Respiratory Care Practitioner II

Methodist Hospital Sacramento•Sacramento, CA

1d•Onsite

About The Position

As our Respiratory Care Practitioner, you will competently provide essential respiratory care for neonate, pediatric, adult, and geriatric patients. Your expertise is vital for critical respiratory interventions and patient well-being. Every day you will perform arterial punctures, continuous ventilation, airway maintenance, emergency care, infection control, isolation procedures, mechanical ventilator operation, cardiopulmonary resuscitation, and medical gas administration. To be successful, you will possess advanced clinical skills in all aspects of respiratory care across age groups, meticulous attention to detail, a strong commitment to patient safety and infection control, and the ability to perform effectively in emergencies. Work area: (% of time: 50%) Works in at least 3 of the following areas: Shift lead, ER, ICU, CSICU, ABG/Pulmonary Lab, Peds, non-critical acute adult areas. Must maintain proficiency to work in at least 3 areas 100% of the time. Specialized Skills: (% of time: 5%) Able to assist in with bronchoscopies, be able to act as a willing preceptor to newer employees, students, or staff upgrading their ICU skills, inservicing co-workers and RNs, able to perform bedside PFTs, able to manage complex modes of ventilation. Able to < 3 areas = 1, Able to do 3 of these areas = 2, Able to do > 3 of these areas = 3. Productivity/billing: (% of time: 10%) Documents accurately time spent with patients and bills accordingly. Completes all necessary paperwork properly, and billing is completed by the end of the shift. Completes data collection forms when necessary. Billing and paperwork are completed properly < 80% of the time = 1, billing and paperwork are completed properly 80% - 95% of the time = 2, billing and paperwork are completed properly 95 100% of the time = 3. (Measurements based on department averages of billing and manager/specialist audits) ICU Skills: (% of time: 15%) Sets up, maintains, performs and/or monitors a variety of complex respiratory procedures to critically ill patients. This includes mechanical ventilation, participation in clinical rounds, capnography, waveform analysis, specialty modes of ventilation, weaning parameters, and the ability to follow weaning protocols. 4 or more omissions or episodes of not following department policies per year = 1, 2 4 episodes of not following department policies per year = 2, Less than 2 episodes of not following department policies per year = 3. Patient Assessment: (% of time: 7%) Complete assessment done on each patients including documentation according to department policy. Completes the proper assessment and charting forms. Makes sound clinical decisions concerning appropriate patient care. Documents therapeutic goals and charts progress toward goals. Performs poor documentation or inappropriate clinical decisions > 5 times per year = 1, Performs poor documentation or inappropriate clinical decisions 2-5 times per year = 2, Performs complete documentation with sound clinical decisions with < 2 exceptions per year = 3. Infection Control: (% of time: 3%) Proper hand washing technique is demonstrated consistently. Equipment changes are done as outlined in department policy. To include: New labeled equipment and labeled equipment bag. Follows universal precautions and infection control policies. There are no more than 4 omissions per year. 4 or greater omissions per year = 1, 3 omissions per year = 2, 2 or fewer omissions per year = 3. Patient Education: (% of time: 5%) Instructs patients and families while maintaining patient confidentiality. Teaches patients about their disease process, treatment modalities, proper medication usage, goals and objectives of therapy. Utilizes appropriate clinical pathways and teaching tools available such as Asthma and COPD education packets. Refers to outpatient programs when appropriate. Documents teaching per department policy. Utilizes equipment appropriately for patients age. Performs education appropriately < 90% of the time = 1, Performs education appropriately 90-96% of the time = 2, Performs education appropriately 97% of the time or greater = 3.

Requirements

Two (2) years minimum acute care experience, with 1 year of critical care experience.
Completion of an AMA approved respiratory therapy program.
Licensed Respiratory Care Practitioner with the State of California.
BLS from AHA.
ACLS
PALS
NRP

Responsibilities

Competently provide essential respiratory care for neonate, pediatric, adult, and geriatric patients.
Perform arterial punctures, continuous ventilation, airway maintenance, emergency care, infection control, isolation procedures, mechanical ventilator operation, cardiopulmonary resuscitation, and medical gas administration.
Work in at least 3 of the following areas: Shift lead, ER, ICU, CSICU, ABG/Pulmonary Lab, Peds, non-critical acute adult areas.
Assist in with bronchoscopies.
Act as a willing preceptor to newer employees, students, or staff upgrading their ICU skills.
Inservice co-workers and RNs.
Perform bedside PFTs.
Manage complex modes of ventilation.
Document accurately time spent with patients and bills accordingly.
Complete all necessary paperwork properly, and billing is completed by the end of the shift.
Complete data collection forms when necessary.
Set up, maintain, perform and/or monitor a variety of complex respiratory procedures to critically ill patients.
Include mechanical ventilation, participation in clinical rounds, capnography, waveform analysis, specialty modes of ventilation, weaning parameters, and the ability to follow weaning protocols.
Complete assessment on each patient including documentation according to department policy.
Complete the proper assessment and charting forms.
Make sound clinical decisions concerning appropriate patient care.
Document therapeutic goals and chart progress toward goals.
Demonstrate proper hand washing technique consistently.
Perform equipment changes as outlined in department policy.
Follow universal precautions and infection control policies.
Instruct patients and families while maintaining patient confidentiality.
Teach patients about their disease process, treatment modalities, proper medication usage, goals and objectives of therapy.
Utilize appropriate clinical pathways and teaching tools available such as Asthma and COPD education packets.
Refer to outpatient programs when appropriate.
Document teaching per department policy.
Utilize equipment appropriately for patients age.