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Required Skills

1. Carry out a program of treatment and education as determined by the evaluating Physical Therapist for assigned patients

1. Instruct patients on the segments of program including proper use of wheelchairs, crutches, canes, braces, prosthetic appliances and devices

1. Completes timely and accurate clinical documentation to include therapeutic approach as well as administrative/billing documentation

1. Treats patients and their families with respect and dignity

1. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families/care givers

1. The clinician will need to demonstrate the knowledge and skills necessary to provide care appropriate to ages specific to the patient population for the clinician. This could include the following groups:  infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +). 

1. Assists in maintaining department policies, procedures, objectives, quality assurance, safety, environmental, and infection control programs

1. Assist in care and maintenance of department equipment and supplies

1. Attend and participates in meetings as required

1. Enhance professional development through participation in continuing education programs and in-service meetings

1. Meets productivity and utilization expectations as established by the facility.

1. May supervise rehabilitation aides, volunteers, and students in regards to patient care techniques and needs

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

Other Knowledge/Skills/Abilities:

• Basic computer skills required.
• Ability to clearly and effectively communicate with patients, families, peer and other team members as needed for assessment, intervention, and professional development. 
• Must be physically able to lift, support, move patients 50 – 100 lbs.
• Universal Precautions Category I.

1. Carries out patient care program as established by the therapist.
2. Performs treatment procedures safely and in accordance with AOTA standards and department policies.
3. Communicates with the Physical Therapist and other team members to assure effective teamwork within the work setting.
4. Participates in patient care documentation.
5. Maintains the environment and departmental equipment in a neat, functional and safe order.
6. Demonstrates support for and participates as requested in accomplishing MHS, departmental and team goals and objectives.
7. Performs all other related work assignments as required or requested.
8. 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. 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. Prepares and tests respiratory therapy equipment for proper and safe operation and periodically checks equipment in use and on units for proper operations and routine service. Reports malfunctioning equipment to manager.
2. Receives, documents, and executes physicians’ orders relating to respiratory therapy protocol. Interprets and evaluates physician orders and charts that pertain to respiratory care and identifies possible contraindications to medications, treatments, and related hazard with their use.
3. Measures and administers prescribed medications, such as oxygen and aerosolized medications, to patients. Administers procedures and therapies as needed.
4. Assesses patients’ conditions and responses to respiratory therapy. Recognizes and treats adverse reactions and emergency situations arising during treatment.

1. Recognizes and responds to the signs of cardiopulmonary arrest and/or failure and life-threatening arrhythmias during EKGs. As necessary, assists in performing and/or initiating CPR procedures.
2. Records procedures, patient responses, and medication administration in compliance with departmental documentation requirements.
3. Processes routine and stat hospital EKGs and prepares them for the interpreting physician(s).
4. Performs nasal and tracheal suctioning of patients and obtains tracheal secretions for cultures.
5. Maintains, monitors, and provides respiratory care to patients on continuous mechanical ventilators.
6. Provides respiratory care to ICU (including lung auscultation); recommends respiratory care procedures as patient condition warrants. Alerts the appropriate staff of any changes in patient condition.
7. Monitors and cares for patients with artificial airways and endotracheal cuffs.
8. Instructs patients, families, and other hospital personnel in the proper use of respiratory therapy equipment and the associated procedures and techniques used.
9. Provides cardiopulmonary services in the emergency department. Performs patient assessment and treatment according to the emergency department/ respiratory care protocol.
10. Makes recommendations for changes and improvements in hospital equipment and procedures to maintain best practice.
11. Participates in departmental or multidisciplinary teams related to clinical quality, safety, education, best practice, patient satisfaction, or process improvement.

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

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, and DMH CARES values. 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

• Perform Patient assessments with patients in a specific service area.

• Assign an Occupational Therapy treatment diagnosis.

• Establishes plan of care with objective, measurable goals.

• Provides interventions supported by evidenced based practice in accordance to the established plan of care

• Assesses the effectiveness of treatment and modifies treatment to achieve goals.

• Plans for discharge.

• Communicates with patient, family, caregivers and members of team to promote maximum benefit of care.

• Provide patient care documentation that meets quality standards and supports ethical billing practice.

• Demonstrates ability to organize workload and manage time effectively.

• Maintains positive working relationship with patients and referral base.

• Demonstrates teamwork by routinely offering to help others or assisting others whenever needed.

• Demonstrates ability to handle difficult and/or stressful situations appropriately.
• Performs other related work as required or requested.

Physical Demands

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• While performing the duties of this job the employee is required to walk, stand, bend and reach.
• The employee will frequently be required to lift, push and pull weight of at least 1 to 5 pounds.

Mental Demands

• Ability to work under stress and adapt to changing conditions.

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

• Provides rehabilitative care to patients of all ages. 
• Evaluates treatment needs of assigned physician referred patients of all ages 
• Implements the patient treatment according to the program plan, assesses the patient’s response and revised the program as needed. 
• Effectively communicates with the patient, family members, hospital staff and the public. 
• Attends patient care conferences and outpatient clinics or sees that the needed information is provided to appropriate personnel for reporting. 
• Keeps timely and accurate medical, administrative and education records. 
• Coordinates effective patient care with the assistance of the Physical Therapy Assistant and Physical Therapy Aide. 
• Participates in training programs for students, hospital staff and the community. 
• Maintains skills in treatment procedure through utilization of inservice and continuing education opportunities and expertise of other clinical staff personnel. 
• Demonstrates effective use of departmental equipment for patient care 
• Contributes to the maintenance of a satisfactory work environment. 
• Promotes health and safety in the work environment. 
• Actively participates in competency assessment process. 
• 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.