The Certified Therapist is ultimately accountable to the respiratory supervisor and department director and performs under the direct supervision of the Respiratory Therapy Supervisor and is delegated a shift assignment by the supervisor to achieve quality patient care and expected productivity during a routine workflow experience.
Registered Respiratory Therapist must demonstrate quality health care through patient safety interventions and strategies:
o The Registered Respiatory Therapist must demonstrate competency for knowledge/skill/ability for:
o Provision of approriate age/growth/cognitive development during care: vital signs- Dysfunction signs and symptoms,
selection and application of appropriate therapy intervention and
size selection for supply/equipment and lalarm parameter/alarm adjustments and
patient education, including family or significant other when neededl to facilitate the understanding required for patient cooperation of procedure and assessments.of patient.
o Sensitivity to cultural and religious beliefs of patients, visitors and staff.
o Adherence to all policy for infection prevention, surveillance, and control and consistent use of proper hand hygiene/standard precaution practice and cleaning/storage of supplies/equipment compliant with guidelines, including, safe use of PPE/eyewash, cold disinfection process.
o Adnerence to all safe work s practices such as use of environmental controls (door codes/negative flow treatment room/panic button), operation of hospital beds, and all respiratory medical equipment, office equipment and pneumatic tube system.
o Adherence to all work policy and demonstrate ability to work independently with minimal supervision in making clinical decisions during the completion of assigned tasks and department overall daily/shift objectives in an orderly and functional fashion in a challenging environment.
o Complaince in HIPPA/EPIC management of patient and your personal health information.
o Preceptorship of students and completion of their daily evaluations.
o Adherence to all work policy and demonstrate ability to work independently with minimal supervision in the completion of routine assigned tasks and department overall daily/shift objectives.
o Understanding of personal behavior effect on departmental PPI goals /outcomes.
o Intuitive practice of eatablished guidelines for: patient identification/ staff identification,
use of Respiratory Case Records/ electronic work lists, sign out processes, for the documentation/archival/retrival/billing of services provided ,
inclusion of patients’ cautions, allergies, and co-morbidities for provision of safe patient care,
patient report using SBAR at receipt or hand off of patient.
o The indication/implementation/application/cautions and contraindications for respiratory scope of practice procedures (non-invasive and invasivein a systematic mannerto include assessment and planning, intervention and monitoring/evaluation in collaboration with the dept. supervisor and multidisciplinary care team as evidenced by documentation in the EMR, direct observation by the supervisor/preceptor and patient evaluation of care: Expansion Therapy
Inhaled medication administration / Sputum Inductionand Specimen Collection
Airway Management: pulmonary hygiene therapy: CPT (manual and device) and naso-tracheal suction, artificial airway management/suction/extubation/tracheal decannulation, physician requested assistance for crycothyrotomy and tube exchange.
Invasive and Non-invasive Mechanical Ventilation: Iniatition/Monitoring/Titration-Weaning and Transport (in house and external) of all ventilatory modes and all currently available brands of equipment and age specific platforms
Medical Gas Administration- Delivery device/Monitoring for desired/adverse effects
Oxygen and Oxygen/Helium mixture / Cylinder Use/Handling /MRI/Storage
Air/ oxygen piping system use/shut-off
Blood Gas/Co-Oximetry: Specimen Collection and Analysis/Results Reporting
Pulse Oximetry /SpO2 Trend Study/ Home O2 Evaluation
Bedside Pulmonary Function Flow Volume measurements/ Pulmonary Mechanics measurements
EKG: Lead placement/Test Acquistion/safe equipment operation/use
Certified Respiratory Therapist must: Demonstrate quality health care through cross training in all areas as their experience supports or as new graduate’s experiences develop the knowledge and skills for areas listed: Neonatal Intensive Care (NICU) and NICU Transport Team
Emergency Department (ED)
Intensive Care/Coronary Care(ICU/CCU)
Pulmonary Function Lab (PF Lab)
Orthropaedic Institute (OI)
Demonstrate intuitive ability to evaluate patient clinical and educational needs, establish and adjust plan of care as appropriate for best outcome and discharge readiness each encounter using evidence based algorithims, physician orders, approved practice guidelines/protocol.
Communicate with physician/mid-level provider for the implementation or discontinuation of care as appropriate.
Demonstrate intuitive skills and performance ability for Rapid Response Team / Respiratory Care Consult Initiation, High Risk Evalaution.
Demonstrate ability to focus on discharge readiness/planning through oxygen/ventilator titration/weaning and multi-disciplinary communications.
Systematic use and operation of software systems and recognize, resolve or report variances from normal expected workflow and ability to follow computer downtime policy to ensure patient safety and completion of scheduled work.
Be flexible to adjustments of assist call shift(s), assigned work/areas (including OI) , scheduled times/shifts/rotationsin order to meet patient care needs and departmental daily objectives and to maintain a safe working environment.
Must be accessible through telephone number provided and follow staffing guidelines for staffing during internal and external disasters.
Actively particpate in department PI goals and demonstrate personal improvement after remediation.
Participation in department meetings and education/training, and meet the established deadlines for completion.
Acquire and maintain skil/competency and required credentials for position (including cross trainied specialty areas or as volunteer of Decon Team).
Graduate of Accredited Respiratory Care Practitioner Program required.
Respiratory Therapy work experience in an acute care setting preferred.
Current certification by NBRC and licensure by Mississippi State Board of Health required. BLS required; ACLS, PALS, NRP preferred.