Total 502 Maintenance / Repair job vacancies in Fort Defiance, Arizona

• 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.

• Plan and lay out work from blueprints, sketches, drawings, specifications, and work orders.
• Interpret and apply complex building plans to determine material, tools, and equipment needed Completes work from initial layout to final assembly.
• Apply a full range of carpentry methods in accomplishing complex tasks.
• Apply a full range of painting methods in accomplishing complex tasks.
• Prepare various surfaces of interior and exterior components of buildings.
• Mix, thin, blend, match, tint, and tone coating materials.

• Perform magnetic resonance imaging of heads, spines, extremities, and bodies.
• Receive requests from physicians and other health care providers for MRI examinations of patients.
• Assist radiologist or physician in reading or evaluating imaging results.
• Perform operator level maintenance and care of magnetic equipment.
• Establish a variety of files and records relating to imaging activities and functions.
• Position patients for producing quality images for the requested examination.

• Uses electronic data or reports from other official personnel systems to identify discrepancies between data in the systems.
• Primary responsibilities are in support of the man-hour data for the Medical Expense and Performance Reporting System (MEPRS).
• Coordinates corrections and adjustments with departments and work centers for accuracy.
• Performs calculations when necessary to determine more accurate man-hour totals when reported man-hours do not correlate to the workload statistics and the work centers fail to make the appropriate corrections.
• Provides individual and group briefings in the proper techniques for entering schedules of available and non-available man-hours.

• Prepare cost analysis, analysis of deficiency and decision analysis for approval of said projects by the Director of Public Works and/or higher headquarters.
• Perform technical monitoring duties in support of the Base Operations Contract for work order scheduling and tracking, detailed estimates for work requests, work order reception, and project accomplishment.
• Prepare construction working estimates from brief statements of work requirements, designs, plans accompanying request, site investigations, and discussion with requester, as-built drawings, and reference to standards.
• Use office equipment such as calculators, architectural and engineering scales, measuring calculations, the Facility Engineering Estimating System, and other estimating guides
• Perform facility component inspections to develop estimates and projects for maintenance and repair of structures, facilities, and roads.
• Meet with employees and managers in the same agency, both inside and outside the immediate office or related units, as well as members of the general public in moderately structures settings.

• Perform duties in inpatient obstetrics Labor, Delivery, Recovery, Postpartum (LDRP) Unit, providing comprehensive specialized nursing care to routine through high risk antepartum, intrapartum and postpartum obstetrical patients and their infants.
• Perform newborn physical assessments.
• Provide nursing care for pregnancy induced hypertension, pre-eclampsia, eclampsia, gestational diabetes, multiple gestation, postpartum hemorrhage, uterine rupture, amniotic emboli, high/low birth weights, and infants requiring protective isolation.
• Teach patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative cares, pre and post diagnostic procedures; expected and possible adverse reactions to medications and health promotion.
• Set up, operate and maintain a variety of medical equipment in the labor, delivery, recovery, postpartum unit to included fetal-monitors, respiratory and oxygen therapy equipment, intravenous infusion pumps, suctions, infant warmers, delivery tables.
• Serve occasionally as the Charge Nurse while determining patient care assignments based on the qualifications, capabilities, and skills of available staff.

The primary purpose of this position is to as an Air Reserve Technician (ART) officer position, to serve as an assistant to the Maintenance Group Commander and as such, reviews policy and assists the Senior ART/Maintenance Group (MXG) Commander in planning, organizing, coordinating, directing, and controlling all activities and operations of the Maintenance Group. Incumbent receives experience, training, and instruction in providing overall staff direction to all Maintenance Group programs.

RESPONSIBILITIES:
1. In conjunction with the MXG Senior Art/Commander plans, direct, organizes, manages, and provides oversight for activities in the Maintenance Group. Responsible to the Maintenance Group Senior ART/Commander in integrating, and executing all aspects of the assigned maintenance activities/programs within cost, schedule, performance and/or system supportability requirements.
2. Represents the Maintenance Group Commander at a variety of installation and functional area organizational meetings. Establishes, develops, and maintains effective working relationships with other group commanders, representatives and senior staff at Numbered Air Force, HQ AFRC, gaining MAJCOMs, and Air Staff.
3. Ensures effective operation of the aircraft maintenance complex. Make periodic and comprehensive assessment of program through a review of performance indicators, productivity goals and accomplishments, deficiency reports, audit findings, etc.
4. Accomplishes special staff studies, projects and initiatives resulting from legislative and regulatory changes, reengineering efforts, new technology, privatization, program/mission changes, etc. Identifies the need for studies, establishes goals and objectives, and designates working group(s) as needed.

