Total 25 Maintenance / Repair job vacancies in Des Moines, Washington

• You will translate operations, maintenance standards, and trouble-shooting procedures into comprehensive technical publications.
• You will provide technical recommendations and evaluate department requests for modification of technical manuals and Integrated Logistics Support (ILS) products.
• You will interpret technical engineer drawings and translate operations into detailed step-by-step instructions for carrying out tasks, methods, and procedures.
• You will attend product testing events to translate the operations (e.g., maintenance standards, troubleshooting procedures) into comprehensive technical publications
• You will work with others to independently and collaboratively make decisions and execute and/or direct actions in order to explore, reconcile, or resolve major uncertainties, unique situations, and obscure problems

• Independently determine and implement proper emergency measures after identifying and interpreting life-threatening conditions by initiating life-saving measures.
• Write prescriptions, order the administration of medications, dispense medication and prescribes controlled substances in accordance with scope of practice for Physician Assistants.
• Perform a variety of physical examinations such as school, employment, sports, annual, retirement, discharge, reenlistment, disability separation or retirement, and other special physicals.
• Provide consultation, teaching, and coordination with patients and their family members regarding treatment and medical care.
• Evaluate the primary care aspects of patient care recognizing the impact of the care of other healthcare professionals and ancillary staff when reassessment by a physician or other staff professionals is required.

• You will provide oversight of the development, coordination and management of the integrated Test Plan (ITP).
• You will review work items for proper testing requirements and ensures all Objective Quality Evidence (OQE) will be provided.
• You will identify testing key events and milestones that may be required in addition to production key events and milestones.
• You will develop and/or coordinate test schedules with Project Support Engineers (PSE), test site personnel, and other organizations involved in the test events to provide information and status to the project team.
• You will review completed Objective Quality Evidence (OQE) for I-level testing and certify results.
• You will spot check "in progress" testing to verify the sequencing of testing, procedures and methods.
• You will prepare reports and maintain records of work accomplishment and administrative information as required.
• You will conduct formal debriefs with the ships utilizing professional briefing techniques.
• You will compile, evaluate, and recommend corrective action for certification process or procedural deficiencies discovered during execution.
• You will apply knowledge of related engineering disciplines to include electrical, electronic, mechanical, and structural in order to analyze problems and determine required level of support from an overall equipment/systems viewpoint.
• You will ensure all tests are scheduled, coordinated, and to manage the execution of comprehensive integrated system testing of shipboard systems.

The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.

The primary and essential functions of the position include but are not limited to:

Diagnostic testing: Unattended sleep studies
- Distribute, retrieve, download portable monitors
- Score portable monitor recordings
- Develop and implement policies and procedures for maintaining portable equipment and supplies
- Clean and maintain equipment between tests
- Ensure sensor integrity
- Maintain adequate supplies of disposable items and sensors
- Assist in performance of QA program of out-of-laboratory testing
- Track location of the recording units and follow policies and procedures when patients fail to return a unit in a timely manner

Diagnostic testing: Attended sleep studies and Titrations studies
- Patient instruction and education
- Patient assessment related to sleep disorders
- Patient setup, calibration, and acquisition performance verification
- Monitoring of multiple physiological data throughout the test
- Troubleshooting of polysomnographic recording equipment
- Perform pre and post-test calibrations
- Identify and treat sleep related breathing disorders
- Recognize the need for medical intervention if patient safety is at risk
- Remove and sterilize electrodes and sensors at completion of study
- The staging of the sleep studies
- Document all data in CPRS including for scoring
- The Scoring of Sleep Studies

Participate in new technology/equipment development/evaluation
- Maintain laboratory equipment according to schedules.
- Identify name, location and function of emergency supplies.
- Maintain emergency supplies inventory

Educate patients and medical staff
- Perform patient education regarding CPAP treatment and sleep hygiene
- Distribute brochures and other relevant educational materials to patients about commonly encountered problems (sleep apnea, obesity, driving safety, sleep hygiene, psychophysiological insomnia, narcolepsy and others)
- Reinforce educational information and answer patient questions, or refer to care provider as needed d) Assist in training and education of medical staff

Provide technical support during outpatient clinic sessions
- Serve as liaison between patient and healthcare provider
- Perform mask fittings and adjust PAP settings as ordered by provider
- Order PAP machines and supplies through Prosthetics Department
- Troubleshoot PAP-related issues as needed, particularly those regarding the interface
- Alert care provider to non-adherence patterns
- Order CPAP supplies for patients

Secondary functions of the position include but are not limited to:

