Reporting to the Manager of Respiratory Care, performs, teaches, and guides all forms of respiratory therapy, chest physical therapy, and cardiopulmonary diagnostics. Demonstrates the knowledge and skills necessary to assess and treat all age groups of patients from neonatal to geriatric; implements assessment/treatment based on the developmental stages of the patient. Involves family/guardian in plan of care and conducts patient family education, as appropriate, considering the developmental needs of the patient. Administers all forms of respiratory therapy including medical gases, medication delivery via the airways, chest physical therapy, pressure breathing treatments, breathing retraining, aerosol and humidity therapy. Understands the equipment, indications, contraindications, hazards, and adverse reactions of each mode of therapy. Provides intensive respiratory care utilizing advanced techniques and specialized equipment; establishes and maintains an airway during CPR; performs external cardiac massage if necessary. Performs arterial punctures to obtain blood gas samples, blood gas analysis, and related calculations; performs blood gas lab quality control. Performs pulmonary function testing including spirometry, lung volume, and DLCO; performs related calculations, and quality control. Explains purpose and procedure of treatments, tests, and equipment to patient, family, and hospital personnel; develops and delivers home care instructions to patients. Participates in continuing education at all levels within the department. Performs patient assessment and evaluation of care; confers with nurses and physicians to optimize the care of the patient. Initiates and maintains the appropriate records in the patient chart and on respiratory care records. Provides guidance to Respiratory Therapy Techs as necessary. Cleans, repairs, and maintains respiratory therapy equipment; maintains appearance of the department. Performs selected duties of the Director in his/her absence, eg. distributes staff assignments, grants overtime as necessary, accepts sick and absentee calls from staff, authorizes equipment rental, and activates disaster plan in case of emergency. Adheres to all NCH hospital standards, policies and procedures.