• Perform a wide range of complex physical therapy duties.
• Develop and implement complex, goal-oriented treatment plans for patients.
• Apply the use of therapeutic modalities and new integrative techniques and technologies.
• Provide patient/family education on the injury/disease process.
• Develop protocols and standard operating procedures (SOP) for PT programs.

• Performs a variety of trades and craft duties involving maintenance, repair and improvement of facilities.
• Assists in the maintenance and repair of the grounds; cuts grass, plants, trims hedges, trees and shrubbery.
• The incumbent may be required to operate a ½ Ton up to 1 Ton motor vehicle to and from worksite to transport material and personnel.
• Duties require the use of trade practices associated with carpentry, painting, and laboring work.
• Assists in the maintenance and repair of building exteriors.

• Performs simple and routine maintenance and repair of grounds, exterior structures, buildings, equipment, and related utilities.
• Assists higher graded maintenance workers or tradesmen in the performance of their work.
• Performs minor carpentry repairs using simple measures and hand tools on such tasks as replacing broken planks on picnic tables; broken windows using precut stock; minor adjustments or replaces hinges, latches, and catches.
• Performs minor painting using brush and roller according to specific instructions on projects where appearances are not critical such as staining picnic tables and trash barrels.
• Performs minor plumbing repairs such as tightening or replacing in-kind fittings and fixtures which do not require custom fitting or solder joints; replaces faucet washers; unplugs drains using a plunger; replaces liquid petroleum gas bottles.
• Receives, unloads and processes incoming shipments according to established procedures. Reports discrepancies and damage to others responsible for such items.
• Performs routine maintenance on campground sites and trails using hand tools to re-grade and reset barriers to restore areas to original appearances. Collects trash.
• Operates a light truck to pick up supplies and to transport materials to and from work sites while assisting on project work.
• Cleans and services chemical toilets, restrooms, and other campground or visitor facilities. Makes minor repairs as needed and refers problems to higher graded workers.
• Operates a forklift to load and unload supplies and light equipment not requiring special rigging.

• Assists the MRC CG in integrating FLCM operations and activities with appropriate stakeholders to accomplish the mission of the MRC and ensure adequate and timely support.
• Issues FLCM guidance to MRC subordinate commands and DHA facility managers related to Army programs / requirements within the MRC’s area of responsibility.
• Provides analysis and recommendations on the real property assets supporting the MRC’s and subordinate command’s missions.

• Prepare and submit orders for supplies and equipment using the automated material management system.
• Manage accountable property and supply transactions in the DoD mandated property accounting system, Defense Property Accountability System (DPAS).
• Receive, open and presort incoming mail and correspondence for District Office, and routes or delivers to appropriate office or official.
• Manage the ordering/replenishment, receipt, storage, issue, and disposal, of all District curriculum materials.
• Serve as the designated Government Purchase Cardholder (GPC) for the office under the supervision of a Billing Official and uses the GPC to purchase supplies and services for the activity.
• Maintain a perpetual inventory of nonexpendable (accountable) property and durable supply records.
• Inform senior management on recommended changes to system and process to clarify or increase efficiencies, report situations that require management intervention, and when variations have been resolved or implemented.
• Provide guidance on the practices, procedures, capabilities, and operations of the activity's data processing systems.
• Verify the availability of funds, supply levels, emergency conditions, economic order quantities, and authorizations to submit orders for supplies.
• Interpret documents such as specifications, standards, technical orders, manuals, catalogs, manufacturer's brochures, and procurement contracts and terms used by manufacturers in the sale of various commodities.

