POSITION SUMMARY:

To be fully engaged in providing No Harm / Quality, Customer Experience, and Stewardship by: showing clinical proficiency in the adult and/or the neonatal critical care areas. Be responsible for performing respiratory care appropriate to the age of the patient for all skills applicable to the skills required of a Respiratory Therapist. Have a thorough understanding of all respiratory care modalities and be capable of making judgment decisions and recommendations to physicians pertaining to respiratory care modalities. Be able to evaluate these techniques and report their findings to the responsible physician. Function as a resource for all staff on respiratory care procedures and are responsible to assist with orientation and competency check off of all Respiratory Care staff. Display ICARE Values in accordance with the Health First Mission and Vision.

PRIMARY ACCOUNTABILITIES:

Quality/No Harm:

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• Documents care according to policy by random check.
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• Provides correct procedure to correct patient by checking two patient identifiers. 
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• Maintains equipment in good working order and troubleshoots when necessary; reports all malfunctioning equipment to appropriate area/associate with documentation of problem.
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• Maintains a clean, neat, safe work environment at all times and charges appropriately for care provided.
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• Gives report to oncoming shift on all patients and procedures, and assures completion of workload before leaving.
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• Medication safety - removes only one patient's medication at a time from Pyxis system.
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• Patient identification - Uses Pyxis med slip to appropriately identify two patient identifiers.
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• Hand-off communication - reads back and verifies all verbal and telephone orders, reports patient information to the appropriate associate in a timely manner, follows established approach to reporting including an opportunity to ask and respond to questions.
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• Thorough documentation, including patient care, interdisciplinary Plan of Care and patient education.
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• Other duties as assigned.
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• Educated to report any safety opportunities to the Health First Safety Portal.
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• Responds to Stat calls within appropriate time frame with proper equipment.
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• Responds to all Code Blues and Rapid Response Calls in their assigned building and take leadership role for Respiratory Care staff.
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• Completes shift duties and other assigned tasks on time.
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• Follows proper infection control procedures for care provided, and proper hand washing technique.
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• Initiate and manage invasive and non-invasive ventilation per physicians' orders, including troubleshooting and discontinuation. 
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• Ability to perform acute and intensive care functions for the adult/pediatric patient.
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• Demonstrate ability to interpret CXR for ETT, Pulmonary Artery, and IABP catheter placement, as well as the ability to interpret basic cardiac/pulmonary complications.
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• Demonstrates ability to initiate Heliox therapy; Understands indications, contraindications, and complications.
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• Demonstrates ability to perform all procedures required for NICU, Labor & delivery, and nursery (if applicable- NICU core group).
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• Demonstrate ability to assemble all NICU equipment and enter settings as part of skills fair. 
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• Ability to perform bedside pulmonary function testing.
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• Ability to initiate, troubleshoot, discontinue and manage IABP modalities.
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• Ability to pull IABP catheters according to policy. (if applicable)
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• Required to help develop and teach annual skills fair.
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• Assists with department performance measures when needed.
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• Demonstrate knowledge and proficiency of emergent intubation, elective oral and nasal intubations.
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• Must perform minimum of 2 intubations per year to maintain advanced status.
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• Demonstrates knowledge and proficiency with arterial line insertions.
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• Must perform minimum of 2 arterial line insertions per year to maintain advanced status.
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• Demonstrate the ability to work in all adult ICUs and take part in a regular ICU rotation.
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• Proficiency in SVO2 monitoring and calibrations.
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• Ability to observe and interpret hemodynamic monitoring and cardiac arrhythmias.
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• Ability to auscultate and assess breath sounds and cardiac sounds.
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• Additional skill checks and competency may include ECG in Respiratory Care
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• Participates in department education/committees/Skills fairs as needed at manager's/director's discretion. 
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• Performs as a resource person for Respiratory Staff and for the nursing staff regarding Respiratory Care therapeutics. 
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• Mentors new respiratory therapists with intubations, A-lines, ventilators, and all respiratory modalities.
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Customer Experience:

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• Communicates effectively to educate patients, family and staff on Respiratory Care procedures.
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• Maintains confidentiality in all dealings with patients and staff.
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• Participates in patient experience initiatives.
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• Attend staff meetings/in-services as required. Reads and signs off on all staff meeting minutes as required.
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Stewardship: 

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• Charges appropriately for care provided. 
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• Effectively communicates with patients, physicians and staff, work as a team player, contribute to cost effectiveness and work efficiently.
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• Be a good steward of all hospital equipment and supplies.
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