Internal Only/Respiratory Therapist - Full - Time - 6pm-6:30am Monday thru Friday & every other weekend

GENERAL SUMMARY

Provide respiratory therapy as ordered by physician according to established hospital procedures and standards including: assessing patient's respiratory status, recommending interventions and evaluating effectiveness of treatment modalities. Work with physician and nursing staff as part of an interdisciplinary team to promote the rehabilitation of the patient's respiratory capabilities.

Assessment

• Assess patient cardiopulmonary status regularly.
• Utilizes assessment parameters and techniques as indicated by patient population (adult, pediatric, geriatric).

Treatment Plans

• Review and interpret physician orders and patient data to establish respiratory treatment plans.
• Collaborate with physicians and nurses regarding the recommendations and administration of various respiratory therapy modalities.

Implementation

• Implement treatment plans by performing the following modalities: SVN, IPPB, CPT, USN, specimen collection and IS according to the procedure.
• Administer various oxygen delivery devices: nasal cannula, venturi mask, simple oxygen mask, partial and non-rebreathing masks, aerosol and tracheostomy mask, T pieces, oxygen tents and hoods according to procedure.

Diagnostic Procedures

• Perform diagnostic procedures such as blood gas sampling, analysis and interpretation; bronchoscopy; polysomnographic studies; pulmonary function studies according to work assignment and established protocols.

Medications and Observations

• Prepare and administer inhalant medications and observes patient for adverse reactions.
• Assess and evaluate patient tolerance, responses, and progress to ordered treatment modalities and documents in appropriate records. Recognizes changes in patient conditions and notifies nurse, physician and/or supervisors as necessary.

Education and Training

• Conduct educational services for patient, families, therapist, nursing staff, respiratory therapy students and department personnel regarding respiratory therapy procedures and new developments in the field.
• Assist in training of respiratory students from affiliated colleges, functions as an available resource for Respiratory Care Technicians.

Emergency Situations

• Respond to CODES and emergency situations by establishing and maintaining airways, performing manual ventilation, cardiac compressions, blood gas determinations and sampling, and implementing mechanical ventilation as necessary.

Technical Equipment

• Assemble, monitors and troubleshoots pulse oximeters.
• Assemble, implement as well as assess and evaluate patients on all types of mechanical ventilation. Maintain the patient's airway; suctions and performs airway care; ensures ventilator is delivering ordered parameters. Collaborates with physicians regarding recommended changes in ventilator management. Weans patient from mechanical ventilation.
• Implement, monitor, and evaluate CPAP/BIPAP mask units according to procedures.
• Maintain, clean, test, and troubleshoot equipment including mechanical ventilators to insure proper functioning.
• Calibrate, maintain, clean and perform quality control checks on blood gas analysis equipment.

Knowledge and Skills

• Must possess interpersonal skills, including telephone and written skills, to communicate effectively with patients, physicians and staff when exchanging information.
• Must possess critical thinking and analytic skills necessary to identify patient problems including hemo-dynamic monitoring skills, interpreting blood gas reports, troubleshooting ventilators, oximeters, blood gas analyzers, and other various respiratory therapy equipment.
• Must have ability to concentrate and pay close attention to detail when preparing medications and treatments, initiating therapeutic modalities and monitoring patient responses.
• Must possess fine motor skills to work with sensitive technical equipment.
• Must be able to walk and stand for long periods of time; must also be able to lift, push and/or pull patients or equipment when necessary.
• Must possess auditory and visual ability to identify alarm systems.

Working Conditions

• Patient care environment with minimal exposure to noise, dust, and temperature variations.
• Frequent exposures to infections and/or contagious diseases, blood and body fluids when handling patients or samples.
• Exposure to hazards from flammable and explosive gasses and electrical equipment; hazards are greatly reduced when established safety procedures are followed.

Orientation Requirements

Must attend Medical Center new hire orientation and department orientation.

Education/Licenses/Certifications

• Certified Respiratory Therapist credentialed from the National Board for Respiratory Care (NBRC) obtained within 6 Months (180 days) of hire date or job transfer date required.
• Licensed Respiratory Therapist credentialed from the Michigan Board of Respiratory Care obtained within 3 Months (90 days) of hire date or job transfer date required.
• Certified BLS Provider specializing in Basic Life Support credentialed from the American Heart Association (AHA) obtained within 1 Month (30 days) of hire date or job transfer date required. Or Certified Instructor.

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.