Respiratory Care Practitioner Iii

7 days ago

Richmond, United States Bon Secours Full time

With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.
**_ Respiratory Care Practitioner III - NICU PICU - St. Mary's Hospital_**

**_ $10,000 sign on bonus eligible. Ask your recruiter for details. _**

**Job Summary**:
The Respiratory Care Practitioner III is responsible for providing respiratory care through patient assessment, planning, intervention, education and evaluation. Performs all respiratory care procedures including but not limited to oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services and patient and staff education. Monitors the patient's response to such therapies and makes recommendations to change or modify based on the assessment.

**Essential Functions**:

- May provide clinical instruction and/or in-service training to department staff, other healthcare team members, and students.
- Provides support to clinical learning through mentorship, clinical rounds and practice evaluation provides clinical leadership for the advancement of professional respiratory practice to staff in the intensive care, general care, and outpatient services.
- Provides feedback for coaching and performance evaluations of team members.
- Assists with identifying quality improvement initiatives and design programs that provide measurable outcomes. Leads clinical research initiatives ensuring education, training, and implementation of the study design.
- May be responsible for data collection and accurate record keeping as well as product evaluation and assessment.
- Actively participates in facility councils and committees.
- Serves as the shift “Charge Therapist” with responsibility of ensuring adequate number of respiratory care staff to cover patient care areas and needs. This may include assigning respiratory care staff to work areas and/or work assignments, modifying work assignments, assisting with meal coverage, fielding call offs and providing adequate staffing levels for the next shift.
- May assist physician performing procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy in intubation (if intubation is performed by respiratory therapy in the facility), and invasive monitoring.
- Performs CPR including closed chest compressions and airway management techniques in accordance with the AHA ACLS protocol.
- Conducts prescribed therapeutic procedures to achieve maintenance of a patient airway, including use of appropriate airways including endotracheal tubes, nasopharyngeal and oropharyngeal airways, maintenance of airway humidification, aspiration of secretions, extubation, maintenance of correct ETT cuff pressures and documents procedures in patient and department records.
- Selects, assembles, monitors and evaluates mechanical ventilators for proper function and operation, including correction of malfunctions, cleanliness and determines appropriateness use for patient condition.
- May perform pulmonary function tests (PFT).
- Serves as a preceptor to new team members and/or students.
- Assesses patient's physical status by inspection, palpation, auscultation, percussion, patient behavior and reviewing existing data in patient's record.
- Performs treatments according to physician orders, explains therapy and therapeutic goals to patient; modifies treatment procedures based on patient response.
- Determines appropriateness of prescribed therapy and recommends methods to physician to achieve therapeutic goals including IPPB, Aerosol therapy, Postural drainage and percussion, ultrasonic nebulizer, incentive spirometry, metered dose inhalers and spacers, etc.
- Sets up and maintains different modes of oxygen therapy, to maintain adequate PaO2’s with accurate inspired levels of oxygen.
- Administers intermittent positive pressure breathing (IPPB) or Aerosol Therapy by first preparing the prescribed medication ordered by the physician and adjusting the machine or device to accomplish patient’s individual clinical needs; document and observe patient’s vital signs, productivity of cough, relief of Dyspnea, improved breath sounds and any adverse reactions to therapy; and use judgement and technical skill to determine possible adverse reactions and suggestions for appropriateness of therapy.
- Gives postural drainage, vibration, percussion to ensure proper drainage of bronchial secretions by use of manual or mechanical percussion; check orders and X-rays for segments to be treated prior to initiating treatment; auscultation prior to and after procedure to note presence of clearance of secretions and response to therapy.
- Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural dr

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