Respiratory Care Practitioner III - Critical Care Transport - St. Mary's Hospital

Bon Secours Mercy Health•Richmond, VA

4d•Onsite

About The Position

Thank you for considering a career at Bon Secours! Bon Secours is a faith-based and patient-focused organization dedicated to enhancing the health and well-being of all people in mind, body, and spirit through exceptional patient care. We foster a culture of compassion, collaboration, excellence, and respect, seeking individuals committed to our values. The Respiratory Care Practitioner III - Mobile ICU/Critical Care Transport is responsible for providing comprehensive respiratory care, including patient assessment, planning, intervention, education, and evaluation. This role involves performing all respiratory care procedures, such as oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services, and patient/staff education. The practitioner monitors patient responses to therapies and makes recommendations for modifications. Candidates with at least one year of experience may be eligible for a sign-on bonus up to $15,000 (rules and restrictions apply; internal BSMH associates are not eligible).

Requirements

Current Respiratory Care License in the state they are working
National Board for Respiratory Care (NBRC) credentialed
BLS Basic Life Support - American Heart Association
ACLS Advanced Cardiac Life Support - American Heart Association or Red Cross
PALS Pediatric Advanced Life Support - American Heart Association
Two years of experience as a Registered Respiratory Therapist or five years CRT; and demonstrated Clinical Competency in at least two of the following environments: Nursery/NICU, PICU, ICU/CCU, ED, and general care areas.
Strong interpersonal skills and able to effectively interact with patients, their families, physicians, and other staff members
Good communication skills
Able to effectively work with diverse people
Good customer service skills
Good organizational skills and time management skills
Good oral and written communication
Able to receive feedback
Able to gather and interpret data
Accountability
Knowledge of non-invasive respiratory therapy equipment such as oximeters or end-tidal CO2 analyzers
Therapeutic Procedures to include CPAP/BiPap, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high flow oxygen, continuous aerosols, ventilator management, diagnostic testing.
Understanding of EKGs, electronic monitoring, lead placement, and basic arrhythmias.
Arterial blood gas punctures and testing
Airway maneuvers
Bedside pulmonary function
Patient assessment
Patient education
Knowledge of chest suction equipment
Knowledge of chest X-ray interpretation

Nice To Haves

Bachelor's Degree, Related to Respiratory Therapy/Health care/Healthcare Admin/Business Admin
Master's Degree, Related to Health care/Healthcare Admin/Business Admin
Registered Respiratory Therapist (RRT)
NRP (Neonatal Resuscitation Program) - AAP/AWHONN
Certified Pulmonary Function Technologist (CPFT)
Registered Pulmonary Function Technologist (RPFT)
ACCS (Adult Critical Care Specialist) - NBRC
EPIC Electronic Health Record (EHR) training

Responsibilities

Provides clinical instruction and/or in-service training to department staff, other healthcare team members, and students.
Provides support to clinical learning through mentorship, clinical rounds, and practice evaluation.
Provides clinical leadership for the advancement of professional respiratory practice to staff in intensive care, general care, and outpatient services.
Provides feedback for coaching and performance evaluations of team members.
Assists with identifying quality improvement initiatives and designing programs with measurable outcomes.
Leads clinical research initiatives, ensuring education, training, and implementation of study design.
May be responsible for data collection, accurate record keeping, and product evaluation and assessment.
Actively participates in facility councils and committees.
Serves as the shift “Charge Therapist” with responsibility for ensuring adequate respiratory care staff coverage, assigning staff, modifying assignments, assisting with meal coverage, fielding call-offs, and ensuring adequate staffing for the next shift.
May assist physicians performing procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy, and invasive monitoring.
Performs CPR, including closed chest compressions and airway management techniques in accordance with AHA ACLS protocol.
Conducts prescribed therapeutic procedures to achieve maintenance of a patient airway, including use of appropriate airways, maintenance of airway humidification, aspiration of secretions, extubation, and maintenance of correct ETT cuff pressures, documenting procedures in patient and department records.
Selects, assembles, monitors, and evaluates mechanical ventilators for proper function and operation, including correction of malfunctions, cleanliness, and determining appropriateness for patient condition.
May perform pulmonary function tests (PFT).
Serves as a preceptor to new team members and/or students.
Assesses patient's physical status by inspection, palpation, auscultation, percussion, patient behavior, and reviewing existing data.
Performs treatments according to physician orders, explains therapy and goals to the patient, and modifies treatment procedures based on patient response.
Determines appropriateness of prescribed therapy and recommends methods to the physician to achieve therapeutic goals.
Sets up and maintains different modes of oxygen therapy to maintain adequate PaO2’s with accurate inspired levels of oxygen.
Administers intermittent positive pressure breathing (IPPB) or Aerosol Therapy by preparing prescribed medication, adjusting the machine, documenting and observing patient response, and using judgment to determine possible adverse reactions and suggestions for therapy appropriateness.
Gives postural drainage, vibration, and percussion to ensure proper drainage of bronchial secretions, checking orders and X-rays prior to treatment, and auscultating before and after the procedure.
Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural drainage and clapping, oxygen therapy, ventilator care, and home aerosol therapy.
Procures sputum for culture and sensitivity or airway clearance through patient coaching, administration of mucolytics, aerosol therapy, or endotracheal/nasopharyngeal suctioning.
Evaluates normal and pathologic blood and urine laboratory value ranges.
Performs arterial punctures and analysis, with in-depth knowledge of analysis and arterial blood gas (ABG) interpretation.
Performs arterial line procedures, taking safety precautions, sterile procedures, flushing, and ABG aspirations.
May perform EKGs, understanding electronic monitoring, lead placement, and basic arrhythmias.
Maintains all Respiratory Therapy equipment and supplies.
Responds to cardio-pulmonary resuscitations and actively participates as indicated by clinical circumstances.