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Required Skills

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Therapy and instruction— Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
• Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation.
• Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects as it pertains to the clinical instruction of students.
• Knowledge of group behavior and dynamics, societal trends and influences, ethnicity, cultures and their history and origins.
• Knowledge of the information and techniques needed to evaluate and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Knowledge of Human anatomy, physiology, and pathology.
• Knowledge of laws and government regulations as they apply to State and National standards.
• Public Safety and Security — Knowledge of relevant equipment, policies, procedures, and strategies to promote effective local, state, or national security operations for the protection of people, data, property, and institutions.
• Good knowledge of the standard practices, equipment and rules relating to word processing, written and oral communications.
• Good working knowledge and ability to perform basic computer skills such as but limited to word processing, data entry, and documentation.
• Gives full attention to what other people are saying, takes time to understand the points being made, asks questions as appropriate, and not interrupting at inappropriate times.
• Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Actively looks for ways to help people, co-workers, and other departments.
• Understands the implications of new information for both current and future problem-solving and decision-making.
• Considers the relative costs and benefits of potential actions to choose the most appropriate one.
• Able to communicate through clear and concise written, verbal, and listening skills with physicians, consultants, and Rehabilitation team members, patients and patients’ families.
• Ability to anticipate problems and potential outcomes.
• Ability to read and understand information and ideas presented in writing.
• Ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
• Ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
• Ability to identify and understand the speech/language of another person.
• Ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.

Required Skills

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.
2. Follows and enforces safety rules, instructions, and procedures of the Respiratory Therapy Department and hospital to contain and minimize the spread of infection.
3. Receives, documents, and executes physician’s orders relating to Respiratory Care Order Set. Interprets and evaluates physician’s orders and charts that pertain to respiratory and identifies possible contraindications to medications, treatments and related hazard with their use.
4. Measures and administers prescribed medications to patients, such as oxygen and aerosolized medications to patients. Administers the following procedures or therapies; Ezpap, chest physical therapy, incentive spirometry, TB skin tests, pulse oximetry and bedside pulmonary function/mechanics, high-flow oxygen therapy.
5. Assesses patient’s condition and response to respiratory therapy by checking patient’s pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.
6. Recognizes and responds to the signs of cardiopulmonary arrest and/or failure and life threatening arrhythmias seen on EKG’s. As necessary, assists in performing and/or initiating CPR procedures.
7. Modifies therapy in accordance with respiratory care order set in cases of adverse or ineffective patient response and reports changes to shift supervisor.
8. Records procedures, patient responses, and medication administration in accordance with departmental documentation requirements. Relays same information orally or in writing to management and/or other therapist(s) as shift changes occurs.
9. Participates in in-services, continuing education, and other staff development activities to develop and maintain necessary competencies.
10. Maintains the security and confidentiality of all patient records and information.
11. Evaluates and ensures the accuracy of ABG reports and informs the proper physician, nurse, and/or therapist of abnormal results.
12. Performs arterial punctures using approved criteria and maintains competency through annual review. Can also analyze ABG’s via GEM Premier.
13. May perform endotracheal intubations using approved criteria and maintains competency through annual review.
14. Maintains, monitors, and provides respiratory care to patients on continuous mechanical ventilation.
15. Provides respiratory care to ICU (including lung auscultation); recommends or obtains ABG samples, x-rays, O2, and other respiratory care procedures as patient condition warrants. Alerts the appropriate staff of any changes in patient condition.
16. Monitors and cares for patients with artificial airways and endotracheal tubes.
17. Instructs patients, families, and other hospital personnel in the proper use of respiratory therapy equipment and the associates of procedures and techniques used.
18. Provides pulmonary services in the emergency department. Performs patient assessment and treatment according to the emergency department /respiratory care protocol.
19. Makes recommendations for changes and improvements in hospital equipment and procedures to maintain best practice.
20. Participates in departmental or multi-disciplinary teams related to clinical quality, safety education, best practice, patient satisfaction, or process improvements.
21. Collaborates and shares clinical information with the multi-disciplinary health team to achieve evidence based care and outcomes.
22. Serves as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
23. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Minimum cleaning and maintenance of R.T. equipment.

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.

