Neo Pedi Registered Respiratory Therapist-3

Facility: LOC0001 - 55 Fogg Road55 Fogg Road Weymouth, MA 02190 Department Name: SSH Neo Pedi Respiratory Therapy Status: Part time Budgeted Hours: 0 Shift: Varied Shifts (United States of America) Provides respiratory care to patients as assigned by supervisors and given on the physician's order. Compensation Pay Range: $44.00 - $59.22 ESSENTIAL FUNCTIONS 1 - Responsible for the safe and effective administration of medically prescribed medications, knowing their indications and contraindications. a - Assures proper physician order before administration of medication as evidenced by Process Improvement. b - Demonstrates proper procedures for the procurement of respiratory medications and reconciliation of medication count variances. 2 - Knows and follows the indications and contraindications, the policy and procedures in administering therapeutic modalities to include: IS, HHN, Ventilator therapy for neonates, oxygen delivery devices, surfactant administration, flutter devices and metered dose inhalers. a - Assures proper physician order before treatment administered as evidenced by process improvement review. b - Discontinues treatment if any adverse or contraindication noted and documented in patient chart at time of occurrence as well as notifying the appropriate staff member, i.e., nurse, physician. 3 - Safe utilization of gas cylinders and piped in gas outlets. a - Sets up gas cylinders and assures proper usage and safety measures are in place. b - Lifts and moves gas cylinders utilizing proper body mechanics. c - Demonstrates knowledge of the set up, use and problems associated with oxygen, air and vacuum outlets, regulators, flowmeters and devices. 4 - Performs arterial punctures using radial, and brachial sites independently. Performs capillary gases. a - Obtains sample upon a written physician's order as directed. As determined by direct observation, the sample is obtained according to policy and in compliance with universal precautions. b - Follows all National Patient Safety Goals regarding patient identification, labeling of the specimen and dealing with critical value results when performing an arterial puncture and blood gas analysis as evidenced during the process improvement reviews. 5 - Be a member of the "code team" responding to arrest situations. As part of the team may be expected to perform CPR (compression). Must be certified in CPR procedures annually. a - Maintains current BLS card as evidenced by card. Maintain current NRP certification. Maintain current PALS certification. b - Performs external compression when needed in a code situation. c - Proper handling and usage of ambu and assures proper function during code. Utilizes proper technique as observed/reported by code team participants. Able to choose correct Ambu bag. d - Demonstrates the ability to verify endotracheal tube placement by use of an end tidal CO2 detector, breath sounds and a chest x-ray. e - If certified to do so, successfully insert an endotracheal tube or LMA and document the procedure in the medical record and on a process improvement form. 6 - Performs all aspects of artificial airway care. Able to perform naso-tracheal and endo-tracheal suctioning on patients. 7 - Documents all maintenance, calibration, problems, and quality controls performed on the blood gas analyzers. a - Performs maintenance on ABG analyzer as documented in the lab policy. b - Changes IQM cartridges when directed by the instrument. c - Reports critical values according to the hospital policy and procedure. 8 - Set up and maintains heliox system 9 - Setting up and maintenance of oxygen devices. a - Collaborate with nursing to insure that patients are on the proper device, at the proper flowrates and that the oxygen saturation is of a sufficient level for the patient. b - Makes daily rounds of oxygen administration systems as documented in patient's medical record and department records. 12 - Responsible for the set-up, safety check, monitoring and troubleshooting of mechanical ventilators. a - Demonstrates the ability to set properly set up and check the functionality of all ventilators at South Shore Hospital. b - Demonstrates the ability to proficiently set-up and apply all modes of ventilation through each ventilator and can articulate the function and application of each of the modes. c - Performs ventilator checks at the prescribed frequency during assigned shift as determined by the ventilator documentation. d - Expedites weaning when appropriate. e - Places patient on CPAP/Ventilator as ordered by physician. f - Upon the order of a physician, the therapist demonstrates the ability to safely perform an endotracheal extubation. g - Safely initiates, weans and troubleshoots nitric oxide according to protocol. h - Safely initiates, manages and troubleshoots hi-fi ventilation

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