- Assists in the training of technologist with the performance of various types of sleep studies, scoring and charting of information
- Assists in developing, writing and reviewing departmental policies and procedures
- Engages in continuing education effort by reading journal articles and texts about sleep medicine topics, attending in-services, and participating actively in monthly interscorer quality assurance and staff meetings
- Furthers departmental continuing education effort through training or other educational presentations
- Gathers and analyzes data for internal audits and other departmental projects as assigned.
- Maintains cleanliness of work area and equipment
- May be required to perform re-scores and reviews of novice scorers
- Performs other duties in area of responsibility that may be assigned
- Assist in covering duties of other Sleep Center personnel when they are absent from work

Work Schedule: Night shift, 6:30 p.m. - 6:30 a.m., Sunday-Tuesday/Wednesday
Telework: Not available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized

• You will perform operational maintenance on boiler plant equipment to maintain optimum function.
• You will make regular inspections (e.g., checking gauges, rate of fuel consumption, rate of steam) to ascertain boiler operating performance.
• You will direct junior employees in fueling, firing, steaming, and cleaning boilers.
• You will observe control systems to take precautionary measures (e.g., close valves, start auxiliary pumps, change or shut down boilers, secure precipitators) to prevent damage to equipment or injury to personnel.
• You will identify treatment and chemicals to control chemical concentrations, remove impurities, entrapped gasses, or to stabilize fluctuating boiler water conditions.

• Serve as a clinical nurse in a Regional Level II Trauma Emergency Department providing a full range of professional nursing care to a wide variety of patients.
• Provide continuous observation, monitoring, and intervene to prevent complications and restore hemodynamic stability when necessary.
• Assist the physician in the performance of Advanced Cardiac Life Support (ACLS) and Advanced Trauma Life Support (ATLS) and other specialized procedures.
• Administer oxygen, intravenous fluids, blood transfusions and all types of medications during emergent events.
• Operate specialized medical equipment such as resuscitators, defibrillators, electrocardiographs, oxygen apparatus, intravenous pumps, and rapid intravenous infusers.
• Prepare specimens for lab and transport as required.
• Plan, oversee and facilitate nursing triage within the ambulatory care arena.
• Coordinate patient referrals to ancillary health care professionals.

• Take vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length).
• Document patients' chief complaints and other pertinent information in the health record.
• Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups in accordance with established protocols.
• Perform teaching to patients and/or family regarding self-care procedures and document teaching.
• Recognize adverse signs and symptoms immediately and call for assistance if the situation warrants it.
• Set up, operate and monitor specialized equipment, such as cardiac monitor, and/or defibrillator.

This position is not under the Federal Law Enforcement Retirement System. The tour of duty will start at midnight. 

Brief Description of Duties:

• Supports efforts to reduce delinquency and recidivism through collaboration with local schools, community groups/associations, law enforcement agencies, and other collaborating organizations.
• Represents the Court Social Services Division (CSSD) at public safety and other community meetings addressing public safety by ensuring issues and concerns raised at such forums and meetings are communicated to the Office of the Director through the chain of command and also ensuring information regarding efforts and activities of the CSSD are expressed at such forums and meetings.
• Installs and removes electronic monitoring equipment primarily at the central office, and also in the various offices operated by the CSSD, the Youth Services Center (YSC), and also in the homes of court-supervised juvenile offenders.
• Provides community outreach to improve Court relationships with the community stakeholders.
• Provides electronic monitoring oversight across all CSSD satellite offices and in community settings.
• Provides troubleshooting support, monitors equipment malfunctions, and makes technical adjustments to GPS electronic devices, as needed.
• Monitors compliance (manual and electronic) and reports all violations to the designated Probation Officer of record via electronic and mobile communication with all notifications documented in the CSSD case management system.
• Transport youth to their home when parent/guardian is unable to do so, to and from community-based respite facilities, and court-ordered destinations consistent with the operating guidelines.
• Maintain inventory levels, recover equipment in the community and surrounding jurisdictions, and order and return equipment as needed.
• Provides reports to the Director, Managers, and stakeholder agencies with authorization regarding the analysis of movement for youth enrolled in electronic monitoring.
• Provides and assists in the delivery of program orientation for Probation Officers, youth, parents/guardians, and external stakeholders as directed.

This position is not under the Federal Law Enforcement Retirement System. The tour of duty will start mid-day.   

