Respiratory Therapist-NICU

Beth Israel Lahey Health•Boston, MA

13d•$42 - $62

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Respiratory Therapist II 3 12-hour shifts, self-scheduled. Job Description: Job Summary: Assumes primary responsibility for patient care including: examination, evaluation, treatment planning, and administration of Respiratory Care procedures in response to a physician's order. Department Specific Job Responsibilities: Manages artificial airways. Initiates and manages mechanical respiratory support, including: bubble CPAP, conventional ventilators, and HFOV, and inhaled Nitric Oxide. Respond to all high-risk deliveries and L&D emergency alarms as part of the Neonatal Resuscitation Team. Run blood gas samples, interpret results, and recommend any needed interventions. Administer respiratory medications, including: surfactant, MDI, nebulizer treatments. Clean, set up and perform pre-use checks on all NICU respiratory care equipment. Essential Responsibilities: Assesses patient condition based on medical history, observation, examination, physician's diagnosis, laboratory findings and the results of specific tests or respiratory function and other appropriate diagnostic procedures. Develops or modifies the respiratory care plan and makes specific recommendations to physicians regarding indicated therapy. Administers appropriate diagnostic tests and procedures to evaluate responses to therapy, including: arterial blood gas sampling and interpretation of the results; oxygen saturation by direct measurement and pulse oximetry; end-tidal carbon dioxide measurement; pulmonary mechanics; spirometry; metabolic testing; and may assist the physician with special procedures such as bronchoscopy. Develops a specific patient care plan according to the patient's clinical presentation at the time of the reassessment. Responds to respiratory and other defined emergencies such as high risk deliveries, cardiopulmonary arrest and trauma team activations. Maintains artificial airways and provides manual or mechanical ventilation when mechanically ventilated patients are transported from critical care areas to other locations for tests and procedures. Evaluates the patient's home care equipment needs and makes referrals and recommendations upon request. Initiates patient and caregiver teaching as appropriate. Completes necessary documentation of all pertinent observations related to patient care treatments, response to treatments, and all recommendations for modifications in the treatment plan.

Requirements

Associate's degree in Respiratory Care/Cardiopulmonary Science required.
License Respiratory Therapist License required.
Registration Reg Respiratory Therapist required.
Certificate 1 Basic Life Support required.
0-1 years related work experience required.
Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.
Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

Responsibilities

Assumes primary responsibility for patient care including: examination, evaluation, treatment planning, and administration of Respiratory Care procedures in response to a physician's order.
Manages artificial airways.
Initiates and manages mechanical respiratory support, including: bubble CPAP, conventional ventilators, and HFOV, and inhaled Nitric Oxide.
Respond to all high-risk deliveries and L&D emergency alarms as part of the Neonatal Resuscitation Team.
Run blood gas samples, interpret results, and recommend any needed interventions.
Administer respiratory medications, including: surfactant, MDI, nebulizer treatments.
Clean, set up and perform pre-use checks on all NICU respiratory care equipment.
Assesses patient condition based on medical history, observation, examination, physician's diagnosis, laboratory findings and the results of specific tests or respiratory function and other appropriate diagnostic procedures.
Develops or modifies the respiratory care plan and makes specific recommendations to physicians regarding indicated therapy.
Administers appropriate diagnostic tests and procedures to evaluate responses to therapy, including: arterial blood gas sampling and interpretation of the results; oxygen saturation by direct measurement and pulse oximetry; end-tidal carbon dioxide measurement; pulmonary mechanics; spirometry; metabolic testing; and may assist the physician with special procedures such as bronchoscopy.
Develops a specific patient care plan according to the patient's clinical presentation at the time of the reassessment.
Responds to respiratory and other defined emergencies such as high risk deliveries, cardiopulmonary arrest and trauma team activations.
Maintains artificial airways and provides manual or mechanical ventilation when mechanically ventilated patients are transported from critical care areas to other locations for tests and procedures.
Evaluates the patient's home care equipment needs and makes referrals and recommendations upon request.
Initiates patient and caregiver teaching as appropriate.
Completes necessary documentation of all pertinent observations related to patient care treatments, response to treatments, and all recommendations for modifications in the treatment plan.