Registered Respiratory Therapist Vascular Access Specialist
Banner Health
Registered Respiratory Therapist Vascular Access Specialist
Primary City/State: Phoenix, Arizona
Department Name: Vascular Access Team-Hosp
Work Shift: Night
Job Category: Clinical Care
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Banner Estrella Medical Center is a 353 bed, 24 bed ICU and level 4 trauma center. This is full time night shift position. It is a 3 12-hour shift per week. The schedule is 6:00PM to 6:30AM.
As a Registered Respiratory Therapist Vascular Access Specialist at Banner Estrella Medical Center you have the opportunity to work with an excellent team with high acuity and diverse patient population. Our Respiratory Care team provides care 24/7 for patients requiring services ranging from simple oxygen therapy to advanced ventilator support. The department also performs diagnostic testing and emergency medical support including CPR. Four years of clinical experience as an registered respiratory therapist in critical care, advance practice experience is preferred. The shift is 6:00pm-6:30am with rotating weekends and holidays.
Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
Banner Estrella Medical Center is a 353-bed acute care hospital providing a full range of health care services to the fast growing communities of west Phoenix. Opened in 2005, this is an innovative, fully electronic facility that features electronic medical records, computerized physician order entry, digital radiography, sophisticated ICU monitoring and much more. In fact, we've been named one of the "ten most innovative hospitals in the country" by Newsweek Magazine and are recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. The hospital is also designed to provide a soothing, healing atmosphere for both patients and their family members. We encourage the use of such therapies as pet therapy, aromatherapy, spiritual care and Reiki Therapy.
POSITION SUMMARY
This position independently provides and maintains peripheral and central venous access. This position conducts patient assessments and provides recommendations regarding care, serves as a resource person and specialist and provides assistance with departmental activities, quality improvement and development of best practice guidelines.
CORE FUNCTIONS
1. Reviews labs, patient history and physician orders to determine appropriate line to be utilized for the procedure and/or identify potential issues that may arise or preclude the patient from being a viable candidate or require alternate form of vascular access. Collaborates with physicians to determine appropriate long-term access needs. Obtains patient's authorization to perform the procedure. Inserts peripheral venous and/or arterial catheters to provide access or more complex vascular access as indicated.
2. Inserts and maintains peripherally inserted central catheter (PICC) lines according to department policy and procedures to include dressing changes, line reviews and declotting. Utilizes ultrasound technology to ensure accurate insertion of the PICC line. Reviews chest x-rays to ensure accurate placement of the central venous catheter or device. Maintains sterile field throughout the insertion process to ensure quality outcomes. Maintains accurate, timely and appropriate documentation.
3. Inserts and maintains all central lines (simple and complex) in the neck and chest according to department policy and procedures to include dressing changes, line reviews, port access and declotting. Utilizes ultrasound technology, advanced knowledge of anatomy and specialized insertion techniques to ensure accurate and appropriate insertion of the central line. Reviews chest x-rays to ensure accurate placement of the central venous catheter or device. Maintains sterile field throughout the insertion process to ensure quality outcomes. Maintains accurate, timely and appropriate documentation.
4. Participates in ongoing monitoring of quality initiatives, department database, appropriateness and effectiveness of bundle compliance, acts as a change agent and participates in the development, interpretation, implementation and evaluation of quality goals/objective and quality management activities within the clinical service lines. May coordinate oversight of quality and safety standards, regulatory and accreditation requirements, as well as applicable professional standards.
5. Acts as a resource to therapists and other healthcare practitioners regarding patient status, equipment and operational issues. Participates in interdisciplinary rounding, making recommendations for changes in therapy dictated by the patient's condition.
6. Provides training, orientation and patient education to staff, patients and families, in accordance with policy and practice guidelines. Assists in the development of departmental policies and procedures based on best practice.
7. Assures the efficient operation of workflow of the department. Monitors and maintains an adequate inventory of supplies and material to ensure non-interruption of services. Provides maintenance of associated equipment as demonstrated through observation and documentation.
8. May, on occasion, provide respiratory therapy services as prescribed and in accordance with established department/hospital policies and procedures, including inserting and maintaining arterial lines, assisting in FDPAC and IAPB insertion and associated invasive cardiac outputs/profile and non-invasive cardiac outputs. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
9. This position independently provides central and peripheral vascular access, and advanced clinical monitoring techniques to a diverse patient population. Serves as a resource person and may provide direction to staff. Internal customers: All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies and regulatory agencies.
MINIMUM QUALIFICATIONS
Associate or technical degree. Successful completion of a training course in PICC and Banner Health Sims Lab training for CVC insertions. Proof of good standing with the National Board for Respiratory Care (NBRC) as a Registered Respiratory Therapist (RRT). A current license in state practiced as required by state law.
Certification for Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) required. In-depth knowledge of clinical techniques, applications and equipment as typically obtained through 4 years of clinical experience as a RRT, including 1 year of independent PICC or CVC line insertions.
Must possess highly effective human relation skills necessary to interface with patients, families, staff and other healthcare personnel.
PREFERRED QUALIFICATIONS
CPUI and VA-BC certifications preferred. Additional related education and/or experience preferred.
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Banner Health$37.4 - $55.63 per hour
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