Medical Instrument Technician (Hemodialysis)

Summary The Medical Instrument Technician (MIT) assigned to the Hemodialysis Unit provides direct and indirect patient care under the supervision of a registered nurse. The MIT supports the delivery of safe, effective hemodialysis treatments for patients with acute and chronic renal failure in accordance with VA policies, clinical standards, and infection control guidelines. This position will be located at the San Francisco VA Medical Center. Qualifications Medical Instrument Technician – GS‑8 Experience. At least 1 year of experience comparable to the next lower grade level demonstrates the knowledge, skills, abilities, and other characteristics related to the duties of the positions to be filled. This experience includes knowledge of 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. Demonstrated knowledge, skills, and abilities: Knowledge of the hemodialysis process and equipment needed for home/self‑care, including common machine problems and repairs; knowledge of 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 equipment maintenance; ability to instruct physicians, nurses, and other personnel in dialysis procedures, equipment operation, and maintenance. Certifications: No certification is required; however, BCLS (Basic Cardiac Life Support) and ACLS (Advanced Cardiac Life Support) certifications are desirable. Preferred Experience: Minimum of 2 years of recent experience as a Hemodialysis Technician or Patient Care Technician in an outpatient or inpatient dialysis setting, including initiation and termination of hemodialysis treatments, cannulation of arteriovenous (AV) fistulas and grafts, central venous catheter care under RN supervision, collection of pre‑ and post‑dialysis laboratory specimens, monitoring patients during dialysis and recognizing complications, and working with dialysis equipment such as BBraun or equivalent machines, Reverse Osmosis (RO) water treatment systems, water quality monitoring, and disinfection procedures. Experience with Electronic Health Records (EHR) – preferably CPRS/Cerner or equivalent; infection prevention and control practices. Physical Requirements: Standing, walking, bending, lifting, and handling equipment and supplies. Respond quickly in emergency situations and perform repetitive technical tasks. Duties Prepare dialysis equipment and assist with treatment initiation and termination. Monitor patients throughout therapy and respond promptly to complications. Initiate and terminate dialysis treatments per physician orders and established protocols. Perform cannulation of vascular access (AV fistula, graft, or catheter) using aseptic technique. Monitor patients during treatment – including vital signs and clinical response. Recognize and respond to complications such as hypotension, disequilibrium syndrome, arrhythmias, and allergic reactions. Initiate emergency response – including basic life support – as needed. Assist with patient comfort, positioning, and safety during treatment. Obtain and handle laboratory specimens accurately and timely. Communicate changes in patient condition promptly to the registered nurse. Document patient care activities. Prepare, calibrate, and test dialysis machines prior to use. Perform cleaning, disinfection, and routine maintenance of dialysis equipment. Monitor and maintain water treatment systems – including portable RO units. Troubleshoot equipment issues and report malfunctions promptly. Maintain adequate dialysis supplies and coordinate restocking as needed. Ensure a clean, organized, and safe treatment environment. Adhere to infection control practices – including hand hygiene and PPE use. Assist with setup for emergent or add‑on dialysis treatments. Participate in quality improvement and unit‑based initiatives. Perform other related duties as assigned. Work Schedule Full time; schedule may vary depending on service needs. Telework: Not available. Virtual: This is not a virtual position. Functional Statement Functional Statement # 10795F. Relocation/Recruitment Incentives: Not authorized. PCS: Not authorized. #J-18808-Ljbffr