Senior Respiratory Therapist

2 days ago


Pittsburgh, Pennsylvania, United States UPMC Full time
Job Summary

UPMC Children's Hospital of Pittsburgh is seeking a highly skilled Senior Respiratory Therapist to join our Transport Team. As a key member of our team, you will be responsible for providing advanced respiratory care to patients with cardiovascular diseases and dysfunctions during transportation. If you are a motivated and compassionate professional with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity.

Responsibilities
  • Collaborate with the transport nurse to ensure a safe environment for patients and crew members.
  • Maintain knowledge of safety procedures for various vehicles used in transportation.
  • Calculate medical gas needs for each trip to ensure safe transport.
  • Share safety officer responsibilities with the transport nurse on helicopter and fixed-wing flights.
  • Utilize effective communication skills to convey and support the mission of CHP with referring hospital staff, EMS providers, and multiple disciplines.
  • Demonstrate critical thinking skills in coordination with the Team Leader regarding patient care.
  • Assist in preparing and administering intravenous fluids, including volume expanders, under the direct supervision of the Team Leader or RN.
  • Recognize and manage patients with respiratory illnesses and/or airway compromise in collaboration with the transport RN.
  • Facilitate and initiate a plan of care based on protocols and standards of care.
  • Communicate results to the transport physician, who may be remote from the field.
  • Participate in deciding if CHP physician presence is needed during transport in collaboration with the transport RN.
  • Function as an integral team member, assessing patients, following written protocols, and communicating with the Team Leader, referring staff, and CHP.
  • Contribute to the formation of a plan of care and exercise independent judgment when sudden clinical changes occur in coordination with the Team Leader.
  • Effectively deal with parents and referring hospital staff.
  • Adapt equipment used in multiple environments, operate, troubleshoot, and maintain multiple fixed and portable medical gas systems, including liquid oxygen and cascade oxygen arrangements.
  • Assess and interpret clinical and laboratory data pertaining to the physiologic status of the patient at the time of initial transfer request.
  • Prepare, maintain, and operate mechanical ventilators and specialty gas systems (Nitric oxide and Heliox).
  • Effectively troubleshoot and adapt to changes in patient condition, environmental, and mechanical changes.
  • Determine appropriate aerosolized medications utilizing written protocols and guidelines while ensuring effective delivery.
  • Implement evidence-based practice initiatives and serve as a role model to CHP respiratory therapists relative to such practice.
  • Promote research by examining patient/family outcomes and seeking opportunities to find better ways to provide care.
  • Perform advanced procedures, including intravenous/intraosseous access, intubation, bag/mask ventilation, management of the difficult airway, including the use of advanced surgical airway, hand jet ventilation, and Laryngeal Mask Airway (LMA).
  • Draw arterial, venous, and capillary blood gases, interpret their values, and determine and implement appropriate ventilator adjustments considering age, diagnosis, and clinical status and established protocols.
  • Initiate and adjust mechanical ventilation, surfactant replacement therapy, and specialty gas therapy based on protocols and accepted standards of care in the transport environment when the CHP physician is remote from the referring facility or transport field.
Requirements
  • Graduate of a Committee on Accreditation for Respiratory Care (CoARC) approved respiratory program.
  • Associate's degree is required; Bachelor's degree is preferred.
  • Minimum 2 years pediatric or neonatal critical care experience to acquire an advanced comprehensive of physiology, pathophysiology, and psychology of the child.
  • NALS, PALS, and ACLS within 1 year of hire.
  • Certification for Neonatal/Pediatric Transport (C-NPT) certification.
  • Minimum 3 years of Neonatal/Pediatric Transport experience.
  • Must successfully complete 1 approved project during each annual performance review period.
  • Must attain a performance rating of Solid/Strong/Good or above on last 2 consecutive annual performance reviews.
  • Respiratory Care Practitioner (RCP) license in the Commonwealth of Pennsylvania required.
  • Registered Respiratory Therapist (RRT) from the National Board for Respiratory Care (NBRC) required.
  • Special skills and abilities required:
    • Analytical ability necessary to assess and evaluate patient's condition and utilize professional judgment in planning and providing comprehensive care to patients according to the child's functional development level.
    • Ability to integrate patient-related data from various sources into the plan of care and appraisal of condition.
    • Completion of requirements needed to function in the transport therapist advanced clinical role, including didactic, clinical, and OR rotation.
    • Ability to successfully complete a clinical written test with 85% or better competency.
    • Successfully complete Operating Room clinical rotation for airway management.
    • Knowledge to perform the following procedures: endotracheal intubation, advanced surgical airway (cricothyrotomy), intraosseous cannulation.
    • Interpersonal skills necessary to communicate with patients, families, medical personnel.
Clearances and Certifications
  • CPR required based on AHA standards that include both a didactic and skills demonstration component within 30 days of hire.
  • Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR).
  • Osteopathic Respiratory Care OR Respiratory Care Practitioners (RCP).
  • Registered Respiratory Therapist (RRT).
  • Act 33 with renewal.
  • Act 34 with renewal.
  • Act 73 FBI Clearance with renewal.

UPMC is an Equal Opportunity Employer/Disability/Veteran.



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