The Lead RRT functions within the Respiratory Therapy department and provides basic and acute respiratory care in all areas of the hospital, including the critical care units, as prescribed by a provider. The incumbent must have demonstrated expert knowledge of respiratory therapy methods, equipment and procedures for inpatient and outpatient areas of the department. They must have the ability to assume responsibly, plan, organize, direct, coordinate staff and trainings. LEADERSHIP - The incumbent will have a great deal of independence in the performance of their duties. The incumbent will be the charge person in the absence of the Chief or Program Managers and will have full responsibility to modify the workload to accomplish assigned duties. - Assist staff in determining treatment options for complex patients and provide guidance on therapy assignments that do not have clear precedents. - The incumbent will be available for unusual situations that do not have clear precedents or established policies. CLINICAL - Independently performs basic and acute respiratory care, administration of oxygen and aerosol therapy, positive pressure devices (BIPAP, CPAP), ventilator care to include advanced technology/techniques (i.e., pressure control modality and associated ventilator adjustments and monitoring). - Incumbent will apply clinical expertise in such a manner as to upgrade patient care where indicated and assist the provider in formulating an appropriate respiratory care place based upon patient assessment, history, lung auscultation, chest x-ray, pulse oximetry, etc. - Assess respiratory status of patients through direct contact, chart review, diagnostic data (i.e., pulmonary function tests, pulse oximetry, arterial blood gases, electrolytes, complete blood cell count and related laboratory tests) and other means as appropriate. Duties may vary according to shift and/or patient care needs, and miscellaneous duties as assigned. - Incumbent will perform both fundamental and advanced diagnostic procedures. PATIENT/STAFF EDUCATION - The Respiratory Therapist (RT) is the expert clinician in the care and management for patients with chronic respiratory diseases. The incumbent will provide education to patients and families as requested for new and chronic respiratory disease management in inpatient, post-acute care and outpatient care settings. - Education will include the use and maintenance of home equipment, safety and contingency planning for chronic disease management including, but not limited to chronic disease management, home ventilation and positive airway pressure therapy, home oxygen usage and safety, tracheostomy care and suctioning, nebulizers and aerosol medications. PHARMACOLOGY - Dispense pharmacological solutions as prescribed by physician. - Must possess and utilize a general knowledge of indications, contraindications, and complications of medicines and respond accordingly to policy and procedure in the event of adverse reactions and/or appropriate orders as demonstrated through observation, assessment and documentation. ADMINISTRATION/DOCUMENTATION - Documents all respiratory treatments and patient responses in the electronic medical record as per policy. This included documentation in BCMA and CPRS, and the completion of consult requests. Maintains departmental paperwork according to the current standard. - Documentation will include appropriate patient information, location of patient, verification of patient name and social security number or date of birth, clearly and thoroughly state the events that occurred during therapy as demonstrated through medical record audit. - Documentation will be completed in a timely manner; will clearly state the events that occurred during therapy as demonstrated through medical record audit. To include PRN effectiveness, blood gas entry, event capture, and BCMA if relevant. Work Schedule: Monday to Friday, 2:00 p.m. - 10:30 p.m., some weekends and holidays as needed. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.