This position is located at the Brooklyn Campus of the NYH Healthcare System. The MIT (Hemodialysis) at this level operates and disinfects commonly used dialysis equipment and performs basic screening procedures. Obtains and records Pre/Post procedure vital signs including blood pressure, pulse, temperature, respiratory rate, weight and pain score. Initiates, monitors and terminates Hemodialysis treatments. Attends to patient ADLs as needed. Completes concise dialysis note in CPRS. The Medical Instrument Technician (Hemodialysis) at this level demonstrates skill in performing and interpreting dialysate conductivity, pH, temperature. water hardness and total chlorine and recognize deviations from the expected norm and respond appropriately. Demonstrates knowledge of physiological changes related Hemodialysis process and report findings to the RN. Cannulates AV Access successfully. Draws lab work as needed. Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale. Incumbent must have knowledge of the instruments and complex procedures in dialysis Knowledge of anatomy and physiology including an in-depth understanding of the functioning of the major systems and internal organs to interpret requests and to recognize the need for additional tests or a different position. Knowledge of and skill to start emergency cardiac arrest procedures and monitor vital signs during examinations. Skill to prepare and analyze quality control of test results. Positions patients for examination or treatment and uses alternate positions for patients with common physical disabilities. Interprets physician instructions using basic medical terminology. Performs routine diagnostic and/or treatment procedures or assists as a team member during procedures. Recognizes and reports obvious abnormalities during hemodialysis procedures. Cleans hemodialysis equipment to prevent the spread of infectious and contagious diseases using proper disinfectant methods. This position requires flexibility in schedule and assignments as this is a 24/7 hospital. The incumbent works varying shifts with an on-call system that the incumbent will be required to work. Work Schedule: 10am-8:30p(10Hrs) 12pm-8:30pm (8hrs) 6:30a-5:30(10Hrs) 10am-8:30pm (10Hrs) 6:30am-3pm (8Hrs) with rotation. Compressed/Alternative Maybe Available. Financial Disclosure Report: Not required GS-06 Assignment: Hemodialysis Technicians at this level operate and monitor dialysis systems for chronic patients; check patient condition and determine the proper treatment procedures, technique, and machine adjustments; understand medical treatment for patients with renal failure; administer prescribed medication and observe the patient for desired action or adverse reaction; and recognize and react to signs and symptoms that signal the onset of complications of dialysis including hypotension, disequilibrium, seizures, and arrhythmias. GS-07 Assignment: At this level in addition to providing hemodialysis for chronic patients, hemodialysis technicians assist the physician during central venous catheter insertion, assist in the training of patients for home dialysis/self-care, and act as a mentor or preceptor to lower graded hemodialysis technicians. At this level, the technician accepts responsibility and accountability for his/her own actions. GS-08 Assignment: 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. Creditable Experience - Knowledge of Current Medical Instrument Technician Practices. To be creditable, the experience must have required the use of knowledge, skills, abilities and other characteristics associated with current Medical Instrument Technician practice appropriate to the identified specialty area. [Specialized developmental experience obtained under supervision of appropriately certified individuals may be credited at higher levels and is addressed in individual appendices.] Quality of Experience. Experience is only creditable if it is equivalent to at least the next lower grade level and is directly related to the position/specialty to be filled. Part-time Experience. Part time experience is credited according to its relationship to a full time work week. For example, an individual employed 20 hours per week, or on a ½ time basis would receive one work week credit for each two weeks of service.
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.