Registered Respiratory Therapist

4 months ago

Billings, United States Billings Clinic Full time

Essential Job Functions


• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients utilizing evidence based and best practice. Incorporates the respiratory process into the goal-directed plan of care for the patient.
• Adheres to Billings Clinic safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. This includes complying with hand hygiene adherence, isolation practices, clean/dirty equipment process, reassemble of equipment, and processes associated with Sterile Processing Department if needed.
• Ensures complete, accurate, and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.
• Checks and maintains respiratory therapy equipment. Maintains appropriate skill, knowledge, and application of relevant and commonly used equipment specific to the area based on disease process or physiological status.
• Ensures complete, accurate, critical value reporting, and timely entry into patient medical record for all Pulmonary Laboratory values. Performs arterial puncture, arterial line draws, and blood gas analysis consistent with departmental policies and procedures. Completes Laboratory equipment maintenance and regulatory logs as assigned.
• Takes responsibility for own professional growth, punctuality, and developmental needs. Meets all system/departmental educational, competency, and meeting requirements. Participates in departmental committees and activities to positively contribute skills and ideas for better departmental advancements and processes.
• Performs all duties dealing with floor care, Intensive Care Unit, Emergency Department, and Pediatrics.
• Performs other duties as assigned or as needed to meet the needs of the department/service.
• Attends and participates in multidisciplinary rounds including Critical Care Service x-ray rounds. Initiates, monitors, and makes necessary changes based on provider orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as bronchoscopy and airway management. Performs walking rounds when giving and receiving report in critical care areas. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.
• Attends all high risk deliveries. Participates in multidisciplinary rounds including x-ray rounds. Initiates, monitors, and makes necessary changes based on provider orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as surfactant administration and airway management. Performs walking rounds when giving and receiving report. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.
• Performs all hyperbaric medicine duties which includes but not limited to; assessment of tympanic membranes, emergency procedures and decompression, patient assessment, operation of the chamber and all hyperbaric equipment, thorough knowledge of policies and procedures. Successful completion of tympanic membrane and safety training with ongoing competency.
• Performs PFT’s (Pulmonary Function Tests), EIB’s (Exercise Induced Bronchospasm testing), EIB with laryngoscopy, Methacholine Challenges and Asthma Education for pediatric patient populations.
• Educates patients and families on all aspects of outpatient respiratory care in the home (medication and equipment) in regards to asthma, cystic fibrosis, interstitial lung disease, neuromuscular diagnoses, sleep apnea and sleep hygiene, etc.
• Responsible for rooming clinic patients, taking vitals and history, reviewing medication history, schedules appointments and diagnostic tests and procedures as ordered by physician.
• Reviews sleep study results and nocturnal oximetry results and informs provider of patients who require immediate attention.
• Travels with providers to provide support for outreach clinics within the service area.
• Researches and provides articles and data regarding best practice for respiratory care and cystic fibrosis and all aspects of respiratory care. Serves as the RRT for the Adult cystic fibrosis clinic. Performs daily visits with inpatient cystic fibrosis patients (adult and pediatric). Educates patient and family on all aspects of respiratory care in regards to cystic fibrosis. Educates hospital RT’s on cystic fibrosis care and assure all respiratory orders are followed.
• Assists with laryngoscopies (with or without exercise) including sterilizing scope, setup and restocking of cart and medications.
• Participates in the development of policies and procedures for the pediatric respiratory care program.
• May perform endotracheal intubation in emergent situations.
• Performs pulmonary physiology testing (i.e. blood gas analysis, pulmonary function testing, bronchoprovocation, pulmonary exercise stress testing, exercise induced bronchospasm testing, disability testing and metabolic testing) as per departmental policy and procedure. Calculates test results and communicates results to physicians for interpretation.
• Able to assist with inpatient bedside spirometry as schedule allows.
• Assist with QA/QI per department policy and as directed.
• Able to independently or with vendor support trouble shoot all equipment in the PFT lab.
• Participates in the development of policies and procedures for the outpatient Pulmonary Physiology Lab.
• Assists with daily calibration and equipment maintenance.
• Travels with providers to provide support for outreach clinics within the service area.
• Assist with QA and QI for the Pulmonary Rehab lab.
• Assist with Pulmonary Rehab lab accreditation.

Minimum Qualifications
Education
• Graduate of an AMA-approved school for Respiratory Care

Certifications and Licenses
• Healthcare Provider CPR certification
• Current Montana RCP license

Other Minimum Qualifications

• Must be a Registered Respiratory Therapist by the National Board for Respiratory Care within six (6) months of employment
• For moderately complex (non-waived) laboratory testing, verification of education (copy of degree diploma or transcripts) must be provided for the highest science related degree; if training was under a certification program will need to provide copy of high school transcript
• Additional Qualifications for Registered Respiratory Therapist (RRT) I Hospital
ACLS, PALS, & NRP certification within 2 years of employment

Employee BenefitsBillings Clinic Employees

Billings Clinic is a “best” place to work because if its people. The collegial atmosphere, teamwork, pride in care, and numerous opportunities to grow both personally and professionally help keep our amazing employees here caring for patients.  State of the art facilities and advanced technology gives the health care professionals the tools to provide advanced health care in a healing environment.

