Demonstrates, through behavior, AdventHealth Orlando’s service standards.
Assesses and makes appropriate decisions and interventions according to patient evaluation / needs. Sets patient goals, assisting in the development of a plan of care along with the multidisciplinary team. Evaluates / interpret diagnostic data including but not limited to lab results and monitoring data. Communicates effectively with the multi-disciplinary team.
Satisfactorily completes department orientation, airway management certification, critical care training program, Infant/ Pediatric Emergency training program (campus specific), and advanced critical care-training program, and is proficient at all applicable procedures defined below.
Practices standard precautions and enforces safety regulations according to hospital policies on a continual basis. Documents and charges for procedures accurately and completely to ensure quality standards set by the department and hospital.
Responds to Code Blue emergencies immediately providing CPR according to the American Heart Association guidelines. Performs airway maintenance including proper use of manual resuscitators, suctioning, endotracheal intubation, extubation, assists with bronchoscopy, assists with tracheostomy tube insertion, performs tracheostomy tube change, oral and nasal pharyngeal airway insertion, LMA insertion, manages patients with laryngectomy. Provides procedural respiratory support.
Through use of protocols / prescriber care plans, chart review, and conferring with multidisciplinary team, determines proper therapy delivery device/ frequency, making appropriate changes/ recommendations to plan of care. Delivers inhaled medications, including inhaled vasodilators and nebulized opioids, bronchial hygiene therapy, lung expansion therapy and manages patients receiving inhaled gasses.
Provides respiratory care to patients on invasive and non-invasive mechanical ventilators. Initiates, operates, transports, and liberates conventional and advanced modes of ventilation per policy and procedure/prescriber care plan. Reviews chest radiology reports as necessary Initiates, maintains, transports and monitors heliox and nitric oxide (campus specific). Prones/ ambulates ventilated patients.
Properly performs hemodynamic procedures to include arterial cannulation using sterile technique, assembly, calibration; assisting with pulmonary artery catheter insertion, calibration; performs cardiac output and hemodynamic / cardiopulmonary profiles. Maintains hemodynamic lines (campus specific). Initiates, manages, transports Intra-Aortic Balloon Pumps. Ambulates patients on Intra-Aortic Balloon Pumps (campus specific).
Proactively initiates process improvement ideas. Assists with clinical instruction and precepting and serves as a resource person to lower level therapists. Supports hospital and department mission, goals, and department metrics. Takes leadership responsibility in a unit or at a campus is the absence of a Clinical Specialist or Supervisor. Performs other duties as requested by department leadership.
Obtains, performs, and reports findings of blood gas and co-oximetry analysis. Performs quality control as needed. Setup and perform oximetry, apnea, TC and ETCO2 monitoring as ordered by physician. Performs EKGs after hours (campus specific)
May perform waived and/or non-waived Point of Care Testing. If performing non-waived Point of Care Testing, as defined in AHCA rule 59A-7.034, must have approved competency and documented proof (copy of either diploma or transcript, at the highest level of academic achievement) at the time of AdventHealth Orlando non-waived Point of Care training.
CAMPUS / UNIT-SPECIFIC DUTIES:
Applicable Campuses: Performs a-line maintenance, assists with CVP catheter insertion, calibration, and maintenance. May be required to perform pulmonary function screen testing. Performs nitric oxide delivery. Delivers emergency care to Pediatric and Infant patients in the Emergency Department. Perform Pulmonary Diagnostic Testing
ALTAMONTE, CELEBRATION, AND WINTER PARK: Performs effectively in the Labor and Delivery work area and Level 2 Neonatal ICU (as applicable). Delivers neonatal resuscitation and assists with APGAR scoring at delivery per NRP guidelines
INDEPENDENT EMERGENCY DEPARTMENT PRACTICE: Performs 12-lead electrocardiogram; continuous monitor set-up and operation (as applicable).
Qualifications - External
What Will You Need:
EDUCATION AND EXPERIENCE REQUIRED:
Associate degree from a Respiratory Therapy or Cardiopulmonary Science program
EDUCATION AND EXPERIENCE PREFERRED:
Bachelor’s degree in Respiratory Therapy or Cardiopulmonary Science
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Active and Current Florida State License as a Registered Respiratory Therapist
Basic Life Support (BLS) certification
Advanced Cardiac Life Support (ACLS) certification
For Altamonte and Celebration: Current NRP, and PALS certification
For East Orlando: Current PALS certification
Ability to accept leadership responsibility in the absence of Clinical Specialist / Supervisor, as directed.
The Advanced Registered Respiratory Therapist is responsible for provision/ supervision of respiratory clinical care responsibilities to age specific groups. Accepts shift supervisory responsibility in the absence of a Clinical Specialist or Supervisor. Respiratory Care processes include assessing, planning, implementing, delivering, and evaluating the treatment, care, and patient needs to achieve goals. Adheres to the AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Advanced Respiratory Therapists at AdventHealth Orlando:
· Are an integral part of the multi-disciplinary front-line patient care team in all areas of the hospital and work at the top of their license and Scope of Practice
· Initiate, operate, manage, and discontinue cardio-pulmonary life support equipment
· Work to reduce patient mortality/ICU length of stay through use of clinical and critical thinking skills.
· Through patient evaluation, guided by protocols and prescriber care plans, modify the plan of care, up to discontinuation of service for:
o Patients receiving ventilatory life support, advanced ventilatory life support, and oxygen therapy
o Patients receiving aerosolized medications, bronchial hygiene therapy, and lung expansion therapy
· Manage the utilization of inhaled medical gasses including heliox, oxygen, and nitric oxide
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.