This position is located in the Respiratory Care Unit of the Pulmonary Medicine Section of Medical Service at the VA New Jersey Health Care System. The incumbent serves as a Registered Respiratory Therapist (RRT) and performs her/his duties under the supervision of the Chief, Respiratory Care. Travel between campuses , responding to cardiac arrest (Lyons campus) A current drivers license is required. The RRT performs, within his/her scope of practice, diagnostic evaluations and engages in the teaching and treatment of patients including the most unusual and difficult cases requiring the highest levels of expertise and professional skills. The services are performed in accordance with the guidelines established by the National Board of Respiratory Care (NBRC), American Association for Respiratory Care (AARC), and policies and procedures of the New Jersey Health Care System. The protocol and procedures are established for the treatment, management, evaluation and care of patients with deficiencies and abnormalities associated with the cardiopulmonary system. This is the full performance level for the Registered Respiratory Therapist. The Respiratory Therapist (RT) serves in a critical care setting with responsibility for independently administering a variety of complex treatments and tests to both ambulatory and non-ambulatory patients in all areas of the Medical Center as required. During emergency situations, the RT serves as a member of the Code Blue team in response to Cardiac and/or Respiratory arrests and is responsible independently inserting artificial airways into patient's trachea to provide controlled breathing consistent with the VA NJHCS Out-Of-The-Operating Room Airway Management policy. They initiate manual ventilation using a manual resuscitation bag or bag-valve-mask (BVM) and maintains ventilation. The RT is involved with the Rapid Response Team and responds to all calls in order to assess for any respiratory needs. Setup and monitors a variety of complex respiratory equipment such as volume or pressure ventilators for critical care patients. Based on patient assessment and analysis of arterial blood gas data, independently adjusts ventilator settings in order to change the patient's ventilation status. Applies advanced ventilation techniques such as pressure control ventilation, tube compensation, and volume and pressure support ventilation. Monitors patients closely to avoid complications and to alter the plan as necessary. Initially and continuously assesses the cardiopulmonary condition of assigned patients using data acquired through physical examination, respiratory monitoring, and diagnostic equipment. Determines the effectiveness of the therapy being administered, communicates with physician, and suggests alternate modes of treatment as indicated. Performs airway and endo-tracheal tube care on patients with artificial airways, including cleaning and securing the trach and endotracheal tube site, in-line suctioning, monitoring tube cuff pressure and inspecting equipment and patient to insure proper function. Operates suction catheters attached to vacuum to remove secretions from patients' airways. Places nasal and oropharyngeal airways and performing nasal and tracheal suctioning. Knowledge of basic medical sciences and how they relate to the respiratory and cardiovascular system. Knowledge of infrequently used respiratory equipment, procedures, and techniques. Perform chest physiotherapy using mechanical equipment or manual techniques. Performs postural drainage to facilitate the removal of secretions. Sets up and monitors oxygen delivery devices such as cannulas, masks, t-adaptors, face tents, humidifiers and aerosols containing prescribed medication to patients using standard respiratory equipment. Skilled in assessment of oxygenation. Demonstrates competency for obtaining arterial blood gas samples from patient using ABG kit, heparinized needle with syringe, and from Arterial Line. During transport of patients with artificial airways, maintain the patient's airway, ensure ventilation, monitor respiration and oxygen saturation, and performs manual ventilations or cardio-pulmonary resuscitation when necessary as per AHA guidelines. Perform patient clinical assessment, equipment setup, education and troubleshooting in areas of bronchial hygiene and lung expansion, home oxygen use, airway care, CPAP and Bi-Level machine and related equipment use, and COPD case management in the outpatient setting. Will demonstrate the ability to utilize computer-based technologies, software and programs Work Schedule: Rotating shift- 7-3:30pm; 3:30pm-MID, 11pm-7am Telework: Not Available Position Title/Functional Statement #:Registered Respiratory Therapist/PD21P29A Bargaining Unit: Yes 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.