Clarification from the agency

Current permanent Milwaukee VA employees including CBOCs and VCS. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

Duties:

• Monitors dialysis treatment parameters, e.g., vital signs, weight loss. Collects and records vital signs.
• Assembles all necessary supplies and equipment at chair side. Verifies orders with collaboration of the RN.
• Selects appropriate instruments and techniques and troubleshoots complex equipment.
• Inspects and evaluates circulatory access site. Cleans and dresses site using sterile techniques.
• Connects patient to the dialyzer (using venipunctures, external shunt, etc.) 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 using a standard aseptic procedure.
• Collects laboratory specimens from patients using syringes, needles, tubes, and different sterile techniques. Processes lab samples, boxes samples, and prepares samples for shipment.
• Documents and charts accurately on flow sheets and medical records.
• Recognizes medical complications or altered response to treatment and notifies RN or MD.
• Assist with and cannulates of the hemodialysis fistula, graft or central line for dialysis.
• Observes dialysate delivery unit for correct functioning during dialysis and adjusts when necessary.
• Adjusts hemoglobin detector sensitivity during dialysis, adjusts blood flow rates,
• Responds to equipment alarms, adjusts alarm limits, and corrects the cause of malfunction which triggered the alarm.
• Observes for and/or tests for blood leaks.
• Recognizes when emergency measures are necessary and institutes life saving measures until medical assistance is secured. Initiates or assists in CPR.
• Prepares or modifies chemical preparations for the concentrates or special chemical baths to produce specific treatment for patients with varying needs or values using different measuring devices, graphs, formulas, chemicals, and mixers.
• Responsible for the proper and safe operation of the equipment during the performance of dialysis, for the accuracy of testing, for the correction of malfunctioning, for the replacement of some or all parts of the system in the event of complications (clotting, blood leakage, hypotension, etc.), and for the disassembly and re-sterilization of the equipment.
• Acts independently and uses his/her own experience and judgment in setting up and operating the equipment without the need to have a physician present.
• Responsible for calibrating equipment, delivery systems and ancillary equipment, preparation and sterilization of equipment and assembly of disposables. Cleans and sanitizes dialysis equipment according to proper procedure. Disposes of expendable components.
• Performs maintenance care and corrects malfunctioning of all dialysis equipment used. Performs troubleshooting of dialysis equipment to keep the equipment in working order by referring to manuals, diagrams, and electrical schematic prints.
• Tests dialysate conductivity and pH.
• Performs daily heat disinfection and weekly bleach sterilization of the water treatment system and confirms adequacy of cleansing after each. Records results on a dialysis flow sheet.
• Sets up, uses, reprocesses, and maintains all dialysis center equipment designed by the manufacturer to be reused for multiple patients.
• Participates in training in the set-up, use, reprocessing, and maintenance of dialysis center equipment leading to initial competency and validates by demonstrated competency.
• Demonstrates compliance with infection control practices such as hand washing and wearing of appropriate personal protective equipment. Demonstrates safe work practices.

Work Schedule: Monday-Friday 0530-1930 various start and end times.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: #00090F #00092F #00093F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• 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.
• 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).



Grade Determinations:
GS-6 Experience: At least 1 year of experience comparable to the next lower grade level (GS-5) which demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the position to be filled of operating and monitoring dialysis systems for chronic patients; checking patient condition and determining the proper treatment procedures, technique, and machine adjustments; understanding medical treatment for patients with renal failure; administering prescribed medication and observing the patient for desired action or adverse reaction; and recognizing and reacting to signs and symptoms that signal the onset of complications of dialysis including hypotension, disequilibrium, seizures, and arrhythmias. In addition, demonstrate the following KSAs:

1. Skill in setting up, operating, and performing calibrations as required on a variety of dialysis equipment.
2. Skill in performing and interpreting test results (dialysate chemistries, water treatment testing for contaminates, etc.) including the ability to analyze deviations from the expected norm and responding appropriately.
3. Knowledge of American Association of Medical Instrumentation (AMMI) standards and unit policies as they relate to water treatment.
4. Knowledge of physiological and psychological changes and conditions related to end stage renal disease.
5. Ability to calculate dialysis baths according to the physician's orders per patient by mixing critical concentrates, i.e., calcium, potassium, and bicarbonate.
6. Knowledge of Basic Cardiac Life Support (BCLS).

GS-7 Experience: At least 1 year of experience comparable to the next lower grade level (GS-6) 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 and providing hemodialysis for chronic patients, assisting the physician during central venous catheter insertion, assisting in the training of patients for home dialysis/self-care, and acting as a mentor or preceptor to lower graded hemodialysis technicians. At this level, the technician accepts responsibility and accountability for his/her own actions In addition, demonstrate the following 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 and monitoring patients for compliance.
3. Ability to act as a mentor or preceptor to lower graded technicians.
4. Ability to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond according to the findings.

GS-8 Experience: At least 1 year of experience comparable to the next lower grade level (GS-7) 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 treatments and serving 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. Participating in percutaneous renal biopsies, watching the patient during the procedure and properly processing the specimen. Assisting the physician in peritoneal catheter insertions and observing the patient for vital signs and provides post-operative care. Providing instruction and monitors patients for home dialysis. Performing training of physicians, nurses, and technicians on hemodialysis and peritoneal dialysis techniques. In addition, 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.

Preferred Experience:
Dialysis experience, ability to multitask, work independently, ability to accept delegation of appropriate tasks, team player, great communicator and willingness to maintain a healthy work environment.


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 in the range of GS-6 to GS-8.

Physical Requirements:
This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially extended periods (6-8 hours per day) 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 will be required to don protective clothing in isolation situations, operative/invasive procedures, or home settings. 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 complete annual Employee Health requirements. The incumbent who provides care in home settings or other offsite locations may be required to drive and/or ride in GSA-vehicles. Lifting and transportation of bulky supplies and equipment is required. Must be able to lift and transport large salt bags weighing 40 lbs..

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.

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

• Resume

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 (VA)
• Other (1)
• Resume
• 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.

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