Registered Respiratory Therapist

Full Job Description

Registered Respiratory Therapists (RRTs) are responsible to provide appropriate levels of respiratory care to patients in the medical center.

Care is provided in all areas of the facility with priority given to those located in Acute Care units; emergency room (Urgent Care), Spinal Cord Injury units, and anytime inpatients are noted to be in distress.

Respiratory Therapists respond to Code Blue, Rapid Response Team pages, and calls throughout the medical center.

To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement. BASIC REQUIREMENTS.

To qualify for appointment as an RRT, all applicants must possess the following: a. Citizenship. Citizen of the United States (U.S.).

Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, of this part. See 38 U.S.C. § 7407(a) for more information. b.

Education. Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor. c. Licensure.

Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full, current and unrestricted license from a state to practice as an RRT.

d. Credential. Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid, current, unrestricted credential of RRT.

(1) Exception. RT positions will be designated only to individuals who are in the process of obtaining credentials to become an RRT.

These individuals will only be hired on a temporary appointment as provided below.

(a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credential.

Individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RT.

The temporary appointment is made under the authority of 38 U.S.C. § 7401(a)(1)(B) for a period not to exceed one year from date of employment.

Candidates must hold an active, current, full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level.

(b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is received.

(c) RTs must provide care only under the close supervision of an RRT. (d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment.

(e) Failure to Obtain Credential. In all cases, RTs must actively pursue meeting national prerequisites for the RRT credential from the first day of their appointment.

Failure to become credentialed within one year from date of appointment will result in removal from the GS-0601 RT series and may result in termination of employment.

The Human Resources (HR) Office staff will provide RTs, in writing, the requirement to 1) obtain their RRT credential; 2) the date by which the RRT credential must be acquired; and 3) the consequences for not becoming RRT credentialed by the deadline.

The HR Office staff must provide the written notice to selectees prior to entrance on duty date and maintain a copy in the electronic Official Personnel Folder.

(2) Loss of Licensure, Certification or Credentials.

An employee in this occupation, who fails to maintain the required certifications, RRT credential or license must be removed from the occupation, which may also result in the termination of employment.

Once credentialed, licensed or certified, RTs/RRTs must maintain a full, valid and unrestricted license, credential and certification to practice respiratory care. e. 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). GRADE DETERMINATIONS.

In addition to the basic requirements for employment above, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows: Respiratory Therapist, GS-05.

Experience. None beyond the basic requirements. Education and Licensure.

This level assignment is designated as temporary under the exception above for individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, licensed by their state and are working towards obtaining RRT credential.

Registered Respiratory Therapist, GS-07. Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential.

Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i.

Ability to perform therapeutic modalities related to respiratory care. ii.

Skill in analyzing physiological specimens obtained to include arterial blood gases, pulse oximetry, End tidal Co2 (ETCo2) monitoring, basic spirometry and other basic diagnostic procedures. iii.

Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes. iv.

Skill in assessing oxygenation and ventilation. v. Ability to perform basic airway management to include artificial airways and mechanical ventilation. Registered Respiratory Therapist, GS-09.

Experience or Education, Licensure and Credential.

Candidates must have: One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level; OR A Master of Science degree in respiratory care AND a license AND an RRT credential.

Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i.

Skill in performing therapeutic modalities related to respiratory care. ii.

Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes. iii. Skill in assessing oxygenation and ventilation. iv.

Ability to perform airway management to include artificial airways and mechanical ventilation. Registered Respiratory Therapist, 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.

AND 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: i.

Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes. ii.

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

Preferred Experience: Previous PFT, EBUS, CPET, Ion Robot, and at least 3 years acute care experience preferred.

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.

The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-11.

Physical Requirements: Work requires light lifting and carrying (under 15 pounds); pulling hand over hand; pulling hand over hand; pushing; reaching above the shoulder; use of fingers; both hands required; walking; standing; crawling; kneeling; repeated bending; climbing; both legs required; ability for rapid mental and muscular coordination simultaneously; near vision correctable at 13" to 16" to Jaeger 1 to 4; far vision correctable in one eye to 20/20 and to 20/40 in the other; both eyes required; depth perception; ability to distinguish basic colors; ability to distinguish shades of colors; and hearing (aid may be permitted).

There may be exposure to dust. Major Duties:

The duties listed are GS-11 Full Performance Level; GS-5, GS-7, and GS-9 duties will differ in complexity and level of supervision.

RRTs at this grade level work independently providing respiratory care in both inpatient and outpatient settings.

Some of the duties and functions include: Apply mechanical ventilators, secure and manage airways appropriately, perform chest physiotherapy, suction, and provide instruction to patients and caregivers on use of respiratory equipment in the home.

Evaluate and adjust chronic oxygen requirements and provide in-home assessments of patients' safety risk with home oxygen equipment.

Function under the direction of a Pulmonary Physician and report directly to the Chief of Respiratory Therapy.

Apply knowledge and experience to provide optimal care to patients consistent within their scope of Practice.

Use data and patient assessment to establish appropriate plans of care and determine if outcomes are being met.

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

Manage and maintain the airway and ventilation of the patient using appropriate mechanical means.

Determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen, and assist with intubation. Monitor critical systems.

Use advanced modes of ventilation and oversee outpatient services such as home ventilators and COPD case management.

Suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. Serve as a preceptor to lower graded staff.

May lead projects to develop new policies, procedures, or protocols. Be a member of both the Code Blue Team and the Rapid Response Team.

Collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.

Evaluate the efficacy of therapeutic modalities. Perform advanced airway and ventilation management.

Work under the general supervision of the Chief of Respiratory Therapy, Section Head of Pulmonary Services, and the Respiratory Therapy Medical Director.

Complete work assignments with relative independence and minimal guidance.

Assume responsibility in work assignments in accordance with regulations and independently resolve most conflicts by using considerable judgment and interpretation.

Work Schedule: Mon - Fri, 8:00am to 4:30pm, after orientation it will be 4 x 10-hour shifts. Telework: Not available. Virtual: This is not a virtual position. Functional Statement #: 000000.

Relocation/Recruitment Incentives: Not authorized. Permanent Change of Station (PCS): Not authorized.