AARC Career Center

Location:
Billings, Montana
Job category:
Hospital
Position type:
Full-time
Advertiser:
Billings Clinic

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REGISTERED RESPIRATORY THERAPIST RRT – Pulmonary Hospital – Billings Clinic

The incumbent in this position will perform duties within defined scope of practice for specific specialty area(s) assigned. Specialty areas may include, but not limited to, Acute Care, Critical Care, LDRP/NICU, Pediatric Care, Hyperbaric Medicine, and/or Outpatient Pulmonary Physiology Lab, Outpatient Pediatric Clinic, and Outpatient Pulmonary Rehab. Based on therapy driven protocols, instructs, administers, and monitors full range of respiratory care services and treatments to patients, airway and ventilator management, emergent respiratory care, bronchoscopy assistance, bedside electrocardiograms (EKG) monitoring and testing, arterial punctures, arterial line draws, blood gas analysis, pulmonary diagnostic testing, patient education, and rehabilitation. Recognizes and reports any unusual reactions to treatment, contraindications to treatment, or inappropriate use of therapy to the healthcare and/or physician team.

Essential Job Functions
GENERAL

  • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
  • Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients utilizing evidence based and best practice. Incorporates the respiratory process into the goal-directed plan of care for the patient.
  • Adheres to Billings Clinic safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. This includes complying with hand hygiene adherence, isolation practices, clean/dirty equipment process, reassemble of equipment, and processes associated with Sterile Processing Department if needed.
  • Ensures complete, accurate, and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.
  • Checks and maintains respiratory therapy equipment. Maintains appropriate skill, knowledge, and application of relevant and commonly used equipment specific to the area based on disease process or physiological status.
  • Ensures complete, accurate, critical value reporting, and timely entry into patient medical record for all Pulmonary Laboratory values. Performs arterial puncture, arterial line draws, and blood gas analysis consistent with departmental policies and procedures. Completes Laboratory equipment maintenance and regulatory logs as assigned.
  • Takes responsibility for own professional growth, punctuality, and developmental needs. Meets all system/departmental educational, competency, and meeting requirements. Participates in departmental committees and activities to positively contribute skills and ideas for better departmental advancements and processes.
  • Performs all duties dealing with floor care, Intensive Care Unit, Emergency Department, and Pediatrics.
  • Performs other duties as assigned or as needed to meet the needs of the department/service.

Additional Critical Care Essential Functions

  • Attends and participates in multidisciplinary rounds including Critical Care Service x-ray rounds. Initiates, monitors, and makes necessary changes based on provider orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as bronchoscopy and airway management. Performs walking rounds when giving and receiving report in critical care areas. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.

Additional NICU Essential Functions

  • Attends all high risk deliveries. Participates in multidisciplinary rounds including x-ray rounds. Initiates, monitors, and makes necessary changes based on provider orders or established guidelines for mechanical ventilation techniques and related procedures. Sets up and assists with diagnostic and therapeutic procedures such as surfactant administration and airway management. Performs walking rounds when giving and receiving report. Completes all necessary logs assuring that logs and kits are checked, signed, & locked.

Additional Hyperbaric Medicine Essential Functions

  • Performs all hyperbaric medicine duties which includes but not limited to; assessment of tympanic membranes, emergency procedures and decompression, patient assessment, operation of the chamber and all hyperbaric equipment, thorough knowledge of policies and procedures. Successful completion of tympanic membrane and safety training with ongoing competency.

Additional Outpatient Pediatric Clinic Essential Functions

  • Performs PFT’s (Pulmonary Function Tests), EIB’s (Exercise Induced Bronchospasm testing), EIB with laryngoscopy, Methacholine Challenges and Asthma Education for pediatric patient populations.
  • Educates patients and families on all aspects of outpatient respiratory care in the home (medication and equipment) in regards to asthma, cystic fibrosis, interstitial lung disease, neuromuscular diagnoses, sleep apnea and sleep hygiene, etc.
  • Responsible for rooming clinic patients, taking vitals and history, reviewing medication history, schedules appointments and diagnostic tests and procedures as ordered by physician.
  • Reviews sleep study results and nocturnal oximetry results and informs provider of patients who require immediate attention.
  • Travels with providers to provide support for outreach clinics within the service area.
  • Researches and provides articles and data regarding best practice for respiratory care and cystic fibrosis and all aspects of respiratory care. Serves as the RRT for the Adult cystic fibrosis clinic. Performs daily visits with inpatient cystic fibrosis patients (adult and pediatric). Educates patient and family on all aspects of respiratory care in regards to cystic fibrosis. Educates hospital RT’s on cystic fibrosis care and assure all respiratory orders are followed.
  • Assists with laryngoscopies (with or without exercise) including sterilizing scope, setup and restocking of cart and medications.
  • Participates in the development of policies and procedures for the pediatric respiratory care program.