Duties and responsibilities include, but are not limited to:

• Interpret requests or instructions from radiologist or medical officers.
• Prepares room, equipment and materials needed for patient procedures.
• Properly verifies the patient's identity using two unique identifiers and using active rather than passive identification; follows VHA directives and policies.
• Explains procedures to patient in a manner that will gain cooperation, understanding, and allay apprehension.
• Transfer patients from stretcher or wheelchair to sonographer exam table utilizing safe patient handling techniques; ergonomic methods and devices.
• Positions the patient for desired results; utilizing positioning cushions and privacy shields as appropriate.
• Performs diagnostic ultrasound examination on multiple areas of the body, including, but not limited to the abdomen, neck, chest, extremities, pelvis and retroperitoneal space, for the purpose of acquiring high quality examinations that assist in the diagnosis and treatment of patient medical disorders.
• Performs Intra-Operative Ultrasound examinations to assist the Interventional Radiologists in tumor ablation procedures in a sterile surgical environment.
• Sets up equipment, makes multiple simultaneous settings and adjustments in operation of the equipment, and manually maneuvers the transducer to perform the exam; insuring accurate results.
• Obtain pertinent clinical data from the patient, electronic health record, requisition, and interviewing the patient and/or family.
• Properly selects patient's information from the HIS/RIS list on the workstation, verifies patient information prior to scanning. Annotations are made, correct orientation of the image, configures the image before transmitting to PACS.
• Perform computer work and required forms associated with patient exams, credit of patient visits, complications and/or quality improvement activities of the department.
• Maintain a neat and clean work area, including desks and countertops at all times. Ensuring supplies within assigned work area are properly supplied/stocked so that examinations are not delayed due to lack of necessary equipment and supplies. Assist in maintaining inventory of supplies and notify supervisor of low level of supplies in a timely manner.
• Maintain Ultrasound equipment as directed by the manufacturer.
• Responsible for the quality assurance of the scan (positioning/label/technique/network information) prior to transmission to the PAC's network.
• Maintain electronic records of patient exams assuring that the images acquired are transferred into the patient record and perform clerical duties as related to patient care as it pertains to release of information and image disc creation.
• Assists the Interventional Radiologist in the performance of cyst punctures, aspiration biopsies, and catheter placements for the purpose of diagnostic treatment using ultrasound techniques. This requires the use of surgical sterile techniques, syringes, needles, contrast, etc.
• Develops and maintains patient prep procedures so that patients and wards understand the proper preparations for ultrasound examinations in an effort to minimize delays of examinations. These preps are disseminated either by written preparation information or by telephone conversation.
• Explain procedure, answer questions relating to the procedure, position patient for all necessary views and tend to their comfort for the duration of the procedure. Requires the exercise of judgement to assess and respond to patient's needs prior to, during, and after the procedure.
• Distributes ultrasound examinations and related information to the radiologist responsible for the interpretation of the exams. This is done so that treatment based on diagnosis may be effectuated in a timely manner.
• Maintains competency and thorough knowledge of the processes for Critical, Semi-Critical, and Non-Critical Reusable Medical Equipment (RME) and Standing Operating Procedures (SOPs) that document the process and procedures for cleaning, disinfection, sterilization and preparation of RME and follow established procedures for cleaning, disinfection, sterilization and preparation of RME and follow established procedures for all RME.

Duties include but are not limited to:

• Histology Duties: Technician performs histological techniques such as: fixation, embedding, cutting, and staining in order to prepare tissue slides for final diagnosis by the pathologists. The incumbent is responsible for maintaining specimen integrity and identification from initial accessioning through the entire specimen processing procedure. The incumbent performs a variety of extremely difficult, delicate and complex tissue handling procedure such as preparation of frozen sections for rapid diagnosis of tissue during surgery.
• Prepares/receives specimens: Receives all requests and specimens for testing into the laboratory. Verifies the accuracy and completeness of the request and proper sample submission. Properly identifies all specimens. Verifies discrepancies with the provider. Accessions all specimens into the hospital computer system. The incumbent must be proficient in recognizing tissue from any part of the body and be able to identify the origin and type of tissue.
• Fixation: Perform fixation techniques that are non-routine such as EM, Immunohistochemistry, muscle, and nerve studies, as well as bone decalcification. Understands the unique fixation requirements of each type and size of specimen, and whether or not the specimen must have special treatment before fixation.
• Processing: Must have an excellent understanding of anatomy, and the difference in each type of tissue, how they will respond to different processing protocols, and to determine the correct processing fit for each individual specimen.
• Embedding: Due to the wide variety of specimens the lab can receive (from any part of the body) Knowledge of chemistry and the basic anatomy is essential to understanding the correct orientation of tissue in embedding so that imperative tissue is not lost during cutting. Understanding not only normal, but abnormal/diseased tissue is important. Pathology specimens are irretrievable, therefore trouble-shooting must be done prior to many steps performed.
• Cutting: Incumbent must be able to operate and maintain a microtome, understanding how to perfect the angle, speed, and extra treatments that may be needed (decalcification, softening) and co1Tect temperature are required to produce acceptable sections. Verifying co1Tect embedding techniques, determining the proper manner for appropriate sectioning and thickness, and following the cutting protocol for each type of specimen and stain are essential. Manual and automated coverslipping skills are also required.
• Routine and special stains: Performs staining of tissue sections including advanced staining techniques through automation and manual methods ( e.g. Papanicolauo, Romanowsky, GMS, PAS, Prussian Blue, Verhoeff Van Giesen elastic). These procedures are often complex, difficult, and non-standardized. Many choices of alternative ways of proceeding are determined through the incumbent' s professional training and experience. Procedures must be adapted to individual variance in specimen and stain perfo1mance. Appropriate fixation, embedding, and cutting techniques are evaluated to obtain the co1Tect specimen section for staining. After each stain, the incumbent accepts or rejects slides based upon the proper staining reactions before submitting to the pathologist for microscopic diagnosis. The principles of each unique stain involve chemical procedures such as pH balance and altering the concentration of chemical solutions. Chemical interaction with microorganisms, certain tissue fibers, and types of cells, as well as physiology of different tissues, all must be understood in order to dete1mine proper staining.

