Registered Respiratory Therapist II

Job Summary

Respiratory Therapist Per Diem Opportunity! Per Diem Day/Night shifts as needed.

Responsible for clinical evaluation of patients and delivery of respiratory care as required. Participate in activities that enhance the role and recognition of the registered respiratory therapist.

• Provides respiratory support for patients on ventilators (adults, pedi, and neonatal) by monitoring, evaluating, and making clinical judgments. Criteria A:
  Performs therapeutic modalities with a full understanding of pathophysiology and indication for therapy. Takes appropriate action if such therapy is contraindicated or side effects develop. Uses special monitoring skills such as ECG, physiologic data, lab results, ventilator graphics, A‑lines and end‑tidal CO2 when available to assess patient care decisions.
• Responsible for the implementation of respiratory care procedures. Evaluates and recommends therapies rendered. Criteria A:
  Evaluates, prepares and instructs patients. Performs basic assessments i.e., auscultation of breath sounds, pulses, respiratory pattern and rate, color, cough, and sputum to assess appropriateness of therapy. Recommends therapy and changes as needed. Care delivered includes therapeutic and diagnostic administration of medical gases, humidification and aerosols, administration of drugs and medications, ventilator assistance, postural drainage, chest physiotherapy, vest therapy (HFCWO), breathing exercises, incentive spirometry, pulmonary rehabilitation, cardiopulmonary resuscitation and maintenance of natural and artificial airways as well as insertion of artificial airways.
  
  Criteria B:
  Contributes data for CQI when assigned or upon recognition of particular need. Criteria C:
  Delivers non‑standard modes of therapy after appropriate training (including hyperbaric oxygen therapy).
• Documentation of therapy. Responsible for accurate, timely documentation of treatment in the patient’s record. Information is to be charted in the appropriate record in complete detail. These records are the treatment card and the Cerner electronic health record.
• Provides pulmonary function testing and evaluations when required including arterial blood gases, obtaining blood samples from indwelling arterial catheters, blood gas analysis, bedside spirometry, pulse oximetry and titration, measurement of ventilator volumes, flows and pressures, and Q/C for the blood gas analyzers. Advance level performs PFTs and troubleshoots/repairs lab equipment. Criteria A:
  Performs tests accurately using proper techniques.
• Provides safe administration of mixed medical gases. Helps maintain inventory and ventilator readiness. Chooses and prepares proper equipment, implements therapy and monitoring devices safely. Complies with infection control policies, aseptic and sterile techniques, hand washing and equipment changes. Uses equipment safely. Cares for equipment, identifies problems and makes recommendations. Minimizes waste and damage.
• Annual competencies – servo i, Draeger V500, V60, AVEA, MRI compatible ventilators, transport ventilators. Ensures competencies are completed timely. Assists with department competency training on specific modalities for both current staff and orientation of new hires.
• Provides instruction for respiratory and nursing students, medical staff, patients and families. Interacts with patients and families to provide information and support for diagnosis/therapies. Reports all necessary facts and provides appropriate information based on scientific fact and/or clinical experience. Documents patient education in the electronic health record.
• Performs other duties as assigned.
• Fulfills all compliance responsibilities related to the position.

• Education:
  
  Associate’s degree from an accredited Respiratory Care Program. Bachelor’s Degree preferred.
• Minimum Experience:
  
  one year.
• Licensure:
  State of Connecticut, Dept. of Public Health License as a Respiratory Care Practitioner (RCP).
• Maintain Registry Credential from the National Board for Respiratory Care.
• Maintain Connecticut State Licensure as Respiratory Care Practitioner.
• Credentials: BLS, NBRC, RESP.

Manual: significant manual skills/motor coordination & finger dexterity.

Occupational:
Some occupational risk.

Physical Effort:
Medium to Heavy effort. May exert up to 35 lbs. force.

Physical Environment:
Some exposure to dirt, odors, noise, human waste, etc.