Respiratory-Focused Registered Nurse (RN) / Licensed Practical Nurse (LPN)

Tri Care LLC; New York (NY); On-site; USD 85,000 - 115,000; Full time

Job summary

Tri Care LLC seeks compassionate Registered Nurses and Licensed Practical Nurses to join our respiratory care team in post-acute settings. You will work with Respiratory Therapists to provide specialized care for ventilator-dependent, tracheostomy, and complex pulmonary patients in skilled nursing facilities.

Responsibilities include monitoring respiratory status, administering medications, and ensuring accurate documentation while maintaining infection control and patient safety standards.

Qualifications

• Current and unrestricted Registered Nurse (RN) license in the state of employment.
• Current and unrestricted Licensed Practical Nurse (LPN) license in the state of employment.
• Experience in skilled nursing, post-acute care, or pulmonary care settings preferred.
• Knowledge of oxygen therapy and ventilator-associated care.

Responsibilities

• Provide direct nursing care to ventilator-dependent and tracheostomy patients.
• Monitor respiratory status, oxygen therapy, pulse oximetry, and patient tolerance to interventions.
• Administer medications and document vital signs and care activities.
• Collaborate with Respiratory Therapists to implement physician-ordered respiratory treatment plans.
• Participate in infection control, patient safety, and regulatory compliance.

Skills

Ventilator care

Tracheostomy care

Emergency response

Medical documentation

Interdisciplinary teamwork

Pulmonary patient care

Education

Current and unrestricted Registered Nurse (RN) license in the state of employment

Current and unrestricted Licensed Practical Nurse (LPN) license in the state of employment

Job description

Position Summary

We are seeking compassionate and clinically skilled Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) to join our respiratory care team. Working alongside Respiratory Therapists (RTs), the RN/LPN will provide specialized nursing care to ventilator-dependent, tracheostomy, and complex pulmonary patients in skilled nursing facilities and other post-acute care settings.
This role serves as a key member of the respiratory care team, helping ensure safe, high-quality clinical care while supporting respiratory treatment plans, patient monitoring, documentation, and emergency response.

Primary Responsibilities

Respiratory and Pulmonary Care

• Provide direct nursing care to ventilator-dependent and tracheostomy patients.
• Monitor respiratory status, oxygen therapy, pulse oximetry, and patient tolerance to respiratory interventions.
• Assist with tracheostomy care, suctioning, airway management, and secretion clearance.
• Support ventilator patients by monitoring alarms, tubing, humidification systems, and patient comfort.
• Collaborate with Respiratory Therapists to implement physician-ordered respiratory treatment plans.
• Identify and promptly report changes in respiratory status, including signs of respiratory distress or ventilator intolerance.
• Assist during respiratory emergencies, including accidental decannulations, airway obstructions, and rapid patient deterioration.

Nursing Care

• Perform nursing assessments and ongoing patient monitoring.
• Administer medications, including respiratory medications, as ordered.
• Monitor and document vital signs, respiratory assessments, intake/output, and clinical observations.
• Provide patient and family education regarding respiratory conditions, treatments, and equipment.
• Maintain accurate and timely documentation in accordance with facility and regulatory requirements.
• Coordinate care with physicians, respiratory therapists, nursing staff, and interdisciplinary team members.

Equipment and Supply Management

• Assist with monitoring respiratory equipment, oxygen systems, and durable medical equipment (DME).
• Ensure respiratory supplies are adequately stocked and available for patient care.
• Maintain ventilator logs, oxygen equipment records, and equipment maintenance documentation as assigned.
• Report equipment malfunctions or safety concerns immediately.

Quality and Compliance

• Adhere to all infection control, OSHA, HIPAA, and facility policies.
• Maintain competency in respiratory and ventilator care procedures.
• Participate in quality improvement initiatives and respiratory education programs.
• Support survey readiness and compliance with state and federal regulations.

Qualifications

For RN Candidates

• Current and unrestricted Registered Nurse (RN) license in the state of employment.

For LPN Candidates

• Current and unrestricted Licensed Practical Nurse (LPN) license in the state of employment.

Preferred Qualifications

• Experience in skilled nursing, long-term care, subacute rehabilitation, pulmonary care, or critical care settings.
• Experience caring for ventilator-dependent and tracheostomy patients preferred.
• Knowledge of oxygen therapy, pulse oximetry, airway management, and respiratory disease processes.
• Strong clinical assessment and communication skills.
• Ability to work effectively within an interdisciplinary team.

Knowledge and Skills

• Understanding of pulmonary disease management, including COPD, respiratory failure, pneumonia, and neuromuscular respiratory disorders.
• Familiarity with ventilators, oxygen delivery devices, nebulizer therapy, and airway clearance techniques.
• Strong documentation and organizational skills.
• Ability to remain calm and effective during emergency situations.
• Commitment to providing compassionate, patient-centered care.

Physical Requirements

• Ability to stand, walk, bend, and lift throughout the workday.
• Ability to lift and transfer up to 50 pounds with assistance when appropriate.
• Ability to respond quickly to emergency situations.
• Visual and auditory ability sufficient to monitor patients and equipment safely.

Exposure Risks

May be exposed to blood, bodily fluids, infectious diseases, and other hazards common to healthcare environments. Must consistently follow standard precautions, infection control protocols, and OSHA guidelines.

Work Schedule

Schedules may include days, evenings, nights, weekends, holidays, and per diem assignments based on patient and facility needs.