Respiratory Therapist NICU Specialist

Site: The Brigham and Women's Hospital, Inc.

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Job Summary

We're offering a generous $15,000 sign-on bonus to welcome you to our team. Recognizing and valuing exceptional talent, we're eager to discuss the exciting details of this bonus during our interview process. (current employees of MGB not eligible)

Responsible for assessing, planning, organizing and administering Respiratory Care procedures in accordance with physician’s treatment plan including mechanical ventilation and airway care; respiratory treatment; emergency respiratory maneuvers; transport and maintenance of critically ill patients for special tests and procedures. Performs and interprets test and procedures to assess and manage patient care in concurrence with physician. Oversees work of technical Respiratory Care personnel. Attends and participates in hospital educational programs and patient care rounds.

PRINCIPLE DUTIES AND RESPONSIBILITIES

1. Provides professional Respiratory Care including initiation and maintenance of mechanical ventilation. Utilizes neonatal conventional ventilators, High Frequency Oscillators, High Frequency Jet Ventilators, and INO ventilators for administration of Nitric Oxide.

2. Attends high-risk deliveries to assist physicians with intubation/NRP, surfactant administration, and transport of intubated patients. Responds to pediatric/neonatal emergencies (including CPR/NRP); establishes and maintains patient airway, providing appropriate oxygen therapy.

3. Performs intubations or assists in insertion, stabilization and maintenance of all artificial airways; and administration of Respiratory Care modalities. Applies use of prong and nasopharangeal CPAP devices, and oxygen delivery devices, nasal prongs and oxyhoods appropriately.

4. Attends daily bedside rounds and administers Respiratory modalities and medications including bronchodilator therapy, surfactant, oxygen, and nitric oxide. Assesses patients’ conditions, progress and reaction to the therapy. Modifies treatment care plan accordingly.

5. Performs moderate complexity point of care (POC) testing for Blood Gas Analysis. Requires an Associate or Bachelors degree in chemical, physical, or biological science or medical laboratory technology or other qualifications as described in the Federal Register, 42 CFR, Subpart M 493.1403 - 1495.

6. Uses professional judgment regarding appropriateness of therapy; modifies treatment and/or informs physicians with recommendations for change. Administers appropriate tests and procedures as ordered including; oximetry, hyperoxia tests utilizing transcutaneous O2 monitoring, radial arterial blood gases.

7. Completes necessary documentation of all pertinent observations related to patient care and treatment administered with patients’ responses to treatment. Reports to NICU Respiratory Therapy Clinical Coordinator and Clinical Supervisor and physicians. Maintains appropriate department records. Ensures proper and current physician orders with physician approval.

8. Participates in education of students, physicians, and staff. Explain and demonstrates respiratory techniques to house officers, medical students, nurses, and other hospital personnel. Provides guidance and constructive criticism to demonstrate appropriate methods as necessary to correct deviations from established standards.

9. Clinically supervises respiratory therapy students in patient areas. Assists and instructs students in performance of Respiratory Care procedures and maintenance of equipment.

10. Instructs patients’ families in respiratory techniques and the use of equipment in the home necessary to continue patient care and rehabilitation.

11. Attends and participates in internal and external educational meetings to maintain and enhance clinical competencies including daily patient-care reports, staff meetings, and conferences as scheduled. The individual in the position must demonstrate appropriate knowledge of the principles of growth and development of the neonate. In addition, she/he must possess the ability to assess patient data relative to specific needs and provide care as described in the department’s policy and procedures.

12. Assists in departmental research projects.

13. Maintains continuing education relating to cultural competency. The individual in this position must demonstrate appropriate knowledge and understanding of the diversity of any patient population to include but not limited to age, race, religion, ethnicity, ability, income, position, sexual orientation, gender or background.

Qualifications

1. Associate's Degree Respiratory Therapy required and Bachelor's Degree Respiratory Therapy preferred

2. Registered Respiratory Therapist (RRT) by the N.B.R.C. within three (3) months of hire

3. Currently licensed by the Commonwealth of Massachusetts as a Respiratory Therapist.

4. 1-2 year NICU training preferred or 2-3 years’ minimum critical care training

5. NPS credential preferred

6. Work requires a minimum of ten weeks of orientation to acquire necessary familiarity with department policies and procedures.

7. Maintain NRP/BLS certification at all times.

Knowledge, Skills and Abilities
- Ability to be a subject matter expert in the area of Respiratory Therapy and be able to communicate effectively with patients, team members, and other healthcare disciplines.
- Ability to assess quickly and offer professional judgment to prepare appropriate care plan, and makes specific recommendations to physician for indicated therapy.
- Strong communication skills.
- Ability to walk distances and push medical equipment weighing less than 100 lbs. may also be required to stand immobile for long periods of time.

Additional Job Details (if applicable)

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Remote Type

Onsite

Work Location

45 Francis Street

Scheduled Weekly Hours

36

Employee Type

Regular

Work Shift

Rotating (United States of America)

Pay Range

$41.81 - $50.25/Hourly

Grade

5At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on aiapply.co.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.