Respiratory Therapist - Per Diem

WASHOE BARTON MEDICAL CLINICGardnerville Ranchos, NV
Onsite

About The Position

This position performs respiratory therapy procedures per protocol and those ordered by physicians to improve the cardiopulmonary conditions of patients from newborn to geriatric ages. Respiratory therapists work with patients in the intensive care unit, emergency room, and medical/surgical unit, and may provide respiratory care at secondary care sites with the mission and obligations of Carson Valley Health. This position also performs 12 lead EKGs and outpatient respiratory procedures that include pulmonary function testing and overnight oximetry testing. Per Diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.

Requirements

  • Graduate of an approved school of respiratory care.
  • Working-level knowledge of the English language, including reading, writing, and speaking English.
  • Computer literacy.
  • State of Nevada Board of Medical Examiners Respiratory Care Practitioner License.
  • Registered Respiratory Therapist (RRT) (NBRC - National Board for Respiratory Care).
  • AHA approved ACLS, PALS and BLS certification.
  • Provide on-call availability for a minimum of 7 work shifts every 6 months.
  • Two years of past work experience as a RRT in an acute care setting.

Responsibilities

  • Evaluates and assesses each patient’s pulmonary status by reviewing the medical record for history and physical, consultations, surgery reports, radiology and laboratory values, and any other pertinent documentation.
  • Assesses patient’s condition through interviews and direct observation, including but not limited to vital signs, patient color, skin turgor, chest inspection, auscultation, sputum production, etc. with each patient interaction as indicated, including before and after therapeutic interventions.
  • Uses data, facts, literature and consultation with the patient/family to make decisions that optimize patient outcomes.
  • Provides physiological and psychological care in accordance with evidence based practice, Carson Valley Medical Center policies, and Nevada Revised Statues.
  • Initiates and documents assessment in the patient’s medical record and department records consistent with department policies and practices.
  • Remains current on all competencies, certifications, and training.
  • Provides a thorough concise report at change of shift or upon transfer of patient to another clinical area. Inclusive of: diagnosis, ventilator parameters, care plan, physician comments, diagnostic and lab reports, treatment schedule and impending activities (CT scan, Surgery, MRI, transport, etc.).
  • Integrates the respiratory care of the patient with other care providers to achieve desired results.
  • Responsible for the proper documentation of all patient records and department logs.
  • Keeps abreast of technological advances in applicable areas and is well versed in appropriate clinical applications.
  • Accountable for the assessment, planning, implementation of care, and evaluation of Neonatal, Pediatric, Adult and Geriatric patients and families.
  • Demonstrates the ability to work with patient’s physical, motor/sensory adaptation, cognitive and psychosocial needs specific to the population being served.
  • Performs and evaluates respiratory care, initiates CPR, manages artificial airways, contacts physicians, and performs all activities as assigned.
  • Provides direct patient care.
  • Responds to all overhead and phone pages as a member of the Code Team, Rapid Response team, and Trauma activation.
  • Remains in the room until cleared by the physician during team activations.
  • Attends mock codes.
  • Responsible for the setup, safety checks, monitoring, and troubleshooting of all equipment of the respiratory department.
  • Responsible for maintaining the intubation trays in all crash carts throughout the hospital including the pediatric intubation boxes in the ER and the OR.
  • Performs 12 lead EKGs as ordered by the physician.
  • Ensures that all EKG's done in the facility are charged and scanned into the patients EMR.
  • Maintains yearly competency on the MGC Diagnostics Program and OPO device.
  • Schedules outpatient PFTs/OPOs in a timely manner.
  • Performs PFTs as ordered by the physician.
  • Accurately and appropriately documents PFT/OPO results in the patients EMR.
  • Attends 75% of staff meetings during the year.
  • Attends annual competency days as observed by the manager to keep current with new developments and acquire the needed knowledge for the position in order to keep skills up to date.
  • Maintains required license and certifications for position.
  • Attends hospital sponsored training programs as required by department.
  • Completes continuing education programs in order to maintain state and NBRC licensure.
  • Provides in-service education of clinical staff as assigned by the manager.
  • Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, and specific job-related hazards.
  • Completes all required safety education programs and keeps them in the employee file.
  • Provides complete and accurate responses to safety questions.
  • Operates assigned equipment and performs all procedures in a safe manner as instructed.
  • Maintains work area and equipment in condition required by department standards.
  • Demonstrates proper body mechanics in all functions.

Benefits

  • 15% will be added to the hourly rate in lieu of benefits due to 'per diem' status.
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