Registered Respiratory Therapist (RRT)

divh2Registered Respiratory Therapist (RRT)/h2pPosition Type PRN Job Shift Any/ph3Dimension and Description/h3pPrimary Purpose: To provide care for the cardiac and respiratory needs of patients according to physicians orders and departmental policies./ppFormal Policy-Setting Responsibilities: Formally responsible for providing input into policies associated with the jobs purpose and essential responsibilities./ppRoutine Decision Making: Determines patient needs; determine patients ability to be weaned regarding oxygen titration; determines adverse reactions to tests/therapy./ppFormal Supervisory Responsibility: No formal supervisory responsibility./ppRequired Knowledge: Cardiac and respiratory equipment; drugs; patient assessments; effects of therapy. Knowledge of insurance requirements for home use equipment and patient testing./ppRequired Skills and Ability: Ability to do arterial blood gas; puncture and analysis therapy; testing and treatments; universal precautions and patient assessments./ppUnusual Working Conditions: Risk of blood, body fluid contamination./ppEducation and Certification/Registration Required for the Position: RRT certification by the NBRC; BCLS ACLS required; Missouri License required./ppAge Specific Competencies: Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 yrs-12 yrs); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older./ph3Essential Responsibilities and Tasks/h3pA. Provides patient therapy. (40% of time)/pulliAdministers breathing treatments to patients within one hour of scheduled time./liliAdministers oxygen therapy, upon order, within fifteen minutes of scheduled time./liliAdministers mechanical ventilation or non-invasive ventilation immediately upon order and evaluates every 2 hours./liliAdministers all other respiratory therapy procedures within the scope of practice, within one hour of scheduled time./liliAdministers all procedures ordered stat within 15 minutes of initiation of stat call./li/ulpB. Performs testing modalities. (25% of time)/pulliPerforms EKGs within one hour of order or at a specific time indicated on order./liliPerforms arterial blood gas within one hour of order or at a specific time indicated on order./liliPerforms pulse oximetry daily on patients wearing oxygen with titration orders and all other oximetry as ordered./liliPerforms all other testing modalities within the scope of practice, within fifteen minute scheduled time./liliPerforms all testing ordered stat within thirty minutes of initiation of stat call./li/ulpC. Conducts quality control on machines. (5% of time)/pulliRuns manual PC on the arterial blood gas analyzers machine after measurement cartridge change. when needed and documents action taken./liliRuns SST test on ventilator prior to use./liliPerforms maintenance on the arterial blood gas analyzers as needed and documents./liliRuns proficiency testing material on arterial blood gas analyzers and reports to API quarterly./li/ulpD. Performs charting and clerical duties. (10% of time)/pulliAnswers telephone identifying self and department each call./liliCharts all procedures and tests in the patient record according to policy after completion./liliCompletes charges daily by 11:59 p.m. Daily reconciliation of departmental charges/liliDocuments read-back on all verbal orders. Daily reconciliation of departmental charges./li/ulpE. Ensures proper care of supplies. (10% of time)/pulliPerforms medical gas tank rounds, spot checks daily, and replaces as needed./liliEvaluates and stocks supplies in ER, Med/surg, ICU, surgery, and RT daily; and reports needed supplies to RT director./liliCleans all respiratory equipment, pulmoaide machines, after each use and places new circuits on bipap and ventilators so they are ready for us, replaces filters, as needed./li/ulpF. Responsible for patient education. (5% of time)/pulliTeach patient on smoking cessation within 24 hours of order./liliTeach patient to use respiratory equipment when ordered to use at home, upon order./liliEducate patients on disease process, within 24 hours of order./li/ulpG. Responsible for patient assessment. (5% of time)/pulliComplete initial assessment within 24 hours of initial respiratory orders./liliPerform 1st re-assessment in three days from initial assessment./liliPerform assessment every three days until discharged./li/ulh3Essential Physical Requirements/h3pTYPE OF WORK (Check One)/pulliSedentary Work: Lifting 10# maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Jobs are sedentary; if walking and standing are required only occasionally./liliLight Work: Lifting 20# maximum with frequent lifting and/or carrying of objects weighing up to 10#. Even though the weight lifted may be only a negligible amount, a job is in this category when it requires walking or standing to a significant degree or/liliMedium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#./liliHeavy Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 50#./liliVery Heavy Lifting: Lifting objects in excess of 100# with frequent lifting and/or carrying of objects weighing 50# or more./li/ulpPHYSICAL DEMANDS (Check those which apply)/pulliLifting: Raising or lowering an object from one level to another (includes upward pulling)./liliCarrying: Transporting an object, usually holding it in hands or arms or on the shoulders./liliPushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions)./liliPulling: Exerting force upon an object so that the object moves toward the force (includes jerking)./liliClimbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, ropes, and the like, using the feet and the legs and/or hands and arms./liliBalancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats./liliHearing: Ability to determine audible communication./liliStooping: Bending the body downward and forward by bending the spine at the waist./liliKneeling: Bending the legs at the knees to come to rest on the knee or knees./liliCrouching: Bending the body downward and forward by bending the legs and spine./liliCrawling: Moving about on the hands and knees or hands and feet./liliReaching: Extending the hands and arms in any direction./liliHandling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved)./liliFingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling)./liliRepetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers./liliFeeling: Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips./liliSpeaking: Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly./liliSeeing: Obtaining impressions through the eyes of the shape, size, distance, motion, color or other characteristics of objects./liliIncluding Major Visual Functions/liulliAcuity, far - clarity of vision at 20 feet or more./liliAcuity, near - clarity of vision at 20 inches or less./liliDepth perception - ability to judge distance and space relationships so as to see objects where and as they actually are./li/ul/ul/div