About The Position

Under general supervision from the Respiratory manager and/or Director, and in accordance with the policies and guidelines established within the organization. Routinely functions in patient care areas of the hospital. The respiratory therapist follows the provider prescription and/or established policies and procedures, initiates and administers respiratory care to patients with cardiopulmonary abnormalities and deficiencies. Serves as a resource of knowledge to providers, nurses and other hospital team members regarding advanced respiratory diagnosis and rehabilitation.

Requirements

  • Associate’s degree in Respiratory Therapy (AS), Bachelor’s degree preferred.
  • Current Respiratory Therapist license in the State of Michigan license is required.
  • For anyone hired after 2004, Registered Respiratory Therapist credentials (RRT) is required within 1 year of hire.
  • Must attend courses through AHA: BLS, ACLS, PALS and AAP-NRP to become certified per site requirements. All sites require BLS certification within 3 months of hire. ACLS, PALS and NRP (site specific certifications are required within 1 year of date of hire
  • FOR BLH ONLY: Associates degree OR Graduation from hospital-based program and 5 years of experience. Bachelors preferred.

Responsibilities

  • Supports the mission, vision and values of the hospital.
  • Responsible for working in a safe and protective manner at all times keeping in mind that safety and environmental hazards are the responsibility of all employees for themselves, other staff members and patients.
  • Provides patient’s respiratory therapy and communicates findings to appropriate personnel.
  • Evaluates objective and subjective information in a logical and thorough manner.
  • Discusses conclusions with providers and nurses to resolve patient problems promptly.
  • Routinely evaluates blood gases (both invasive and non-invasive) in a logical and thorough manner.
  • Discusses conclusions and suggests therapy changes based on ABG results.
  • Communicates ventilator recommendations to providers and nursing based on patient evaluation and blood gases.
  • Checks that provider orders are complete and administers therapy accordingly.
  • Performs all respiratory therapies (age-specific) in accordance with provider orders, protocols, or guidelines.
  • Explains therapy to the patient in understandable terms according to age/learning capabilities.
  • Assesses the patient’s response to therapy and makes recommendations to the provider accordingly or according to protocol guidelines if appropriate.
  • Administers, assesses and titrates oxygen therapy
  • Assesses patient response and modifies therapy according to respiratory protocols.
  • Notifies Manager, nursing personnel and providers of any adverse patient reactions.
  • Performs cardiopulmonary resuscitation and assists with “Code Blue”, as necessary.
  • Arrives at “Code Blue” in a timely manner.
  • Performs appropriate life support according to BLS, ACLS, NRP and PALS guidelines as per site specific responsibilities
  • Assists provider or performs (If competency complete) with tracheal intubation.
  • Routinely maintains artificial airways (endotracheal tube and tracheostomy tubes) in accordance with department policy (i.e. suctioning and securing endotracheal tubes).
  • Maintains stability of artificial airways.
  • Assure tube security and repositions endotracheal tubes according to policy.
  • Is able to appropriately utilize infant and pediatric resuscitation equipment in emergency situations, including PEEP adaptions and pop-off valves.
  • Provides assistance with patient and family education along with other members of the healthcare team.
  • Performs basic pulmonary function testing, EKG’s, arterial blood gases, pulse oximetry, end tidal CO2 monitoring and transcutaneous oximetry in accordance with outlined departmental policies and procedures.
  • Assists with bedside bronchoscopies, intubations, and extubations in accordance with outlined departmental policies and procedures, Performs naso-tracheal, endo-tracheal, tracheal suction and sample collections in accordance with departmental policies and procedures.
  • Must be able to assist with patient transport via walking, wheelchair, gurney, or crib for safe delivery of continuum of care.
  • May be responsible for assisting with ambulance transports within one facility to another.
  • Accurately communicates patient diagnosis and therapy at change of shift reports.
  • Accurately charges patients for all therapies performed.
  • Takes an active role in the supervision and instruction of Respiratory Care students.
  • Completes the required preceptor course.
  • Works with students to develop their clinical skills.
  • Works in response to fluctuations in patient census and relative value units.
  • Works overtime when necessary.
  • Changes shift hours for department needs.
  • Maintains and cleans respiratory equipment for readiness and supply availability.
  • Orients and instructs others (new department personnel, nursing, students and respiratory personnel) in Respiratory Care procedures as required.
  • Attends in-services and on-line learning and is compliant with minimal working requirements and education without prompting from manager.
  • Participates in department and hospital-wide organizational process improvement activities.
  • Performs and assumes personal responsibility for related duties as required and/or assigned per site specific
  • Actively participates in departmental quality assurance and hospital wide organizational performance improvement initiatives.
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