Registered Respiratory Therapist

We need to output HTML fragment with sections: About the role? Not present. Responsibilities? Duties section. Requirements/Qualifications? There's a Qualifications section with many details. Also maybe Benefits? There's EDRP program info (Education Debt Reduction Program) which is a benefit. Also maybe Pay? Not given. Schedule? Not given. So we include sections: Benefits (EDRP), Qualifications, Responsibilities (Duties). Possibly also "About the role" not present; we skip. We must not repeat job title. No metadata like Job ID. We need to preserve all substantive info. Must not include boilerplate like EEO etc. The text includes many details; we need to extract and format. We need to use

for section headings. Use

• for any list of duties/requirements/benefits, and

  for prose. We need to decide what is list vs prose. The qualifications have many bullet-like sentences but not explicitly bulleted. We can convert to

  • for each distinct requirement. Similarly duties list. We must preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the text. Let's parse the text. First part: Summary about EDRP: "This position is eligible for the Education Debt Reduction Program (EDRP) - a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval - award amount (up to $200 -000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply." We need to format as Benefits section maybe. Use

    Benefits

    then
    • ... etc. Next: Qualifications heading appears. Then many sub-sections: Basic Requirements, etc. We'll need to capture all. Let's extract Qualifications content: "Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA PolicyEducationIndividuals must have successfully completed a respiratory care program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or its successorLicensurePersons appointed or reassigned to Registered Respiratory Therapist (RRT) positions in the GS-0601 series must possess and maintain for the duration of employment a full - current and unrestricted license from a state to practice as an RRTCredentialPersons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid - current - unrestricted credential of RRTExceptionRT positions will be designated only to individuals who are in the process of obtaining credentials to become an RRTThese individuals will only be hired on a temporary appointment as provided below(a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credentialIndividuals who have successfully completed a respiratory care program accredited by the CoARC or its successor - acquired the CRT credential - are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RTThe temporary appointment is made under the authority of 38 U.S.C.7401(a)(1)(B) for a period not to exceed one year from date of employmentCandidates must hold an active - current - full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level5 (b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is received(c) RTs must provide care only under the close supervision of an RRT(d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment(e) Failure to Obtain CredentialIn all cases - RTs must actively pursue meeting national prerequisites for the RRT credential from the first day of their appointmentFailure to become credentialed within one year from date of appointment will result in removal from the GS-0601 RT series and may result in termination of employmentLoss of Licensure - Certification or CredentialsAn employee in this occupation - who fails to maintain the required certifications - RRT credential or license must be removed from the occupation - which may also result in the termination of employmentOnce credentialed - licensed or certified - RTs/RRTs must maintain a full - valid and unrestricted license - credential and certification to practice respiratory carePhysical StandardsSee VA Directive and Handbook 5019 - Employee Occupational Health Service for requirementsEnglish Language ProficiencyRTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C.7403(f)May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria)Grandfathering Provision(1) Employees in an occupation that does not require a licensure - certification or registration - may be reassigned - promoted or demoted within the occupation(2) Employees in an occupation that requires a licensure - certification or registration - may be reassigned - promoted up to and including the full performance level or demoted within the occupation - but may not be promoted beyond the full performance level or placed in supervisory or managerial positions(3) Employees in an occupation that requires a licensure - certification or registration only at higher grade levels must meet the licensure - certification or registration requirement before they can be promoted to those higher grade levels(4) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard(5) Employees initially grandfathered into this occupation - who subsequently obtain additional education and/or licensure - certification or registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation(6) If an employee who was retained in an occupation listed in 38 U.S.C.7401(3) under this provision leaves that occupation or employment with the VA - the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation and/or VAGrade Determinations: Registered Respiratory Therapist - GS-07Experience - Education - Licensure and RegistrationIn addition to the basic requirements - candidates must possess their RRT credentialDemonstrated Knowledge - Skills and AbilitiesIn addition to the requirements above - candidates must demonstrate all the following KSAs: iAbility to perform therapeutic modalities related to respiratory careiiSkill in analyzing physiological specimens obtained to include arterial blood gases - pulse oximetry - End tidal Co2 (ETCo2) monitoring - basic spirometry and other basic diagnostic proceduresiiiAbility to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomesivSkill in assessing oxygenation and ventilationvAbility to perform basic airway management to include artificial airways and mechanical ventilationRegistered Respiratory Therapist - GS-09Experience or Education - Licensure and CredentialCandidates must have: iOne year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that levelOR iiA Master of Science degree in respiratory care AND a license AND an RRT credentialDemonstrated Knowledge - Skills and AbilitiesIn addition to the requirements above - candidates must demonstrate all the following KSAs: iSkill in performing therapeutic modalities related to respiratory careiiAbility to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomesiiiSkill in assessing oxygenation and ventilationivAbility to perform airway management to include artificial airways and mechanical ventilationRegistered Respiratory Therapist - GS-11Experience - Licensure and CredentialCandidates must have: iOne year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that leveliiHold an active license and RRT credentialDemonstrated Knowledge - Skills and AbilitiesIn addition to the requirements above - candidates must demonstrate all the following KSAs: iAbility to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomesiiSkill in evaluating the efficacies of therapeutic modalitiesiiiSkill in performing advanced airway and ventilation managementReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/The full performance level of this vacancy is GS-11The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-11." Then Duties section: "Duties The Registered Respiratory Therapist is responsible for independently administering complex respiratory therapy treatment to ambulatory and non-ambulatory patientsThe respiratory therapist uses judgment in identifying and selecting the most appropriate procedures - equipment - and techniques for application to specific casesThe therapist identifies and analyzes factors related to equipment operation and patient responses to discern their interrelationshipMajor Duties Include but are not limited to: Consult literature on a regular basis (e.gAARC Times - Respiratory Care - etc.) to stay acquainted with alternative modes of therapy and keep technically up to dateCleans - sets up - and monitors a variety of complex respiratory equipment such as oxygen equipment - mechanical ventilators - CPAP/BIPAP machine - and therapeutic gas administration apparatus for critical care patientsFollows all respiratory care Sputum Collection for Acid Fast Bacilli (AFB) - Rapid Response Team (RRT) - and ventilator wearing protocols to include Bronchodilator Therapy Protocol and Oxygen ProtocolsPerforms diagnostic tests to include arterial blood gas analysis - spirometry - pulse oximetry - weaning parameters - peak flow - end tidal C02 - metabolic - and negative inspiratory forcePerforms or assists with bedside bronchoscopies to include right BALs as ordered by a pulmonary physicianPerforms all respiratory care procedures throughout the medical center - to include sputum collection for AFB - therapeutic aerosols - metered dose inhalers - oxygen therapy - chest physical therapy - and breathing exercisesEvaluates efficacies of therapeutic modalitiesInitially and continuously assess the cardiopulmonary condition of assigned patients using data acquired through physical examination and respiratory monitoring and diagnostic equipmentAdministers oxygen involving the use of variety of standard respiratory equipment to include low flow and high flow systemsPerforms airway and tube care on patients including nasotracheal and endotracheal suctioning - cleaning and securing the tracheostomy and endotracheal tube and site - changing endotracheal and tracheostomy tubes per physician's order - monitoring tube cuff pressure - and inspecting equipment and patient to ensure proper functioning of the ventilatorProvides patient education for inpatients - outpatients - and home care pulmonary rehabilitation to include such things as respiratory therapy equipment - Chronic Obstructive Lung Disease (COPD) - chest physiotherapy and/or postural drainage - breathing exercise - metered dose inhaler treatments - nebulizer treatments - suctioning - peak flows - arterial blood gases - oxygen therapy - and other mucus clearing clearance devices such as PEP therapy and Flutter valves - etcPerforms advanced ventilatory managementMaintains ACLS and BLS provider status with appropriate certificationsObtains blood gas samples from patients through arterial punctures or from arterial cathetersAnalyzes - interprets - and reports blood gas resultsProvides in-service training to other respiratory therapists - nursing service personnel - physicians - and students relative to respiratory careDemonstrates appropriate verbal and written communication skills in interaction with patients - staff - and visitorsCommunicates with Supervisor (or Shift Leader in Supervisor's absence) any changes or fluctuations in assignmentsInspects - cleans - tests - and properly calibrates respiratory therapy equipment - according to policy and procedure - to ensure equipment functioning safely and efficiently - placing work orders for repairs when necessaryRecords treatment - findings - asses" It cuts off at "assess". 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