Brigham & Women's Hospital(BWH)

Responsible for assessing, planning, organizing and administering Respiratory Care procedures in accordance with physician’s treatment plan including mechanical ventilation and airway care; respiratory treatment; emergency respiratory maneuvers; transport and maintenance of critically ill patients for special tests and procedures. Performs and interprets tests and procedures to assess and manage patient care in accordance with physician. Oversees work of technical Respiratory Care personnel. Attends and participates in hospital educational programs and patient care rounds. Precepts college students/interns from respiratory care programs.


PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Provides professional Respiratory Care including initiation and maintenance of mechanical ventilation, assist with insertion, stabilization and maintenance of artificial airways, and administration of Respiratory Care modalities. Uses professional judgment regarding appropriateness of therapy, and modifies treatment and/or notifies physicians with recommendations for change. Administers appropriate tests and procedures as ordered to evaluate appropriateness of therapy including pulse oximetry, pulmonary mechanics, pulmonary function testing, airway clearance techniques, and alveolar gas measurements.

2. Responds to respiratory emergencies (including cardiopulmonary resuscitations), establishes and maintains patient airway, initiates and maintains external cardiac massage. Transports and maintains mechanically ventilated patients when moved from units for tests and procedures.

3. Assesses patient condition based on medical history, patient observation and examination, physician’s diagnosis, laboratory findings, specific respiratory tests and procedures. Uses professional judgment to prepare appropriate care plan, and makes specific recommendations to physician for indicated therapy. Schedules patient treatments as necessary.

4. Instructs and directs non-professional Respiratory Care personnel in the delivery, pickup, and change of equipment on patient floors. Provides guidance and constructive criticism, and demonstrates appropriate methods as necessary to correct deviations from established standards. Assists and instructs Respiratory Technicians and students in performance of Respiratory Care procedures.

5. Makes regular rounds and administers Respiratory Care modalities to assigned patients. Observes and evaluates patients’ conditions, progress, and reactions to treatment. Modifies treatment care plan accordingly.

6. Completes necessary documentation of all pertinent observations related to patient care, treatment administered, patient’s response to treatment, and reports to Respiratory Care Clinical Supervisor and physicians. Maintains appropriate department records.

7. Participates in education of students, physicians, and staff. Clinically supervises respiratory therapy students in patient areas. Explains and demonstrates respiratory techniques to house officers, medical student nurses, and other hospital personnel.

8. Instructs patients and/or family members in respiratory techniques and the use of equipment in the home necessary to continue patient care and rehabilitation.

9. Attends and participates in internal and external educational meetings and enhance clinical competencies. Participates in daily patient-care reports, staff meetings, and conferences as scheduled. Maintains continuing education related to age-specific care. The individual in this position must demonstrate appropriate knowledge of the principles of growth and development of the adolescent through the geriatric patient. In addition, she/he must possess the ability to assess patient-related data relative to age-specific needs and provide care as described in the department’s policies and procedures.

10. Assists in departmental research projects.

11. Maintains continuing education relating to cultural diversity. The individual in this position must demonstrate appropriate knowledge and understanding of the diversity of any patient population to include, but not limited to age, race, religion, ethnicity, ability, income, position, sexual orientation, gender or background.


Qualifications


Required:

1. A.S. in Respiratory Therapy.

2. One year clinical training (or the equivalent).

3. Currently licensed as a Respiratory Therapist by the Commonwealth of Massachusetts.

4. Registration (RRT) by the N.B.R.C. within six (6) months of hire.


Preferred:

1. B.S. in Respiratory Therapy.

2. Two years of previous critical care experience.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

Must possess excellent interpersonal skills to interact with physicians, nurses and other allied health care members.

2. Must possess strong patient assessment skills.

3. Must possess professional and technical skills to act as a staff therapist.

4. Must demonstrate ability to motivate and direct professional and technical staff.

WORKING CONDITIONS:

1. Works primarily in non-patient care areas and is exposed to various cleaning agents.

2. Frequent exposure to communicable diseases (60% of time).

3. Frequent exposure to secretions/excretions, unpleasant odors, and scenes.


SUPERVISORY RESPONSIBILITIES:

1. May supervise respiratory therapy students.

2. 1-3 Respiratory Technicians.


HOSPITAL WIDE RESPONSIBILITIES:

Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/Partners; follows safe practices required for the position; complies with appropriate BWH and Partners policies and procedures; fulfills any training required by BWH and/or Partners, as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.


EEO Statement

Brigham and Women’s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.

 

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