Registered Respiratory Therapist

US-Department-of-Veterans-Affair; Fort Salonga (NY); On-site; USD 80,000 - 100,000; Full time

Job summary

The U.S. Department of Veterans Affairs Northport VAMC is seeking a Registered Respiratory Therapist (GS-11) to provide advanced respiratory care under the supervision of the Chief, Respiratory Care Service.

The incumbent will perform diagnostic evaluations and participate in teaching and treatment of patients, including complex cases requiring high-level expertise. Responsibilities include providing care in inpatient and outpatient settings, maintaining licensure/credentials, and mentoring

Qualifications

• Must maintain a valid, current RRT credential throughout employment.
• Completion of a CoARC-accredited respiratory care program.
• Ability to perform clinical evaluations and collaborate with physicians.
• Maintain licensure and credentialing required for RRT practice.
• Demonstrate English language proficiency for patient care.

Responsibilities

• Perform diagnostic evaluations and engage in teaching and treatment of patients.
• Work in inpatient and outpatient settings under supervision of the Chief, Respiratory Care Service.
• Collaborate with physicians to develop care plans and ensure quality patient outcomes.
• Serve as a preceptor to lower graded staff and participate in policy/protocol development.

Skills

Clinical respiratory care

Interdisciplinary collaboration

Oxygenation assessment

Patient education

Education

CoARC-accredited respiratory care program

Active RRT license and credential

Tools

Arterial line placement

Job description

The Registered Respiratory Therapist position is located at Northport VAMC. The incumbent serves as a Registered Respiratory Therapist and performs their duties under the supervision of the Chief, Respiratory Care Service. The RRT performs, within their scope of practice, diagnostic evaluations and engages in the teaching and treatment of patients including the most unusual and difficult cases requiring the highest levels of expertise and professional skills. Applicants 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 Requirements

• United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
• Education. Individuals must have successfully completed a respiratory care program accredited by the Commission on Accreditation for Respiratory Care (CoARC) or its successor.
• Licensure. Persons appointed or reassigned to Registered Respiratory Therapist (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 RRT.
• Credential. 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 RRT.
• Loss of Licensure, Certification or Credentials. An employee in this occupation, who fails to maintain the required certifications, RRT credential or license must be removed from the occupation, which may also result in the termination of employment. Once credentialed, licensed or certified, RTs/RRTs must maintain a full, valid and unrestricted license, credential and certification to practice respiratory care.
• Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
• English Language Proficiency. RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f).

May 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).

Grandfathering Provision

The following is the standard grandfathering policy for all hybrid title 38 qualification standards. Some of these provisions may not apply to this occupation. Please carefully review the qualification standard to determine the specific education, credential or certification requirements that apply to this occupation. All persons employed in VHA in this occupational series or in another occupational series and performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education, credential or certification that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply:

• Employees in an occupation that does not require a licensure, certification or registration, may be reassigned, promoted or demoted within the occupation.
• Employees in an occupation that requires a licensure, certification or registration, may be reassigned, promoted up to and including the full performance level or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions.
• Employees in an occupation that requires a licensure, certification or registration only at higher grade levels must meet the licensure, certification or registration requirement before they can be promoted to those higher grade levels.
• Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard.
• Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure, certification or registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation.
• If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation or employment with the VA, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation and/or VA.

Grade Determinations

In addition to the basic requirements for employment in paragraph above, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs below:

Registered Respiratory Therapist, GS-11.

Experience, Licensure and Credential.

• One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level:
  • Skill in performing therapeutic modalities related to respiratory care.
  • Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
  • Skill in assessing oxygenation and ventilation.
• Hold an active license and RRT credential.

Demonstrated Knowledge, Skills and Abilities.

• Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.
• Skill in evaluating the efficacies of therapeutic modalities.
• Skill in performing advanced airway and ventilation management.

Assignments.

This assignment is the full performance level. RRTs at this grade level work independently providing respiratory care in both inpatient and/or outpatient settings. The specific assignments are dependent on facility structure and complexity levels. They use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met. They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty. They manage and maintain the airway and ventilation of the patient using appropriate mechanical means. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation. They monitor critical systems. They use advanced modes of ventilation and outpatient services, such as home ventilators and COPD case management. RRTs suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. RRTs at this grade level may perform invasive procedures such as arterial line placement. They serve as a preceptor to lower graded staff. They may lead projects developing new policies, procedures or protocols.

Reference:

For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is at the GS-11 grade level.

Physical Requirements:

The work will fluctuate from sedentary to moderate physical requirements, requires regular and recurring physical exertion such as standing or walking for prolonged periods of time; frequent bending, reaching, stooping, and stretching to set up and take apart respiratory equipment and apparatus; lifting and repositioning patients; and pushing or pulling heavy objects such as oxygen tanks lifting from the knees <10lbs. The work may require specific physical characteristics and abilities such as above-average dexterity to perform intricate respiratory therapy procedures.