Registered Respiratory Therapist (RRT) through the National Board for Respiratory Care (NBRC) required.
Currently licensed as a Respiratory Therapist in the State of Michigan.
Clinical exposure to all aspects of pediatric and adult respiratory care required.
Accountable to the Respiratory Care Manager through the direct supervision of the Respiratory Care Clinical Coordinators.
Provides direction to and supervision of respiratory technicians, interns, aides and students.
AGE OF PATIENTS SERVED
_____ Neonatal (birth – 1 month) _____ Young adult (18 – 25 years)
_____ Infant (1 month – 1 year) _____ Adult (26 – 54 years)
_____ Early childhood (1 – 5 years) _____ Senior adult (55 – 64 years)
_____ Late childhood (6 – 12 years) _____ Geriatric (65 years & above)
_____ Adolescence (13 – 17 years) X All ages (birth & above)
STANDARDS OF PRACTICE
- Collects health data in a systematic and ongoing manner involving the patient, family, and other health care providers as appropriate.
- Determines the priority of data collection based on the patient's immediate condition or needs.
- Documents relevant data.
- Individualizes a plan of care utilizing approved Respiratory Care protocols as prescribed and indicated.
- Implements the plan of care delivering therapy in a safe, timely and appropriate manner and documents interventions and response to therapy.
- Coordinates and collaborates in care delivery.
- Employs health teaching and health promotion strategies.
- Re-evaluates patient as needed and daily, re-adjusting therapy as indicated per protocol.
- Documents patient responses to interventions.
PROFESSIONAL PERFORMANCE STANDARDS
1. Quality of Care
- Systematically evaluates the quality of effectiveness of respiratory care.
- Embraces and supports the Performance Improvement philosophy of Munson Medical Center. Participates in quality improvement activities.
- Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and works within those guidelines. Performs job duties safely at all times, utilizing body mechanics and transferring/lifting techniques.
- Plans actions to promote safety. Reports any unsafe situations/equipment according to Hospital procedure.
- Supports effective communication and feedback with regular attendance at department meetings.
- Participates in quality of care activities at the department level.
- Utilizes the results of quality of care activities to initiate changes in respiratory practice.
2. Practice Evaluation
- Evaluates own practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.
- Engages in performance appraisal on a regular basis, identifying areas of strength as well as areas for professional development. Takes action to achieve identified goals.
- Acquires and maintains current knowledge and competency in respiratory practice.
- Participates in ongoing educational activities related to clinical knowledge and professional issues.
- Complies with mandatory continuing education requirements to maintain credentialing and meet job requirements.
- Seeks experiences that reflect current clinical practice in order to maintain current clinical skills and competence.
- Interacts with, and contributes to the professional development of peers and other health care providers as colleagues.
- Contributes to an environment that is conducive to the clinical education of respiratory students, other health care students and other employees as appropriate.
- Contributes to a supportive and healthy work environment.
- Utilizes the AARC Statement of Ethics and Professional Conduct and the Hospital ethics committee to guide practice.
- Maintains patient confidentiality within legal and regulatory parameters.
- Acts as a patient advocate and assists patients in developing skills so they can advocate for themselves.
- Delivers care in a manner that is culturally sensitive and preserves the patient autonomy, dignity, and rights.
- Maintains a therapeutic and professional patient-therapist relationship with appropriate professional role boundaries.
- Reports illegal, incompetent, or impaired practices.
- Collaborates with the patient, family, and other healthcare providers for provision of seamless delivery of services.
- Consults with other healthcare providers for patient care as needed.
- Participates, as appropriate, in the organization's structures and processes.
- Utilizes current research findings and current practice guidelines to strengthen patient care.
8. Resource Utilization
- Considers factors related to safety, effectiveness, and cost in planning and delivering patient care.
- Assigns or delegates tasks consistent with organizational policies, procedures, protocols, legal and regulatory requirements according to the knowledge and skill of the designated caregiver.
- Records and submits productivity reports to assist with staffing measurement and resource allocation.
- Provides leadership in the profession and the professional practice setting.
- Supervises interns, aides, students and/or other appropriate categories for the care assigned to patients.
- Serves in the Charge Respiratory Therapist role when needed.
- Promotes advancement of the profession through involvement with professional organizations.
