Respiratory Care Practioner III Harbor City, CA
Assess, plan, implement and evaluate respiratory therapy care and life support to patients in all areas of the medical center, including neo-natal intensive care, who have deficiencies and abnormalities of the cardiopulmonary system under the supervision of physician and prescription. Perform other patient comfort duties necessary to maintain the flow of patient care in the unit.
Essential Functions:
- Demonstrate knowledge, application, competency, proficiency & assessment skills for all specific patient/member age categories; neonatal, pediatric, & adult age & classifications.
- Know admitting diagnosis & pulmonary pathophysiology for assigned patients, & performs patient assessment & provides appropriate therapy.
- Evaluate & state data obtained from respiratory monitoring devices on assigned patients.
- Evaluate patient's response to all respiratory care provided & appropriately documents reqd info as outlined in department policies & procedures.
- Determine appropriateness & provides recommendations for respiratory care services, taking into consideration the needs of different age groups, cognitive abilities, & development status.
- Initiate new routine orders within time specified in department policies & procedures.
- Measure & adjust airway cuff pressures.
- Recommend changes in diagnostic & therapeutic procedures to physicians, nursing, &/or co-workers.
- Taking into consideration patient age & development status modify those treatments/procedure techniques, which do not require a change in physician's orders to optimize the delivery of care, & report modifications to appropriate health care team members.
- Utilize appropriate chain-of-command when consulting on patients not responding to standard therapeutic procedures.
- Perform respiratory diagnostic & therapeutic procedures.
- Obtain approval prior to administering any medications, which is not included on the approved medication list.
- Store unused, doses of medications in the department medication cabinet or refrigerator as indicated by the medication instructions.
- Provide ventilatory support during patient inter/intra hospital transfers.
- Perform procedures for disinfecting & sterilization & adhere to infection control policies & procedures.
- Perform & evaluate blood gas analysis to include quality control procedures adhering to lab policies & procedures.
- Assures that quality control of equipment is performed & at acceptable levels.
- Obtains arterial blood samples, ensure that samples & requisition slips have reqd info, handle & dispose of blood samples per policy & procedure.
- Perform blood gas analysis; document & report critical blood gas values to nurse/physician.
- Perform analyzer maintenance & quality controls as qualified & ensure cleanliness of the blood gas laboratory.
- Perform cardiopulmonary & neonatal resuscitation (CPR/NR) & respond to emergencies in all areas.
- Auscultate lungs to assure proper endo-tracheal tube placement.
- Identify primary affected lobes & positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy.
- Identify contraindications in regards to chest physiotherapy & appropriately inform & provide recommendations to the physician.
- Perform oral, nasal, & tracheal suctioning to ensure airway patency.
- Collaborate w/ the physician & nurses in regards to the appropriate frequency of suctioning for assigned patients.
- Provide reasonable solutions upon the identification of problems.
Qualifications:
Pay Grade: 26
Notes:
- Required to work weekends and extra shifts as needed
- This is a twelve (12) hour Day shift position
Basic Qualifications:
- Graduate of atwo (2)year Respiratory Care Accrediting Board (RCAB) approved school and passage of the National Board of Respiratory Care (NBRC) Registry Examination.
- American Heart Association approved Basic Life Support (BLS) required.
- Certification as a Respiratory Care Practitioner (RCP) by the State of California.
- Neonatal Resuscitation Provider Certification (NRP).
- Possess the National Board of Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) credential.
- Possess the (NBRC) Registered Respiratory Therapist (RRT) Credential.
- Functions at independent level in all areas of Med/Surg, Adult and Pediatric Intensive Care areas as well as Neonatal Intensive Care (NICU).
- Experience requirements may be waived or modified when an appropriate program or course is available and successfully completed for New Graduate RCP's or for area of specialization
- Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.
Preferred Qualifications:
- Pediatric Advanced Life Support Certification ( PALS), Sugar &safe Care-Temperature-Airway-Blood Pressure- Lab Work-Emotional Support. (S.T.A.B.L.E. Certification, 2 years experience in the Neonatal intensive Care Unit
- Recent experience in all areas of inpatient and outpatient critical care setting
- Ability to work in all areas of Respiratory Care
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