Job Description
Performs independent comprehensive respiratory assessment and therapy as prescribed by a physician. Provides patient/significant other with respiratory therapy education. Prepares, operates and maintains respiratory care equipment.
Job Responsibility
- Reviews data in the patient record including history, lab data, radiological studies, progress notes, respiratory and cardiovascular monitoring data.
- Documents / records respiratory therapy data as required and communicates data to appropriate members of the health care team.
- Assesses patient’s overall cardiopulmonary status using observation, auscultation, lab/bed-side tests, non-invasive monitoring, and interview techniques.
- Interviews patient to determine orientation, dyspnea, activities of daily living, social support, nutritional status, and learning needs.
- Performs and interprets bedside procedures including pulse oximetry, ABG analysis, Co-oximetry, mixed venous sampling, hemodynamic and pulmonary mechanics.
- Obtains additional data by calculating lung compliance, airway resistance, work of breathing, PaO2/FIO2 ratio, and other noninvasive monitoring including airway graphics.
- Selects, assembles, and checks equipment for proper function, operation, and cleanliness.
- Performs quality control procedures for blood analysis devices, diagnostic equipment, ventilators, and gas metering devices.
- Explains planned therapy and goals to patients and evaluates, monitors, and records patient’s response to respiratory care.
- Communicates results of therapy to appropriate members of the healthcare team.
- Performs blood gas sampling to include arterial punctures and sampling from arterial lines and swan ganz catheters.
- Monitors mechanical ventilator patients to include: airway pressures, tidal volumes, respiratory rate, I/E ratio, FIO2, cuff pressure, and alarm settings.
- Modifies mechanical ventilation to include recommendations in modifications of the respiratory care plan.
- Assesses mechanical ventilator patients for weaning parameters and possible extubations.
- Instructs, initiates, and adjusts mechanical nasal mask and negative pressure ventilation to achieve adequate spontaneous and artificial ventilation.
- Modifies artificial airway management to include endotracheal tube positioning, cuff pressure monitoring, tracheotomy care, and adjustments in airway humidification systems.
- Administers medicated aerosol therapy, encourages bronchopulmonary hygiene, and when indicated assists in suctioning of bronchopulmonary secretions.
- Makes modifications in therapeutic procedures based on patient response.
- Modifies oxygen and specialty gas therapy and makes changes in mode, flow, and concentration when appropriate.
- Explains various procedures being performed to other employees, patients, or patient family members.
- Assists pulmonary physicians, as required.
- Initiates, conducts, or modifies respiratory care techniques in an emergency.
- Performs related duties as required.
Job Qualification
• High School Diploma or equivalent, required. Certificate of completion from an accredited respiratory therapy program, required.
• Current NYS Respiratory Therapist license, required.
• Minimum of one (1) year of clinical experience, preferred.