Respiratory Therapist II at Nuvance Health

Description

Per Diem Respiratory Therapist

Summary:

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.

Responsibilities:
1. Provides respiratory support for patients on ventilators (adults, pedi, and neonatal) by monitoring, evaluating, and making clinical judgements. 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 asses patient care decisions.
2. Responsible for the implementation of Respiratory Care procedures. Evaluates and makes recommendations in the 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 but is not limited to therapeutic and diagnostic administration of medical gases, humidification and aerosols, administration of drugs and medications to the cardiorespiratory systems, 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. Responsible for the implementation of Respiratory Care procedures. Evaluates and makes recommendations in the therapies rendered. Criteria B: Contributes data  for CQI when assigned or upon recognition of particular need. Responsible for the implementation of Respiratory Care procedures. Evaluates and makes recommendations in the therapies rendered according to approved policy, procedure and protocols. Criteria C: Delivers non standard modes of therapy after appropriate training (including Hyperbaric Oxygen therapy).
3. Documentation of therapy. Criteria A: 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.
4. 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 PFT's and troubleshoots / repairs lab equipment). Criteria A: Performs tests accurately using proper techniques.
5. Provides safe administration of mixed medical gases. Helps maintain inventory and ventilator readiness. Criteria A: 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. Provides safe administration of mixed medical gases. Helps maintain inventory and ventilator readiness. Criteria B: Assists with ordering/stocking of equipment and pre-use checks of ventilators. Provides a neat, clean working environment.
6. Annual competencies - Servo i, Draeger V500, V60,  AVEA , MRI compatible ventilators, Transport Ventilators Criteria A: Ensures that competencies are completed in a timely manner Criteria B: assists with department competency training on specific modalities for both current staff members and orientation of new hires in the department.
7. 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. Criteria A: Reports all necessary facts and provides appropriate information based on scientific fact and/or clinical experience. Interacts with patients and families to provide information and support for diagnosis/therapies. Criteria B: Documents patient education in the electronic health record.
8. Performs other duties as assigned.
9. Fulfills all compliance responsibilities related to the position.

Other information:

Required: Associate's degree from an accredited Respiratory Care Program.
Minimum Experience: one year.
Licensure in State of Connecticut, Dept. of Public Health License as a Respiratory Care Practitioner (RCP).

Bachelor's Degree preferred.

Maintain Registry Credential from the National Board for Respiratory Care.
Maintain Connecticut State Licensure as  Respiratory Care Practitioner.

Location: Norwalk-34 Maple St

Work Type: Per Diem

Standard Hours: 4.00

FTE: 0.010000

Work Schedule: Day/Night 8 & 12

Work Shift: 6:45am-3:15pm/6:45am-7:15pm/6:45pm-7:15am/10:45pm-7:15am

Org Unit: 366

Department: Pulmonary Medicine

Exempt: No

Grade: S10

Salary Range: 

$31.2528 - $58.0482 Hourly

Credentials:
Essential:
* Basic Life Support
* National Board for Respiratory Care
* Respiratory Care Practitioner

Education:
Essential:
* Associate's Level Degree

Working conditions:
Essential:
* Significant manual skills / motor coord & finger dexterity
* Some occupational risk
* Medium to Heavy effort. May exert up to 35 lbs. force
* Some exposure to dirt, odors, noise, human waste, etc.

EOE, including disability/vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.