About The Position

The Respiratory Care Practitioner II provides respiratory care through patient assessment, planning, intervention, education, and evaluation. The practitioner performs respiratory care procedures such as oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services, and patient and staff education. They monitor patients’ responses to therapies and recommend changes or modifications based on assessment findings. The role may include serving as shift Charge Therapist, assisting physicians with procedures, responding to cardiopulmonary resuscitations, and serving as a preceptor to new team members or students. The practitioner assesses patients, delivers and adjusts prescribed therapies, maintains airways and respiratory equipment, performs or assists with diagnostic procedures, interprets relevant clinical data, and teaches patients and families about respiratory care. Additional job-related duties may be assigned by a supervisor, subject to reasonable accommodation.

Requirements

  • Two years of experience as a Respiratory Care Professional.
  • Current Respiratory Care License in the state where working.
  • National Board for Respiratory Care (NBRC) credential.
  • BLS Basic Life Support certification from the American Heart Association.
  • ACLS Advanced Cardiac Life Support certification from the American Heart Association or Red Cross.
  • PALS Pediatric Advanced Life Support certification from the American Heart Association.
  • Strong interpersonal skills and ability to interact effectively with patients, families, physicians, and staff.
  • Good communication, customer service, organizational, and time-management skills, including oral and written communication.
  • Ability to work effectively with diverse people, receive feedback, gather and interpret data, and demonstrate accountability.
  • Knowledge of non-invasive respiratory therapy equipment, such as oximeters and end-tidal CO2 analyzers.
  • Knowledge of therapeutic procedures including CPAP/BiPAP, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high-flow oxygen, continuous aerosols, ventilator management, and diagnostic testing.
  • Understanding of EKGs, electronic monitoring, lead placement, and basic arrhythmias.
  • Ability to perform arterial blood gas punctures and testing, airway maneuvers, bedside pulmonary function testing, patient assessment, and patient education.
  • Knowledge of chest suction equipment and chest X-ray interpretation.

Nice To Haves

  • Bachelor’s degree related to Respiratory Therapy, health care, healthcare administration, or business administration.
  • Registered Respiratory Therapist (RRT) credential.
  • Neonatal Resuscitation Program (NRP) certification from AAP/AWHONN.
  • Certified Pulmonary Function Technologist (CPFT) credential.
  • Registered Pulmonary Function Technologist (RPFT) credential.
  • Adult Critical Care Specialist (ACCS) credential from NBRC.
  • EPIC Electronic Health Record (EHR) training.
  • Valid driver’s license for Home Care/DME roles.

Responsibilities

  • May serve as shift Charge Therapist, ensuring adequate respiratory care staffing, assigning or modifying work assignments, assisting with meal coverage, responding to call-offs, and arranging adequate staffing for the next shift.
  • May assist physicians with procedures including bronchoscopy, transtracheal catheter insertion, tracheotomy or intubation where applicable, tracheostomy and endotracheal tube changes, and invasive monitoring.
  • Perform CPR, including closed-chest compressions and airway management, in accordance with AHA ACLS protocol.
  • Conduct therapeutic procedures to maintain a patient airway, including airway placement and maintenance, humidification, secretion aspiration, extubation, ETT cuff pressure maintenance, and documentation.
  • Select, assemble, monitor, and evaluate mechanical ventilators; correct malfunctions, maintain cleanliness, and determine suitability for the patient’s condition.
  • May perform pulmonary function tests.
  • Serve as a preceptor to new team members and/or students.
  • Assess patients through inspection, palpation, auscultation, percussion, observation of behavior, and review of patient records and existing data.
  • Perform ordered treatments, explain therapies and goals to patients, and modify procedures based on patient response.
  • Determine whether prescribed therapies are appropriate and recommend methods to physicians to achieve therapeutic goals, including IPPB, aerosol therapy, postural drainage and percussion, ultrasonic nebulizers, incentive spirometry, and metered-dose inhalers with spacers.
  • Set up and maintain oxygen therapy modes to maintain adequate PaO2 with accurate inspired oxygen levels.
  • Administer IPPB and aerosol therapy; prepare prescribed medications, adjust equipment to meet individual clinical needs, monitor and document patient response and vital signs, and identify adverse reactions or concerns about therapy appropriateness.
  • Provide postural drainage, vibration, and percussion; review orders and X-rays, and assess patients before and after treatment for secretion clearance and response.
  • Instruct patients and families in incentive spirometry, MDI administration, postural drainage and clapping, oxygen therapy, ventilator care, and home aerosol therapy.
  • Obtain sputum specimens or support airway clearance through patient coaching, mucolytics, aerosol therapy, or endotracheal/nasopharyngeal suctioning.
  • Evaluate normal and pathologic blood and urine laboratory value ranges.
  • Perform arterial punctures and analyses, and interpret arterial blood gases (ABGs).
  • Perform arterial line procedures, including safety precautions, sterile technique, flushing, and ABG aspiration.
  • May perform EKGs and apply knowledge of electronic monitoring, lead placement, and basic arrhythmias.
  • Maintain respiratory therapy equipment and supplies.
  • Respond to cardiopulmonary resuscitations and participate as indicated by clinical circumstances.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
  • Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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