Respiratory Therapist- Adult Critical Care- (36hrs/wk, Rotating) Sign-on Bonus Available
Company: Tufts Medical Center
Location: Boston
Posted on: October 29, 2024
Job Description:
Company DescriptionIt takes a lot of very smart, hard-working
and talented people to provide the level of care that we give to
our patients. Tufts Medical Center is an internationally respected
academic medical center and we pride ourselves not only on the
sophistication of the care we deliver, but the compassionate way in
which we provide it. And that starts with our employees.Job
DescriptionThis position is responsible for respiratory care for
patients of all age groups, who are diagnosed with cardio-pulmonary
dysfunction. - Services are provided throughout the Tufts Medical
Center are complex. This includes the ICUs, in-patient rooms, the
Emergency Room, and outpatient clinics. - A request for service
originates from the medical staff of Tufts Medical Center. - It may
be written or verbal and can be communicated to the therapist by
direct telephone conversation and/or beeper page. - The patient's
nurse or unit secretary conveys the order. -All patients are
assessed for their needs initially and on an on-going basis until
no longer required. - - Documentation of services provided is
recorded in the Respiratory Therapy Progress Notes section located
on the department flow sheet. - A copy of this document is filed in
the patient Medical Record. -A list of the specific practices
available by this department is noted below. - A Respiratory
Therapist is under the direction of the Director and Assistant
Director of Respiratory Care. - Patient services are available 24
hours/day, 365 days/year. - Services are provided in accordance to
policies and procedures agreed upon by the Medical Directors of the
department. Clinical Practice Guidelines have and continue to
evolve as the framework of clinical respiratory care practice. -
These practices are well referenced and sponsored by the American
Association for Respiratory Care. - -Opportunities for growth and
career expansion include: - -PRINCIPAL DUTIES AND ESSENTIAL
FUNCTIONS: -
- Neonatal and pediatric training -
- Advanced certifications: ACLS, NRP, PALS -
- Incentive career ladder supporting expanded skillsets -
- Participation in neonatal and pediatric transport program -
-
- Extracorporeal Membrane Oxygenation (ECMO) training -
- Participation in orientation of new employees, primary
preceptor opportunities -
- Quality and Safety initiatives: participating in composing and
maintaining clinical practice guidelines and protocols -
- Participation in various departmental and critical care
research opportunities - -
- Initiates patients on invasive and non-invasive mechanical
ventilation; routinely checks and maintains proper function of
ventilator in conjunction with the physician order. - -
- Abides with infection control guideline for invasive and
non-invasive equipment per departmental policy. - Changes and
adjusts ventilator parameters based on clinical assessment and
blood gas analysis in accordance with physician orders. - -
- Weans patients from mechanical ventilation and other therapies
through patient assessment and adjusting parameters within
prescribed protocols. -
- Administer inhaled medications in accordance with institutional
guidelines derived from the department of respiratory care and
pharmacy. -
- Administers oxygen using low flow, high flow, open and closed
circuits. -
- Embodies patient and family centered care. Explains procedures
to patients and family. - -
- Provides services to analyze blood specimens for blood gases,
glucose and electrolytes in neonatal and pediatric intensive care
units. -
- Administers Positive Pressure Breathing, (e.g. CPAP or BiPAP),
which consists of the application of positive pressure to the upper
airway to promote better lung inflation and aerosol distribution. -
-
- Routinely assists in the transport of patients requiring
life-support to and from referral hospitals. - - -
- Provides in-house transport of mechanically ventilated and
other high-risk patients. - -
- Provides non-traditional therapies, e.g. Nitric Oxide gas
administration, as ordered. -
- Provides resuscitation and support services at all high-risk
deliveries. -
- Monitors effectiveness of therapy using non-invasive techniques
such as pulse oximetry, end tidal CO2 and transcutaneous PO2/PCO2,
in addition to invasive techniques such as arterial blood gas
sampling. -
- Analyzes inspired oxygen concentration using various oxygen
analyzers. - -
- Calibrates monitors and maintains Transcutaneous Oxygen
Monitors, End Tidal CO2 and pulse Oximetry monitors. - - -
- Assists in Cardio-Pulmonary Resuscitation as part of Code Team
primarily providing airway management and manual resuscitation. - -
Commonly administers drugs via the endotracheal tube during
cardiopulmonary rescue e.g. Lidocaine, Atropine Sulfate and
Epinephrine. -
- Documents therapy, patient assessment, and interventions
performed and test results in the progress notes of the medical
record in a concise, accurate, and thorough manner. - -
- Transcribe a detailed shift note for all patient's cared for
during the shift. - -
- Responsible for acknowledging the proper assembly of all
respiratory therapy equipment prior to and during patient use.
