Respiratory Therapist

Respiratory Therapist-PRNNights - PRNLiberty Hospital

Position Summary / Career Interest:

Performs respiratory care interventions in accordance with the standards established by the American Association of Respiratory Care Clinical Practice Guidelines and the Health System's Respiratory Care Policy. Under the supervision of the Director/Supervisor and upon a physician's order, the position assesses the cardiopulmonary status of patients of all ages (neonate through geriatric) and provides various types of respiratory diagnostic and therapeutic procedures, based on individual patient needs. An integral function of this position is providing patient education to enhance wellness.

Responsibilities and Essential Job Functions

• Performs initial and follow-up assessments pertaining to respiratory care with skill.  Physician(s) agrees with assessment and recommended plan of care and/or recommended change(s) in plan of care.
• Evaluates client's response to prescribed therapy in an on-going manner and communicates information, as needed, to medical staff.  Demonstrates expertise in selecting and/or adapting equipment that is appropriate for patient's age - neonate to geriatric.
• Consistently incorporates patient education regarding common lung diseases, prescribed medications and plan of care into routine patient care and treatment.  Makes every effort to optimize communication between self and patient (and/or family and visitors).  Takes time to explain interventions in an empathetic, caring manner that is specific to patient's level of cognition.
• Demonstrates proficiency in care and management of patients receiving mechanical ventilation by consistently choosing appropriate settings, relevant to the patient's condition at any given time.  Serves as a key member of the critical care team in communicating respiratory assessment info (i.e. results of ventilator waveform analysis, respiratory physical assessment) to optimize patient's outcome and comfort.  Demonstrates expertise in managing the care of patients who require advanced modes of ventilatory support - i.e. APRV.  Actively promotes weaning of patients from mechanical ventilation by using respiratory assessment skills, critical thinking and excellent communication with other members of the health care team.
• Demonstrates proficiency in the use of non-invasive ventilation (Respironics Vision, Respironics V60 and Respironics BIPAP ST units), tailoring therapy to best meet individual patient needs.  Independently titrates interventions with expertise to achieve optimal patient outcome.  Aggressively seeks to avoid intubations by recommending use of noninvasive ventilatory support to physician when appropriate.
• Demonstrates proficiency in establishing, maintaining and caring for patients with artificial airways.  Independently and pro actively secures artificial airways and adjusts cuff pressures to assure patient safety and avoid tissue breakdown.  Communicates and works cooperatively with the nursing staff to assure optimal tracheostomy care and patient education is provided.
• Works cooperatively with members of the KCC staff to assume responsibilities for ECGs when assigned.  Demonstrates respect for the patient's privacy and dignity when performing an ECG.  Makes every effort to consistently obtain high quality ECG tracings (may require reapplication of electrodes, calm and respectful coaching of the patient to remain still during testing).  Assumes responsibility for communicating serious ECG abnormalities to the patient's nurse and/or physician without delay.
• Assists the health care team with a confident, calm demeanor in the resuscitation of an infant.  Demonstrates proficiency in delivering surfactant in the rescue of a newborn.  Assumes responsibility for maintaining a patent airway and adequate ventilation and oxygen delivery to an infant in respiratory distress.
• Demonstrates proficiency in administration of physician-prescribed aerosol medication therapy, oxygen therapy, appropriate airway humidity therapy and all airway clearance techniques.  Communicates in a professional manner with the physician when recommending modifications in the respiratory care plan, based on the patient's response.  Demonstrates critical thinking skills by selecting the most efficacious supplies and equipment, appropriate to each individual patient care situation.  Physicians routinely agree with patient assessment results and drug delivery choices selected and implemented from the ECC Bronchodilator Protocol.
• Demonstrates expertise in implementing, assessing results and acting appropriately on results of various pulmonary diagnostic tests and monitors.  Consistently follows departmental policy and procedure regarding all phases of the blood gas analysis process:  pre-analytical, puncture/specimen collection, analytical phase and post-analytical /results reporting phase.  Accurately evaluates the pulmonary status of patients assessed by capnography, spirometry, airways compliance and resistance, blood gas analysis, hemodynamic monitoring. pulse oximetry and/or ventilator waveform analysis.  Serves as a resource to other members of the health care team regarding use of these monitors and assessment of results.
• Demonstrates proficiency in assisting physician with therapeutic and basic diagnostic bronchoscopies.  Appropriately assesses patient's cardiopulmonary status throughout the procedure, intervening with  expertise to optimize patient's comfort, safety and optimal outcome.  Accurately processes bronchoscopy specimens.  Performs high-level disinfection of bronchoscope and related equipment as soon as possible following procedure, demonstrating attention to detail and strict adherence to policy."
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Associates Degree in Respiratory Therapy

Preferred Education and Experience

• Bachelors Degree Respiratory Therapy, Math, or Science field
• 1 or more years working as an RRT in a hospital setting
• 3 or more years working as an RRT in a hospital setting; experience in adult critical care and emergency department patient care

Required Licensure and Certification

• CPR/ AED/ BLS - Other BLS within 14 days
• Licensed Respiratory Therapist (RT) - State Board of Healing Arts upon Hire
• Registered Respiratory Therapist(RRT) - National Board for Respiratory Care (NBRC) upon Hire
• Neonatal Resuscitation Program (NRP) - American Academy of Pediatrics (AAP) within 120 Days

Time Type:

Part time

Job Requisition ID:

R-57878

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer.  Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.  See also Diversity, Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities.  If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [email protected].

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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