Registered Respiratory Therapist (Inpatient Services)

Full Job Description

VA Portland Health Care System is a Complexity Level 1a Facility and provides extensive primary, secondary, tertiary, and quaternary care in outpatient, inpatient, residential, and community settings.

VAPORHCS is a multi-site medical system that includes a major medical facility in Portland, Oregon, outpatient and residential facilities in Vancouver, Washington, and 10 Community Based Outpatient Clinics.

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.

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

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 providedbelow.

(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. Physical Standards.

See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. 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).

Grade Determinations: In addition to the basic requirements for employment in paragraph 3 above, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows: (1) Respiratory Therapist, GS-05.

(a) Experience. None beyond the basic requirements. (b) Education and Licensure.

This level assignment is designated as temporary under paragraph 4d(1) 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.

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

(b) 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. (3) Registered Respiratory Therapist, GS-09.

(a) Experience or Education, Licensure and Credential. Candidates must have: i.

One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level; OR ii.

A Master of Science degree in respiratory care AND a license AND an RRT credential. (b) 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 Preferred Experience: 2 years of ICU experience, Bachelor of Science in respiratory care, Adult Critical Care Specialist (ACCS) certified.

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. Major Duties:

The duties of this position include but are not limited to the following: The Registered Respiratory Therapist (RRT) is assigned to the Pulmonary section within DHSM (Hospital and Specialty Medicine Division).

The RRT serves as a member of the care team and provides care for ICU and inpatient veterans.

The RRT may provide education to patients and trains physicians, nurses and other clinical staff on the use of respiratory therapy equipment.

The RRT is knowledgeable of the more complex procedures related to the care of patients with respiratory issues. The specific assignments are dependent on facility structure and complexity levels.

They use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met.

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

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

RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation. They monitor critical systems.

They use advanced modes of ventilation and outpatient services, such as home ventilators and COPD case management.

RRTs suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment.

RRTs at this grade level may perform invasive procedures such as arterial line placement. They serve as a preceptor to lower graded staff.

They may lead projects developing new policies, procedures or protocols.

Perform the following procedures with proficiency and confidence under minimal supervision: Oxygen, aerosol, humidity, and positive pressure breathing therapy; Implement adult mechanical ventilation using the PB980, LTV 1000/1200, Astral and other ventilators; Maintain, adjust, and monitor patients on a ventilator; Wean long-term ventilator patients; Performs weaning parameters on patients being weaned off a ventilator( Following the Ventilator Liberation protocol ); Implement Acute and Chronic NIPPV set-up and use(Respironics V60, Home NIPPV devices CPAP, Auto CPAP, BIPAP, Auto Bipap; Implement HHFNC (Heated High Flow Nasal Cannula) therapy.

Incumbent will read and review the patient's chart and evaluate physician's orders for respiratory therapy.

Position patient and perform chest physiotherapy and postural drainage therapy/positioning, noting effectiveness of therapy or perform Flutter Value.

Administer aerosolized medications as prescribed in the physician's order while following hospital policy regarding the administration of medication(s) (BCMA).

Perform Arterial Blood gas analysis by: Performing an Arterial Blood Gas draw to obtain blood specimen from Radial or Brachial artery; Must have basic understanding of blood gas and acid base interpretation; Consult with superiors and/or physicians on blood gas results and make recommendations for best course of action for the patient.

Respond to emergencies, make assessments, and implement proper actions and judgments. Perform bedside pulmonary function testing as required.

Assist in and performs minor and preventative maintenance of department equipment, when necessary Prepare departmental requisitions, charges, and other paperwork that pertains to the department.

May be called upon to aid in the evaluation of new equipment and supplies.

Perform all Respiratory Therapy tasks using aseptic techniques/universal precautions to provide best care available to the patient.

Follow department policies and procedures that have been approved and signed by the medical director of respiratory care services here at VHAPORHCS.

Actively participate in daily medicine/surgery rounds and provides recommendations on course of treatment as requested by the doctor. Assemble, clean, and sterilize equipment, as required.

Perform and accept other duties, as assigned. Communicate with Nurse or Provider when problem arises and tries to work out an amicable solution.

Follows established VAC (Ventilator Associated Complications) and ARDS (Acute Respiratory Distress Syndrome) protocols and documents in CPRS/ICIP.

Work Schedule: Variable days between Monday-Sunday (including holidays), 5:00pm-5:30am & 5:00pm-1:30am Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized