Registered Respiratory Therapists (RRT) is responsible for independently administering treatment to ambulatory, non-ambulatory and critically ill patients in the Inpatient and Outpatient setting. RRTs use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met. CLINICAL: Responsible for Mechanical Ventilation Management, CPAP/BiPAP Ventilation, Administration of Aerosolized Medication, Bronchial Hygiene, Airway Management, Oxygen Therapy, Aerosol Therapy. Responsible for Diagnostic Testing such as bedside Spirometry, EKGs, Pulse Oximetry. Assist Pulmonologist in Therapeutic Bronchoscopy procedures, Arterial Blood Gas sampling, and Cardiopulmonary Resuscitation. Responsible for performing Home Oxygen Evaluations, Pulmonary Function Testing (PFT), Bronchial Provocation Testing (Methacholine Challenge), Cardiopulmonary Exercise Testing, Home CPAP/BiP APNP AP set-ups with Compliance Checks, Mask Fitting and Dispensing, Patient Education, and basic maintenance. Assess patients by history, pulmonary physical assessment, and chart review before the start of therapy. Changes in these findings during therapy and results of therapy will be recorded. Utilize knowledge regarding the use of medications in respiratory therapy and will observe the patient for desired and adverse effects of those medications, as well as the effects of the type of therapy delivering the medications. Set up and monitors respiratory equipment such as invasive and noninvasive ventilators, end tidal CO2 monitors, oxygen delivery devices, and oximetry monitors. Performs routine respiratory therapy treatment to hospital inpatients such as administering oxygen and therapeutic aerosols, incentive spirometry, and chest physical therapy. Sputum specimens will be obtained by induction as ordered. Patient education will be done in all aspects of respiratory care pertaining to the individual patient and according to the patient's or his/her family's ability to assimilate the information. RRT will function as an in-service educator to any personnel needing knowledge of respiratory therapy procedures, equipment, pulmonary anatomy, and physiology. RRT will function as a member of the Code Blue and Rapid Response Teams and is expected to be proficient in basic CPR, Emergency Airway Management to include Intubation and provide ventilation with use of resuscitation bag. RRTs are responsible to maintain Out of OR airway certification including intubation checkoff. RRT will assist in transport within the medical center to other areas of the medical center for those patients requiring respiratory support as indicated. During transport of patients RRT maintains clearance of airway, monitors vital signs, and performs cardiopulmonary resuscitation when necessary. RRT will attend continuing education programs inside and outside the medical center as appropriate to keep abreast of changes and developments in respiratory therapy and in other areas impacting respiratory therapy and to maintain CEU's for state license and NBRC credentialing. RRT draws arterial blood samples from patients throughout the medical center in a safe and efficient manner and in accordance with established policy and procedure. Provides equipment set up and cleaning, intraoperative assistance, and processing of all clinical specimens in the performance of fiber optic bronchoscopies. Assists physician in performing bronchoscopy procedures. Delivers respiratory care as needed in the more complex respiratory care procedures and to poor risk patients such as those in the older age group. Participates in the audit of respiratory care, recommending changes where indicated. RRT safely and effectively uses equipment required for patient care using hospital policies and procedures, including appropriate cleaning and disinfection of reusable medical equipment in accordance with manufacturer's guidelines. Responsible in assisting the Cardiopulmonary leadership with creating, revising, and implementing various respiratory procedures, performance improvement monitors and processes, and to participate on various clinical focused committees. ADMINISTRATIVE Obtains orders for therapy and diagnostic procedures. Utilize computer skills for patient documentation and other service work. Understands and adheres to policies and procedures of Cardiopulmonary Services, Medical Service, and the VA Sierra Nevada Health Care System. Other Responsibilities: In addition to the technical duties, RRT is responsible for the following functions: Assist the Lead Registered Respiratory Therapist and Chief, Respiratory Care order and maintains a proper level of supplies. Ensures that reports and procedures are processed and returned to the requesting physician on a timely basis. Ensures that all respiratory medical equipment is in good condition and are following all safety codes. The Registered Respiratory Therapist will report any problems immediately. Work Schedule: Intermittent on an as needed basis Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: PD414610 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized 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.