1. Follows and enforces safety rules, instruction and procedures of the Respiratory Therapy Department and hospital to contain and minimize the spread of infection.

1. Receives, documents, and executes physician’s orders relating to Respiratory Care Order Set. Interprets and evaluates physician’s orders and charts that pertain to respiratory and identifies possible contraindications to medications, treatments, and related hazard with their use.

1. Measures and administers prescribed medications to patients, such as oxygen and aerosolized medications. Administers the following procedures or therapies; EzPAP, chest physical therapy, incentive spirometry, TB skin tests, pulse oximetry, and bedside pulmonary function/mechanics, high flow oxygen therapy.

1. Assesses patient’s condition and response to respiratory therapy by checking patients pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.

1. Recognizes and responds to the signs of cardiopulmonary arrest and/or failure and life threatening arrhythmias during EKG’s. As necessary, assists in performing and or initiating CPR procedures.

1. Modifies therapy to deal with adverse or ineffective patient response or reports changes to shift supervisor.

1. Records procedures, patient response, and medication administration in compliance with departmental documentation requirements. Relays same information.

1. Participates in in-services, continuing education, and other staff development activities.

1. Keeps confidential all patient information received and follows MMC Guest Relations guidelines.

1. Evaluates ABG reports and checks for accuracy of results and reports abnormal reports to proper therapist, nurse, and/or physician.

1. Performs arterial punctures when certified to perform procedure by Medical Director (otherwise procedure is done only under direct supervision of ABG certified individual). Able to run ABG samples on the GEM Premier 4000.

1. Performs nasal and tracheal suctioning of patients of all ages and obtains tracheal secretions for culture.

1. Performs CPR procedures as part of Stat Code Team.

1. Maintains patients on continuous mechanical ventilators and is responsible for providing these patients with respiratory care (monitors patients every 1-3 hours).

1. Under the supervision of registered therapist, performs the following tasks;

• Is primarily responsible for the respiratory stature of patients in ICU and makes appropriate decisions to insure that these patients are receiving the best in respiratory care; recommends or obtains ABG samples, x-rays, O2, and other respiratory care procedures that one feels is necessary for the patient’s welfare.
• Implements weaning procedures from continuous mechanical ventilations and monitors patients during this procedure.
• Alerts therapist, supervisor, RN, and Physician or Medical Director to any changes in the cardiopulmonary status of patients in the ICU or any other critically ill patient of any age.
• Monitors endotracheal cuffs on patients of all ages with artificial airways; assists in airway care as indicated.
• Assists in clinical instruction of RT students.
• Auscultates lungs of patients in ICU and reports findings to proper RN, therapist, or physician.
• Instructs patients, families, and other MMC personnel in the proper care of RT procedures and techniques.
• May assist physician in performing bronchoscopy, certified by medical director. Maintains all supplies, monitors patients, obtains cultures and cytology samples and sterilizes equipment.  Participates in conscious sedation procedures and patient monitoring.

1. Perform skin testing (certified by Medical Director)

1. Provides pulmonary services in the Emergency Department. Performs patients assessments and treatment according to the Emergency Department/Respiratory Care protocol.

1. Participates in departmental or multidisciplinary teams related to clinical quality, safety, education, best practices, or process improvements.

1. Follows MMC & Pulmonary Medicine infection control policies.

1. Performs other related duties as assigned.

1. Performs all duties under supervision of Registered Therapist or shift supervisor.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Provides safe and efficient patient transport to and from the therapy services areas, including home visits with therapy staff or recreational activities with the recreational therapy staff.

1. Assists therapists and/or assistants with the treatment of patients, demonstrating consistent judgment and initiative to maximize safety under the supervision of a licensed professional.

1. Cleans, organizes and maintains therapy equipment and services areas.

1. Maintains open channel of communication with therapists, peers and supervisors, demonstrating appropriate interpersonal skills and teamwork.

1. Demonstrates appropriate customer service skills as outlined in the Memorial Health System’s mission, vision and values. Maintains high level of commitment to Memorial’s Behavior Standards and Great Patient Experience including AIDET and Greet and Feet.

1. Demonstrates strong time management and organizational skills in maintaining a high level of productivity while meeting commitments and deadlines.

