Vascular Access Specialist - RRT Nights - Osborn

Osborn Medical Center - 7400 E Osborn Rd, Scottsdale, AZ 85251

About the role

This position independently provides and maintains arterial line (A-line), deep venous (IV), midline catheters, peripherally inserted central catheters (PICC), and/or Central venous catheters (CVC), and/or Acute Hemodialysis catheter access. The role involves conducting patient assessments, obtaining procedure consults, gathering relevant blood values and patient information, and recommending the optimal invasive catheter for therapy. The position also assists with departmental activities, serves as a specialist in quality improvement, and develops best practice guidelines. Responsibilities include achieving superior performance in hemodynamic monitoring, line maintenance, and invasive line access. The role may also involve performing all Respiratory Care Practitioner duties and supervising others if required.

Responsibilities

• Inserts and maintains arterial lines, midlines, PICC lines, and other vascular access devices according to department policy, including dressing changes, transducer changes, line reviews, flushing of ports, and de-clotting.
• Uses ultrasound technology to ensure accurate insertion of arterial lines and PICC lines.
• Reviews chest X-rays to ensure accurate placement of central venous catheters and/or uses X-ray free technology with ECG tip placement for verification.
• Maintains a sterile field throughout the insertion process, following IHI bundle compliance.
• Provides accurate, timely, and appropriate documentation in the electronic medical record.
• Reviews labs, patient history, and physician orders to determine the appropriate line for procedures and identify potential issues.
• Collaborates with physicians to determine long-term access needs and obtains patient authorization for procedures.
• Inserts peripheral venous and/or arterial catheters to provide access or more complex vascular access as indicated.
• Performs or assists with intubations when necessary, maintaining competency through observation, demonstration, and documentation.
• Dispenses pharmacological solutions as prescribed by a physician, with knowledge of indications, contraindications, and complications of aerosolized medications.
• Responds to adverse reactions and inappropriate orders according to policy and procedure.
• Utilizes assessment skills to implement protocols or initiate physician consultation, demonstrating competency in Medselect or PXYIs.
• Assists RNs in bedside procedures, takes physician’s verbal orders, and transcribes them appropriately.
• Performs bag and mask ventilation, maintains airways, and assists with life-threatening events.
• Attends all resuscitations and traumas as assigned.
• Performs basic pulmonary function testing, including vital capacity, forced inspiratory/expiratory flows, flow volume loops, and peak flow maneuvers.
• Performs resting and exercise oximetry testing; some therapists perform complete pulmonary function studies, including diffusion, lung volumes, body box procedures, and pulmonary stress procedures.
• Collects soiled equipment from patient areas, transports it to the CV Respiratory Therapy department, and cleans, disinfects, sterilizes, and packages respiratory care equipment as needed.
• Performs minor troubleshooting of equipment and recognizes when equipment needs repair or preventative maintenance.
• Provides CV respiratory therapy services as prescribed, assists in IAPB insertion, invasive cardiac outputs/profile, and non-invasive cardiac outputs.
• Maintains ISTAT and/or blood gas equipment according to established policy and procedures.
• Acts as a resource to therapists and other healthcare practitioners regarding patient status, equipment, and operational issues.
• Provides excellent customer service, demonstrating living performance standard behaviors.
• Remains current with new products, equipment, and technical practices.
• Provides maintenance of associated equipment as demonstrated through observation and didactic training.
• Shares significant changes in standards of care with other specialists, supervisors, and leadership.
• Provides training, orientation, and patient education to staff, patients, and families in accordance with policy and procedures.
• Assists in the development of departmental policy and procedures based on best practice standards.

Requirements

• Graduate from a Commission on Accreditation for Respiratory Care (CoARC) approved Respiratory Care program (Required).
• 2 years of Respiratory Care experience (Required).
• 5 years of respiratory care experience with arterial line insertion, IV insertion, PICC and/or Central line insertion, invasive maintenance experience, and electronic medical record data entry (Preferred).

Qualifications

• Licensed Respiratory Care Practitioner (RCP) (Upon Hire - Required).
• Registered Respiratory Therapist (RRT) (Upon Hire - Required).
• Arizona Respiratory License (Upon Hire - Required).
• Credential as NBRC Specialist or Vascular Access Specialist Certification (Preferred).
• Current Advanced Cardiac Life Support (ACLS) (Upon Hire - Required).
• Current Basic Life Support (BLS) (Upon Hire - Required).

Education

• Bachelor's Degree in a health care-related field (Preferred).
• Vocational/Specialized training in Respiratory Care (Required).

Benefits

• Up to $15,000 Sign On Bonus Available.

Schedule

• Night shift: 6:30 PM - 7:00 AM.