MED INSTRUMENT TECH (Hemodialysis) Job in Orlando, FL

Vacancy No. CBTC-12788640-25-MAC Department Veterans Health Administration
Salary $44,959.00 to $71,932.00 Grade 6 to 8
Perm/Temp Permanent FT/PT Full-time
Open Date 9/11/2025 Close Date 9/24/2025
Job Link Apply Online Who may apply Status Candidates
Locations:
Orlando, FL


Summary

The Hemodialysis MIT operates and monitors kidney dialysis instruments to provide dialysis treatment to patients with kidney failure or to maintain patients with irreversible kidney disorders. VA 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).

This job is open to

Clarification from the agency

This job is open to current permanent Department of Veteran Affairs Employees - First Consideration will be given to Current Permanent Employees of the Orlando VA Healthcare System (Orlando, FL), followed by Agency Employees, current/past/upcoming VHA Health Professions Trainee (HPT) Graduates, and Federal Employees. NOTE: This position is excluded from Veterans Preference.

Duties

Duties may include but are not limited to:

  • Able to prepare a dialysis machine for a bedside treatment, set up and tear down machines. Perform all pre-treatment checks and disinfection of all dialysis machines including acid, heat, and chemical disinfecting.
  • Operates and monitors commonly used hemodialysis equipment and accessories, to include peritoneal dialysis. Instructs, positions and prepares patients for hemodialysis. Varies procedures to adjust for medical condition.
  • Initiates and terminates hemodialysis treatments following basic procedures, to include peritoneal dialysis at the bedside. Monitors patients throughout dialysis treatment and makes necessary adjustments according to the patient's medical condition, previous experience, and accepted practices in the chronic setting under the supervision of the RN.
  • Able to perform and document cleaning of machines, equipment, and other items within the dialysis unit.
  • Able to assemble lab collection tubes/containers, correctly, and obtains lab specimens.
  • Able to perform and document Central water checks and clean the water room, and other areas as assigned.
  • Able to use the phoenix meter.
  • Monitors dialysis machine treatment parameters.
  • Collects and records vital signs using blood pressure cuffs, stethoscopes, scales and thermometers. Records patients' condition and changes (high or low blood pressure, excess fluid, etc.) and determines proper treatment procedure, technique, and machine adjustments, notifying dialysis nurse of changes.
  • Assembles all necessary supplies and equipment at chair side.
  • Inspects and evaluates circulatory access site. Cleans and dresses site using aseptic techniques.
  • Connects patient to the dialyzer and operates equipment to initiate extracorporeal circulation and performance dialysis. Prepares and dismantles extracorporeal blood circuits and the dialysis machine to create a sterile, air-free blood circuit using a standard aseptic procedure.
  • Operates and monitors dialysis machinery in 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.
  • Adjusts blood flow rates. Tests dialysate conductivity and pH.
  • Documents and charts accurately on flow sheets and medical records the results of dialysis treatments.
  • Recognizes medical complications or altered response to treatment and notifies RN or Provider.
  • Assist in the cannulation of hemodialysis AVFs/AVGs.
  • Administer saline into the dialysis line as needed due to hypotension and cramping under the direction of an RN.
  • Observes dialysate delivery unit for correct functioning during dialysis and makes adjustments when necessary.
  • Responds to equipment alarms, adjusts alarm limits, and corrects the cause of malfunction which triggered the alarm. If alarm does not clear, takes machine out of service, creates a work order, and notifies Biomedical personnel.
  • Observes for and/or tests for blood leaks.
  • Has a thorough knowledge of the Joint Commission and other regulatory standards such as CMS, CDC, MMI and OSHA as they apply to the dialysis setting.
  • Recognizes when emergency measures are necessary and institutes life saving measures until medical assistance is secured.
  • Initiates or assists in cardiopulmonary resuscitation and other emergency situations.
  • Assists patients with non-nursing requests to include but not limited to: positioning for comfort and toileting needs.
  • Completes all daily assignment sheets to include but not limited to: water room sheets, daily/weekly/monthly/quarterly/bi-annually and annual check off sheets as assigned.
  • Responsible for the routine maintenance, troubleshooting and disinfection of equipment, water quality monitoring, and restocking of dialysis supplies.
  • Transports equipment to other areas in hospital where needed for treatment of acutely ill patients.
  • Under general supervision by the Dialysis RN, performs daily checks in the process of monitoring equipment in the dialysis unit.
  • Observes clean technique with the dialysis procedure and follows the principles of universal precautions and infection control.
Work Schedule: Variable: 0500-1530, 0600-1630, 0800-1830 flexible to meet needs of the organization.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 82508F, 82509F, 82510F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

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 trial period.
  • 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Must pass pre-employment physical evaluation.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).

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.

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.

