Vascular Access Specialist RT - Days - Four Peaks
HonorHealth
Location & Shift Southern Ave & Crismon Rd, Mesa Shifts 6:00pm-6:30am Lines Experience Strongly Preferred Position Details Primary City/State: Four Peaks Medical Center Category: Therapy and Rehabilitation Shift: Day Department: CV Respiratory Therapy Up to $15,000 Sign On Bonus Available. Responsibilities This position independently provides and maintains arterial line (A-line), deep venous (IV), midline catheters, peripherally inserted central catheters (PICC), and/or central venous catheters (CVC), and/or acute hemodialysis catheter access. Conducts patient assessments, obtains consults of procedure, gathers correct blood values and patient information, and provides recommendations regarding the correct invasive catheter, optimal for the therapy required to the patient. Provides assistance with departmental activities, serves as a specialist assisting in quality improvement and development of best practice guidelines. Responsible for achieving superior performance in specialty areas of all hemodynamic monitoring, line maintenance, correct use, and access of invasive lines. Performs all Respiratory Care Practitioner duties and may supervise others if required to do so. Essential Functions Inserts and maintains arterial lines, midlines, PICC lines and other vascular access devices in accordance with department policy and procedures, including dressing changes, transducer changes, line reviews, flushing of ports and de‑clotting. Uses ultrasound technology to ensure accurate insertion. Reviews chest X-rays to ensure accurate placement of central venous catheters and/or utilizes ECG tip placement to verify accurate central line tip placement. Maintains a sterile field throughout insertion process following IHI bundle compliance and provides accurate, timely documentation to the electronic medical record. Reviews labs, patient history and physician orders to determine the appropriate line to be utilized for the procedure and/or identify potential issues that may preclude the patient from being a viable candidate for arterial and/or vascular access. Collaborates with physicians to determine appropriate long‑term access needs. Obtains patient’s authorization to perform the procedure. Inserts peripheral venous and/or arterial catheters to provide access or more complex vascular access as indicated within department policy and procedures. Performs or assists with intubations when necessary according to departmental policy and procedure and maintains competency as demonstrated through observation, demonstration and accurate documentation. Dispenses pharmacological solutions as prescribed by physician. Must possess and utilize a general knowledge of indications, contraindications, and complications of medications administered through aerosolization. Responds accordingly to policy and procedure in the event of adverse reactions and/or inappropriate orders and demonstrates competency through monitoring and observation. Utilizes assessment skills to implement protocols or initiate physician consultation. Demonstrates competence through monitoring and observation. Assists RNs in bedside procedures as required, takes physician’s verbal orders and transcribes appropriately, performs bag and mask ventilation, maintains an adequate airway, assists with life‑threatening events, attends resuscitations and traumas as assigned, performs basic pulmonary function testing including determination of vital capacity, forced inspiratory/exhalatory flows, flow‑volume loops, and peak flow maneuvers. Performs resting and exercise oximetry testing and, for some therapists, complete pulmonary function studies including diffusion, lung volumes, body‑box procedures, and pulmonary stress procedures. Collects soiled equipment, transports to the CV Respiratory Therapy department or appropriate cleaning area, cleans, disinfects, sterilizes, and packages respiratory care equipment as needed; performs minor troubleshooting as necessary and recognizes when equipment needs repair or preventive maintenance. Provides CV respiratory therapy services as prescribed in accordance with established department policies and procedures. Assists in IAPB insertion, associated invasive cardiac outputs/profile and non‑invasive cardiac outputs. Maintains ISTAT and/or blood gas equipment and functions according to established policy and procedures. Acts as a resource to therapists and other healthcare practitioners regarding patient status, equipment and operational issues. Provides customers with an excellent service experience in demonstrating living performance standard behaviors. Remains current in new products, equipment and technical practices. Provides maintenance of associated equipment and shares significant changes in standards of care with other specialists, supervisors and leadership. Provides training, orientation and patient education to staff, patients and families in accordance with policy and procedures. Assists in the development of departmental policy and procedures based on best practice standards. Education Technical Training Diploma/Degree Vocational/Specialized training Graduate from Commission on Accreditation for Respiratory Care (CoARC) approved Respiratory Care program (Required) Bachelor’s in a health care related field (Preferred) Experience 2 years Respiratory Care experience (Required) 5 years respiratory care experience with arterial line insertion, IV insertion, PICC and/or central line insertion, invasive maintenance experience and electronic medical record data entry (Preferred) License and Certifications Respiratory Care Practitioner (RCP) – Licensed Upon Hire (Required) Respiratory Therapist – Registered Respiratory Therapist (RRT) – Licensed Upon Hire (Required) Advanced Cardiac Life Support (ACLS) – Current Certification Upon Hire (Required) Basic Life Support (BLS) – Current Certification Upon Hire (Required) Arizona Respiratory License – Upon Hire (Required) Credential as NBRC Specialist or Vascular Access Specialist Certification (Preferred) #J-18808-Ljbffr HonorHealth
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