Registered Respiratory Therapist

Summary

We are recruiting for one full-time Registered Respiratory Therapist to join the Nursing, Ambulatory Care Service at Brooklyn VA Medical Center, Kings NY. RRTs provide outpatient services, such as positive airway pressure (PAP) therapy, oxygen therapy and COPD care. The therapist identifies and analyzes factors related to equipment operation and patient responses to discern their interrelationship.

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Duties

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Duties include but are not limited to:

The Registered Respiratory Therapist is responsible for independently administering complex respiratory therapy treatment to ambulatory and non-ambulatory patients. The respiratory therapist uses judgment in identifying and selecting the most appropriate procedures, equipment, and techniques for application to specific cases. The therapist identifies and analyzes factors related to equipment operation and patient responses to discern their interrelationship.

• Consult literature on a regular basis (e.g. AARC Times, Respiratory Care, etc.) to stay acquainted with alternative modes of therapy and keep technically up to date.
• Cleans, sets up, and monitors a variety of complex respiratory equipment such as oxygen equipment, mechanical ventilators, CPAP/BIPAP machine, and therapeutic gas administration apparatus for critical care patients.
• Follows all respiratory care Sputum Collection for Acid Fast Bacilli (AFB), Rapid Response Team (RRT), and ventilator wearing protocols to include Bronchodilator Therapy Protocol and Oxygen Protocols.
• Performs diagnostic tests to include arterial blood gas analysis, spirometry, pulse oximetry, weaning parameters, peak flow, end tidal C02, metabolic, and negative inspiratory force.
• Performs or assists with bedside bronchoscopies to include right BALs as ordered by a pulmonary physician.
• Performs all respiratory care procedures throughout the medical center, to include sputum collection for AFB, therapeutic aerosols, metered dose inhalers, oxygen therapy, chest physical therapy, and breathing exercises.
• Evaluates efficacies of therapeutic modalities. Initially and continuously assess the cardiopulmonary condition of assigned patients using data acquired through physical examination and respiratory monitoring and diagnostic equipment.
• Administers oxygen involving the use of variety of standard respiratory equipment to include low flow and high flow systems.
• Administers oxygen involving the use of variety of standard respiratory equipment to include low flow and high flow systems.
• Performs airway and tube care on patients including nasotracheal and endotracheal suctioning, cleaning and securing the tracheostomy and endotracheal tube and site, changing endotracheal and tracheostomy tubes per physician's order, monitoring tube cuff.

Work Schedule : Full-time, 3:30pm-12am Monday-Sunday with rotating weekends and Holidays.

Telework : Not available

Virtual: This is not a virtual position.

Functional Statement # : 14298F/14299F/21R77-A

Relocation/Recruitment Incentives : Not authorized

Permanent Change of Station (PCS): Not authorized

Requirements

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Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements ( Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical examination or health assessment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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.
• 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.
• 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).
• Grandfathering Provision . 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).

Creditable Experience . Experience is only creditable if credentialed as a Certified Respiratory Therapist (CRT) or RRT, the experience is in respiratory care, pulmonary function testing or polysomnography and directly related to the position being filled. To be creditable, the candidate's experience must have demonstrated the use of knowledge, skills and abilities (KSA) associated with current practice in paid employment as a CRT or RRT.

Grade Determinations . In addition to the basic requirements for employment in paragraph above, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows:

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:

• Ability to perform therapeutic modalities related to respiratory care.
• 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.
• Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes.
• Skill in assessing oxygenation and ventilation.
• Ability to perform basic airway management to include artificial airways and mechanical ventilation.

(c) Assignment. This is a developmental position. RRTs at this grade level will be responsible for the following assignments with minimal clinical supervision from an RRT at the full performance level in both inpatient and/or outpatient settings. RRTs complete patient assessment through direct contact, chart review and other means as appropriate and share the information with health care team members. They use accepted measuring/monitoring tools for determining plan of care. They place nasal and oropharyngeal airway and perform nasal and tracheal suctioning. RRTs obtain, analyze and report arterial and venous blood gas samples. They perform duties in the critical area with close supervision to include in- line suctioning, re-positioning and securing Endo Tracheal tube, bag valve mask ventilation, assisting in patient transport and performing patient ventilator assessment. RRTs provide outpatient services, such as positive airway pressure (PAP) therapy, oxygen therapy and COPD care.

Registered Respiratory Therapist, GS-09

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

1. One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level; OR
2. 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:

• Skill in performing therapeutic modalities related to respiratory care.
• Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
• Skill in assessing oxygenation and ventilation.
• Ability to perform airway management to include artificial airways and mechanical ventilation.

(c) Assignments. This is a developmental position. RRTs at this grade level are responsible for the following under general guidance in both inpatient and/or outpatient settings. RRTs obtain, interpret and analyze physiological specimens and data. 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 through the use of appropriate mechanical means. RRTs assess and evaluate 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. They provide outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care.

Registered Respiratory Therapist, GS-11 (a) 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.
• Hold an active license and RRT credential.

(b) 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.

Note : The assignment for the GS-11 grade level can be found under the Additional Information section

Preferred Experience: Experience with intubation is preferred.

Reference: For more information on this qualification standard, please visit

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-7 to GS-11.

Education

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit:

Additional information

Assignments GS-11 . This assignment is the full performance level. RRTs at this grade level work independently providing respiratory care in both inpatient and/or outpatient settings. 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.

During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

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