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 specialist assesses patients, gathers relevant laboratory values and patient information, obtains procedural consults, and recommends the appropriate invasive catheter for the required therapy. The role also supports departmental activities, quality improvement, and development of best-practice guidelines. It is responsible for high-quality hemodynamic monitoring, line maintenance, appropriate use, and access of invasive lines. The specialist performs Respiratory Care Practitioner duties and may supervise others when required. The position is based at HonorHealth’s John C. Lincoln location in Phoenix, Arizona, and is listed as part-time, day shift, with scheduled hours of 8:00 a.m. to 4:30 p.m. Lines experience is strongly preferred.

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 with 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.
  • Strong lines experience.

Responsibilities

  • Insert and maintain arterial lines, midlines, PICC lines, and other vascular access devices in accordance with department policies and procedures, including dressing and transducer changes, line reviews, flushing ports, 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 care accurately and promptly in the electronic medical record.
  • Review laboratory results, patient history, and physician orders to select an appropriate line, identify potential issues, and assess suitability for vascular access.
  • Collaborate with physicians on long-term access needs, obtain patient authorization, and insert peripheral venous, arterial, or more complex vascular access catheters as permitted by policy.
  • Perform or assist with intubations as needed and maintain competency through observation, demonstration, and documentation.
  • Dispense physician-prescribed pharmacological solutions and apply knowledge of indications, contraindications, and complications of medications administered through aerosolization; respond appropriately to adverse reactions or inappropriate orders.
  • Use assessment skills to implement protocols or initiate physician consultation.
  • Demonstrate MedSelect or Pyxis competency through monitoring and observation.
  • Assist registered nurses with bedside procedures as required; take and appropriately transcribe physicians’ verbal orders.
  • Perform bag-mask ventilation, maintain an adequate airway, assist with life-threatening events, and attend assigned resuscitations and traumas.
  • Perform basic pulmonary function testing and resting and exercise oximetry; some therapists also perform complete pulmonary function, diffusion, lung-volume, body-box, and pulmonary stress procedures.
  • Collect, transport, clean, disinfect, sterilize, and package respiratory care equipment as needed; troubleshoot minor issues and arrange repair or preventative maintenance when necessary.
  • Provide cardiovascular respiratory therapy services as prescribed, assist with IABP insertion and associated invasive or non-invasive cardiac output procedures, and maintain ISTAT and/or blood gas equipment.
  • Serve as a resource to therapists and other healthcare practitioners regarding patient status, equipment, and operational issues, while providing excellent customer service.
  • Stay current with products, equipment, and technical practices; maintain associated equipment and communicate significant changes in standards of care to specialists, supervisors, and leadership.
  • Provide training, orientation, and patient and family education, and assist with developing departmental policies and procedures based on best-practice standards.

Benefits

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