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-Documentation Submitted. 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".

Grandfathering Provision: 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).

GRADE REQUIREMENTS

GS-05 Knowledge, Skills, and Abilities KSAs:
  • Knowledge of standard medical terminology to interpret physician orders or instructions.
  • Knowledge of common physical disabilities and ability to position patients for the examination or treatment.
  • Ability to learn the normal and abnormal results for routine procedures to recognize and report obvious abnormalities.
  • Ability to operate the equipment to administer routine/standard diagnostic treatment or procedures.
  • Ability to perform standard operator maintenance on the equipment including the ability to disassemble, clean, reassemble, and calibrate the machine.
Medical Instrument Technicians (Hemodialysis), GS-06:

Experience. At least 1 year of experience comparable to the next lower grade (GS-05) level which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled.

NOTE: In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities KSAs:
  • Ability to produce diagnostic quality images and Doppler frequency shift recordings using M-mode, two-dimensional, pulsed and continuous wave Doppler spectral display, and colorflow Doppler imaging.
  • Knowledge of normal echocardiographic findings and deviations produced by a wide variety of cardiovascular diseases.
  • Ability to perform complex procedures such as cardiac studies of the four chambers of the heart and valves using sector scanning techniques to detect stenotic and incompetent valves, chamber enlargement, and pericardial effusion and cardiovascular studies deriving pressure gradients across obstructed valves, etc.
  • Ability to perform complementary ultrasonic examinations (including noninvasive) transthoracic, Bubble studies and contrast echocardiography, (invasive) stress echocardiography, and transesophageal echocardiography.
  • Ability to adapt transducer positioning, instrument controls, and examination techniques to the individual patient being studied and the problem being evaluated including recognizing pertinent abnormalities and documenting abnormal findings.
Certification. No certification is required; however, it is desirable that employees at this level have BCLS (Basic Cardiac Life Support) certification.

Medical Instrument Technicians (Hemodialysis), GS-07:

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 the equipment, standard procedures, and typical machine problems and/or patient reactions to treatment.

NOTE: In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities KSAs:
  • Ability to assist the physician in more complex procedures such as central venous catheter insertion.
  • Ability to assist in training patients in home/self-care by teaching components of machine operation including water treatment and monitoring patients for compliance.
  • Ability to act as a mentor or preceptor to lower graded technicians.
  • Ability to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings.
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.

Medical Instrument Technicians (Hemodialysis), GS-08:

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.

NOTE: In addition, the candidate must demonstrate the following Knowledge, Skills, and Abilities KSAs:
  • 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.
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:
  • BONENT Hemodialysis Technologist Certification preferred
  • Basic Cardiac Life Support (BCLS) certification is desirable or Advanced Cardiac Life Support (ACLS) certification is desirable
  • Minimum of two years of clinical Hemodialysis experience
  • Demonstrate ability in previous assignments to make critical decisions in stressful environments
  • Demonstrate dependability for duty and flexibility in work assignments and hours in previous assignments
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS-6 - GS-8.

Physical Requirements. The incumbent must be able to stand for up to 8-10 hours while providing patient care. The incumbent must be able to lift up to 20 pounds of equipment, supplies and records. Additionally, the incumbent will be required to transport patients on stretchers, beds and wheelchairs. There is the potential for extended periods of sitting at computer terminals. The incumbent is expected to use proper preventive ergonomic techniques to perform duties.

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: 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

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.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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.

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.

Area of Consideration - Eligible applications will be reviewed and referred in the following order:

  1. Current permanent VA employees of the Facility.
  2. All other VA employees.
  3. HPTs
  4. Current permanent Federal employees of other agencies.

Required Documents

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

  • Reminder: As a current federal employee, please submit a copy of your most recent SF-50, "Notification of Personnel Action," that details your pay plan, grade, step, and salary. Please note that SF-50s related to Awards are not accepted.
  • Resume


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.

  • Basic Cardiac Life Support (BCLS) certification is desirable or Advanced Cardiac Life Support (ACLS) certification is preferred
  • Board of Nephrology Examiners, Inc., Nursing and Technology (BONENT) certification is preferred
  • Reminder: As a current federal employee, please submit a copy of your most recent SF-50, "Notification of Personnel Action," that details your pay plan, grade, step, and salary. Please note that SF-50s related to Awards are not accepted.
  • Resume
  • Separation Notice (RIF)
  • 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.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

How to Apply

All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 09/24/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12788640.

  1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
  2. Click Submit My Answers to submit your application package.

NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Agency contact information

Manuel Colon
Address
Orlando VA Medical Center
13800 Veterans Way
Orlando, FL 32827
US

Next steps

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.


Note: We cannot accept applications on behalf of Federal Agencies. Application instructions are listed within the Job Description.


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