysis technician may participate in percutaneous renal biopsies, watching the patient during the procedure and properly processing the specimen. Assists the physician in peritoneal catheter insertions and observes the patient for vital signs and provides post operative care. Provides instruction and monitors patients for home dialysis. Performs training of physicians, nurses, and technicians on hemodialysis and peritoneal dialysis techniques.

We cannot make assumptions regarding your qualifications.

References: VA Handbook 5005/15, Part II Appendix G27The full performance level of this vacancy is GS-09. For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity, potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. transferring patients and objects may be required, mechanical lifts are provided. See VA Directive and Handbook 5019.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

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.

Resume Reminder - Your resume must include the following information for each job listed:

• Job title
• Duties (be as detailed as possible)
• Month & year start/end dates (e.g. June 2007 to April 2008)
• Full-time or part-time status (include hours worked per week)
• Series and Grade, if applicable, for all Federal positions you have held

Please be aware that your answers will be verified against information provided on your resume. Be sure that your resume clearly supports your responses to all of the questions by addressing your work experience in detail.

Recommended: Even though we do not require a specific resume format, your resume must be clear so that we are able to fully evaluate your qualifications. To ensure you receive appropriate consideration, please list the duties you performed under each individual job title. If we are unable to match your experiences with the positions held, you may lose consideration for this vacancy. We cannot make assumptions regarding your qualifications.

Narrative responses are not required at this time. If you are referred for consideration, you may be asked to submit additional job related information, which may include, but not limited to; responses to the knowledge, skills and abilities; completion of a work sample, and/or contact for an interview. Your resume and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect your rating or 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.

To apply for this position, you must provide a complete Application Package which includes:

• CV or Resume (when listing previous employment please include month and year).
• If prior military service, include all copies of your DD-214 or proof of service as well as proof of disability, if applicable.

• Resume

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use a checklist to 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.

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

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
• Your full resume/CV may be uploaded without page limitation.
• Other (2)
• Other (3)
• Performance Appraisal
• Professional Certification
• Resume
• Separation Notice (RIF)
• SF-15
• SF-50/ Notification of Personnel Action
• Transcript

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