Additional Outpatient Pulmonary Physiology Lab Essential Functions

  • May perform endotracheal intubation in emergent situations.
  • Performs pulmonary physiology testing (i.e. blood gas analysis, pulmonary function testing, bronchoprovocation, pulmonary exercise stress testing, exercise induced bronchospasm testing, disability testing and metabolic testing) as per departmental policy and procedure. Calculates test results and communicates results to physicians for interpretation.
  • Able to assist with inpatient bedside spirometry as schedule allows.
  • Assist with QA/QI per department policy and as directed.
  • Able to independently or with vendor support trouble shoot all equipment in the PFT lab.
  • Participates in the development of policies and procedures for the outpatient Pulmonary Physiology Lab.
  • Assists with daily calibration and equipment maintenance.
  • Travels with providers to provide support for outreach clinics within the service area.

Additional Outpatient Pulmonary Rehab Essential Functions

  • Assist with QA and QI for the Pulmonary Rehab lab.
  • Assist with Pulmonary Rehab lab accreditation.

Knowledge, Skills, and Abilities

  • Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.)
  • HIPAA and confidentiality requirements
  • Patient’s/resident’s rights
  • Patient safety standards
  • Thorough knowledge of respiratory care principles, critical care procedures, hyperbaric medicine principals, procedures, equipment operation and techniques
  • Interpersonal skills necessary in order to effectively communicate with patients, physicians, nursing staff, and other staff members
  • Additional skill requirements for Registered Respiratory Therapist (RRT ) – Hyperbaric Medicine
  • Tympanic membrane assessments
  • Emergency decompression and other emergency protocols
  • Operation of hyperbaric chamber and related equipment
  • Tympanic membrane assessments
  • Emergency decompression and other emergency protocols
  • Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric.
  • Perform mechanical skills and exercise sound judgment, evaluation, and assessment in delivering care, and take the appropriate action in the event of adverse reaction
  • High level of independent judgment
  • Consequences of errors are particularly serious in ventilator management, arterial puncture, intubation, and HBO therapy
  • Errors could result in patient/resident satisfaction issues
  • Errors could result in quality of care issues and injury to the patient/resident
  • Errors related to misidentification of patients/residents could result in serious and/or life threatening consequences

MINIMUM QUALIFICATIONS

  • Graduate of an CoARC-approved school for Respiratory Care
  • Current Montana RCP license
  • Must be a Registered Respiratory Therapist by the National Board for Respiratory Care within six (6) months of employment
  • For moderately complex (non-waived) laboratory testing, verification of education (copy of degree diploma or transcripts) must be provided for the highest science related degree; if training was under a certification program will need to provide copy of high school transcript
  • Additional Qualifications for Registered Respiratory Therapist (RRT) I Hospital
  • ACLS, PALS, & NRP certification within 2 years of employment
  • Additional Qualifications for Registered Respiratory Therapist (RRT) I Hyperbaric Medicine
  • Successful completion of Billings Clinic tympanic membrane assessment training
  • Additional Qualifications for Registered Respiratory Therapist (RRT) I Outpatient Pediatric Clinic Specialty Medicine
  • PALS certification
  • Two years of respiratory care experience; desire experience in pulmonary function testing, sleep, asthma education
  • Certified Pulmonary Function Therapist (CPFT) certification or ability to complete within 2 years of hire
  • Additional Qualifications for Registered Respiratory Therapist (RRT) I Outpatient Pulmonary Physiology Lab
  • ACLS & PALS certification
  • Certified Pulmonary Function Therapist (CPFT) certification or ability to complete within 2 years of hire
  • Additional Qualifications for Registered Respiratory Therapist (RRT) I Outpatient Pulmonary Rehab
  • ACLS certification
  • Minimum Qualifications Disclaimer
  • Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

THIS POSITION MAY BE ELIGIBLE FOR AN EMPLOYMENT INCENTIVE

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