About The Position

The Vascular Access Specialist RT independently provides and maintains arterial lines, deep venous IVs, midline catheters, PICCs, central venous catheters, and/or acute hemodialysis catheter access. The role assesses patients, obtains procedure consults, gathers relevant blood values and patient information, and recommends the appropriate invasive catheter for the therapy required. The specialist supports departmental activities and quality improvement, helps develop best-practice guidelines, and maintains expertise in hemodynamic monitoring, line maintenance, and proper use and access of invasive lines. The role also performs Respiratory Care Practitioner duties and may supervise others when required. The position is based at John C. Lincoln in Phoenix, Arizona, and is listed as part-time, day shift, with stated hours of 8:00 a.m. to 4:30 p.m. Lines experience is strongly preferred. An up-to-$15,000 sign-on bonus is available.

Requirements

  • Graduate of a Commission on Accreditation for Respiratory Care (CoARC)-approved Respiratory Care program.
  • Two years of Respiratory Care experience.
  • Licensed Respiratory Care Practitioner (RCP) upon hire.
  • Registered Respiratory Therapist (RRT) upon hire.
  • Arizona Respiratory License upon hire.
  • Current Advanced Cardiac Life Support (ACLS) upon hire.
  • Current Basic Life Support (BLS) upon hire.

Nice To Haves

  • Bachelor’s degree in a healthcare-related field.
  • Five years of respiratory care experience involving arterial-line insertion, IV insertion, PICC and/or central-line insertion, invasive maintenance, and electronic medical record data entry.
  • Credential as an NBRC Specialist or Vascular Access Specialist certification.
  • Lines experience is strongly preferred.

Responsibilities

  • Insert and maintain arterial lines, midlines, PICC lines, and other vascular access devices, including dressing and transducer changes, line reviews, port flushing, and de-clotting.
  • Use ultrasound technology to support accurate arterial-line and PICC insertion.
  • Review chest X-rays or use ECG tip-placement technology to verify central-line tip placement.
  • Maintain a sterile field during insertion and comply with IHI bundles.
  • Document procedures and care accurately and promptly in the electronic medical record.
  • Review laboratory results, patient history, and physician orders to select an appropriate line and identify potential risks or contraindications.
  • Collaborate with physicians to determine long-term vascular access needs and obtain patient authorization for procedures.
  • Insert peripheral venous and/or arterial catheters and perform more complex vascular access procedures within departmental policy and procedures.
  • Perform or assist with intubations as necessary and maintain competency.
  • Dispense prescribed pharmacological solutions, assess indications and contraindications for aerosolized medications, and respond to adverse reactions or inappropriate orders according to policy.
  • Use assessment skills to implement protocols or initiate physician consultation; demonstrate Medselect or PXYIs competency.
  • Assist nurses with bedside procedures and take and transcribe physicians’ verbal orders appropriately.
  • Provide bag-and-mask ventilation, maintain an adequate airway, assist with life-threatening events, and attend assigned resuscitations and traumas.
  • Perform basic pulmonary function and resting and exercise oximetry testing; some therapists also perform complete pulmonary function and pulmonary stress studies.
  • Collect, transport, clean, disinfect, sterilize, and package respiratory care equipment as needed.
  • Troubleshoot equipment, identify repair or preventive-maintenance needs, and take appropriate steps to resolve them.
  • Provide CV respiratory therapy services as prescribed, including assistance with IAPB insertion and associated invasive and non-invasive cardiac outputs.
  • Maintain ISTAT and/or blood gas equipment according to policy and procedures.
  • Serve as a resource to therapists and other healthcare practitioners regarding patient status, equipment, and operational issues.
  • Provide excellent customer service and remain current on products, equipment, and technical practices.
  • Maintain associated equipment and communicate significant changes in standards of care to specialists, supervisors, and leadership.
  • Train, orient, and educate staff, patients, and families in accordance with policy and procedures.
  • Assist with development of departmental policies and procedures based on best-practice standards.
  • May supervise others as required.

Benefits

  • Up to $15,000 sign-on bonus available.
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