Pediatric Respiratory Therapist
3 days ago
Advocate Aurora Health is seeking a highly skilled Pediatric Respiratory Therapist to join our team. As a Pediatric Respiratory Therapist, you will be responsible for providing comprehensive respiratory care to critically ill/injured patients in the mobile environment of air and ground transports.
Key Responsibilities- Patient Care Activities
- Obtain pertinent maternal, neonatal, and pediatric histories with emphasis on risk factors and implications for problems and incorporate that in plan of care.
- Perform pertinent physical examination related to respiratory practice.
- Formulate differential diagnosis and a plan of care of existing and potential problems in collaboration with Transport RN and Transport Medical Control Physician (TMCP).
- Recognize and treat changes in clinical situations (including life-threatening conditions) and implement changes to the transport plan of care based on Standing Transport Protocols and TMCP recommendations.
- Exercise independent judgment in situations when sudden clinical changes occur and understand and implement necessary interventions and their expected outcomes based on Transport Protocols and TMCP recommendations.
- Perform necessary diagnostic and therapeutic procedures as indicated for identification and management of problems as indicated by protocols and/or TMCP recommendations, including but not limited to (Patient stabilization, Airway management, needle aspiration of pleural space, interpretation of routine laboratory and radiographic data, intraosseous insertion, spinal immobilization, trauma primary and secondary assessment/management, blood drawing, insertion of peripheral IVs and all other procedures as trained).
- Provide clinical management for resuscitation, with independent manner per protocol, of the neonatal, pediatric, and/or adolescent patient, including necessary pharmacological support during interfacility transports.
- Provide ongoing monitoring, assessment, and appropriate interventions in accordance with standing protocols and orders while in transit, at referring and receiving facilities and documents accurately on all transport documentation according to department guidelines and role models this to other team members.
- Demonstrate expertise in respiratory practice and critically evaluate own decision-making and judgments.
- Serve as an expert with ability to care for all types of neonatal and pediatric patients (and adults with pediatric diagnosis/medical history), at an expert level, in the mobile environment (ground/rotor/fixed wing).
- Assuring Safety and Quality of Care
- Wear appropriate uniform and boots according to policy and role model to peers.
- Obtain appropriate transport consents including but not limited to consent for treatment and transfer and privacy consent and ensure understanding of information to guardian prior to obtaining consents.
- Complete independent verification during interfacility transfer for the RN on required medications (acting as RN's wingman).
- Take a leadership role in achieving unit compliance with Transport Program accreditation for CAMTS and actively participate in the Quality and Safety plan of department.
- Consistently utilize risk assessment/reduction strategies and role model this behavior to coworkers to include but not limited to: fatigue management assessment, ground risk assessment, post-transport debriefs, and predeparture checklist and reports identified risk to the leadership on a real-time basis.
- Communicate information about the patient's 'working diagnosis, plan of management, and prognosis to the referring physician, guardian, and other management of the health care team and provides a concise and thorough hand-over and transfers care of patient to the receiving hospital staff.
- Assure medications and supplies are stocked according to guidelines and are not expired and role model this behavior to coworkers.
- Administer all inhalation medications as prescribed by TMCP (standing orders/protocols) and according to policy and procedure.
- Implement strategies to reduce patient and crew risk and increase safety in the transport environment including but not limited to the use of securement devices, securing equipment, and the use of lights and sirens.
- Operation of Transport Equipment/Vehicle Procedures
- Demonstrate expert knowledge and operation of all transport equipment within scope and is able to troubleshoot issues on a real-time basis in order to provide the safest care for the patients.
- Maintain all transport equipment in a state of readiness by checking all equipment, per departmental guidelines, at the beginning of each shift and prn. Special attention to detail needs to be made noting any discrepancies and troubleshoots as needed. Role model this behavior to ensure compliance with others on the team to maintain a culture of safety.
- Participate in the ongoing evaluation of transport equipment needs and provides detailed feedback to ensure evaluation was completed in a comprehensive manner.
- Report and document transport equipment malfunctions/errors to biomedical engineering, transport leadership, and in appropriate patient safety event reporting.
- Demonstrate knowledge of ground, rotor, and fixed-wing aircraft operating procedures and safety practices.
- Transport Team Communication Center
- Facilitate and contact consultants as directed by TMCP.
- Ensure appropriate documentation of transport request is completed with accuracy.
- Coordinate initial transport request information from the referring facility unit clerk and begin request in Central Logic.
- Maintain appropriate contact with the transport team at required times to ensure team's whereabouts and ongoing safety of transport team and maintains information on a guardian/designee ride-along and logs emergency contact information.
- Keep updated information on current weather conditions in and around transport service area and notifies transport leadership of any current weather threats.
- Coordinate and confirm bed placement at receiving facility or alternative admission facility as appropriate.
- Coordinate appropriate mode of transport with vendor staff and contacts/communicates information to Advocate Children's Hospital Transport Team.
- Communicate ETA and status, on an ongoing basis, with both the referring facility and receiving facility.
- Verify appropriate crew information sheets on file and initiates PIAP (Post-Incident Action Plan) when appropriate.
- Maintain up-to-date information on bed availability, physician, team coverage/status, vehicle information-availability, and contact numbers on an ongoing basis.
- Professional Development/Professional Accountability
- Participate in peer review of the transport team members by accurately completing post-transport debriefs.
- Earn a minimum of 15 contact hours per year related to transport medicine and/or population that is served by transport program.
- Take a proactive approach in seeking out own learning needs and experiences in order to stay up to date and current based on departmental educational plan and requirements.
- Demonstrate continued professional growth through continuing education and review of current literature pertaining to neonatal-pediatric transport as evidenced by participation in at least 75% of departmental journal clubs on a yearly basis and encourages peers to actively participate.
- Take a leadership role in the education of others at the unit, house-wide, and/or system level to provide a class and/or formal education event once a year.
- Lead a transport case study once every 12 months AND/OR take a leadership role in the education of others at the unit, site, system, or at a Referring Hospital to provide a class and/or formal education event once a year.
- Actively participate in at least one unit committee and/or unit task force OR site/system committee and shares information and keeps department up to date on current committee (task force) issues.
- Serve as a preceptor in the training of future transport team members and residents/students that are completing a transport rotation (required after member has been on transport team for over 12 months).
- Participate in at least 75% of department staff meetings on an annual basis via in-person or phone.
- Leadership/Research/Evidence-Based Practice
- Initiate, participate, and assist with the implementation of change to transport policies, practices, procedures to enhance the quality of care that is delivered.
- Identify and/or participate in potential/actual research studies and/or evidence-based practice projects that are related to neonatal, pediatric, and transport when identified.
- Serve as a resource or consultant to nursing, medical, and ancillary staff regarding neonatal and pediatric transport and acts as an expert in complex cases.
- Perform all required charge crew duties in a comprehensive manner, when assigned, and communicates through the proper chain of command when appropriate.
- Take a collaborative approach in assisting with medical procedures and interfacility transports when requested and available and does this in a manner that is collegial, representing the transport department in a positive manner.
- Prepare for the safety huddle, when assigned, and communicates department information and follows up on any issues identified according to guidelines established.
- Utilize resources and follows chain of command for disruptive behavior that impedes the delivery of care/safety of patient and/or team and proactively addresses difficult conversations on a peer-to-peer basis when appropriate.
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