RESPIRATORY THERAPIST
Company: ECHN
Location: Windsor
Posted on: November 18, 2024
Job Description:
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POSITION SUMMARY:
Performs safe respiratory therapy modalities as ordered by
physician, developing a plan of care based on assessment data and
standards of care, identifying needs for alternative action in the
plan of treatment and involves the multi-disciplinary team in
revisions to plan of care. - Sets up, maintains and monitors
mechanical ventilation according to policy and procedure. -
Administers medications demonstrating thorough knowledge of policy
and procedure. Assembles, selects, and operates equipment for
proper operation and cleanliness. - This includes but is not
limited to mechanical ventilators, BIPAP/CPAP systems, oxygen
delivery devices and oxygen analyzers, manual resuscitators and
suctioning equipment. - Performs tracheal, endotracheal and
nasopharyngeal suctioning including the instillation of
pharmacologic agents according to policy and procedure. - Draws and
analyzes blood gases by arterial stick according to policy and
procedure. - Interprets arterial blood gas and oximetry results. -
Differentiates between patient and equipment problems and
intervenes appropriately. - Documents and communicates all patient
therapies including concerns during shift.
-
EDUCATION/CERTIFICATION:
- Graduate of an approved Respiratory Care program. Must provide
copy of diploma or transcript upon hire.
- The candidate must hold the credential of Registered
Respiratory Therapist (RRT) or Certified Respiratory Therapist
(CRT) from the National Board of Respiratory Care and a current
license from the State of Connecticut to practice as a Respiratory
Care Practioner.
- A candidate with a CRT credential must be registry eligible and
obtain the RRT credential from the NBRC within 18 months of
employment. -
- The candidate will hold a current Basic Life Support (BLS)
certification.
- Current Neonatal Resuscitation Program Provider (NRP) or
Neonatal Advanced Life Support (NALS) and Pediatric Advanced Life
Support (PALS), Advance Cardiovascular Life Support (ACLS)
certifications are desirable but not required.
- Pulmonary Function Testing (PFT) certification desirable.
-
EXPERIENCE:
- A minimum of one year of skilled respiratory experience within
the last two years.
- Must be able to work well with others in a multi-task, fast
paced patient care environment. -
-
COMPETENCIES:
- Must possess a strong focus on customer service and the ability
exhibit patience and empathy while providing care to a culturally
diverse group of patients.
- Must be able to speak, read, and write using the English
language.
- Effective verbal communication is essential with patients,
co-workers, and physicians.
- Effective written communication is required for accurate
medical charting of respiratory services provided and concurrently
clear and precise medical billing.
- Must have access to reliable transportation to travel between
multiple work sites; and travel is required in order to perform
essential duties.
-
ESSENTIAL DUTIES and RESPONSIBILITIES:
Disclaimer: Job descriptions are not intended, nor should they be
construed to be, exhaustive lists of all responsibilities, skills,
efforts or working conditions associated with the job. - They are
intended to be accurate reflections of the principal duties and
responsibilities of this position. - These responsibilities and
competencies listed below may change from time to time.
-
- - - - - - - - - Job-Specific Competency
- Understands the theory and operation of the blood gas analyzer
as evidenced by the ability to assess the accuracy/precision of the
instrument utilizing daily maintenance record, routine
troubleshooting and QC material.
- Exemplary: - Performs basic troubleshooting, change a cartridge
and run CVP.
- Performs and monitors daily QC. - Recognizing problems and
taking appropriate corrective action as evidenced by documentation
in the QC daily log sheet. - Complete documentation of pre-analytic
indicators in the blood gas result form.
- Exemplary: - > 90% compliant in documentation of
pre-analytic indicators.
- Demonstrates safe and proper sampling, collection and transport
of arterial, capillary and A-line blood gases as evidenced by
successful completion of competencies including understanding age
specific requirements for sampling and testing and direct
observation.
- Exemplary: - Consistently labels syringes and transports
specimen in biohazard bag with compliance > 90%.
- Ability to perform pulmonary function testing (PFT) as
evidenced by test data review, direct observation and feedback from
medical director. - Completes PFT in
- Exemplary: - Performs routine maintenance on PFT machine.
- Ability to perform Broncho Provocation and Pulmonary Exercise
testing as evidenced by test data review, direct observation and
feedback from medical director. -
- Exemplary: - Quality tests > 90%
- Demonstrates knowledge of operation and set up of bronchoscopy
and monitoring equipment. - Shows proper skill level setting up
cart including labeling of medications/solutions when appropriate
and performing Time Out during out-patient and in-patient
procedures as evidenced by competencies and/or direct
observation.
- Exemplary: - Consistently labels medications/solutions removed
from original packaging with compliance > 90%.
- Performs all respiratory care services according to physician's
order demonstrating a good knowledge of departmental policy and
procedure and the ability to make appropriate decisions based on
these policies and procedures as evidenced by direct
observation.
- Exemplary: - Less than 3 notifications to
supervisor/site-manager for policy and procedure decisions.
- Demonstrates knowledge of principles, theory and operation of
respiratory equipment and monitoring systems in the critical care
environment (vents, BIPAP) to all age groups as evidenced by
competencies and/or direct observation.
- Exemplary: - Trouble shoots equipment, labels and removes
equipment from service and notifies Biomed.
- Performs patient assessment prior to initiation of all
respiratory therapy and as part of the reorder evaluation according
to departmental policy and procedure.
- Exemplary: - Consistently identifies and moves Problem/Goal and
documents Education needs for respiratory interventions in
Meditech. - Compliance > 90%.
- Demonstrates proper operation, set-up and monitoring or
equipment used for the delivery of therapeutic gases (Heli-Ox,
Bubble CPAP, Hi-Flow O2, heated humidifiers, nebulized and
humidified O2) as evidenced by competencies and/or direct
observation.
- Exemplary: Minimum Qshift documentation in Meditech Process
Interventions (PI) Compliance > 90%.
- Performs aerosol therapy (small volume nebs, large volume nebs,
RespirGuard nebs, Vix1 nebs) in accordance to departmental policy
and procedure as evidenced by competencies and/or direct
observation.
- Exemplary: - Consistently performs therapy as ordered and
documents administration andnon administration in Meditech e-MAR
and Process Interventions (PI). - Compliance > 90%.
- Performs Chest Physio Therapy (postural drainage, percussions
and vibrations) in accordance to departmental policy and procedure
as evidenced by competencies and/or direct observation.
- Exemplary: - Consistently documents therapy given and therapy
not given as ordered in Meditech Process Interventions (PI). -
Compliance > 90%.
- Performs proper technique in suctioning (open and closed
systems) in age specific populations in accordance with department
policy and procedure as evidenced by competencies and/or direct
observation.
- Exemplary: -Minimal Qshift documentation of suctioning in
routine vent check. - Compliance > 90%.
- Delivers medications safely in accordance with 2-identifier
policy and procedure as evidenced by competencies and/or direct
observation. - Responds to adverse effects of medications by proper
notification to physician an on-line IRIS report.
- Exemplary: - Consistently performs 2-identifier policy and
procedure. - Compliance > 90%.
- Performs 12-lead EKGs to all age groups when necessary (RGH
only). -
Keywords: ECHN, Portland , RESPIRATORY THERAPIST, Healthcare , Windsor, Maine
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