Registered Respiratory Therapist (Pulmonary)

SummaryThis position is located in the Pulmonary Section - Medical Service at the VA Palo Alto Health Care System - Monterey Duty Station. The incumbent serves as a Registered Respiratory Therapist (RRT) providing respiratory care to Veterans with cardiopulmonary deficiencies - diseases - and abnormalities in both inpatient and outpatient settings.QualificationsApplicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.Basic RequirementsUnited States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA PolicyEducation: Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successorPlease select the response below - that represents how you meet the education requirementLicensure: 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 RRTCredential: 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 RRTExceptionRespiratory Therapists - who are certified and working towards obtaining their ""registration"" credential - will be designated only to individuals who are in the process of obtaining credentials to become an RRTThese individuals will only be hired on a temporary appointment as provided below(a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credentialIndividuals who have successfully completed a respiratory care program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or its successor - acquired the CRT credential - are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RTThe temporary appointment is made under the authority of 38 U.S.C. ? 7401(a)(1)(B) for a period not to exceed one year from date of employment(b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is receivedRTs must provide care only under the close supervision of an RRTTemporary RT appointments may not be extended beyond one year or converted to a new temporary appointment(c) RTs must provide care only under the close supervision of an RRT(d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment(e) Failure to Obtain Credential(e) In all cases - RTs must actively pursue meeting national prerequisites for the RRT credential from the first day of their appointmentFailure 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 employmentMay 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)Grade Determinations: GS-07 Registered Respiratory Therapist: In addition to the basic requirements - candidates must possess their RRT credential and demonstrate all of the following Knowledge - Skills and Abilities: Ability to perform therapeutic modalities related to respiratory careSkill in analyzing physiological specimens obtained to include arterial blood gases - pulse oximetry - End tidal Co2 (ETCo2) monitoring - basic spirometry and other basic diagnostic proceduresAbility to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomesSkill in assessing oxygenation and ventilationAbility to perform basic airway management to include artificial airways and mechanical ventilationGS-09 Registered Respiratory Therapist: Experience or Education - Licensure and Credential: Candidates must have: One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that levelOR A Master of Science degree in respiratory care AND a license AND an RRT credentialIn addition to the requirements above - candidates must demonstrate all of the following KSA's: Skill in performing therapeutic modalities related to respiratory careAbility to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomesSkill in assessing oxygenation and ventilationAbility to perform airway management to include artificial airways and mechanical ventilationGS-11 Registered Respiratory Therapist: Experience or Education - 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 levelHold an active license and RRT credential In addition to the requirements above - candidates must demonstrate all of the following KSA's: Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomesSkill in evaluating the efficacies of therapeutic modalitiesSkill in performing advanced airway and ventilation managementReference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/.The full performance level of this vacancy is GS-11The actual grade at which an applicant may be selected for this vacancy is in the range of GS-7 to GS-11Physical Requirements: See VA Directive and Handbook 5019DutiesThe Registered Respiratory Therapist (RRT) is responsible for providing the full range of clinical procedures related to respiratory care to Veterans with cardiopulmonary deficiencies - diseases - and abnormalities in both inpatient and outpatient settingsMajor duties include - but are not limited to: Administers a variety of therapeutic respiratory therapy treatments including medication delivery - oxygen therapy - aerosol/humidification therapy - and positive airway pressure (PAP) therapy Sets up and monitors respiratory equipment such as invasive and noninvasive ventilators - end tidal CO2 (ETCo2) monitors - oxygen delivery devices - and oximetry monitors Performs patient assessment through direct contact - chart review - and other appropriate means to develop and implement a plan of care - including initiating protocols and monitoring critical systems Performs bedside diagnostic tests including arterial blood gas analysis - pulse oximetry - and basic spirometry to assess the respiratory status of patients Manages and maintains airway and ventilation of patients through use of appropriate mechanical means - including artificial airways and advanced modes of ventilation Calibrates complex respiratory equipment such as ventilators and analyzers to assure accurate and safe performance Performs routine respiratory therapy treatments to inpatient and outpatient populations including administering oxygen - therapeutic aerosols - Aerobika - and chest physical therapydraws arterial blood samples via arterial puncture for laboratory analysis Consults collaboratively with physicians and other healthcare professionals to ensure quality patient care - recommend changes in treatment based on patient observation and diagnostic test values - and contribute to favorable patient outcomes Provides in-service training to other respiratory therapists and nursing personnel on treatment modalities - medications - equipment setup and operation - and applicable cleaning and safety precautions Documents patient treatment - findings - and progress notes accurately and timely in the electronic medical record (e.g. - CPRS - Vista Imaging) Provides outpatient services including PAP therapy - oxygen therapy - home ventilator management - and COPD case management via face-to-face and Tele/VVC encounters Work Schedule: Full-time - Monday-Friday - 8am-4:30pm Telework: Not Available Virtual: This is not a virtual positionRelocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized