Advanced Registered Respiratory Therapist - Palm Bay, United States - Health First

Description

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.

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.

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

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

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

• Graduate of an accredited School of Respiratory Care
• Current license from Florida DOH as Registered Respiratory Therapist.
• Must hold current AHA BLS Healthcare Provider Completion Card prior to start date and maintain.
• ACLS and PALS are required within 90 days of start date and maintained.
• Certification(s) as required by specific unit.
• Must meet all skill requirements of a Respiratory Therapist
• Must have good communication and interpersonal skills
• Must have good organizational skills and prioritizing skills
• Three years of progressive clinical experience in intensive care setting with at least one year at current facility.

• Must be able to withstand working up to 12 hour shifts consisting mostly of walking and standing.
• Must be able to participate in prolonged CPR procedures.
• Must have visual acuity and hand eye coordination necessary to perform clinical tasks.
• Ability to bend, stoop and assist lifting of patients as care requires. Must be able to lift 30 pounds consistently and push/pull 100 pounds when a wheeled machine.
• Must be able to move quickly in crowded conditions and work with patients with many lines and machines attached.
• May be exposed to biohazardous waste, dust, aerosolized medication and unknown or communicable disease.
• Must be able to provide a professional appearance and wear designated uniforms.

• Must be able to work effectively in stressful environments with patients, visitors and staff.
• Must be able to make quick decisions concerning patient care and appropriate therapy.
• Must be able to respond appropriately to life threatening situations.

• Will demonstrate competency of all core competencies for the Respiratory Care Practitioner, Respiratory Therapist and Advanced Therapist on the Annual Competency Skills Checklist.