Respiratory Therapist

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Salary Range
$39.38 - $63.44

Employees of Confluence Health benefits include medical, dental & vision insurance, flexible spending accounts & health saving accounts, CH Wellness Program, paid time off, generous retirement plans, life insurance, long-term disability, gym membership discount, tuition reimbursement, employee assistance program, adoption assistance, and shift differential.

Up to $10,000 in Bonuses! $5,000 Sign On Bonus and $5,000 Retention bonus after one year. Applies to external candidates and requires one year commitment to Confluence Health.

Provides bedside respiratory care to patients as assigned by supervisors and given on the physician s written order for both in house and out patient care. Position

Reports To:

Clinical Manager of Respiratory Care.

• Responsible for the safe and effective administration of medically prescribed medications, knowing their indications and contraindications.
• Assures proper physician order before administration of medication as evidenced by QA.
• Knows and follows the indications and contraindications, the policy and procedures in administering therapeutic modalities to include:
  Nebulizer, CPT, Flutter Valve, CPAP/BiPAP, High Flow.
• Assures proper physician order before treatment administered as evidenced by QA.
• Discontinues treatment if any adverse or contraindication noted and documented in patient chart at time of occurrence as well as notifying the appropriate staff member, i.e., nurse, physician.
• Sets up and monitors all oxygen aerosol administration
• Maintains oxygen cylinders in proper carriers at all times as observed by manager. Gauges are to be checked each shift to assure proper working condition. Broken gauges are to be replaced immediately, broken gauge placed in container for broken equipment and marked.
• Be a member of the code team responding to arrest situations. Maintains current BLS, ACLS, PALS and NRP cards. Performs external compression when needed in a code situation. Proper handling and usage of hand resuscitator and assures proper function during code. Utilizes proper technique as observed/reported by code team participants.
• Performs all aspects of artificial airway care. Able to perform deep blind tracheal suctioning on patients.
• Familiar with measuring devices to include, but not limited to, pulse oximeter, Wrights respirometer, oxygen blenders. According to policy and procedure upon physician s written order oxygen Sat. obtains values and documents in patient records. According to policy and procedure upon physician s written request obtains mechanics with Wrights respirometer, manometer, cuff/pressure, and documents in patient s records.
• Responsible for the set up, safety check, monitoring, and troubleshooting of mechanical ventilators. Upon physician s written order, sets up parameter on ventilator, pressure check, and documents in patient s flow sheet. Performs ventilator checks every three hours during assigned shift as documented on flow sheet. As a weaning process, places patient on CPAP as ordered by physician within an hour and documents in flow sheet upon completion of change.
  
  Cuff pressures are to be measured every shift and documented on flow sheet when completed. Tubing, handheld nebulizers and hand resuscitators are changed as per department policy and documented on patient s flow sheet and department records.
• Familiar with CPAP setup and administration of CPAP.
• Maintains accurate and legible records, documenting clinical notes in patient s charts. Accurate and legible notes are to be kept in patient records as evidenced by QA. Treatments are not discontinued unless proper notification is given. Assures Kardex system is current and complete by end of shift as evidenced by shift report; i.e., full name, room number,…