Respiratory Care Specialist
3 weeks ago
As a Respiratory Care Practitioner II at Kaiser Permanente, you will be responsible for assessing, planning, implementing, and evaluating respiratory therapy care and life support to patients in adult intensive care, pediatrics, and med surg with deficiencies and abnormalities of the cardiopulmonary system under the supervision of a physician and prescription. You will perform other patient comfort duties necessary to maintain the flow of patient care in the unit, including providing life support services, oxygen therapy, medical gas therapy, pharmaceutical treatments, chest physiotherapy, blood gas draws, etc.
Essential Responsibilities:
Uphold Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws. Maintain the privacy and confidentiality of both members and employees with regard to medical records and communication regarding disease, conditions, and status. Greet members promptly and courteously, addressing adult members by their proper title (i.e., Mr., Mrs., Ms.) and last name except when otherwise mutually agreed upon by the provider and patient. Adhere to regional and department guidelines for courtesy and consideration during telephone use. Determine and document the following information upon taking a phone call: name of patient, phone number where patient can be reached, the reason (nature & urgency) for the call, date and time of the call, and the name of the person taking the call. Give immediately to the requested provider or designee all messages of an emergency or urgent nature, give non-urgent messages to the requested provider or designee in a timely manner.
Responsibilities:
Assess for implementation or discontinuance of mechanical ventilation. Implement all modalities of ventilation approved for use in the medical center. Adjust ventilator parameters in response to changes in acid-base balance and oxygenation. Effectively wean from mechanical ventilator per medical center protocols. Implement all respiratory modalities of care specific to the Adult critical care. Provide ventilatory support during patient inter-intra hospital transfers. Perform procedures for disinfecting and sterilization and adhere to infection control policies and procedures. Wash hands before and after physical contact with the patient and after using the restroom as described in handwashing procedure. Adhere to isolation procedure as indicated. Practice Universal Precautions at all times. Perform and evaluate blood gas analysis to include quality control procedures adhering to laboratory policies and procedures. Assure that quality control of equipment is performed and at acceptable levels. Obtain arterial blood samples. Ensure that blood samples and requisition slips have required information. Handle and dispose of blood samples per policy and procedure. Perform cardiopulmonary and neonatal resuscitation (CPR/NR) and respond to emergencies in all areas. Auscultate lungs to assure proper endotracheal tube placement. Identify primary affected lobes and positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy. Identify contraindications in regards to chest physiotherapy and appropriately inform and provide recommendations to the physician. Perform oral, nasal, and tracheal suctioning to ensure airway patency. Collaborate with the physician and nursing in regards to the appropriate frequency of suctioning for assigned patients. Provide reasonable solutions upon the identification of problems. Participate in-group action problem solving processes. Comply with patient safety practices/policies; take appropriate safety measures considering patients age and developmental status.
Charting and Documentation:
Provide timely, accurate, legible record keeping and data entries per departmental policy and procedure. Enter required information into the Respiratory Cares department system for recording statistical data related to procedures performed, workload, and staffing. Assume responsibility for all required Respiratory Care documentation on all assigned patients.
Equipment and Supplies:
Effectively utilize equipment and supplies. Demonstrate the ability to setup, operate, troubleshoot, and perform corrective action based upon department policies and procedures and manufacturers recommendations. Utilize appropriate procedures in reporting malfunctioning or suspect equipment and supplies. Determine whether equipment malfunction is life threatening versus non-life threatening and respond appropriately. Assume responsibility and ensure patient safety during any equipment failure. Maintain inventory level of respiratory care equipment and supplies as assigned.
Productivity and Time Management:
Maintain department productivity standards. Report inability to complete procedures; seek assistance if patient care is compromised.
Job and Personal Maturity:
Demonstrate flexibility and adaptability by accepting new ideas and supporting changes in the department and hospital/clinic. Function independently with minimum direction. Utilize effective listening, verbal, nonverbal, and writing skills formally and informally. Utilize the chain-of-command in the event of a difficult situation or decision. Immediately report critical values to appropriate team members. Interact professionally when discussing patient care plans/recommendations with healthcare team members.
Education and Staff Development:
Participate in training and orientation of new employees as required. Participate in and provide patient education, within the department and medical center. Attend department continuing education and meetings as required. RCP II (Includes all skills required of RCP I, RCP II): Function at Independent Level in Adult Critical Care areas. Demonstrate ability to assess for implementation or discontinuance of mechanical ventilation. Demonstrate ability to implement all modalities of ventilation approved for use in the medical center. Demonstrate ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation. Demonstrate ability to effectively wean from mechanical ventilator per medical center protocols. Demonstrate ability to implement all respiratory modalities of care specific to the Adult critical care.
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