1. Demonstrates a willingness and flexibility in responding to scheduling requests. Works at least 48 hours in a six month period. Per diem expectation is a minimum of 1 weekend shift per month.

1. Assist in data collection, structuring and organization of data utilizing Microsoft Word, Excel, Power Point.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Maintains appropriate documentation

• Assesses and evaluates patients’ ability to provide self care; develops discharge plan and goals of care with patient and involved caregivers.
• Assists with making referrals to related agencies taking into consideration freedom of choice.
• Provides information to social service/discharge planners to facilitate discharge planning process.
• Participates in multidisciplinary rounding and care conferences with other departments.
• Serves as a resource person to physicians and hospital staff in the appropriate use of health care resources.
• Serves as a liaison with nursing and medical staff and community agencies to facilitate problem solving and to coordinate services.

• Assesses and develops plan early upon admission and revises as needed depending on needs of the patient.
• Accepts on-call as scheduled and responds as needed.
• Takes responsibility for upgrading professional skills and knowledge.
• Prepares and completes reports; participates in special projects.
• Demonstrates clinical competency by completing BLS CPR assigned by Education and ACMA Compass training modules for new employees assigned by Director of Case Management.
• Performs other duties as assigned.

Required Skills

• Maintains appropriate documentation

• Assesses and evaluates patients’ ability to provide self care; develops discharge plan and goals of care with patient and involved caregivers.
• Assists with making referrals to related agencies taking into consideration freedom of choice.
• Provides information to social service/discharge planners to facilitate discharge planning process.
• Participates in multidisciplinary rounding and care conferences with other departments.
• Serves as a resource person to physicians and hospital staff in the appropriate use of health care resources.
• Serves as a liaison with nursing and medical staff and community agencies to facilitate problem solving and to coordinate services.

• Assesses and develops plan early upon admission and revises as needed depending on needs of the patient.
• Accepts on-call as scheduled and responds as needed.
• Takes responsibility for upgrading professional skills and knowledge.
• Prepares and completes reports; participates in special projects.
• Demonstrates clinical competency by completing BLS CPR assigned by Education and ACMA Compass training modules for new employees assigned by Director of Case Management.
• Performs other duties as assigned.

Required Skills

General Skill Requirements

In addition to the Essential Functions and Qualifications listed above, to perform the job successfully an individual must also possess the following General Skill Requirements.

• Adaptability – Adapts to changes in the work environment; Manages competing demands; Accepts criticism and feedback; Changes approach or method to best fit the situation; ability to work with frustrating situations; work under pressure and on an irregular schedule such as unscheduled overtime, unanticipated changes in work pace; Works with numerous distractions.
• Attendance and Punctuality – Schedules time off in advance; Begins working on time; Keeps absences within guidelines; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
• Communications – Expresses ideas and thoughts verbally; Expresses ideas and thoughts in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods.
• Cooperation – Establishes and maintains effective relations; Exhibits tact and consideration; Displays positive outlook and pleasant manner; Offers assistance and support to co-workers; Works cooperatively in group situations; Works actively to resolve conflicts.
• Job Knowledge – Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.
• Judgment – displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions; ability to work with and maintain confidential information.
• Problem solving – Identifies problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Resolves problems in early stages; Works well in group problem solving situations.
• Quality – Demonstrates accuracy and thoroughness; Displays commitment to excellence; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quantity – Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly; Achieves established goals.
• Concentration – Maintains attention to detail over extended period of time; continually aware of variations in changing situations.
• Supervision – ability to perform work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.

Required Skills

1. Minimum cleaning and maintenance of R.T. equipment.

1. Prepares and tests R.T. equipment for proper and safe operation and periodically checks R.T. equipment in use and on units for proper operation and routine service. Reports malfunctioning equipment to manager.

1. Follows and enforces safety rules of the R.T. Department and hospital following special instructions, such as isolation precautions to prevent the spread of infection.

1. Receives, verifies, and processes all necessary documentation for correct order.

1. Documents patient oxygen use for charging purposes by visual inspection of every patient care unit bed.
2. Changes humidifiers and aerosol generators according to department policy.

1. Performs emergency rounds according to department policy.

1. Distributes E-cylinders of oxygen to the designated gas stations within MMC.
2. Receives and documents orders from physicians relating to Respiratory Care Order Set. Also reads and evaluates physician orders and charts that pertain to respiratory care and is aware of contraindication to medications, treatments, and related hazards with their use.

1. Measures and administers prescribed medications to patients (oxygen & aerosolized medications, etc.). Also administers the following therapy:  EZPAP, humidity and aerosols, chest physical therapy, incentive spirometry, pulse oximetry, BiPAP and CPAP administration and bedside pulmonary function/mechanics.

1. Assesses patients’ conditions and response to respiratory therapy by checking patients pulse, blood pressure, respiratory frequency, tidal volume, inspiratory pressure, cough, sputum, breath sounds, and other pertinent data that relates to the patient. Must also be alert to adverse reactions of patient during treatment, plus be aware of proper response to emergencies.

1. Recognizes signs of cardiopulmonary arrest and/or failure and assists in performing CPR procedures. Also must be able to recognize life-threatening arrhythmias or EKG strips.

1. Modifies therapy to deal with adverse or ineffective patient response and reports changes to shift supervisor.

1. Records procedures and patient response in appropriate electronic documentation, departmental paperwork, medication administration records, interdisciplinary plan of care and education record and requisitions. Completes both written and oral reports on patients and relays information to oncoming therapists.

1. Participates in in-services, continuing education, and other staff development activities.

1. Performs CPR procedures as part of the Stat Code Team.

1. Keeps confidential all patient information received and follows MMC Guest Relations guidelines.

1. Follows MMC and Pulmonary Medicine infection control policies

1. Performs all duties under supervision of Certified Respiratory Therapist, Registered Respiratory Therapist, or shift supervisor.

1. Performs other related duties as assigned or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Participates in scheduling of diagnostic/consultative/educational activities for Sleep Disorder Center patients as approved by the Manager of Pulmonary Lab/Sleep Disorders Center.

1. Maintains necessary patient records and performs required billing procedures to assure the continued solvency of the Sleep Disorder Center.

1. Prepares for night-time/day-time polysomnography

1. Reduces polysomnographic data to a tubular form for interpretation.

1. Participates in meetings and monthly conferences by the Sleep Disorders Center staff. Obtains/maintains 10 CEU’s per year by attending programs with focus on sleep medicine.

1. Optional duty: Analyzes the polysomnographic recording and prepares detailed report of sleep stages, sleep architecture, limb movement, respiratory and cardiac events.

1. Maintains and documents personal skills and education to assure optimum performance of duties.

1. Participates in continuing education for non-Sleep Disorders Center professional, patients (or parents), students, and the public to facilitate the proper identification and treatment of patients of all ages with sleep disorders and proper use of Sleep Disorders Center facilities

1. Participates in Sleep Disorders Center related research activities as approved by the Medical Director and Manager of Pulmonary Lab.

1. Helps maintain required Sleep Disorders Center records including.

• Types of patient seen by major diagnostic categories.
• Types of diagnostic procedure performed.
• Results of various types of treatment efforts undertaken with Sleep Disorder Center Patients.

1. Maintains and calibrates testing equipment.

1. Participates in evaluation of needed equipment to recommend to the Manager of the

1. Pulmonary Lab.

1. Participates in the accreditation process.

1. Responsible for quality control measure.

1. Maintains current CPR or BCLS certification.

1. Performs all other duties as designated by the Sleep Disorders Center Medical Director, & Program Manager of Pulmonary/Sleep Lab.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Provides quality patient treatment.

1. Provides accurate and timely documentation as directed by the Physical Therapist.

1. Provides interdepartmental communication with areas such as nursing, social service, and occupational therapy.

1. Serves as a clinical resource for PTA’s and rehab techs.

1. Is active in his/her professional development through utilization of staff expertise and the department’s annual education program.

1. Assists in overseeing inventory of assigned areas..

1. Maintains equipment and environment in safe order and in compliance with Joint Commission Infection control standards.

1. Assists with PTA students in combination with Physical Therapist.

1. Participates in department’s educational and community service activities.

1. Participates in program development or special projects under the auspices of the assigned Physical Therapist or Program Coordinator.

1. Assists with department projects, planning and problem solving through task force and/or community participation.

1. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.