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Covenant Health

Catholic health system with elder care

PFT Lab Respiratory Therapist

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Part-timeNashua, NH, USA$33.43 - $46.04In-person

About the Job

Requirements

  • Maintains initial and annual equipment competencies as developed by the Respiratory Therapy Clinical Coordinator and approved by the Manager of Respiratory & Pulmonary Services.
  • Completes computer-based learning assignments by their due dates.
  • Maintains knowledge of current trends in respiratory therapy.
  • Holds a current New Hampshire license as a Respiratory Care Practitioner.
  • Holds Basic Life Support certification.
  • Has National Board of Respiratory Care credentials.
  • Has experience with the listed therapeutic modalities and the ability to work in a team environment.
  • Can perform the position's physical tasks, including sitting, standing, walking, bending, stooping, reaching, and frequently lifting or carrying up to 35 pounds and occasionally up to 50 pounds.
  • Can perform all essential functions with reasonable accommodation if disabled.

Responsibilities

  • Draws and analyzes arterial blood gases; assesses patients; follows Therapist Driven Protocols; manages continuous mechanical ventilation; performs cardiopulmonary resuscitation, bronchial hygiene, chest physical therapy, oxygen administration, hyperinflation therapy, aerosol therapy, and pulmonary function screening; performs emergency procedures; maintains CPR certification; uses pulse oximetry; and cleans and changes equipment.
  • When applicable, performs charge duties, including distributing and prioritizing staff workload and presenting one topic per year to Respiratory Therapy staff.
  • Documents activities in the electronic medical record, Cardex, and treatment cards as required by charge documentation policy and procedure.
  • Documents respiratory therapy treatments and charges in the electronic medical record using the charge-on-documentation system.
  • Documents breath sounds, cough effectiveness, sputum production, treatment time, delivery mode, medication and dosage, tolerance, adverse reactions, oxygen therapy, and oxygen saturation in clinical notes.
  • Completes an initial patient note with a thorough assessment and appropriate initiation of Therapist Driven Protocols, including treatment frequency and duration.
  • Follows therapeutic goals outlined in the Therapist Driven Protocol.
  • Completes paperwork for the oncoming shift and ensures Cardex and treatment cards are complete.
  • Completes extended therapy sheets used during electronic medical record downtime and special-procedure forms used in patient care areas.
  • Enters or updates orders derived from Therapist Driven Protocols in the electronic medical record.
  • Documents patient and family education in the electronic medical record.
  • Performs nebulizer therapy, metered-dose inhaler therapy, intermittent positive-pressure breathing, and ultrasonic nebulizer therapy as ordered or revised under the Therapist Driven Protocol, including treatment frequency, dosage, and timing.
  • Determines whether a patient is appropriate for nebulizer or metered-dose inhaler therapy, or communicates with a physician to ensure appropriate therapy.
  • Pursues and transcribes therapy changes under the Therapist Driven Protocol.
  • Monitors patients for adverse reactions, records adverse reactions in the occurrence-reporting tool, and communicates them to the appropriate physician and manager.
  • Records patient incentive-spirometry volumes and effort in the electronic medical record and adjusts goals to maximize patient effort.
  • Obtains arterial blood gases without causing unnecessary patient trauma, runs and analyzes blood-gas controls, records necessary actions in the corrective-action log, and monitors and documents pulse-oximetry results.
  • Recommends appropriate use of pulse oximetry to physicians.
  • Initiates overnight saturation studies and generates reports before the end of the shift.
  • Uses designated mechanical ventilators in infant mode and provides patient and family education when appropriate.
  • Completes accurate room-to-room oxygen rounds by the middle of the shift.
  • Initiates oxygen therapy under the Therapist Driven Protocol and follows provider orders; changes oxygen equipment as needed or required by policy; monitors and adjusts oxygen therapy using pulse oximetry; and makes appropriate recommendations to the covering provider.
  • Responds to Trauma Team and PCI Team activations, Code Blue events, and rapid response team activations.
  • Takes immediate steps to establish an airway, including endotracheal intubation, and maintains intubation skills or demonstrates competency within six months.
  • Anticipates patients' immediate needs and acts promptly during resuscitation.
  • Recommends appropriate oxygen-delivery devices and uses a portable ventilator when transporting intubated patients.
  • Institutes standing ventilator orders under policy, documents parameter changes, and performs arterial blood gas analysis after ventilation is initiated and the patient is stable.
  • Performs spontaneous breathing trials and documents spontaneous mechanics as ordered.
  • Checks and documents cuff pressures every six hours and as needed per shift.
  • Assesses ventilated patients and communicates their status to appropriate team members.
  • Recommends ventilator parameters and weaning potential and demonstrates competency in all modes of ventilatory support.
  • Distributes staff workload and organizes and prioritizes shift work to ensure completion, including equipment turnaround and supply stocking.
  • Uses independent judgment to clarify orders for respiratory therapy procedures.
  • Communicates problems to the Manager of Respiratory & Pulmonary Services and takes appropriate steps when staffing is insufficient, according to departmental policy.
  • Performs other duties consistent with the role.
  • Reports activity that appears to violate the Standards of Conduct.

Desired Qualifications

  • Generates and offers ideas or concepts to promote individual or departmental growth.

About the Company

Covenant Health

Catholic health system with elder care

Covenant Health is a Catholic health care system that sponsors hospitals, nursing homes, assisted living residences, and other health and elder services across New England, providing a continuum of care. It supports partnering health and elder care organizations by offering services such as strategic planning and positioning, governance, management and operational assistance, financial services, and mission and educational enhancement to help organizations deliver values-driven care. The difference from competitors lies in its Catholic mission alignment, breadth of services, and the ability to partner across the full spectrum of care—from hospitals to elder services—with experienced professionals guiding implementation and mission focus. Its goal is to improve the health of individuals and communities by delivering high-quality, values-driven care through collaborative programs and services.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Tewksbury, MA
Founded
1983

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