Respiratory Care Practitioner II Registered

Kaiser Permanente • San Francisco, CA

133d

About The Position

Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system.

Requirements

• At least three (3) years regular (20 hours or more per week) of recent experience as Respiratory Care.
• High school diploma OR General Education Diploma (GED) required.
• Graduate from a respiratory care education program supported by CoARC or accredited by CAAHEP, with 62 semester hours of college credit, including a background in the basic sciences, or baccalaureate degree in an area other than respiratory care or Associates of Arts or Science degree.
• Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from this educational requirement.
• Respiratory Care Practitioner License (California) from National Board of Respiratory Care.
• Basic Life Support certification.
• Registered Respiratory Therapist Certificate.

Nice To Haves

• Registered by the National Board for Respiratory Care.
• Certified or Registered Pulmonary Function Technologist by the National Board for Respiratory Care preferred.
• Neonatal/Pediatric Specialist by the National Board preferred.
• At least one year of recent critical care experience preferred.
• At least one year of clinical experience in neonatal/pediatric respiratory care preferred.
• Depending on the particular specialty, ACLS, NRP or PALS may be required.
• Keyboard skills preferred.
• Registered by the Board of Registered Polysomnographic Technologists preferred.

Responsibilities

• Reads and evaluates physicians orders, clarifying as needed.
• Accurately transcribes physician orders to electronic charting system or departmental patient master.
• Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner.
• Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview.
• Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages.
• Determines modifications to physician orders, which optimize patient care and makes recommendations to physician.
• Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring.
• Performs procedures and interprets results: ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction.
• Selects, assembles and checks equipment for cleanliness, proper function and safe operation.
• Ensures proper function and ready availability of respiratory related life support equipment.
• Troubleshoots and performs minor repairs of equipment.
• Operates all medical equipment within manufacturer and department guidelines to safely treat patients.
• Checks and adjusts alarms.
• Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome.
• Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, and/or achieve adequate ventilation and oxygenation.
• Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response.
• Documents all required information in the medical record according to departmental policy and procedure.
• Initiates pressure-cycled/volume-cycled/high frequency ventilation.
• Weans/modifies mechanical ventilation according to assessment and physician orders.
• Assists with or performs extubation.
• Conducts patient education and disease management.
• Performs cardiopulmonary resuscitation according to resuscitation guidelines.
• May assist with or perform intubation.
• May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and intubation.
• May participate in land/air critical care transport.
• May assist with high risk deliveries.
• May assist with surfactant replacement in neonates.
• May participate in pulmonary rehabilitation, home care.
• May assist with discharge planning.
• May assist with community outreach.
• May initiate and implement therapist driven protocols.
• May assign, organize and coordinate the work of assigned Respiratory Care Practitioners.
• May demonstrate respiratory care procedures to trainees and other health care personnel.
• May train assigned practitioners and complete assigned practitioner competency reviews.
• Contributes to departmental quality improvement activities.
• May schedule staff and perform staffing functions.
• Assesses priorities for delivery of patient care and redistributes resources as necessary throughout shift.
• Protects data from intentional or unintentional destruction, modification, or disclosure.
• Maintains a current knowledge base of departmental information management systems, including collection, maintenance, and dissemination of information, as well as appropriate audit trails.
• May develop policies and procedures, both clinical and administrative.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED