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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. Serve as a role model in the delivery of O.T. treatment.

1. Provides high quality patient care in service areas/clinics as assigned.

1. Facilitates effective team work and participates in the clinical development and supervision of assistants.

1. Pursues self education and maintains skills attending continuing education programs, department in-services, reviewing literature and research in order to stay abreast of clinical developments in the field.

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

1. Complies with Agency policies, procedures and protocols; professional standards; JCAHO; and Medicare Conditions of Participation.

1. Complies with Agency standards of productivity for the department.

1. Participates in continuous quality improvement (Quality Initiative measures) including efforts to improve patient outcomes. (Oasis)

1. Adheres to MHS Behavioral Standards.

1. Is accountable for all equipment in his/her position including but not limited to, laptop computer, FAX machine, and Rehab equipment.

1. Evaluates treatment needs of assigned physician referred patients.

1. Determines and implements plan to accomplish treatment goals within appropriate time frames.

1. Provides appropriate feedback to physician, department, and other team members and maintains required documentation.

1. Contributes to the maintenance of a satisfactory work environment.

1. Assists in development of occupational therapy programs.

1. Completes patient care documentation in a timely manner according to department policy.

1. Maintains skills in treatment procedure through utilization of in-service and continuing education opportunities and expertise of other clinical staff personnel.

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

Essential Functions and Job Duties

• Performs assessment (chest auscultation, need for therapy, ABG results) on assigned patients as ordered by a physician; demonstrates accurate assessment skills in relation to age of patient.

• Establishes priorities and plan of care based on assessment.

• Provides care according to respiratory standards of practice.

• Documents tolerance to treatments and patient variances; revises plan of care to achieve optimal patient outcomes.

• Completes all annual educational requirements; demonstrates competency in respiratory areas, including assessment, 02 administration, patient ventilators, treatment, medications, etc.

• Documents care; completes CQI projects.

• Participates in continuing education and development of department staff by providing inservices and acting as a resource to staff in a specific specialty area of respiratory care (i.e. ventilator management)

• Performs other duties as assigned.

Required Skills

1. Gather and Analyze Patient Information

• Collect, analyze and integrate patient information in order to identify and meet the patient-specific needs (Physical/mental limitations, current emotional/physiological status regarding the testing procedure, pertinent medical/social history) and to determine final testing parameters/procedures in conjunction with the ordering physician or clinical director and laboratory protocols.
• Complete and verify documentation.
• Explain pre-testing, testing and post-testing procedures to the patient.

1. Testing Preparation Procedures

• Prepare and calibrate equipment required for testing to determine proper functioning and make adjustments if necessary.
• Apply electrodes and sensors according to accepted published standards.
• Perform appropriate physiologic calibration to ensure proper signals and make adjustments if necessary.
• Perform positive airway pressure (PAP) mask fitting.

1. Polysomnographic Procedures

• Follow procedural protocols such as PAP, oxygen titration etc. to ensure collection of appropriate data.
• Follow “lights out” procedures to establish and document baseline values (such as body position, Oxyhemoglobin saturation, respiratory and heart rates, etc.).
• Perform Polysomnographic data acquisition while monitoring study-tracing quality to ensure signals are artifact-free and make adjustments, if necessary.
• Document routine observations including sleep stages and clinical events, changes in procedure, and significant events in order to facilitate scoring and interpretation of polysomnographic results.
• Implement appropriate interventions (including actions necessary for patient safety and therapeutic intervention such as continuous and bi-level positive airway pressure, oxygen administration, etc.).
• Follow “lights on” procedures to verify integrity of collected data and complete data collection process (repeats the physiological and instrument calibrations and instruct the patient on completing questionnaires, etc.).
• Demonstrate the knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment and education of neonatal, pediatric, adolescent, adult and geriatric patients.
• Oversees and performs difficult and unusual procedures and therapeutic interventions.

1. Polysomnographic Record Scoring

• Score sleep/wake stages by applying professional accepted guidelines.
• Score clinical events (such as respiratory events, cardiac events, limb movements, arousals etc.) according to center specific protocols.
• Generate accurate reports by tabulating sleep/wake and clinical event date.

1. Service Management and Professional Issues

• Comply with applicable laws, regulations, guidelines and standards regarding safety and infection control issues.
• Perform routine and complex equipment care and maintenance.
• Evaluate sleep study related equipment and inventory.
• Demonstrate effective written and spoken communications skills.
• Demonstrate appropriate social skills
• Respond to study participant’s procedural-related inquiries by providing appropriate information.
• Demonstrate the ability to analyze complex situations and apply policy.
• Comply with the ABSM Standards of Conduct.

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 rehabilitative care to patients of all ages.

1. Evaluates treatment needs of assigned physician referred patients of all ages

1. Implements the patient treatment according to the program plan, assesses the patient’s response and revised the program as needed.

1. Effectively communicates with the patient, family members, hospital staff and the public.

1. Attends patient care conferences and outpatient clinics or sees that the needed information is provided to appropriate personnel for reporting.

1. Keeps timely and accurate medical, administrative and education records.

1. Coordinates effective patient care with the assistance of the Physical Therapy Assistant and Physical Therapy Aide.

1. Participates in training programs for students, hospital staff and the community.

1. Maintains skills in treatment procedure through utilization of inservice and continuing education opportunities and expertise of other clinical staff personnel.

1. Demonstrates effective use of departmental equipment for patient care

1. Contributes to the maintenance of a satisfactory work environment.

1. Promotes health and safety in the work environment.

1. Actively participates in competency assessment process.

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. 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. Carries out patient care program as established by the therapist to patients of all ages.

1. Performs treatment procedures safely and in accordance with American Physical Therapy Association (APTA) standards and department policies.

1. Communicates with the Physical Therapist and other team members to assure effective teamwork within the work setting.

1. Takes appropriate action when warranted by the patient’s condition.

1. Participates in patient care documentation.

1. Maintains the environment and departmental equipment in a neat, functional and safe order.

1. Maintains skills in treatment procedure through utilization of in-service and continuing education opportunities and expertise of other clinical staff personnel.

1. Demonstrates flexibility in daily scheduling of patients

1. Participates in training programs for students, hospital staff and community.

1. Promotes health and safety in the work environment.

1. Actively participates in competency assessment process.

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

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.