Duties include but are not limited to:

• Histology Duties: Technician performs histological techniques such as: fixation, embedding, cutting, and staining in order to prepare tissue slides for final diagnosis by the pathologists. The incumbent is responsible for maintaining specimen integrity and identification from initial accessioning through the entire specimen processing procedure. The incumbent performs a variety of extremely difficult, delicate and complex tissue handling procedure such as preparation of frozen sections for rapid diagnosis of tissue during surgery.
• Prepares/receives specimens: Receives all requests and specimens for testing into the laboratory. Verifies the accuracy and completeness of the request and proper sample submission. Properly identifies all specimens. Verifies discrepancies with the provider. Accessions all specimens into the hospital computer system. The incumbent must be proficient in recognizing tissue from any part of the body and be able to identify the origin and type of tissue.
• Fixation: Perform fixation techniques that are non-routine such as EM, Immunohistochemistry, muscle, and nerve studies, as well as bone decalcification. Understands the unique fixation requirements of each type and size of specimen, and whether or not the specimen must have special treatment before fixation.
• Processing: Must have an excellent understanding of anatomy, and the difference in each type of tissue, how they will respond to different processing protocols, and to determine the correct processing fit for each individual specimen.
• Embedding: Due to the wide variety of specimens the lab can receive (from any part of the body) Knowledge of chemistry and the basic anatomy is essential to understanding the correct orientation of tissue in embedding so that imperative tissue is not lost during cutting. Understanding not only normal, but abnormal/diseased tissue is important. Pathology specimens are irretrievable, therefore trouble-shooting must be done prior to many steps performed.
• Cutting: Incumbent must be able to operate and maintain a microtome, understanding how to perfect the angle, speed, and extra treatments that may be needed (decalcification, softening) and co1Tect temperature are required to produce acceptable sections. Verifying co1Tect embedding techniques, determining the proper manner for appropriate sectioning and thickness, and following the cutting protocol for each type of specimen and stain are essential. Manual and automated coverslipping skills are also required.
• Routine and special stains: Performs staining of tissue sections including advanced staining techniques through automation and manual methods ( e.g. Papanicolauo, Romanowsky, GMS, PAS, Prussian Blue, Verhoeff Van Giesen elastic). These procedures are often complex, difficult, and non-standardized. Many choices of alternative ways of proceeding are determined through the incumbent' s professional training and experience. Procedures must be adapted to individual variance in specimen and stain perfo1mance. Appropriate fixation, embedding, and cutting techniques are evaluated to obtain the co1Tect specimen section for staining. After each stain, the incumbent accepts or rejects slides based upon the proper staining reactions before submitting to the pathologist for microscopic diagnosis. The principles of each unique stain involve chemical procedures such as pH balance and altering the concentration of chemical solutions. Chemical interaction with microorganisms, certain tissue fibers, and types of cells, as well as physiology of different tissues, all must be understood in order to dete1mine proper staining.