Total 80 Maintenance / Repair job vacancies in Fargo, North Dakota

• Initiate, implements, plans, and recommends progressive treatment plan, with consideration of patient's conditions.
• Complete required data collection for workload management and analysis and research studies as directed.
• Use problem-solving skills to make recommendations for the use of various occupational therapy modalities.
• Ensure designated treatment plan maximizes results in promotion of healing and pain relief.
• Collaborate with an interdisciplinary team to make recommendations for the patients rehabilitation and reintegration needs.

• Perform comprehensive and problem focused histories and physical examinations for assigned patients.
• Examine, diagnose, and treat walk-in and clinic appointment patients with Neurologic disorders.
• Provide telephone consultation with primary care providers regarding management of Neurological conditions for patients.
• Document on outpatient and inpatient records histories, physical exams, laboratory and x-ray data, assessments, diagnostic and therapeutic plans, patient progress, consultations, and procedure reports within the clinic.
• Order and perform diagnostic studies for the clinic.

LPN/LVN responsibilities include:

• Demonstrates knowledge and skills to carry out a full range of practical nursing care and specialized patient care duties to patients with a variety of physical and/or behavioral problems in the outpatient setting.
• Assists with patient education and patient groups regarding Telehealth Services.
• Demonstrates ability to manage telephone care to include Telehealth results.
• Demonstrates ability to effectively manage patient flow to maintain timeliness of appointments.
• Utilizes nursing protocols with attention to the individuality of patients, patient safety and evidence-based practice.
• Assists in care coordination and access to specialty care through communication and placing consult per nursing protocols.
• Demonstrates competence in handling of all RME for patient care use and cleaning post procedure. Adheres to all departmental policies and procedures for reprocessing RME.
• Demonstrates working practices that include adherence to Infection Control standards and the safe use and operation of equipment.
• Maintains knowledge of medical equipment with skill sufficient to set-up, operate and maintain functioning. Recognizes and appropriately responds to breakage/malfunctions or loss of equipment, supply deficiencies and fire, safety or environmental hazards. Promptly reports to appropriate personnel for corrective action including the submission of a work order.
• Demonstrates knowledge of universal precautions, medical asepsis and sterile technique with ability to correctly apply these principles and techniques to a variety of patient care situations and to assist others to do so. Utilizes PPE appropriately.
• Participates in the orientation, education and training of less experienced LPNs and shares knowledge, experience, and skills with co-workers in the form of structured in services and 1:1 interaction. Independently seeks out educational opportunities to enhance their nursing practice.
• Maintains professional ethics and conduct with patient and staff.
• Demonstrates flexibility by willingly and promptly accepting changes in work assignment, locations and rendering safe patient care.
• Articulates the mission, vision, and ICARE (Integrity, Commitment, Advocacy, Respect and Excellent) values of the Department of Veteran Affairs that reflect positively on the VA to patients, staff, students and visitors
• Readily seeks assistance and guidance by consultation with MD/PA/NP/RN about changes in patient's conditions that requires a higher level of intervention.
• Recognizes and appropriately responds to breakage/malfunctions or loss of equipment, supply deficiencies and fire, safety, or environmental hazards. Promptly reports to appropriate personnel for corrective action.
• Demonstrates ability to close open encounters by close of business daily.
• Reviews view alerts throughout the day and completes by close of business daily.
• Consistently provides verbal and/or written information that is thorough and accurate using clear and concise communication methods to ensure that customers understand.
• Establishes constructive relationships with individual patients/families/co-workers to promote honest and meaningful interactions.
• Consistently communicates with patients/families/co-workers and the general public in a courteous, tactful and helpful manner. Both oral and written communications are provided promptly and are responsive to the customer's needs.
• Effectively engages in several forms of communications to complete work assignments in day-to-day work environment (i.e., instant messaging, secure messaging, e-mail, telephone, verbal, VVC, V-Tel, text pagers etc.

As a Surface Maintenance Repairer, you will perform maintenance, repair, troubleshooting, inspection, diagnosis, and/or overhaul of a variety of combat, tactical, commercial, and special purpose vehicles, and equipment.

