Under the general supervision of the Director Respiratory and the direct supervision of the Respiratory Supervisor and within established departmental policies and procedures and in accordance with standards of care and practice established by Respiratory Care Department; the rules, regulations and/or standards established by the State Board of Respiratory Care, the Joint Commission, and other regulatory agencies, and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
Draws, analyzes and interprets arterial blood gases and capillary blood gases for patients. Instructs patients with proper use of Incentive Spirometer and Metered-Dose Inhalers (MDI’s). Administers oxygen and aerosol therapy, ultrasonic nebulizer, chest physical therapy and intermittent positive pressures breathing treatment. Performs daily rounds. Participates in patient care decisions regarding oxygen administration, utilizing lab results and respiratory assessment skills. Performs Pulse Oximetry. Participates with the Department Director and/or Supervisor(s), in patient education and evaluation. Assesses patient’s vital signs, breath sounds, patient history, etc. and documents in the patient’s record. Performs routine bedside pulmonary function tests. Participates as a member of the Trauma/Code Blue Team. Performs CPR, airway management, arterial blood gas drawing and related analysis. Consults patients at physician’s and nurse’s request to expedite appropriate respiratory care. Assists physician with fiberoptic bronchoscopy. Charts patient involvement in medical record. Initiates mechanical ventilation according to protocol in physician’s absence. Participates in patient education procedures as necessary and documents in patient’s record. Changes volume ventilator setting according to protocol and/or physician orders. Performs daily lung mechanics. Daily assesses chest x-ray for proper endotracheal tube placement every morning and adjusts tube placement as necessary. Performs cuff pressures, adjusts cuff volume to prevent tracheal ischemia. Performs routine suctioning of tracheotomy or endotracheal tube. Repositions endotracheal tube and changes tape as needed. Assesses breath sounds for advantageous sounds and proper tube placement. Performs respiratory assessment in intubated patients to assure stable respiratory status. Conducts PEEP study. Conducts apnea tests for determination of brain death. Maintains, assembles, troubleshoots, disinfects, prepares for sterilization and documents for repair all respiratory care equipment. Orders and inventories respiratory care equipment. Draws arterial blood gases from artery or indwelling line.
Education: • Graduate from a one or two year accredited respiratory care program and registered with the National Board for Respiratory Care. Experience: • One year clinical experience. • Trained and competent to perform all necessary procedures on the patient population served by the hospital.
License/Certification: • Must be registered with the National Board of Respiratory Care. • Current State of New Hampshire Respiratory Care Practitioner License. • BLS certified. If not BLS certified, must obtain BLS certification prior to completion of orientation, not to exceed 21 days from date of hire with Catholic Medical Center. Must maintain BLS throughout employment. • ACLS certified. If not ACLS certified, must obtain ACLS certification prior to completion of orientation, not to exceed 21 days from date of hire with Catholic Medical Center. Must maintain ACLS throughout employment. • NRP certified. If not NRP certified, must obtain NRP certification prior to completion of orientation, not to exceed 21 days from date of hire with Catholic Medical Center. Must maintain NRP throughout employment. • PALS certified. If not PALS certified, must obtain PALS certification prior to completion of orientation, not to exceed 21 days from date of hire with Catholic Medical Center. Must maintain PALS throughout employment.