Respiratory Care Practitioner Supplemental A - Towson, MD, United States - Greater Baltimore Medical Center

Greater Baltimore Medical Center Towson, MD, United States

2 weeks ago

Description

Under general supervision, performs respiratory care related procedures.

Assesses patient condition, administers prescribed therapy and aerosolized medications, provides airway and ventilator management, performs respiratory related diagnostic tests, and records patient response to therapy modalities.

Education:
Completion of an approved and accredited respiratory program

Licensures/Certifications:

Current Maryland license as a respiratory care practitioner
Healthcare Provider (CPR Certification)
Neonatal Resuscitation for NICU respiratory care practitioners

Experience:
1 year of clinical practice experience under medical direction

Skills:

Knowledge of respiratory therapy theory, practice and techniques
Skill in using computers and a variety of personal productivity applications
Skill in oral and written communication
Skill in providing customer service
Knowledge of laboratory and regulatory requirements relating to patient care
Respiratory Care Staff have completed an accredited program in respiratory care and are licensed to practice respiratory care by the MD Board of Physician Quality Assurance. Staff are deemed proficient in respiratory care procedures on initial orientation in all modalities, and are overseen by a team consisting of a respiratory care manager, RT Team Lead, Medical Director, Laboratory Director, and a Neonatology Division head for NICU RT staff members

Principal Duties and Responsibilities:

Assesses oxygenation and recommends/initiates, administers, evaluates, and documents response to oxygen therapy, medical gas therapies including Heliox, Vapotherm, Nitric Oxide (NICU)
Assesses need for, recommends/initiates, administers and evaluates/documents response to inhaled medications by assessing response to inhaled medications, follows appropriate procedures and protocols for medication reconciliation and patient identification as guided by clinical practice, and records and communicated missed medications. Adheres to the Bronchodilator/Common Cannister protocol and progresses patients to MDI therapy. Scans all medications. Calls physician to obtain appropriate changes to medication orders
Assesses need for, recommends/initiates, administers and evaluates/documents response to therapies directed toward secretion mobilization and airway clearance by performing endotracheal suctioning, assessing response to chest physiotherapy (cough and breathing retraining, PEP therapy, postural drainage and percussion) and expansion therapies (Incentive Spirometry)
Performs safe and effective cardiopulmonary resuscitation, including airway management techniques. Maintains all airway management competencies including Endotracheal intubation. Attends as assigned mock codes
Assesses need for, recommends/initiates, sets-up/maintains and evaluates/documents response to mechanical ventilation, ventilator and weaning protocols, routine airway care, appropriate clinical alarm limits and documentation. Performs wake up and wean screens daily. Maintains Blood Gas Lab/C.A.P. standards for clinical laboratories
Recommends, performs, and interprets diagnostic tests including FVC/NIF, portable spirometry, continuous pulse oximetry,

overnight pulse oximetry, end-tidal CO2 monitoring per protocol and/or when ordered, transcutaneous monitoring in NICU,

and laboratory tests

Instructs patient, family, and significant others in the rationale and methodology or respiratory care procedures to facilitate patient/family cooperation, understanding and efficacy of care, including reassessment of care. Documents daily patient

education, re-evaluations. Assesses prn medications for need

Performs the following support activities: decontaminates and sets and up equipment, provides equipment and cylinders when requested, secures rental equipment appropriately, daily oxygen rounds, troubleshooting and appropriate labeling of

malfunctioning equipment, communicates opportunity for rental equipment return

When assigned to the NICU and is able to demonstrate competence, performs the following duties: neonatal resuscitation; sets

up, manages, and troubleshoots high frequency oscillatory ventilation, neonatal mechanical ventilation and CPAP devices;

Assesses, initiates/recommends, administers, and evaluates response to nebulized medications, administers surfactant, oxygen

therapy, chest physiotherapy, endotracheal suctioning, arterial, capillary, and cord blood gases; Sets up and monitors

ventilator humidification systems; recommends/sets up Transcutaneous monitor where appropriate

Documents on Pediatric Asthma Pathway and all Information Systems and paper documents accurately and completely.

Communicates and documents functional concerns to the Help Desk and to relief therapist. Documents according to regulatory

blood gas lab requirements. Relays accurate information to oncoming shift. Maintains patient orders, transitions therapies, and maintains work assignments accurately, responsibly and fairly among staff

Maintains and completes competencies in a timely fashion. Applies Bronchodilator Protocol, Wake up and Wean and Common Cannister protocols consistently. Interprets patient care in accordance with these protocols

All roles must demonstrate GBMC Values:
Respect

I will treat everyone with courtesy. I will foster a healing environment.

Treats others with fairness, kindness, and respect for personal dignity and privacy
Listens and responds appropriately to others' needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

Meets and/or exceeds customer expectations
Actively pursues learning and self-development
Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

Sets a positive, professional example for others
Takes ownership of problems and does what is needed to solve them
Appropriately plans and utilizes required resources for various job duties
Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

Works cooperatively and collaboratively with others for the success of the team
Addresses and resolves conflict in a positive way
Seeks out the ideas of others to reach the best solutions
Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

Demonstrates honesty, integrity and good judgment
Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

Embraces change and improvement in the work environment
Continuously seeks to improve the quality of products/services
Displays flexibility in dealing with new situations or obstacles
Achieves results on time by focusing on priorities and manages time efficiently

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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