Responsible for the pulmonary care of critical, non-critical, and chronically ill adult, pediatric, and neonatal patients under the direction of a physician with minimal supervision. Performs patient assessments and institutes respiratory care plans. Performs carious technical and diagnostic respiratory therapy procedures in all areas of the hospital.
Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.
Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.
Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
Decision Quality -- Making good and timely decisions that keep the organization moving forward.
Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.
Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
Goals -- Completes quarterly goals
Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role
Accurately reports and documents patient therapy and patient information maintaining confidentiality of such documents, i.e. patient charts, etc.
Performs routine technical respiratory therapy procedures, including the administration of prescribed medication.
- Documents therapies into Care Manager.
- Gives and receives verbal report on patients at shift change.
- Receives verbal orders from physicians and writes on order sheet by using JCAHO standard. Verbal orders verified.
- Performs assessments and evaluations, charts progress of patients, and documents order changes on patient's chart.
- Enters changes and discontinuances in Cardex.
- Proper use of Pyxis supply.
- Attends interdisciplinary/discharge-planning meeting.
- Chart checks done per shift. Checks, signs and dates patient MAR with time given for each therapy given.
- Evaluates patient progress and records appropriately on chart.
- Documents all blood gases on downtime sheet when computer is down. Also records these ABG's on log sheet.
- Medication Pyxis: A tutorial is completed on the correct procedure for using the medication Pyxis.
- Reports and documents critical value read back (CVRB) on all critical blood gas reports.
Performs diagnostics studies on patients in assigned area and assists in monitoring of patient during surgical procedures.
- Performs respiratory therapy procedures: aerosol, IPPB (Intermittent Positive Pressure Breathing), CPT and bronchial drainage, incentive spirometry, BiPAP, Passy Muir speaking valves, monitor/set up nasal CPAP and O2 therapy.
- Performs physical assessment of patient.
- Sets up, maintains, and monitors ventilators.
- Performs airway care for adult, pediatric, and neonatal patients. Variations in procedure are done as per physician order.
- Provides respiratory assistance for patient transports.
- Promotes R.T. Protocols to physicians and nursing personnel.
- Assists CNNP, RN on neonatal transports to/from other hospitals.
- Attends all C-sections.
- Draws all cord pH levels and reports them to the physician.
Provides for education of the patient/family.
- Performs bedside pulmonary function tests. (12 annually)
- Performs arterial blood gas studies
- Performs bronchoscopies.
- Performs EKGs and holters.
Assures the rights of the patient/family are respected and maintained.
- Identifies and documents patient/family educational needs upon initial assessment and thereafter.
- Identifies barriers of learning.
- Evaluates the effectiveness of instruction provided.
Demonstrates the knowledge of unit specific policies and procedures and the ability to safely and competently use unit specific patient care equipment in the delivery of quality patient care.
- Allows privacy and modesty in the provision of care.
- Identifies self by name and title to patient/family.
- Understands role of how to access the Ethics Committee.
- Completed Unit Specific Competency Checklist.
- Obtains proper in-service on any new equipment before use.
- Differentiates between patient complications and equipment malfunctions.
- Uses medical equipment in accordance with manufacturer guidelines.
- Flexibility in schedule.
- Adaptive to change in procedure/policy.