Registered Respiratory Therapist (RRT)

Respiratory Care Practitioner IIIUnder the clinical supervision of the medical director of respiratory care and the overall supervision of the manager, assistant manager, and respiratory care supervisor, the respiratory care practitioner (RCP), III functions in a safe, expedient, and cost-effective manner in providing, responding to patient needs, and documenting respiratory care and services provided. The respiratory care practitioner III is involved in the clinical ladder program which is a voluntary promotion system that recognizes health care professionals who demonstrate advanced knowledge, critical thinking skills, and professional development.Demonstrates the knowledge and skills necessary to provide service appropriate to the age of the patient. Assess the appropriateness of prescribed respiratory care by acquiring and evaluating clinical data and assessing the cardiopulmonary/overall status of the patient based on the age of the patient. Initiates a respiratory care plan upon admission to respiratory services identifying primary respiratory problem, goals, and interventions. Updates care plan at least once per shift relative to the progress toward the goal. Initiates respiratory care, evaluating and monitoring patients' responses to such care, modifying the prescribed respiratory therapy and cardiopulmonary procedures and life support endeavors to achieve desired therapeutic objectives. Participates in life-support activities as required, responds to trauma, high risk deliveries, ERT, and code blue emergencies throughout the hospital. Provides therapeutic interventions with oxygen therapy, aerosol therapy, airway care, lung expansion, bronchial hygiene, invasive and noninvasive mechanical ventilation. Uses "red rules" and patient safety behaviors to provide safe patient care.Provides/records all patient and family education in patient medical record. Provides/assesses information from respiratory parameter studies, peak flow measurements, pulse oximetry monitoring, ABG/VBG/CBG results, capnography, pulmonary mechanics/graphics monitors, hemodynamic monitoring, cardiac output monitoring. Incorporates department protocol driven care appropriately to direct clinical practice. Uses universal precautions appropriately and performs proper hand washing between each patient. Maintains confidentiality of patient information. Uses department "scripts" to effectively communicate with other departments, patients, families, coworkers, and students in person or over the phone. Demonstrates safe operation of all equipment in compliance with department policy, safety, disinfection, infection control, and quality control standards. Demonstrates effective computer skills for electronic charting, billing, and respiratory order processing. As directed by the supervisor, may have additional responsibility as charge therapist and/or preceptor for students and/or new employees. Participates in inservice education, patient rounds/conferences, and obtains 12 education contact hours/year. Actively participates on respiratory action team of own choosing. Active membership with NBRC and AARC/NCSRC recommended. Completion and maintenance of all clinical ladder requirements-with participation in CQI activities.American heart association BLS certification is required. Associate degree or higher in an approved CoARC program for respiratory care. Active licensure with the North Carolina respiratory care board upon hire and is maintained yearly. Registered respiratory therapist (RRT) is required. American heart association ACLS is required. If working in the children's hospital, you are required to have AHA PALS and NRP in place of the AHA ACLS and you must have completed the NBRC NPS exam by 12 months from your orientation end date. For non-medical center respiratory care departments, AHA BLS and ACLS are required. AHA PALS and NRP are required at 6 months from hire date. 10+ years experience is required.The outer banks hospital is a full-service critical access hospital offering a wide range of inpatient and outpatient services. The 21-bed facility is designed to meet the needs of the coastal community, whose year-round population of approximately 35,000 swells to about 350,000 in the summer season. Its campus includes four ORs, a medical/surgical unit, a labor & delivery suite with a dedicated caesarian section OR, a full rehabilitation therapy center, cancer treatment and radiation therapy center, and a 24-hour emergency department.