The Medical Instrument Technician (Hemodialysis) provides Patient Care Services in the Dialysis and Nephrology units at the Orlando VA. The Medical Instrument Technician (Hemodialysis) (HDT) demonstrates knowledge and understanding of the principles, theories, procedures, and practices appropriate to perform hemodialysis treatments safely and effectively. Observing aseptic technique, performs dialysis treatment initiation, monitoring and termination; assists as directed with the preparation and administration of heparin and normal saline for the dialysis treatment; documents patient care data that includes pre and post dialysis observation, weight, blood pressure, heart rate, temperature, pain level and variances from baseline. The HDT operates and monitors kidney dialysis instruments, machinery, and dialysis water quality treatment systems, equipment and devices to provide therapeutic renal replacement procedures to patient with kidney failure or maintain patient's with irreversible kidney disorders. The HDT is an integral member of the Dialysis Team and assist with various duties in the Dialysis Unit necessary to maintain clinical operations. The HDT performs treatments on stable chronic dialysis patients and assists the nurse with dialyzing acutely ill patients; understands the elements of treatment provided, and complications encountered; recognizes and responds to signs and symptoms that signal the onset of complications of dialysis and takes appropriate action for level of expertise, reporting complications to dialysis nursing staff and renal providers. The HDT analyzes deviations from expected normal and standards, determines whether the deviations are machine or patient related, responds accordingly to the data and investigative findings, and reports to appropriate members of the Dialysis Team. This technician assists in training patients in hemodialysis self-care by teaching components of machine operation, water treatment, and monitoring patients for compliance; mentors and precepts lower grade technicians and instructs and precepts newly hired dialysis staff RN's in unit based technical policies and standard operating procedures. Duties may include but are not limited to: Assists with the revision and implementation of standard operating procedures in accordance with the operating manuals on water treatment purification. Works with Biomedical Engineering to ensure equipment is within operational standards. Assists with the development and maintenance of water quality monitors and documentation based on American Association of Medical Instrumentation (AAMI) Standards, Joint Commission Standards, Federal Drug Administration (FDA), Occupational Safety and Health Administration (OSHA), Centers for Medicare and Medicaid Services (CMS), and Veterans Health Administration (VHA) regulations. Ensures all dialysis equipment from storage areas to the patient stations and related equipment is safe and operational. This includes maintenance and troubleshooting of the SDS system and monitoring devices for conductivity, pH and other parameters. This also includes bicarb scaling removal and Ozone disinfection procedures to clean and sanitize the SDS Bicarb fluid pathway. Revises and implements policies and procedures in accordance with the operations manuals on the solution delivery system. Operates diagnostic and therapeutic medical equipment, instruments, and devices as part of treatment for kidney failure and/or irreversible kidney disorders; performance routine maintenance , troubleshooting of internal machine problems and minor repairs of dialysis machines, water quality monitoring systems, portable Reverse Osmosis (RO) units , and other unit based patient related RME. Ensures compliance with quality standards and reports variances. Keeps accurate log records of all machine maintenance and repairs; submits monthly water quality reports following AAMI Standards to the Dialysis Program Committee and the Chief, Biomedical Engineering, and attends renal multidisciplinary quality assurance and performance improvement meetings. Sets up dialysis machines and all necessary equipment required in preparation for treatment; cleans and disinfects machine and associated RME per manufacturer's instructions. Mixes and prepares chemical concentrates and checks various solutions for dialysis treatment. Collects equipment specimens and maintains a database for chemical and bacterial analysis, independently performs daily, weekly, monthly and quarterly checks for critical equipment and device functioning. Work Schedule: 0730-1600 or 0800-1630, Monday through Friday, may be re-evaluated to meet the needs of the patients. (Call rotation includes weekends and off-tours, must be able to report within 30 minutes when on call.) Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Medical Instrument Technician (Hemodialysis)/PD05927F, PD05811, and PD04251 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.