The Respiratory Care Practitioner (RCP) or respiratory therapist is an individual trained in the technical aspects of respiratory care and will exhibit those skills and deliver modalities of respiratory therapy, emergent and intensive respiratory care, and diagnostic procedures. Work hours are 24 hour coverage rotational, day or night shifts, weekends, holidays and occasional overtime.
- Administer volume oriented intermittent positive pressure breathing therapy (IPPB); chest physical therapy (CPT) i.e., percussion, vibration and postural drainage; aerosol therapy; incentive spirometry therapy; and mixed gas therapy treatments.
- Provides patient assessments during rounds of treatments/medication administration and/or mechanical ventilator checks.
- Provides pre-operative instruction regarding post- operative respiratory therapy modalities; instruction for home respiratory care; and instruction for breathing retraining.
- Initiates, monitors and discontinues all modes of oxygen therapy and initiates, monitors and discontinues all modes of supplemental airway humidification, including ultrasonic nebulizers, continuous aerosols and humidity tents in conjunction with physician’s orders.
- Obtains and/or induces adequate sputum specimens for lab analysis. Inspect, clean, test and maintain respiratory therapy equipment to ensure equipment is functioning safely and efficiently, orders repairs when necessary.
- Provides diagnostic evaluation of spirometric and pulmonary mechanics to include vital capacity, peak flow, forced expiratory volume and/or flow rates.
- Initiates, monitors and discontinues mechanical support of ventilation. Performs weaning parameters, extubation, and evaluates need for further airway support and communicates with the physician. Weans patients from ventilators per department policy and procedure. Performs patient assessment duties. Charts in the patient record summary of all therapy modalities administered.
- Receives documents and carries out verbal orders from the physician related to respiratory care. Checks for current and accurate physicians’ orders, if necessary, notifies the clinical supervisor. Acts as a consultant to the physician on matters of respiratory care and the practice of respiratory therapy.
- Assists in the training and orientation of students and new employees when requested to do so. Performs related duties as assigned. Teach, train, supervise, and utilize the assistance of students, respiratory therapy technicians, and assistants.
- Performs, administers and evaluates cardiopulmonary diagnostic studies (PFT, Holter Monitor, EKG, ETT, etc.).
- Assists in emergency and/or elective intubation, oral or nasal, on patient with impending respiratory failure/cardiac arrest. Provides tracheostomy care (changing and maintaining tracheal tubes). Performs arterial and venous punctures for the purpose of blood analysis.
- Acts as charge therapist when assigned. Charge or lead responsibilities include but are not limited to making out shift assignments, and handling emergency calls. Complies with all safety rules regarding oxygen delivery, setup, storage and administration as set forth by the National Fire Prevention (NFPA), Department of Transportation (DOT), and the United States Pharmacopoeia (USP).
- Maintains the skills and knowledge necessary to administer care to all age groups.
- Maintains positive working relationships with others with excellent customer service abilities, effective listening, and communication skills (i.e. ability to communicate with colleagues, patients and families during time of emotional and physical stress)
- Responsible for electronic health records data entry pertinent to patient service role.
- Performs other duties as assigned.
Recognizes and reacts to indicators of malfunction of instruments, tests and implements corrections. Identifies the causes of common problems and makes simple repairs with a correct documentation and maintenance of proper records. The person must have the ability to demonstrate thoroughness and look for ways to improve and promote quality patient care.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Work requires walking, long periods of standing and bending. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera and in moving equipment and medical supplies.
Contacts often require tact and sensitivity as those related to stressful situations such as death, dying and catastrophic illnesses. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted. Facility provides guidance and basic training for awareness and consideration regarding cultural aspects particular to this geographic area. Employees are expected to act on this awareness as a general condition of the workday.
This position has a very high impact on the quality of treatment of patients. Inaccurate procedures result in risk management intervention.
TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the minimum mandatory qualifications for this position will be given preference in hiring and employment for this position and applicants who are enrolled members of any other tribe who meet the minimum mandatory qualifications will be given secondary preference.
In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:
- Adhere to all professional and ethical behavior standards of the healthcare industry.
- Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
- Possess cultural awareness and sensitivity.
All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles may be grounds for immediate termination.
- High School Diploma or GED equivalent
- Must have an Associate’s degree in respiratory care or have equivalent education (certificate of completion in respiratory care)
- Must have and maintain a current valid Respiratory Care Practitioner license from any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
- Must have and maintain a current valid Registered Respiratory Therapist (RRT)
- Must have and maintain a current valid BLS Certification from the American Heart Association (AHA)
- Must have and maintain a current valid Advance Cardiopulmonary Life Support (ACLS) Certification from the American Heart Association (AHA), if none, must obtain within 90 days from date of hire
- Must have two (2) years of experience in respiratory care at a general/acute hospital
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
- Positive working relationships with others
- Possession of high ethical standards and no history of complaints
- Reliable and dependable; reports to work as scheduled without excessive absences
- Using scientific rules and methods to solve problems
- Ability to quickly and repeatedly adjust the controls of a machine or a vehicle to exact positions
- Ability to concentrate on a task over a period of time without being distracted
- Bachelors of Science Degree from a Co-Arc school of Respiratory Therapy
- Pediatric Advanced Life Support Certification (PALS), Neonatal Resuscitation Program Certification (NRP) Certification
- Prior applied knowledge of EKG, arterial blood gases, exercise cardiac stress testing, bedside spirometry, holter monitor application, scan, and report generation
Other Skills and Abilities: