Respiratory Care Practitioner II - Respiratory Therapy - Harbour View Medical Center

Bon Secours As a faith-based and patient‑focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Up to $10,000 Sign‑On Bonus Available* Job Summary The Respiratory Care Practitioner II is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures including but not limited to oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services and patient and staff education. Monitors the patient’s response to such therapies and makes recommendations to change or modify based on the assessment. Essential Functions May serve as the shift “Charge Therapist” with responsibility of ensuring adequate number of respiratory care staff to cover patient care areas and needs. This may include assigning respiratory care staff to work areas and/or work assignments, modifying work assignments, assisting with meal coverage, fielding call offs and providing adequate staffing levels for the next shift. May assist physician performing procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy intubation (if intubation is performed by respiratory therapy in the facility), assists with tracheostomy endotracheal tube changes and invasive monitoring. Performs CPR including closed chest compressions and airway management techniques in accordance with the AHA ACLS protocol. Conducts prescribed therapeutic procedures to achieve maintenance of a patient airway, including use of appropriate airways such as endotracheal tubes, nasopharyngeal and oropharyngeal airways, maintenance of airway humidification, aspiration of secretions, extubation, maintenance of correct ETT cuff pressures and documents procedures in patient and department records. Selects, assembles, monitors and evaluates mechanical ventilators for proper function and operation, including correction of malfunctions, cleanliness and determines appropriateness use for patient condition. May perform pulmonary function tests (PFT). Serves as a preceptor to new team members and/or students. Assesses patient’s physical status by inspection, palpation, auscultation, percussion, patient behavior and reviewing existing data in patient’s record. Performs treatments according to physician orders, explains therapy and therapeutic goals to patient; modifies treatment procedures based on patient response. Determines appropriateness of prescribed therapy and recommends methods to physician to achieve therapeutic goals including IPPB, aerosol therapy, postural drainage and percussion, ultrasonic nebulizer, incentive spirometry, metered dose inhalers and spacers, etc. Sets up and maintains different modes of oxygen therapy to maintain adequate PaO2’s with accurate inspired oxygen levels. Administers intermittent positive pressure breathing (IPPB) or aerosol therapy by first preparing the prescribed medication ordered by the physician and adjusting the machine or device to accomplish patient’s individual clinical needs; documents and observes patient’s vital signs, productivity of cough, relief of dyspnea, improved breath sounds and any adverse reactions to therapy; and uses judgment and technical skill to determine possible adverse reactions and suggestions for appropriateness of therapy. Gives postural drainage, vibration, percussion to ensure proper drainage of bronchial secretions by manual or mechanical percussion; checks orders and X‑rays for segments to be treated prior to initiating treatment; auscultates prior to and after the procedure to note presence of clearance of secretions and response to therapy. Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural drainage and clapping, oxygen therapy, ventilator care and home aerosol therapy. Procures sputum for culture and sensitivity or performs airway clearance by patient coaching, administration of mucolytics, aerosol therapy or endotracheal / nasopharyngeal suctioning. Evaluates normal and pathologic blood and urine laboratory value ranges. Performs arterial punctures and analysis; possesses comprehensive knowledge of arterial blood gas (ABG) interpretation. Performs arterial line procedures, takes safety precautions, maintains sterility, flushing, and ABG aspirations. May perform EKGs; understands electronic monitoring, lead placement and basic arrhythmias. Maintains all respiratory therapy equipment and supplies. Responds to cardiopulmonary resuscitations and actively participates as indicated by clinical circumstances. Education Bachelor’s Degree, related to Respiratory Therapy/Health care/Healthcare Administration/Business Administration (preferred) Required Licensing & Certifications Current Respiratory Care License in the state they are working (required) National Board for Respiratory Care (NBRC) credentialed (required) Registered Respiratory Therapist (RRT) (preferred) BLS Basic Life Support – American Heart Association (required) ACLS Advanced Cardiac Life Support – American Heart Association or Red Cross (required) PALS Pediatric Advanced Life Support – American Heart Association (required) NRP (Neonatal Resuscitation Program) – AAP/AWHONN (preferred) Certified Pulmonary Function Technologist (CPFT) (preferred) Registered Pulmonary Function Technologist (RPFT) (preferred) ACCS (Adult Critical Care Specialist) – NBRC (preferred) Valid driver’s license (required for Home Care/DME) Experience Two years of experience as a Respiratory Care Professional (required) Skills & Abilities Strong interpersonal skills and the ability to effectively interact with patients, their families, physicians and other staff members Good communication skills Ability to work effectively with diverse people Good customer service skills Good organizational and time‑management skills Proficiency in oral and written communication Ability to receive feedback Ability to gather and interpret data Accountability Knowledge of non‑invasive respiratory therapy equipment such as oximeters or end‑tidal CO₂ analyzers Proficiency with therapeutic procedures including CPAP/BiPAP, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high‑flow oxygen, continuous aerosols, ventilator management, diagnostic testing Understanding of EKGs, electronic monitoring, lead placement and basic arrhythmias Arterial blood gas puncture and testing Airway maneuvers Bedside pulmonary function tests Patient assessment Patient education Knowledge of chest suction equipment Knowledge of chest X‑ray interpretation Training EPIC Electronic Health Record (EHR) training (preferred) What We Offer Competitive pay, incentives, referral bonuses and a 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, short‑ and long‑term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information or protected veteran status, and will not be discriminated against on the basis of disability. If you would like to view a copy of the affirmative action plan or policy statement for Bon Secours – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are affirmative action and equal opportunity employers, please email View email address on click.appcast.io. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at View email address on click.appcast.io #J-18808-Ljbffr