Respiratory Therapist; RT Nights

Hacienda Health Care
Welcome to Hacienda Health Care, the organizational “umbrella” for several Phoenix-based health care programs and services for infants, children and young adults. Hacienda Health Care traces its roots to 1967 when it was founded in Phoenix as “Hacienda de los Angeles” and operated as a single facility serving three children. Today, it offers over 30 programs and services designed to specifically address the medical and therapeutic needs of medically fragile infants, children, teens and young adults, as well as those with developmental and intellectual disabilities.

Summary
:
Under general supervision the respiratory therapist will perform all respiratory care related duties and will strive meet the needs of Hacienda Healthcare clients at all times while on duty. This is a safety sensitive position.

Essential functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Patient assessment and advocate as indicated
• Maintain all department and facility/hospital records and enters accurate and complete information in the patient chart.
• RT will demonstrate abilities in providing respiratory care, including but not limited to, emergency care, teaching, development, and the performance of routine procedures and care and maintenance of equipment.
• After thorough review of the chart to verify proper prescription by a physician, and appropriateness of the procedures ordered, will perform procedures accurately and in a timely manner, and as described in the policy and procedure manual:
• Applying and monitoring oxygen therapy: tank, tent, mask, cannula, walker, high flow, etc.
• Administering pharmacological agents to the cardiopulmonary system.
• Sets up and administers all routine and complex respiratory therapy procedures to patients of all ages in all areas identified as prescribed by the physician.
• Artificial airway care to include the maintenance and care of tracheostomies, trach dressing, trach tube, inner cannulas, and trach tie changes.
• Cardiopulmonary resuscitation.
• Responsible for the application and operation of acute and home care ventilators used for continuous short and long-term mechanical ventilation of adults, pediatrics and neonates.
• Bronchial hygiene therapy: CPT manual, Postural Drainage, Therapy Vest, Vibration, Cough Assist (Mechanical Insufflation and Exsufflation).
• Respiratory rehabilitation therapy including Incentive Spirometry.
• Education and supervision of patient family/caregivers in respiratory program. As well as respiratory students and new staff.
• Aerosol Therapy.
• All other procedures as described in the policy and procedure manual.
• Therapists are expected to be self-directed in absence of the Charge RT or Supervisor.
• Maintenance and upkeep of respiratory equipment.
• Transcribe and implement the written or verbal orders of physician pertaining to the practice of respiratory care.
• Observes and monitors signs and symptoms, general behavior, general physical response to respiratory care treatment and diagnostic testing, including a determination of whether these signs, symptoms, reactions, behavior or general response exhibits abnormal characteristics.
• Performs assessment of the patient, determining needs related to the frequency and duration of the treatment regime ordered by the MD. Requests orders when necessary and communicates with nurse and physician about discrepancies and concerns.
• Implements appropriate reporting, referral; respiratory care protocols or changes in treatment based on observed abnormalities and pursuant to a prescription by a physician.
• Non-invasive monitoring.
• Mechanical ventilation, IPPB, CPAP, BiPAP Therapy
• Arterial puncture for the purpose of blood gas analysis
• Proper use of i-STAT blood analysis system, including physician orders, documentation and maintenance of equipment.
• Responds quickly and professionally to all alarms and answers patient call lights in a pleasant and professional manner.
• Accurate and complete documentation of all therapies given, patient response to therapies and patient respiratory status or change of condition.
• Provides complete walk around report to on-coming…