Respiratory Therapist

1 week ago

Richmond, Virginia, United States Bon Secours Mercy Health Full time

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety, and cost-effectiveness. Our hospitals, care sites, and clinicians are recognized for clinical and operational excellence.

Job Summary:

The Respiratory Therapist - Critical Care Specialist is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures, including oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services, and patient and staff education.

Essential Functions:

  • May serve as the shift Charge Therapist with responsibility for ensuring adequate staffing levels and assigning respiratory care staff to work areas and/or work assignments.
  • May assist physicians with procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy intubation, and tracheostomy endotracheal tube changes.
  • 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 the use of appropriate airways, airway humidification, aspiration of secretions, extubation, and maintenance of correct ETT cuff pressures.
  • Selects, assembles, monitors, and evaluates mechanical ventilators for proper function and operation, including correction of malfunctions, cleanliness, and determination of appropriateness for patient condition.
  • May perform pulmonary function tests (PFT).
  • Serves as a preceptor to new team members and/or students.
  • Assesses patient physical status by inspection, palpation, auscultation, percussion, patient behavior, and reviewing existing data in patient records.
  • Performs treatments according to physician orders, explains therapy and therapeutic goals to patients, and modifies treatment procedures based on patient response.
  • Determines appropriateness of prescribed therapy and recommends methods to physicians to achieve therapeutic goals, including IPPB, Aerosol therapy, Postural drainage, and percussion.
  • Sets up and maintains different modes of oxygen therapy to maintain adequate PaO2s with accurate inspired levels of oxygen.
  • Administers intermittent positive pressure breathing (IPPB) or Aerosol Therapy by preparing prescribed medication, adjusting machines or devices, and documenting patient vital signs and productivity of cough.
  • Gives postural drainage, vibration, and percussion to ensure proper drainage of bronchial secretions, checks orders and X-rays for segments to be treated, and auscultates prior to and after procedures.
  • Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural drainage and clapping, oxygen therapy, ventilator care, and home aerosol therapy.
  • Procures sputum for culture and sensitivity or airway clearance by patient coaching, administration of mucolytics, aerosol therapy, or endotracheal/nasopharyngeal suctioning.
  • Evaluates normal and pathologic blood and urine laboratory value ranges.
  • Performs arterial punctures and analysis, has an in-depth knowledge of analysis and arterial blood gas (ABG) interpretation, and performs arterial line procedures, takes safety precautions, sterile procedure, flushing, and ABG aspirations.
  • May perform EKGs, understands electronic monitoring, lead placement, and basic arrhythmias.
  • Maintains all Respiratory Therapy equipment and supplies.
  • Responds to cardio-pulmonary resuscitations and actively participates as indicated by clinical circumstances.

Education:

  • Graduate of an AMA-approved school for Respiratory Care (required)
  • Bachelor's Degree, Related to Respiratory Therapy/Healthcare/Healthcare Admin/Business Admin (preferred)

Required Licensing & Certifications:

  • Current Respiratory Care License in the state they are working (required)
  • National Board for Respiratory Care (NBRC) credentialed (required)
  • Registered Respiratory Therapist (RRT) (preferred)
  • BLS Basic Life Support - American Heart Association (required)
  • ACLS Advanced Cardiac Life Support - American Heart Association or Red Cross (required)
  • PALS Pediatric Advanced Life Support - American Heart Association (required)
  • NRP (Neonatal Resuscitation Program) - AAP/AWHONN (preferred)
  • Certified Pulmonary Function Technologist (CPFT) (preferred)
  • Registered Pulmonary Function Technologist (RPFT) (preferred)
  • ACCS (Adult Critical Care Specialist) - NBRC (preferred)

Experience:

  • Two years of experience as a Registered Respiratory Therapist or five years CRT working with patient populations from Nursery/NICU and/or ICU/CCU environments. (required)

Skills & Abilities:

  • Strong interpersonal skills and able to effectively interact with patients, their families, physicians, and other staff members
  • Good communication skills
  • Able to effectively work with diverse people
  • Good customer service skills
  • Good organizational skills and time management skills
  • Good oral and written communication
  • Able to receive feedback
  • Able to gather and interpret data
  • Accountability
  • Knowledge of non-invasive respiratory therapy equipment such as oximeters or end-tidal CO2 analyzers
  • Therapeutic Procedures to include CPAP/BiPap, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high flow oxygen, continuous aerosols, ventilator management, diagnostic testing
  • Understanding of EKGs, electronic monitoring, lead placement, and basic arrhythmias
  • Arterial blood gas punctures and testing
  • Airway maneuvers
  • Bedside pulmonary function
  • Patient assessment
  • Patient education
  • Knowledge of chest suction equipment
  • Knowledge of chest X-ray interpretation

Training:

  • EPIC Electronic Health Record (EHR) training (preferred)

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