Brief Description of Duties:

• Supports efforts to reduce delinquency and recidivism through collaboration with local schools, community groups/associations, law enforcement agencies, and other collaborating organizations.
• Represents the Court Social Services Division (CSSD) at public safety and other community meetings addressing public safety by ensuring issues and concerns raised at such forums and meetings are communicated to the Office of the Director through the chain of command and also ensuring information regarding efforts and activities of the CSSD are expressed at such forums and meetings.
• Installs and removes electronic monitoring equipment primarily at the central office, and also in the various offices operated by the CSSD, the Youth Services Center (YSC), and also in the homes of court-supervised juvenile offenders.
• Provides community outreach to improve Court relationships with the community stakeholders.
• Provides electronic monitoring oversight across all CSSD satellite offices and in community settings.
• Provides troubleshooting support, monitors equipment malfunctions, and makes technical adjustments to GPS electronic devices, as needed.
• Monitors compliance (manual and electronic) and reports all violations to the designated Probation Officer of record via electronic and mobile communication with all notifications documented in the CSSD case management system.
• Transport youth to their home when parent/guardian is unable to do so, to and from community-based respite facilities, and court-ordered destinations consistent with the operating guidelines.
• Maintain inventory levels, recover equipment in the community and surrounding jurisdictions, and order and return equipment as needed.
• Provides reports to the Director, Managers, and stakeholder agencies with authorization regarding the analysis of movement for youth enrolled in electronic monitoring.
• Provides and assists in the delivery of program orientation for Probation Officers, youth, parents/guardians, and external stakeholders as directed.

• Obtain information from patient and/or family to identify major complaints, symptoms, or reason from seeking health care.
• Take all vital signs (blood pressure, temperature, pulse, respirations, pain level, height, weight, measurement of head circumference, and length).
• Document patients' chief complaints and other pertinent information in the health record.
• Assist the physician with various examinations and diagnostic procedures.
• Recognize adverse signs and symptoms immediately and calls for assistance if the situation warrants it.
• Perform teaching to patients and/or family regarding self-care procedures and documents teaching.
• Administer oral, intradermal, subcutaneous, intramuscular immunizations to all age groups in accordance with established protocols.

• Receive patient specimens for processing.
• Contact providers for additional information as needed.
• Operate a personal computer and accessions specimens into MHS GENESIS and Co Path computer systems.
• Direct to supervisor those calls that are of a more technical nature.
• Identify hazardous wastes and appropriately disposes and/or recycles them.
• Perform liaison duties between the Cytology Section and the Department of Pathology Safety Officer.

• You will adapt environmental compliance program schedules and deadlines to facilitate program completion.
• You will analyze program needs to formulate budget requirements.
• You will develop plans to improve team capabilities and identify training needs to ensure team members have the tools to be productive.
• You will define system problems at multiple levels (e.g., project, program, enterprise)
• You will assess technical projects (e.g., system requirements, resources, cost, customer needs) to develop a complex project plan.

• You will develop individual department and tenant environmental air compliance and protection programs to ensure air regulations and directives are adhered to.
• You will evaluate work performance of staff to identify the air training needs of the employees.
• You will conduct environmental air program meetings to discuss the effectiveness of current and planned actions.
• You will draft environmental air permits to ensure agency compliance with environmental regulations and laws such as the Clean Air Act (CAA).

• You will inspect completed shop work to verify customer satisfaction with facilities projects.
• You will manage issues with service contracts, repair or construction contracts, utility outages, and service work requests to ensure they are resolved.
• You will enter work request information into a database (e.g., Single Platform MAXIMO [SPM]).
• You will input facility equipment data into MAXIMO to maintain a documented inventory.
• You will brief customers on the different facility processes (e.g., requesting work, funding jobs, policies) concerning an organization.
• You will conduct initial diagnosis of problems within a facility to obtain assistance from personnel to correct the problem.

• You will provide professional and technical leadership to support the delivery of natural resources programs and projects to NAVFAC customers and Supported Commanders (Department of Defense (DoD) organizations).
• You will manage and execute the Natural Resource Program to include the review and implementation of management programs, specifically Sikes Act INRMPs.
• You will develop innovative, responsive, and sustainable solutions to ensure that Supported Commanders are able to meet their training and operational mission needs while also ensuring natural resources compliance and environmental stewardship.
• You will develop, coordinate and review of Natural Resources Program metrics and annual reports for submission to higher headquarters (DoD organizations).
• You will develop long-range forecasts for planning, programming, and budgeting of natural resource requirements) and guide program execution.
• You will coordinate with high-level DoD and non-DoD agency personnel regarding natural resources laws, rules, and regulations and general ecosystem management to resolve program issues and assist in prioritizing resources.
• You will assist with the interpretation of laws and regulations to include NEPA, Endangered Species Act, Clean Water Act, Marine Mammal Protection Act, and Magnuson-Stevens Fishery Conservation and Management Act to meet mission requirements.