Outpatient Registered Respiratory Therapist - PAP Clinic

Full Job Description

The Registered Respiratory Therapist, CPAP Therapist, functions within the Outpatient Respiratory Therapy and Sleep Disorders sections of Medicine Service and provides specialty diagnostic and therapeutic procedures and services under the direction of an ordering provider.

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

Education: Candidates must have successfully completed a respiratory care program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or its successor.

Licensure: Candidates must possess and maintain a full, current, and unrestricted license to practice as a Registered Respiratory Therapist (RRT) in a State, Territory or Commonwealth of the United States, or the District of Columbia.

Credential: Candidates must possess and maintain a valid, current, unrestricted credential of Registered Respiratory Therapist (RRT) by the National Board for Respiratory Care (NBRC).

English Language Proficiency: RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f).

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

The following is the standard grandfathering policy for all hybrid title 38 qualification standards. Some of these provisions may not apply to this occupation.

Please carefully review the qualification standard to determine the specific education, credential or certification requirements that apply to this occupation.

All persons employed in VHA in this occupational series or in another occupational series and performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education, credential or certification that are part of the basic requirements of the occupation.

For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time hey were appointed to it, the following provisions apply: Employees in an occupation that does not require a licensure, certification or registration, may be reassigned, promoted or demoted within the occupation.

Employees in an occupation that requires a licensure, certification or registration, may be reassigned, promoted up to and including the full performance level or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions.

Employees in an occupation that requires a licensure, certification or registration only at higher grade levels must meet the licensure, certification or registration requirement before they can be promoted to those higher­ grade levels.

Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.

Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure, certification or registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.

If an employee who was retained in an occupation listed in 38 U.S.C.

§ 7401 (3) under this provision leaves that occupation or employment with the VA, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation and/or VA.

Grade Determination, GS-11: Experience, Licensure and Credential.

Candidates must have: One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level.

This includes but is not limited to: obtains, interprets and analyzes physiological specimens and data.

Consults with physicians and other healthcare professionals to ensure quality of patient care within area of specialty.

Manages and maintains the airway and ventilation of the patient through the use of appropriate mechanical means.

Assesses and evaluates patients to determine and recommend intervention to develop and implement a plan of care, such as, implementing protocols, intubation, monitoring critical systems and uses advanced modes of ventilation.

Provides outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care. Hold an active license and RRT credential. Demonstrated Knowledge, Skills and Abilities.

In addition to the requirements above, candidates must demonstrate all the following KSAs: Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.

Skill in evaluating the efficacies of therapeutic modalities. Skill in performing advanced airway and ventilation management.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-11.

Physical Requirements: Considerable walking/standing may be required. Frequent lifting, positioning, pushing/pulling may be required when moving equipment or supplies or other infrequent needs.

Frequent, prolonged extensive or considerable sitting is often required. Manual dexterity and mobility are required.

The work may require specific physical characteristics and abilities such as above-average dexterity to perform intricate respiratory therapy procedures.

Frequent reaching, stooping, bending, kneeling, or crouching may be necessary. Moderate physical effort (ability to lift/carry up to 50 pounds) may be occasionally required.

Intermittent exertion is possible. Subject to interruptions and stress from multiple calls, patient needs and/or inquiries from others, whether in-person, on the telephone or via computer.

Sound judgement and ability to function under stress is required. Inappropriate actions/judgment, especially those during emergency or crisis situations, may result in injury or death. Major Duties:

This position directly reports to the RRT Lead PAP Clinic/Sleep Disorders and the Supervisor, Respiratory Therapy & Polysomnography.

The incumbent indirectly reports to the Chief, Pulmonary, Critical Care & Allergy.

General Knowledge - Cardiopulmonary Diseases & Sleep Disorders Understands etiology, anatomy, pathology, diagnosis and treatment of common cardiopulmonary diseases and sleep-disordered breathing conditions.

Demonstrates knowledge of testing procedures and common treatments employed in sleep-disordered patient populations, including overnight sleep lab testing, actigraphy, overnight pulse oximetry and Positive Airway Pressure (PAP) therapy.

Identifies common issues and limitations of testing and treatment related to sleep-disordered breathing patient populations, including insomnia, patients presenting with altered anatomy, morbid obesity, neuromuscular issues, those with claustrophobia, and cognitive barriers to testing or treatment.

Clinical Competence Identifies important information to be obtained prior to performing any diagnostic testing procedure and/or any therapeutic intervention.

Ability to perform patient assessment, including routine vital sign measurements, assessment of respiratory rate and pattern and evidence of dyspnea or hypoxia.

Identifies indications, contraindications and hazards associated with frequently performed procedures in the PAP Clinic. Identifies critical information that must be communicated during appointments.

Ability to program devices to prescribed parameters, teach and coach patients with the fit, use and care of equipment issued.

Demonstrates ability to utilize and maintain third-party and VA-used software databases. Cleans, maintains and troubleshoots equipment in the area(s) assigned.

Evaluates and troubleshoots all patient-issued equipment. Follows department and Medical Center policies and standard operating procedures.

Ensures adequate storage and inventory of issuable supplies/equipment/machines. Other duties, as requested and within scope of practice and licensure.

Clinical Practice - Emergency Care Identifies and takes appropriate action when faced with patient situations that require urgent or emergency management.

Provides cardiopulmonary resuscitation, as needed. Communication/Documentation Communicates effectively and professionally with patients, families, coworkers and other staff.

Responds to secure messages, voicemails, Patient Advocate and provider requests in a timely manner.

Collaborates with patients, families and other members of the healthcare team to facilitate appointments, equipment issuance, machine assistance, and equipment troubleshooting issues.

Properly and completely documents all assessments, patient response or concerns, results, machine or equipment issuance and any other pertinent information in the patient's medical record.

Properly and completely documents all pertinent information into other necessary software systems, as related to PAP therapy. Ensures consults and orders are accurate and completed in a timely manner.

Ensures that any issues, concerns or undesirable responses to treatment are clearly documented with notification to appropriate personnel. Enters patient safety reports when indicated.

Education Provides patient education related to the use, acclimation techniques, supply reorder process, and cleaning and maintenance of all recommended and issued patient equipment.

Keeps abreast of current trends in respiratory and sleep-disordered breathing care, and effectively applies that information in practice.

Completes all mandatory self-paced learning sessions (i.e.: TMS training). Attends (or views) all required meetings, in-services and training sessions, in accordance with department guidelines.

Assists the Lead Outpatient Respiratory Therapy PAP Clinic/Sleep Disorders RRT and the Supervisor, Outpatient Respiratory Therapy & Sleep Technology with training, policy/procedure creation/revision and other performance improvement projects, as requested.

Health & Occupational Safety Identifies and demonstrates ability to don proper personal protective equipment (PPE). Ensures a safe patient environment at all times.

This includes but is not limited to keeping patient care areas clean, organized and free from trip hazards, completing disinfection of equipment in-between patients, encouraging the use of walkers or other mobility aids when needed, and making recommendations for urgent care follow up, when indicated.

Notifies environmental services when in need of additional cleaning or services.

Enters work orders for items needing Engineering or other assistance, such as cracked or curled floor tiles, discolored ceiling tiles, plumbing or electrical needs, Biomedical assistance, etc.

Work Schedule: 7:30am - 4:00pm, Monday - Friday Functional Statement #: 94281-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized