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RESPIRATORY THERAPIST II

UMass Memorial Medical Center
Worcester

Job Description

Administers various forms of respiratory modalities in accordance with the policies and procedures of the Respiratory Care Department.

Qualifications

Minimum of an Associates degree or equivalent in Respiratory Care. Currently licensed in respiratory care by the Commonwealth of Massachusetts Division of Professional Licensure. Current certification in Basic Cardiac Life Support or equivalent.

Pulmonary Function Testing Requirement
Performs pulmonary function tests including spirometry, before and after bronchodilator therapy, flow volume loop, maximal voluntary ventilation, lung volume measurement (helium dilution), diffusion capacity (single breath) and methacholine challenge.
Performs Maximal Inspiratory and Expiratory airway pressure measurements.
Sets up and calibrates equipment as required.
Performs clerical duties including setting up patient appointments, filing reports, sending out copies of reports to primary care physicians.
Enter charges for services provided into computerized patient information system.

NICU Requirements
NRP certification required
Sets up and monitors equipment for administering oxygen to newborns.
Sets up and monitors equipment for ventilatory support including conventional ventilators and high frequency oscillatory ventilators.
Sets up and monitors equipment for continuous measurement of oxygen saturation, end tidal carbon dioxide levels, transcutaneous PO2 and PCO2 levels and ventilator wave forms.
Attends high-risk deliveries and provides respiratory support as required, including assisted ventilation, and administration of supplemental oxygen.
Administers inhaled nitric oxide.
Participates as a member of the neonatal transport team, providing respiratory support as required.
Administers surfactant directly into airways via endotracheal tube following department protocol.
Performs arterial blood gas analysis.
Measures oxygen saturation during care-seat testing for newborns prior to discharge

Major Responsibilities:

Sets up and monitors equipment for ventilatory support.

May set up and monitor pulse oximetry equipment for continuous measurement of oxygen saturation.

Sets up and monitors mechanical ventilators during surgical procedures as required.

May set up and monitor equipment for administering oxygen including various types of cannulas and masks.

Provides respiratory support and cardiopulmonary resuscitation as required.

Coordinates and maintains difficult airway carts, identifies and assesses potential high risk airway patients, participates on code airway team.

Performs radial and brachial artery blood draws to obtain blood samples for gas analysis.

May perform both resting and trending pulse oximetry.

Provides patient education and support on various respiratory topics, such as smoking cessation techniques, asthma and COPD management, and the use and administration of respiratory medications and modalities.

Assists physicians performing both diagnostic and therapeutic bedside bronchoscopies andpercutaneous dilatational tracheotomies at the bedside under bronchoscopic guidance.

Establishes treatment plans and modifies therapy according to department protocols for bronchodilator therapy and chest physical therapy techniques.

Participates in the transport of patients requiring respiratory support.

Administers aerosolized medications using small volume nebulizers and/or metered dose inhalers.

Administers inhaled nitric oxide and other inhaled pulmonary vasodilator therapies.

Assesses and assists in the management of patients with trans-tracheal oxygen catheters (TTO, SCOOP) when such patients are admitted to the hospital.

Provides tracheostomy care and management including daily assessment, PMV (speaking valve) evaluation, assessment, and education.

Assists with the placement of endotracheal or tracheostomy tubes and performs suctioning techniques via endotracheal/tracheostomy tubes to remove secretions from the upper airways.

Coordinates daily spontaneous breathing trials, records weaning data, communicates with LIP and RN, performs extubations when applicable per LIP order

Assesses patient response to therapy and recommends modifications to therapy as appropriate.

Communicates the respiratory status of patients to physicians and other healthcare professionals. Participates in the development of a plan of care for patients requiring respiratory support.

Documents patient status, equipment settings, procedures performed and any other pertinent information regarding patient care in the patient medical record.

Enters charges for services provided into computerized patient information system.

Maintains inventory of equipment and supplies, replacing used items as needed.

Cleans and disinfects respiratory equipment in accordance with infection control standards.

Assists in the orientation and training of new staff as needed.

Assumes charge/resource responsibility as needed.

May perform bedside spirometry.

Complies with established departmental and hospital policies including procedure policies, clinical practice guidelines, and objectives.

Attends a variety of meetings, conferences, seminars as required or directed.

Demonstrates use of Quality Improvement practices in daily operations.

Complies with all health and safety regulations and requirements.

Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

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