Position Summary:

• Under general supervision Cynet Health RRT will perform all respiratory care related duties.
• He or she sets up and administers all routine and complex respiratory therapy procedures to patients of all ages in all areas of the hospital, particularly in the ER, NURSERY/ NICU & PICU, and ICU/CCU departments as prescribed by a physician.
• Responsible for the application and operation of acute care ventilators used for continuous short and long-term mechanical ventilation of adults, pediatrics and neonates.
• Therapists are expected to be self directed in the absence of the full-time Team Leader.
• Maintain all department and hospital records and enters accurate information into the hospital computer for the therapy as given.

Reports To:

• Onsite Supervisor or Manager of contracted medical facility.
• Cynet Healthstaff Director of Nursing

Duties and Responsibilities:

• Review the chart to verify proper prescription by a physician, and appropriateness of the procedures ordered, will perform procedures accurately and in a timely manner, and as described in the policy and procedure manual of the contracted medical facility such as the following:
• Oxygen Therapy; tank, tent, mask, cannula, walker, high flow, etc. Coughing and deep breathing instruction and exercises and related maneuvers including Incentive SpirometryAerosol Therapy; Bland and Medicated, Metered dose, Ambient, Ultrasonic, Sputum Induction Comprehensive Pulmonary Function Testing, and nutritional assessment via calorimetry Chest Physical Therapy IPPB, CPAP, BiPAP Therapy Airway maintenance, oral, nasal, and tracheal suctioning.Arterial puncture for the purpose of blood gas analysis, after proper certification Non-invasive monitoring Mechanical Ventilation of the neonate/infant Continuous mechanical ventilation of acute and critically ill adults in ER, ICU-CCU & long-term setting Assist with , diagnostic and therapeutic Bronchoscopies.
• Performs assessment ofhe patient, determining needs related to the frequency and duration of the treatment regime ordered by the MD. Requests re-order when necessary and communicates with nurse and MD about discrepancies and concerns.
• Initiates and follows through with protocols described in the policy and procedure manual and as approved by the department and medical staff
• Observes the response of the patients to therapy, evaluates and records in the patients record. Immediately reports adverse reactions following established mechanisms.
• Maintains proper critical care records, (flowsheets, charts, and record cards.) Chart treatments and procedure accurate in the forms provided immediately upon completion. Enters appropriate information into the hospital computer system accurately and completely.
• Participates in Multidisciplinary Care Planning by regularly attending care conferences and by keeping care plans up to date.
• Respond to emergent situations in the hospital and assists with providing CPR/ACLS as certified by the American Heart Association and as directed by the hospital procedure.
• Assist with the on-going evaluation and renewal of therapy by direct communication with ordering practitioners as directed by policy and as assigned.
• Makes oxygen rounds as necessary and appropriate, causing the safe and effective use of supplies and equipment. Provide for the titration of oxygen as described by Protocol.
• Provides instruction to patients, family, staff, and students about theory, therapy, and equipment used in Respiratory Care procedures and techniques, and documents such as required. Provides instruction and referral for Home care patients and their families/care givers.
• Demonstrates competence and provide for the cleaning, sterilization, assembly and maintenance of equipment and stocking of supplies in the department and the floors, as necessary and appropriate.
• Provides complete report to on-coming personnel and takes a complete report from offgoing personnel.
• Will act as Team Lead in the absence of the regular Team Lead on a rotational basis as assigned, performing the duties and responsibilities described in that job description to the best of your ability.
• Respiratory Care. May be requested to prepare and provide in-service presentations to the staff.
• Seek to improve performance by participating in self-development activities, in-services, and continuing education that is appropriate for the effective and efficient delivery of .
• Assists in the orientation of new nursing and RC personnel to the department, ICU/CCU, ER, Nursery, hospital and Skilled Nursing settings.
• Provides developmentally appropriate care to support patients of all ages during their hospitalization.
• Demonstrates competence in the care of neonatal, pediatric, adult or frail elderly groups of patients (when/if assigned to these patients) relative to determining each patient’s agerelated and other physical, psycho social and cultural needs and carrying out patient care activities.
• Supports multidisciplinary quality assessment and improvement activities by participating in improving important aspects of care. Participates in improving care by serving on committees or task forces, collecting data when appropriate and sharing ideas for improvement. Serves on Process Improvement Teams as requested and reports significant quality and/or risk related problems to the Quality Assurance Department on the appropriate forms
• Become proficient in and provide quality control and regular maintenance of the Blood Gas machines as necessary and assigned.
• Performs other duties requested by the Manager, and/or Team Leader and as described in the departments policy and procedure manual.
• Always practices good customer relations skills.
• Maintains an orderly and neat department and work area at all times.
• Answers and responds to all calls and pages of the Department.
• Maintains knowledge of recent advances in medical principles of respiratory therapy equipment,procedures, and drugs.
• Maintains a good attendance record and follows all hospital rules, policies and procedures.
• Maintains open and effective communications with patients and their nurses, physicians, peers,supervisors, and students. Establishes and maintains excellent interdepartmental and interpersonal relationships.

Minimum Job Requirements:

• Current License or written permission to practice required. Must have immediate access to license while on duty.
• Actively registered with the National Board for Respiratory Care (NBRC) required.
• Current BLS, ACLS, and NRP Certification required
• PALS and CPFT encouraged and preferred
• Membership in AARC and/or CSRC preferred
• 2 years previous hospital experience required
• Emergency Room, Critical Care, Pediatric, and Neonatal experience preferred