The Respiratory Therapist II provides respiratory assessment, support, treatment and diagnostic tests as part of the healthcare team in accordance with the St. Charles Health System’s (SCHS) mission, philosophy, policies, and procedures while applying standards for professional respiratory practice in the clinical setting. The Respiratory Therapist performs duties according to physician's orders, utilizing knowledge and judgment in regard to technique and patient treatment. The Respiratory Therapist will be responsible for adult, geriatric, pediatric and neonatal patient respiratory care as assigned. This position does not directly supervise any other caregivers.
(May perform additional duties of similar complexity within SCHS as required or assigned)
Manages, assesses, plans, and evaluates care for patients with acute and/or chronic cardiopulmonary deficiencies and abnormalities Performs established respiratory care procedures for patients within department scope of practice
Ventilator management – Manages all modes of mechanical ventilation, including lung protective stratagies, monitoring patient/ventilator interactions and lung mechanics. Delivery of aerosolized medications and metered dose inhalers. Delivery of exogenous gases (nitric oxide and heliox)
Airway Management – Responsible for management of artificial airways and tracheostomy tubes, trachesostomy tube exchanges and decannulation. Assists with fiberoptic bronchoscopy and intubations. Assists with moderate sedation.
Patient monitoring- Monitors arterial blood gases, EtC02, SP02, blood pressure, vital signs, and other monitoring related to hemodynamics.
Respiratory protocols – Conducts assesment and implemention of protocols for oxygen, bronchopulmonary hygeine, bronchodialator, lung expansion, hypoxic risk protocol.
Oxygen therapy – Conducts assessment and implementation of oxygen therapy to include low and high flow oxygen therapy with various devices.
Performs EKGs as needed at some locations.
Additional job related duties may include participation in Code Blue, Trauma Team, Rapid Response, Neonatal resusistation and high risk newborn deliveries.
Calculates dosages and administers bronchodilator therapy/medication administration medications accurately in accordance with SCHS policies and procedures for medication administration.
Provides and maintains a safe environment for caregivers, patients and guests.
Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies.
Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice), when appropriate.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
Provides a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way. It includes introducing oneself and stating your purpose, asking the patient their preferred name, sitting with the patient to determine their care goals, active listening, and the skillful use of communication skills (touch, eye contact, etc.).
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all company investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate
Lead Therapist – (In addition to the duties and responsibilities listed above)
Provides guidance and leadership for staff during assigned shifts (acts as a resource, makes decisions as necessary).
Makes decisions regarding department operations during assigned shifts.
Distributes workload for shift and assures proper assignments per qualifications/credentials of staff. Assesses staffing througout the shift, makes adjustments as necessary and assures staffing needs are addressed for the oncoming shift.
Organizes, prioritizes and delegates.
Enters oxygen charges for hospital.
Assures that ventilator charges and related charges are entered prior to end of shift (communicates with ICU therapist).
Performs the chart audit procedure each shift.
Provides manager with feedback of departmental needs and therapist performance. Provides manager with feedback to assist with completion of annual therapist evaluations.
Acts as a role model for the RT staff in maintaining departmental policies and procedures and demonstrates leadership skills in handling interpersonal conflict and communication.
Graduate of an AMA Accredited Respiratory Care program required
Bachelor of Science preferred
Current Respiratory Therapist licensure with the Oregon Health Licensing office required
Registered Respiratory Therapist (RRT) registration required
NRP required for lead therapists and those assigned in the NICU/FBC, must obtain within six (6) months of hire
ACLS, and PALS required, or ability to obtain within six (6) months of hire
BLS/CPR certification required
Valid Oregon driver’s license and ability to meet SCHS driving requirements
Ability to travel to all SCHS worksites as required
Personal Protective Equipment:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Minimum 1 year hospital experience preferred
Previous supervisory experience preferred
Ability to effectively interact and communicate with all levels within SCHS and patients/family members/customers
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Excellent organizational and multi-tasking skills.
Strong team working and collaborative skills.
Strong analytical, problem solving and decision making skills.
Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office.
Emergency and trauma skills
Patient assessment skills