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Respiratory Therapist Advanced Registered PRN
4 months ago
All the benefits and perks you need for you and your family:
* Benefits from Day One
* Paid Days Off from Day One
* Career Development
Our promise to you:
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Per Diem
Shift : PRN
The community you'll be caring for:
Location Winter Garden: 2200 Fowler Grove Blvd., Winter Garden, FL.
* AdventHealth Winter Garden is a state-of-the-art emergency facility featuring board-certified physicians trained in the care of both adults and children
* The 97,415-square-foot, three-story facility opened in February 2016 across from Winter Garden Village at Fowler Groves
* It is AdventHealth's ninth campus in Central Florida. Outpatient imaging, lab, and surgical services, as well as primary care and specialty physician offices, are all available at one convenient location
The role you'll contribute:
The Advanced Registered Respiratory Therapist is responsible for provision/ supervision of respiratory clinical care responsibilities to age specific groups. Accepts shift supervisory responsibility in the absence of a Clinical Specialist or Supervisor. Respiratory Care processes include assessing, planning, implementing, delivering, and evaluating the treatment, care, and patient needs to achieve goals. Adheres to the AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Advanced Respiratory Therapists at AdventHealth Orlando:
* Are an integral part of the multi-disciplinary front-line patient care team in all areas of the hospital and work at the top of their license and Scope of Practice
* Initiate, operate, manage, and discontinue cardio-pulmonary life support equipment
* Work to reduce patient mortality/ICU length of stay through use of clinical and critical thinking skills.
* Through patient evaluation, guided by protocols and prescriber care plans, modify the plan of care, up to discontinuation of service for:
o Patients receiving ventilatory life support, advanced ventilatory life support, and oxygen therapy
o Patients receiving aerosolized medications, bronchial hygiene therapy, and lung expansion therapy
* Manage the utilization of inhaled medical gasses including heliox, oxygen, and nitric oxide
The expertise and experiences you'll need to succeed :
Minimum Qualifications:
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
* Active and Current Florida State License as a Registered Respiratory Therapist
* Basic Life Support (BLS) certification
* Advanced Cardiac Life Support (ACLS) certification
* For Altamonte and Celebration: Current NRP, and PALS certification
* For East Orlando: Current PALS certification
EDUCATION AND EXPERIENCE REQUIRED:
* Associate degree from a Respiratory Therapy or Cardiopulmonary Science program
KNOWLEDGE AND SKILLS REQUIRED:
* Critical thinking and patient assessment skills, with the ability to evaluate and modify plan of care
* Ability to ensure infection control
* Effective oral and written communication skills, including documentation in the patient care record (EMR), and ability to use and adapt to computer systems and applications
* Airway management skills, including insertion and maintenance of a patent airway, including endotracheal intubation
* Ability to provide optimal respiratory support including administration of oxygen and other inhaled gasses, administer medications including inhaled vasodilators and nebulized opioids to the respiratory system, lung expansion, and bronchial hygiene therapy
* Ability to appropriately initiate, operate, manage, and liberate non-invasive, invasive, and advanced modes of mechanical ventilation, including High Frequency Oscillatory Ventilation
_·_ Ability to perform ABG Puncture, analysis, arterial cannulation using sterile procedure, and hemodynamic monitoring
* Ventilator patient transportation
* Knowledge and skill to care for the pediatric, adolescent, adult, and geriatric patient in a health care delivery system
* Knowledge and skill to care for a patient in the Emergency Room
* For Altamonte, Celebration, and Winter Park : Knowledge and skill to care for the neonatal patient. Newborn oxygen therapy, newborn arterial blood gas sampling, newborn stabilization, and newborn ventilator care (as applicable)
SUPERVISORY RESPONSIBILITIES
* Ability to accept leadership responsibility in the absence of Clinical Specialist / Supervisor, as directed.
Preferred Qualifications:
* Bachelor's degree in Respiratory Therapy or Cardiopulmonary Science program
* Bachelor's degree in Respiratory Therapy or Cardiopulmonary Science program
* Intra-Aortic Balloon Pump Management and Initiation
* Infant / Pediatric experience (campus specific)
The value you'll bring to the team:
* Demonstrates, through behavior, AdventHealth Orlando's service standards.
* Assesses and makes appropriate decisions and interventions according to patient evaluation / needs. Sets patient goals, assisting in the development of a plan of care along with the multidisciplinary team. Evaluates / interpret diagnostic data including but not limited to lab results and monitoring data. Communicates effectively with the multi-disciplinary team.
* Satisfactorily completes department orientation, airway management certification, critical care training program, Infant/ Pediatric Emergency training program (campus specific), and advanced critical care-training program, and is proficient at all applicable procedures defined below.
_·_ Practices standard precautions and enforces safety regulations according to hospital policies on a continual basis. Documents and charges for procedures accurately and completely to ensure quality standards set by the department and hospital.
* Responds to Code Blue emergencies immediately providing CPR according to the American Heart Association guidelines. Performs airway maintenance including proper use of manual resuscitators, suctioning, endotracheal intubation, extubation, assists with bronchoscopy, assists with tracheostomy tube insertion, performs tracheostomy tube change, oral and nasal pharyngeal airway insertion, LMA insertion, manages patients with laryngectomy. Provides procedural respiratory support.
* Through use of protocols / prescriber care plans, chart review, and conferring with multidisciplinary team, determines proper therapy delivery device/ frequency, making appropriate changes/ recommendations to plan of care. Delivers inhaled medications, including inhaled vasodilators and nebulized opioids, bronchial hygiene therapy, lung expansion therapy and manages patients receiving inhaled gasses.
* Provides respiratory care to patients on invasive and non-invasive mechanical ventilators. Initiates, operates, transports, and liberates conventional and advanced modes of ventilation per policy and procedure/prescriber care plan. Reviews chest radiology reports as necessary Initiates, maintains, transports and monitors heliox and nitric oxide (campus specific). Prones/ ambulates ventilated patients.
* Properly performs hemodynamic procedures to include arterial cannulation using sterile technique, assembly, calibration; assisting with pulmonary artery catheter insertion, calibration; performs cardiac output and hemodynamic / cardiopulmonary profiles. Maintains hemodynamic lines (campus specific). Initiates, manages, transports Intra-Aortic Balloon Pumps. Ambulates patients on Intra-Aortic Balloon Pumps (campus specific).
* Proactively initiates process improvement ideas. Assists with clinical instruction and precepting and serves as a resource person to lower level therapists. Supports hospital and department mission, goals, and department metrics. Takes leadership responsibility in a unit or at a campus is the absence of a Clinical Specialist or Supervisor. Performs other duties as requested by department leadership.
* Obtains, performs, and reports findings of blood gas and co-oximetry analysis. Performs quality control as needed. Setup and perform oximetry, apnea, TC and ETCO 2 monitoring as ordered by physician. Performs EKGs after hours (campus specific)
* May perform waived and/or non-waived Point of Care Testing. If performing non-waived Point of Care Testing, as defined in AHCA rule 59A-7.034, must have approved competency and documented proof (copy of either diploma or transcript, at the highest level of academic achievement) at the time of AdventHealth Orlando non-waived Point of Care training.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Respiratory Services
Organization: AdventHealth Winter Garden
Schedule: Per Diem
Shift: 1 - Day
Req ID: 24013003
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
