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OH - Registered Respiratory Therapist - Rate offers accepted - N
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US-OH-Cleveland
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<p>Job Summary:Provides respiratory therapy services to neonatal through geriatric patients in accordance with a physician s written and/or verbal orders, and according to established procedures/protocols/the clinical standards of the Respiratory Therapy department. Instructs patients as to the procedures, medications, nature of therapy, and equipment involved in treatment. Maintains competency and proficiency with requisite skills as dictated by the Occupational Health and Safety Administration (OSHA), the Joint Commission, the Ohio Respiratory Care Board (ORCB), the National Board of Respiratory Care (NBRC), and all required/necessary job responsibilities. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Responsibilities:Contributes to patient safety by:a. Providing a safe environment for patients.b. Reporting safety concerns, errors and near misses.c. Participating in system improvement initiatives to prevent errors.d. Providing evidence-based care as applicable to the role. 1. Performs, assesses and responds to clinical/laboratory data for the cardio-pulmonary system, including but not limited to:a. Performing and assessing vital signs/ventilation patterns/use of accessory muscles, and identifing abnormal values/findings. b. Performing a physical assessment by palpating, percussing, and auscultating the chest as necessary.c. Reviewing past medical history, laboratory, and radiology reports.d. Performing physiologic tests, including but not limited to: oxygen gradients, shunt evaluation, compliance measurements, resistance measurements, dead space evaluation, and breathing.e. Monitoring and evaluating oximetry, capnography, and indirect calorimetry as necessary.f. Performing bedside spirometry, measuring spontaneous ventilatory parameters, and ensuring reliable results.g. Identifying both normal and potentially life threatening cardiac arrhythmias, and responding appropriately.h. Assessing abnormal hemodynamic values, including cardiac output, pulmonary artery resistance, systemic vascular resistance, cardiac index, pulmonary artery pressure, pulmonary capillary wedge pressure, and identifies abnormal values.i. Routinely updating each patient care plan while using critical thought:a) Interpretation: Categorizing and recognizing the significance of the patient s history and pathology.b) Analysis: Examining gathered data.c) Inference: Drawing conclusions.d) Explanation: Justifying procedures. 2. Analyzes arterial blood gases and/or electrolytes by:a. Operating blood gas analyzers, including calibration and troubleshooting.b. Interpreting arterial blood results for the patient s acid-base status, oxygenation, and ventilation.c. Recommending appropriate changes in oxygen and ventilation interventions to physicians.d. Performing arterial punctures, and maintaining the required competency for performing invasive procedures. 3. Administers supplemental oxygen by:a. Evaluating and determining appropriate F102 and oxygen delivery system(s) by utilizing approved procedure(s).b. Adjusting oxygen delivery if warranted by change(s) in the patient s ventilatory pattern and/or arterial oxygen pressure/saturation/content in conjunction with departmental protocols. c. Maintaining competency with all equipment used in the administration of supplemental oxygen (including Heliox and nitric oxide) as deemed necessary.d. Ensuring adequate humidification and appropriate flows. 4. Administers hyperinflation therapy using positive pressure techniques while following approved procedure(s). 5. Administers Aerosol Therapy per approved procedures(s), and administers medications by either aerosol, oral, or tracheal route for the treatment of cardiopulmonary disease. 6. Performs bronchopulmonary hygiene therapy using postural drainage-clapping/positive expiratory pressure therapy/vibrating/other newly identified techniques while following approved procedure(s). 7. Demonstrates competency with all forms of mechanical ventilation (invasive and non-invasive) by:a. Properly selecting the ventilator mode and parameters.b. Choosing the appropriate type and modification of ventilator circuits.c. Completing all required documentation for entering patients into department and hospital records.d. Recognizing and responding to improving or worsening patient conditions.e. Recommending and performing weaning using various techniques as indicated and tolerated.f. Measuring and calculating spontaneous breathing parameters using standardized procedure(s). 