• Perform diagnosis, routine repairs, and maintenance on combat, tactical, commercial. and special purpose vehicles, and equipment.
• Perform maintenance, repair, troubleshooting, inspection, and/or overhaul of a variety of combat, tactical, commercial, and special purpose vehicles, and equipment.
• Assists in the maintenance of production reports and records and makes recommendations to the supervisor.
• May maintain and repair electronics communication equipment by removing and replacing components and elements.
• Conducts readiness and repair inspections on vehicles and associated equipment supported by the activity.

• Prepare patients for pre-op and diagnostic procedures using effective therapeutic communication.
• Perform set up of room for post-op patients and anticipate immediate needs.
• Administer medications and observe patient progress.
• Provide care to neonates and pediatric patients.
• Provide training to staff on simple and complex procedures.

The Medical Instrument Technician (Hemodialysis) is responsible for the operation of hemodialysis equipment in the treatment of patients with chronic renal failure. Duties include monitoring patients during dialysis treatments; cleaning, disinfecting, and maintenance of dialysis equipment; setting up and operating hemodialysis equipment; selecting, ordering, stocking, and preparing supplies needed for dialysis procedures; and mentoring new technicians. Dialysis equipment is highly complex mechanically and electronically. The Hemodialysis Technician performs his/her duties as part of the dialysis team under the direction of the Nurse Manager and Staff Nurse. Other responsibilities and duties include but not limited to the following:

Medical Instrument Technician (Hemodialysis) GS-08 Duties:

• Performs and interprets test results including water treatment testing and is able to analyze deviations from the expected norm and responds appropriately.
• Is knowledgeable of the American Association of Medical Instruments (AMMI) standards and unit policies as the relate to water treatment, cell counts and disinfection.
• Performs routine dialysis start up and take off procedures under the supervision of the primary RN. Checks patient's condition and knowledgeable of proper treatment procedures, technique, and machine adjustments; understands medical treatment for patients with renal failure
• Is knowledgeable of the physiological and psychological changes and conditions related to ESRD.
• Reviews new developments in the field and recommends to supervisor those that would improve the operation of the section.
• Calculates dialysis baths according to the physician's orders per patient by mixing concentrates, i.e., calcium, and potassium.
• Recognizes and reacts to signs and symptoms that signal the onset of complications of dialysis including hypotension, and cramping.
• Maintains unit stock levels of disposable dialysis items. Monitors and reports stocking discrepancies that would impact patient flow.
• Technician is aware of and practices the safety policies/procedures of the medical center, and participates in quality assurance activities as directed.
• Assists the physician in more complex procedures such as central venous catheter insertion.
• Assists in training patients in home/self-care dialysis by teaching components of dialysis operation such as water treatment and monitoring patients for compliance to any recommended water system changes.
• Mentor or precept less experienced technicians.
• Able to analyze deviations from the expected, determine whether the deviations are machine or patient related, and respond
• according to the findings.
• 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 treatment.
• Knowledge of the hemodialysis process and equipment needed for home/self care including knowledge of common machine
• problems and repairs to such equipment.
• Knowledge of the 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 in the maintenance of the equipment.
• Ability to provide instruction for physicians, nurses, and other personnel in dialysis procedures, equipment operation and
• maintenance.
• Performs dialysis Adequacy evaluations for Hemodialysis and Peritoneal dialysis patients.
• Performs unit Quality Assurance Audits.
• Maintains and updates unit database program and monitors system performance.
• Works under the general direction of the Dialysis Nurse Manager. On most assignments, technologist works independently. On the more unusual and complex assignments, works closely and confers with Nurse manager and facility Bio-Medical shop. Work is evaluated on a spot-check basis for achievement of objectives.

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Major Duties:

• Incumbents to this position will be required to use a variety of hand and power tools to perform trail repair and construction work. This work is performed in front-country and remote wilderness locations often employing minimum tool standards and techniques.
• These responsibilities include but are not limited to digging ditches, stone wall repairs, grading trail surfaces and installing water-bars and retainer-bars.
• To facilitate construction of these features you will be required to operate jackhammers, chainsaws, gas-powered drills, picks, rock-bars, hammers, shovels, and various other hand and power tools.
• Some tools require certification prior to operation. You will be required to obtain and provide certification documents prior to use of these tools.
• If selected for this position, you will be required to operate a vehicle for traveling to and from the jobsite.

