Registered Respiratory Therapist (Full Time, Nights)

Nicklaus Children's Health System; Miami (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Nicklaus Children's Health System in Miami, FL seeks a Registered Respiratory Therapist to perform prescribed respiratory therapy modalities under physician orders. Primarily assigned to MedSurg, with ICU backup as needed.

You will assess patients, document findings, educate families, participate in rounds, and support infection control standards. The role requires strong communication, teamwork, and the ability to adapt in high‑pressure pediatric and neonatal settings.

Qualifications

• Registered Respiratory Therapist (RRT) license required by state of Florida.
• NBRC - National Board for Respiratory Care certification.
• American Heart Association BLS - must be active throughout employment.
• ACLS required within 30 days of hire.
• PALS required within 30 days of hire.
• NRP required within 30 days of hire.

Responsibilities

• Assesses patients and documents findings, communicates with physicians and families.
• Provides patient education on plan of care and medications.
• Maintains infection control and PPE standards per hospital policy.
• Performs and monitors invasive/non-invasive ventilator support and home ventilator care.
• Participates in rounds and hand-offs using SBAR, with critical thinking under pressure.

Skills

English communication

Spanish or Creole language ability

Patient advocacy

Problem solving

Team collaboration

Education

Associate degree in respiratory care

Job description

Job Summary

Performs all respiratory therapy patient modalities prescribed under a physician's order. Assigned primarily to MedSurg. If assigned to ICU, will follow the lead of a Registered Respiratory Therapist II or greater.

Job Specific Duties

• Assesses patients in terms of clinical condition (heart rate, respiratory rate, etc.) and documents findings (Pre/Post therapy) in an accurate and timely manner. Provides feedback to physician(s).
• Ensures proper communication between physicians and families. Serves as a patient advocate/educator and provides family support and community resources.
• Provides patient information and effectively completes hand off process to peers using SBAR at shift change and patient reassignments.
• Provides education to patients/families on the continuing plan of care to include medications and side effects; updates patients/families daily on Plan of Care (POC).
• Participates in Lean initiative to assess and improve processes for opportunities to deliver higher quality, cost effective care, with greater customer service as measured by metrics.
• Participates in rounds with medical team and discusses initial (new) and follow up cases with MD and documents note.
• Serves as backup for all emergency codes (blue, rapid response, code orange).
• Performs and tests invasive and non-invasive modalities for home ventilators.
• Performs basic respiratory therapy for medical/surgical patients such as aerosol delivery, airway clearance, HFNC, Trach care, oral/Nasal suctioning and chest physiotherapy.
• Performs and tests invasive and non-invasive ventilators, such as Conventional, HFO, HFJ and Home ventilators. Initiates therapy, and monitors patient/ ventilator. Ensures ventilator is working and documents equipment settings. Manages and documents findings of ETT.
• Performs and test Special Gas equipment, such as Nitric Oxide, He-liox, Nitrogen. Initiates therapy and monitors patient. Ensures equipment is working properly and documents equipment settings.
• Performs Blood Gases.
• Performs all Quality Assurance on equipment and reports any malfunction. Removes equipment and documents if equipment failure impacted patient outcomes. Completes incident report and tags equipment.
• Follows all Infection Control standards and ensures proper use of Personal Protective Equipment per hospital policy and procedures to ensure safe patient care.

Qualifications

Minimum Job Requirements

• Registered Respiratory Therapist (RRT) license issued by the state of Florida
• NBRC - Ntl Board Respiratory Care
• American Heart Association BLS - maintain active and in good standing throughout employment
• American Heart Association ACLS required within 30 days of hire - maintain active and in good standing throughout employment
• American Heart Association PALS required within 30 days of hire - maintain active and in good standing throughout employment
• Neonatal Resuscitation Program NRP American Academy of Pediatrics required within 30 days of hire - maintain active and in good standing throughout employment

Knowledge, Skills, And Abilities

• Associate degree in respiratory care preferred.
• Knowledge of Spanish or Creole preferred.
• Ability to communicate effectively in English both verbally and in writing.
• Ability to interpret, adapt, and react calmly under stressful conditions typical of an ICU environment.
• Ability to problem solve and adapt standard clinical procedures to patients needs associated with pediatric and neonatal population.
• Ability to relate cooperatively and constructively with patients, families, and peers.
• Ability to learn appropriate software application(s) used for patient documentation and medication administration.
• Ability to maintain confidentiality of sensitive information.
• Excellent customer service skills.
• Ability to react quickly to new challenges, unanticipated events, and resolve issues and address requests in a timely fashion.

Job

Respiratory

Department

PULMONARY CARE-2100-717001

Job Status

Professional