8. Maintains patient airway care by:a. Performing suctioning (i.e. oral pharyngeal or nasal pharyngeal artificial airway).b. Performing or assisting the physician with intubation and extubation.c. Assisting with bronchoscopy.d. Assisting in tracheostomy tube changes.e. Ensuring proper artificial airway placement and cuff pressures.f. Performing airway and stoma care.g. Utilizing tracheostomy buttons and Passy-Muir valves.h. Ensuring emergency care equipment is functional and appropriately set up. 9. Instructs patients in the self-application of therapy, identifying procedures, the purpose of therapy, equipment function/care, and demonstrating the appropriate techniques; ensures that the patient understands all components of the therapy. 10. Evaluates the patient s clinical status following the completion of all interventions; reports applicable information to the appropriate health care provider; documents information regarding the patient into department and hospital records; communicates patient progress appropriately throughout the department chain of command. 11. Assists in the orientation of entry-level therapists by providing shift leadership, mentoring, procedure demonstration, evaluation, and feedback on activities related to job responsibilities. 12. Attends to and contributes appropriate patient care information at department/physician service patient care rounds. 13. Performs electronic data entry for identified procedures, including: order entry and verification, patient scheduling, billing, improved operational performance, and all other activities identified as needed to ensure complete documentation in medical/department records. 14. Cleans, processes, and verifies functionality of all related respiratory care equipment/supplies prior to patient use. 15. Maintains competency and current knowledge of all respiratory equipment/procedures/medications. 16. Performs Cardio-Pulmonary Resuscitation (CPR), and maintains certification in Basic Life Support (BLS) for Health Care providers (i.e. NRP, PALS, ACLS, and other certifications encouraged). 17. Provides clear and concise written/verbal communication. 18. Responds to all emergency pages from assigned unit(s). 19. Presents, participates, and/or views departmental educational activities/presentations in accordance with departmental policies. 20. Practices safe cost containment, and remains current with professional changes in the specialty. 21. Demonstrates the following professional behaviors while interacting with patients, peers, and other members of the health care team:a. Flexibility Accepts and manages change.b. Tolerance Shows sensitivity to and respect for the needs of others.c. Interpersonal Skills Demonstrates team work, the ability to negotiate/resolve conflict, and follows the appropriate chain of command.d. Reliability/Maturity Demonstrates loyalty to colleagues and the institution.e. Ethical Behavior Maintains confidentiality and high patient care standards.f. Personal Growth Improves care by giving and receiving constructive criticism. 22. Utilizes good time management and prioritization skills to coordinate one s own shift activities. 23. Performs other functionally related duties as assigned. Qualifications:Required Graduate of an accredited school of Respiratory Therapy.Certified as a Registered Respiratory Therapist (RRT) by the National Board of Respiratory Care (NBRC)Active Respiratory Care Professional (RCP) license from the Ohio Respiratory Care Board.BLS Certification from the AHA. Preferred:3 years of experience as a RRT in a critical care environment.Extensive experience with mechanical ventilation, airway management, and hemodynamic monitoring.Pediatrics Advanced Life Support (PALS) certification from the American Heart Association (AHA).Advanced Cardiac Life Support (ACLS) and/or Neonatal Resuscitation Program (NRP) from the AHA. Physical Requirements:May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods.See in the normal visual range with or without correction.Hear in the normal audio range with or without correction.Finger dexterity to operate office equipment required. May need to lift up to twenty-five (25) pounds on occasion.Ability to communicate in face-to-face, phone, email, and other communications.Ability to see computer monitor and departmental documents.Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals.</p><p>Shift: Night Shift</p><p>Specialty Type: Cardiopulmonary</p><p>Sub Specialties: Respiratory Therapy</p><p>General Certifications : ACLS BLS/BCLS PALS NRP</p><p>Respiratory Certifications : RRT CRT</p>

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