• Performs a variety of clinical laboratory tests/examinations as requested by medical staff for use in clinical diagnosis, patient screening and monitoring patient therapy.
• Performs preventive maintenance, periodic inspection and performance testing of equipment and instruments with the maintenance of appropriate records.
• Withdraws appropriate quantities of blood by vein punctures and capillary puncture, instructs patients and/or hospital personnel in the collection process of the specimen.

• Performs a variety of clinical laboratory tests/examinations as requested by medical staff for use in clinical diagnosis, patient screening and monitoring patient therapy.
• Performs preventive maintenance, periodic inspection and performance testing of equipment and instruments with the maintenance of appropriate records.
• Withdraws appropriate quantities of blood by vein punctures and capillary puncture, instructs patients and/or hospital personnel in the collection process of the specimen.

The duties of the Medical Technician Phlebotomist position include, but are not limited to:

• Obtain and maintain a current Basic Life Support (BLS) certification to enhance professional growth and development through participation in educational programs such as BLS, in-service meetings, and workshops.
• Performs phlebotomy using appropriate and established venipuncture techniques and universal precautions, being careful to avoid areas close to nerve bundles and arteries.
• Conducts any or all of the following tasks related to specimens; performs collection, ensures accurate and complete labeling and accessioning, distributes to appropriate areas of the lab, runs through centrifuge and de-capping machines, and stores analyzed specimens in racks according to day and lab number.
• Accurately evaluates and interprets patient orders in the computer to determine which testing may be accessioned and performed at the time, if fasting or other specific preparation is required, and if any specimens must be collected and returned by the patient.
• Collects samples with knowledge of the many special anticoagulants and testing requirements for routine and complex testing both pre- and post- collection, being careful to choose the correct sample and tube types.
• Performs positive (active) identification of patients and specimens, including full name and full social security number through entire process of specimen collection, accessioning, processing, and storage/distribution of patient specimens to clinical laboratory departments. Coordinates with all other clinical departments, to include medicine, surgery, dialysis, dermatology, to complete order entry and accessioning of test orders in the computer, correcting duplications or entry errors.
• Maintains laboratory records of all tests results, while strictly adhering to Clinical Laboratory Improvement Act (CLIA) and local/agency requirements.
• Observes patient at all times during and after collection for any adverse responses. Handles unusual patient situations appropriately (blind, deaf, suicidal). Properly applies pressure to the puncture site, evaluates for bruising or excessive bleeding, and bandages appropriately.
• Performs lactose and glucose tolerance tests using multiple complex steps; must interpret fasting glucose level and determine appropriate dosage of glucose/lactose by integrating patients age, weight and pregnancy status.
• Assists with monitoring of inventory and maintenance of adequate phlebotomy supplies and thorough cleaning/disinfecting of work areas. Selects appropriate Personal Protective Equipment (PPE) for handling of patients, samples, transport, and cleaning. Operates, maintains, and troubleshoots laboratory centrifuges for processing of blood samples to maintain specimen integrity.
• Maintains laboratory facilities, equipment and supplies in such a manner to provide for safety and efficiency of laboratory operations.
• Conducts and documents periodic light maintenance and Quality Control of laboratory equipment, including cleaning, restocking, checking controls, and verifying that automated maintenance procedures have functioned appropriately.
• Processes and prepares test samples for shipping, using universal blood and bodily fluid precautions and lab and regulatory procedures for processing bio-hazard material for transport out to referral laboratories.
• Accepts computer and written requests for all clinical departments, to include primary care, surgical, and medicine.
• Coordinates with all other clinical departments, to include medicine, surgery, dialysis, dermatology, to complete order entry and accessioning of test orders in the computer, correcting duplications or entry errors.
• Performs other duties as assigned
• Meets the needs of customers while supporting VA mission