The Registered Respiratory Therapist is responsible for the assessment of the patient and performance of diagnostic studies as well as the delivery of direct patient-centered care. The responsibilities include the demonstration of competent and professional clinical practice and delivery of care through established standards of care to patients in the Emergency Room, Intensive Care Unit, 4E,Ward 9, Community Living Center, Medical wards and clinics. - Cardiopulmonary resuscitation. - Is responsible to follow and ensure all staff follow all SOP's and manufacturer's guidelines pertaining to the reprocessing, processing, setup and use of all reusable medical equipment. - Performs complex respiratory therapy mechanical ventilator procedures which includes pressure control ventilation, intermittent mandatory ventilation (SIMV), CPAP (continuous positive airway pressure) and BIPAP (bi-level positive airway pressure). This includes calibration, setup, monitoring and adjusting the ventilators both on critically ill ventilator patients and patients on non-invasive CPAP and BIPAP. Regularly makes rounds on both invasive and non-invasive ventilation. - Assists in the diagnosis, treatment and management of patients with pulmonary disorders. Diagnostic studies include collecting and analyzing patient's blood-ABG's (arterial blood gases), Sampling blood from invasive cardiovascular lines. bedside pulmonary function testing, to determine respiratory impairment. Other diagnostic studies performed interdepartmentally are six minute walk test, nocturnal pulse oximetry, pulse oximetry. - Assists the pulmonologist with bronchoscopies in the bronchoscopy suite, operating room and at bedside. This includes complete setup and patient preparation, monitoring of vital signs and assisting the physician to obtain samples for analysis. - Transports patients requiring manual ventilatory support to various locations within the hospital such as CAT Scan, ultrasound, etc. - Pulse oximetry, Capnography (side stream and mainstream) Incentive Spirometry, Chest Physiotherapy airway clearance techniques. - Patient Assessment by documenting and reporting significant changes in patient's condition to appropriate person promptly. - Operates all equipment within the department, provides quality control and equipment disinfection and bacterial testing. Actively participates in departments Quality Assurance program. - Plans and conducts in- service education programs with respiratory and hospital staff, patients and family members (inpatients and outpatients). - Participates as a member of the Code Blue, Rapid Response Team and must respond to emergency or STAT calls to assist physician in establishing patent airway via intubation and subsequent application of mechanical ventilator to patient. Must maintain current BCLS. - Performs routine respiratory therapy treatments such as oxygen and medication administration utilizing different modes of delivery. Evaluates patients' response to therapy and reports back to physician, any adverse reaction to therapy. Ensures all documentation is completed in a timely manner. - Responsible for assessing patients in the Horne Oxygen Program and CPAP Program. This service includes home oxygen, nebulizer, CPAP/BIPAP, air compressors and ventilators when necessary. The therapist must assess, recommend therapy, consult with the pulmonologist and educate the patient on new therapy and equipment. - Assists in the sampling of unknown proficiency specimens in the ABG Lab to meet the requirements for credentialing and licensure of the ABG Lab. - Instructs, guides and communicates necessary information to fellow therapists to ensure effective performance and orients and trains new personnel. Work Schedule: 12a-8a, 6a-2:30p, 8a-4:30p, 6a-6p, 4p-12a, 6p-6a, 10a-10pChoice of 8 hour tours or 12 hour tours. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.