Respiratory Care Practitioner Ii Registered - San Leandro, United States - Kaiser Permanente
Description
Job Summary:
Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients.
Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care.
Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital.
Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment.
Standards of performance for the area to which the individual is assigned must be maintained.Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients.
Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system.
Essential Responsibilities:
- **Selects Reviews, Obtains and Interprets Data**: Reads and evaluates physicians orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner.
- Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview.
- Interprets data to formulate goaldirected plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages.
- Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring.
- May perform Exercise Stress Tests. May perform indirect calorimetry.
- May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment.
- Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment.
- Participates in routine departmental preventive maintenance program and performs basic repairs.
- Orders/stocks departmental supplies.
- Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response.
- Documents all required information in the medical record according to departmental policy and procedure. Initiates pressurecycled/volumecycled/high frequency ventilation. Weans/modifies mechanical ventilation according to assessment and physician orders.
- Assists with or performs extubation.
- Conducts patient education and disease management. Performs cardiopulmonary resuscitation according to resuscitation guidelines. May assist with or perform intubation. May assist the physician when performing bronchoscopy, thoracente
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