  • 2019 Billings Chamber of Commerce Employer of the Year
  • 2019 Becker’s 50 Best U.S. Companies to work For
  • 2019 Women’s Choice Award for America’s Best Hospitals for Patient Experience
  • LivAbility “One of the Top 25 Best Places to Live in America
  • 2016 Outside Magazine’s America’s Best Town

Employees have the opportunity to make a difference in the lives of each other and our patients, making this a truly meaningful place to work. The organization also offers employees the opportunity to engage in numerous councils and educational opportunities leading to career growth and involvement in decision making and important initiatives. Beyond giving great care, employees’ ideas and insights are valued at every level of the organization.

At Billings Clinic, it is important to celebrate milestones and ensure that employees feel valued. Recognitions such as the DAISY or BEE Awards, Years of Service and the employee recognition program give everyone the opportunity to show encouragement toward team members who go the extra mile.

Billings Clinic offers excellent benefits and salaries, education assistance, paid time off, and learning plans for career growth. The combination of excellent benefits, strength of the organization and meaningful work make Billings Clinic one of the best places to spend a career in health care.

Billings, Montana is a friendly college community located near the magnificent Rocky Mountains with great exciting outdoor recreation just minutes from home.  Billings has great parks, trails, public lands, thriving restaurants, excellent schools, safe neighborhoods, and abundant events and family activities.

Explore some of the Billings Clinic employee benefitsHealth
  • BeWell-An employee wellness program with initiatives and resources around Health, Finance, Personal Growth, and Community.  Programs include free blood screenings, flu shots, biometric screenings, health assessment, incentives such as insurance premium discounts for participation.
  • Medical-Billings Clinic offers a comprehensive self-insured health plan, including a traditional PPO plan and an HSA plan. The benefit is available to full or part time employees. 
  • Pharmacy-Our medical plan includes prescription benefit coverage and prescriptions can be filled at the Atrium Pharmacy on our campus with a mailing service available to employees who reside outside of Billings. 
  • Dental-Preventive and Comprehensive plans include preventive and major dental services such as fillings, extractions, bridgework, dentures and crowns.  
  • Vision-A vision plan is available; which covers a routine eye exam and provides an allowance for the purchase of frames, lenses or contact lenses.
  • Flexible Spending Accounts-We offer two types of spending accounts: health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
  • HSA Savings Accounts-We offer an HSA savings accounts and an employer contribution for full time employees.

  • Short Term Disability/Medical Leave-Billings Clinic provides a short term disability medical plan which provides employees with days to use in the event of an extended illness or injury.

Financial
  • Paid Time Off-Billings Clinic recognizes an employee's need to balance work and family life. Billings Clinic provides a paid time off benefit which affords employees the opportunity to have time off with pay. 
  • Retirement Plans-Billings Clinic provides a defined contribution pension plan and a 403(b) tax deferred savings plan with matching contributions. These plans offer employees the opportunity to save for their retirement years with a variety of investment options available.
  • Flexible Spending Accounts-We offer two types of spending accounts: health care and dependent care. Both allow you to pay certain expenses with pre-tax dollars.
  • HSA Savings Accounts-We offer an HSA savings accounts and an employer contribution for full time employees.

  • Tuition reimbursement and/or assistance programs are available for certain positions.

  • Employee Crisis Fund-Provides limited financial assistance to Billings Clinic employees who need immediate aid. 
Growth & Community
  • Employee Assistance Program (EAP)-Billings Clinic recognizes that mental well-being is connected to physical health. We offer employees and their eligible dependents, at no cost, four sessions of mental health related services through our confidential EAP program.
  • Billings Clinic Parent Network (BCPN)-A unique group to support the employees who also wear the hat of “parent”.  The group meets monthly to discuss the challenges of being a working parent and provides encouragement and support.
  • Cafeteria and Commons Café-meal subsidies
  • Bicycle-friendly business-Bronze award winner by the League of American Bicyclists
  • Tuition reimbursement and/or assistance programs are available for certain positions.
  • Leadership training
  • Employee recognition programs such as the Bee Award for outstanding team members, Daisy Award for nursing excellence, Great-Catch Award (safety), Years of Service award, YAG awards.  Several employee recognition events throughout the year such as the food truck outdoor event, hot cocoa bar event, etc. to promote fun and employee recognition.
  • Free or discounted tickets to local entertainment and sporting events
  • Club Billings Clinic offers employees discounts at numerous local businesses and service providers
  • Lactation facilities for new mothers.
  • 360-degree performance reviews
  • Our organization promotes sustainable or “green” practices.
  • Identity Theft Protection and Emergency Travel Assistance
  • Business education, continuing education credit assistance
  • Formal career development and job advancement programs
  • Actively supports community service initiatives, e.g. United Day of Caring, Saturday Live, etc.
  • Flexible scheduling and telecommuting options for certain positions to accommodate work/life balance
  • "Casual Fridays"-ability to wear work appropriate jeans to work (for non-clinical employees)
  • Workplace facilities to promote exercise
  • Promotes walking trails both inside and around the campus

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