Respiratory Therapist (RRT) PRN-Tier 2

Spartanburg Regional Healthcare System•Greer, SC

About The Position

The PRN Registered Respiratory Therapist at Pelham Medical Center provides direct, age-specific, and culturally appropriate patient care under the guidance of the Department Director/Manager and Medical Director. The therapist uses advanced knowledge and skills to support adequate ventilation and oxygenation through medical gases and breathing equipment, administers respiratory medications, and performs invasive procedures including arterial blood sampling, endotracheal intubation and extubation, and tracheostomy care. The role also serves as a clinical resource and contributes to patient and staff education. The Respiratory Therapy Department is part of Spartanburg Regional Healthcare System and works to restore and maintain patients’ respiratory health. Pelham Medical Center has 48 inpatient rooms designed for patient comfort and functional care delivery.

Requirements

  • Graduate with an associate degree from an approved two-year Respiratory Therapy program, or meet the minimum requirements to qualify to take and pass the NBRC RRT examinations.
  • Successfully complete new-hire orientation within the probationary period.
  • Successfully complete the annual Respiratory Care Hospital-required competency assessment within the probationary period.
  • Hold Registered Respiratory Therapist (RRT) credential from the National Board for Respiratory Care.
  • Hold a current South Carolina Respiratory Care Practitioner (RCP) license.
  • Hold and maintain current Basic Life Support (BLS) certification at a minimum.
  • Adult critical care requires ACLS and, if applicable, PALS.
  • NICU/Pediatrics areas require NRP and PALS certifications.

Nice To Haves

  • Associate of Science degree in Respiratory Therapy or a Bachelor’s degree in Respiratory Therapy.
  • One to two years of experience in the specialty area, such as adult critical care or neonatal/pediatrics.
  • Specialized training and one year of experience in pulmonary functions and cardiac testing, if applicable.
  • STABLE certification for NICU/Pediatrics, if applicable.
  • Current BLS and ACLS certification; PALS for EC-assigned staff in adult care.
  • Current BLS, PALS, and NRP certifications for neonatal/pediatric specialty areas.

Responsibilities

  • Perform and document detailed age-specific respiratory assessments, including heart rate, breath sounds, respiratory rate, and sputum characteristics; notify physicians of identified abnormalities as appropriate.
  • Review the EMR and medication list throughout the shift to verify physician orders for assigned patients, including new, current, and changed orders.
  • Recommend therapy modifications using medical director-approved oxygen and aerosol protocols to support appropriate care.
  • Initiate invasive and non-invasive mechanical ventilation per physician order and perform ventilator bundles on ventilated patients.
  • Perform arterial sampling and moderate-complexity laboratory testing, including blood gases, hemoglobin, and basic electrolytes, in accordance with policy and procedure; verify panic values as required.
  • Respond to assigned code 3s and code traumas and establish and maintain the airway.
  • Assist physicians with bronchoscopy procedures as requested.
  • Ensure appropriate critical paths, standards of care, and plans of care are identified and collaboratively implemented.
  • Administer respiratory medications and perform invasive procedures, including arterial blood sampling punctures, endotracheal intubation and extubation, and tracheostomy care.
  • Participate in patient and staff education and serve as a clinical resource.
  • Complete other duties as assigned.
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