Adult and Pediatric Care:
1. Performs all routine respiratory care including oxygen and continuous aerosol therapy, aerosol treatments, MDI/DPI administration, chest physiotherapy/postural drainage, incentive spirometry, intermittent positive pressure breathing, continuous positive airway pressure, and continuous medicated aerosol therapy, as per department policy and procedure.
2. Performs monitoring procedures including oximetry, capnometry, blood gas draws, weaning parameters, and peak flow measurements as per departmental policy and procedure.
3. Performs emergency airway management and functions as a member of the Code Blue and Pediatric Code White Teams. Selected therapists, following inservice and demonstrated proficiency, may provide endotracheal intubation.
4. Selected therapists, following orientation and demonstrated competency, performs ventilatory care and management in the intensive care areas. Performs non-invasive ventilatory care and management in various areas of the hospital.
5. Performs respiratory care assessments for all patients cared for. Utilizing approved respiratory care protocols, established respiratory care plans.
6. Maintains current BCLS training. Participates in all mandatory education and proficiency testing for procedures performed in patient areas assigned.
7. Performs continuous quality improvement measurements as directed by the department manager.
8. Performs daily charges.
9. Maintains infection control practices in performance of work duties. Assists with routine equipment processing and supply stocking.
10. Accesses information via PowerChart. Routinely prints reports and verifies accuracy of active Respiratory Care orders, following up to correct incomplete or inaccurate orders. Assures discontinued orders are completed to remove them from the active orders listing.
11. Utilizes Groupwise to facilitate departmental communications.
Selected therapists, following orientation and demonstrated competency:
1. Assists in the orientation of new participants. Assists in the development of the plan of care with other staff members.
2. Supervises exercise sessions, monitoring participants for inappropriate responses to exercise. Responsible for blood pressure checks on all participants pre and post exercise and watching for normal oximetry responses pre, post, and during exercise. Assess participants pre, during, and post exercise making appropriate referrals and/or recommendations to the participant, other staff, and the medical director.
3. Immediately reports any significant participant conditions (i.e. unusual oxygen saturations, dysrhythmias, abnormal blood pressure responses, change in participant's status, etc.. to the supervising physician. Initiated CPR measures and/or emergency care according to hospital policy.
4. Documents initial assessment and daily participant information and progress.
5. Instructs in breathing exercises (i.e. diaphragmatic and pursed lip breathing) to facilitate the exercise program.
6. Leads participant education sessions in areas of respiratory expertise.
7. Documents respiratory components of the pulmonary rehabilitation protocol.
8. Recommends appropriate intervention and need for further treatment or referral in participant's respiratory care.
9. Helps arrange for home pulmonary equipment and services, as directed by the patient.
10. Performs home oxygen qualification and conserving device evaluation as per physician order.
11. Attends pulmonary rehabilitation team conferences to report participant progress and advise team of future plan.
12. Attends all scheduled departmental and rehabilitation staff meetings.
13. Keeps current in the field of pulmonary rehabilitation through journals, inservices, and conferences. May be required to attend MSRC pulmonary rehabilitation section meetings.
14. May be required to adjust current work schedule in order to accommodate pulmonary rehabilitation schedule. Some evening and/or weekend work may be necessary.
Better Breathing Educator
1. Coordinates and oversees the implementation of the Better Breathing Program.
2. Schedules and arranges speaker rotations with the appropriate contacts.
3. Works closely with the pulmonary physicians, staff from occupational health, physical therapy, nursing and medical social work to promote a cohesive Better Breather Program.
4. Works with the billing office at MCHC to implement and oversee the charging structure for the program.
5. Teaches the appropriate respiratory portions of the program.
6. Arranges educational materials for on site as well as off site programs.
7. Works closely with the off site program coordinators to ensure a seamless flow of educational information between the sites.
8. Is familiar with the REMEC system and works closely with the REMEC staff.
9. Is available as a resource and back up speaker for all educational topics promoted in the Better Breather Program.
10. Works closely with the pulmonary rehab staff. May provide assistance if needed with chart preparation.
1. Supports the Mission, Vision and Values of Munson Healthcare.
2. Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
3. Promotes personal and patient safety.
4. Uses effective customer service/interpersonal skills at all times.
5. Performs other duties and responsibilities as assigned.