RRT - Acute Care/Hospital

3 months ago


Boston MA, United States Tufts Medical Center Full time

Company Description It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. This position is responsible for respiratory care for patients of all age groups, who are diagnosed with cardio-pulmonary dysfunction. Services are provided throughout the Tufts Medical Center are complex. This includes the ICUs, in-patient rooms, the Emergency Room, and outpatient clinics. A request for service originates from the medical staff of Tufts Medical Center. It may be written or verbal and can be communicated to the therapist by direct telephone conversation and/or beeper page. The patient’s nurse or unit secretary conveys the order. 

Documentation of services provided is recorded in the Respiratory Therapy Progress Notes section located on the department flow sheet. A copy of this document is filed in the patient Medical Record. 
A Respiratory Therapist is under the direction of the Director and Assistant Director of Respiratory Care. Services are provided in accordance to policies and procedures agreed upon by the Medical Directors of the department. Clinical Practice Guidelines have and continue to evolve as the framework of clinical respiratory care practice. These practices are well referenced and sponsored by the American Association for Respiratory Care.

Neonatal and pediatric training 
Extracorporeal Membrane Oxygenation (ECMO) training 
Quality and Safety initiatives: participating in composing and maintaining clinical practice guidelines and protocols 
Participation in various departmental and critical care research opportunities
Initiates patients on invasive and non-invasive mechanical ventilation; Abides with infection control guideline for invasive and non-invasive equipment per departmental policy. Changes and adjusts ventilator parameters based on clinical assessment and blood gas analysis in accordance with physician orders.
Weans patients from mechanical ventilation and other therapies through patient assessment and adjusting parameters within prescribed protocols. 
Administer inhaled medications in accordance with institutional guidelines derived from the department of respiratory care and pharmacy. 
Embodies patient and family centered care. Provides services to analyze blood specimens for blood gases, glucose and electrolytes in neonatal and pediatric intensive care units. 
CPAP or BiPAP), which consists of the application of positive pressure to the upper airway to promote better lung inflation and aerosol distribution.
Provides in-house transport of mechanically ventilated and other high-risk patients.
Provides non-traditional therapies, e.g. Provides resuscitation and support services at all high-risk deliveries. 
Monitors effectiveness of therapy using non-invasive techniques such as pulse oximetry, end tidal CO2 and transcutaneous PO2/PCO2, in addition to invasive techniques such as arterial blood gas sampling. 
Documents therapy, patient assessment, and interventions performed and test results in the progress notes of the medical record in a concise, accurate, and thorough manner.
Transcribe a detailed shift note for all patient’s cared for during the shift.
Responsible for acknowledging the proper assembly of all respiratory therapy equipment prior to and during patient use. 
Attend rounds daily with the intensive care unit critical care team and is an active participant in the patient’s care. 
acts as a preceptor for new employees and is utilized as a clinical instructor for students enrolled in local universities. 
Provides services for new clinical programs as research protocols are developed. 

Ability to transport respiratory therapy equipment (up to 100 lbs.) using carts or wheels on the equipment to and from patient areas.
One needs to demonstrate the ability to communicate with and assess the patient needs of different age populations to provide the necessary care. This will be demonstrated by supervisory review of Daily Shift Notes documented in all areas of clinical practice. Skills will be rated as part of your Performance Appraisal. 
This will include computer based training and evaluation in adult, pediatric and neonatal mechanical ventilators. 

Bachelor’s degree level in health profession, science or equivalent is preferred.
Associates degree in Respiratory Therapy is required.
Knowledge of medical terminology, physiology of the cardiopulmonary system and respiratory therapy science. 

One to two years on the job experience in acute and critical care. 
Must be currently licensed and in good standing with the Licensure Board of Registration of Massachusetts. 
Must be a Registered Respiratory Therapist, be issued Registration from the National Board of Respiratory Care. 

Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. Ability to interpret age specific data and response to care 
Most work is performed on patient floors, emergency room, outpatient clinics, and respiratory therapy workrooms.
Exposure to infectious patients, blood products, and contaminated equipment.
Frequent contact with patients and their families, medical and nursing staff, unit secretary and other employees. 


Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.



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