-
- Performs daily rounds and fairly bills patients for services
rendered. - -
- Attend rounds daily with the intensive care unit critical care
team and is an active participant in the patient's care. -
- Assists with development of - in-service programs for
departmental personnel. -
- Assists the Associate Director with the orientation of new
employees; acts as a preceptor for new employees and is utilized as
a clinical instructor for students enrolled in local universities.
-
- Administers therapeutic agents such as Heliox, Surfactant,
Tobramycin, Ribavirin and Pentamidine in accordance with
established Departmental procedure. -
- Provides services for new clinical programs as research
protocols are developed. -QualificationsJOB KNOWLEDGE AND SKILLS: -
- Ability to walk and stand for approximately 90% of the time.
-
- Ability to transport respiratory therapy equipment (up to 100
lbs.) using carts or wheels on the equipment to and from patient
areas. - -
- One needs to demonstrate the ability to communicate with and
assess the patient needs of different age populations to provide
the necessary care. - This will be demonstrated by supervisory
review of Daily Shift Notes documented in all areas of clinical
practice. Skills will be rated as part of your Performance
Appraisal. -
- Ability to perform all required duties under emergency and
extreme stress situations. -
- When cross-trained to perform neonatal and pediatric services,
one is expected to acquire and maintain NRP and PALS certification.
-
- Demonstration of competency is required on an annual basis. -
This will include computer based training and evaluation in adult,
pediatric and neonatal mechanical ventilators. - -EDUCATION: -
- Bachelor's degree level in health profession, science or
equivalent is preferred. - -
- Associates degree in Respiratory Therapy is required. - -
-
- Must possess the RRT credential. - - -
- Knowledge of medical terminology, physiology of the
cardiopulmonary system and respiratory therapy science.
-EXPERIENCE: -
- One to two years on the job experience in acute and critical
care. -
- An equivalent combination of education and experience which
provides proficiency in the areas of responsibility listed above
may be substituted for the above education and experience
requirements -LICENSES, ETC: -
- Must be currently licensed and in good standing with the
Licensure Board of Registration of Massachusetts. -
- Must be a Registered Respiratory Therapist, be issued
Registration from the National Board of Respiratory Care. -AGE
SPECIFIC COMPETENCIES: -Possesses and applies the skills and
knowledge necessary to provide care to patients throughout the life
span, with consideration of aging processes, human development
stages and cultural patterns in each step of the care process. This
includes: -
- Knowledge of growth and development -
- Ability to interpret age specific data and response to care
-
- Provide age specific communication -WORKING CONDITIONS/PHYSICAL
DEMANDS: -
- Most work is performed on patient floors, emergency room,
outpatient clinics, and respiratory therapy workrooms. - -
- Exposure to infectious patients, blood products, and
contaminated equipment. - -
- Works with high-pressure gas systems and uses gas mixtures
which support combustion. - -
- Exposed to potentially toxic aerosols such as Ribavirin-' and
Pentamidine-' and poisonous gases e.g. nitric oxide & nitrogen
dioxide. -
- Frequent contact with patients and their families, medical and
nursing staff, unit secretary and other employees. -
Tufts Medicine is a leading integrated health system bringing
together the best of academic and community healthcare to deliver
exceptional, connected and accessible care experiences to consumers
across Massachusetts. Comprised of Tufts Medical Center, Lowell
General Hospital, MelroseWakefield Hospital, Lawrence Memorial
Hospital of Medford, Care at Home - an expansive home care network,
and large integrated physician network. We are an equal opportunity
employer and value diversity and inclusion at Tufts Medicine. Tufts
Medicine does not discriminate on the basis of race, color,
religion, sex, sexual orientation, age, disability, genetic
information, veteran status, national origin, gender identity
and/or expression, marital status or any other characteristic
protected by federal, state or local law. We will ensure that
individuals with disabilities are provided reasonable accommodation
to participate in the job application or interview process, to
perform essential job functions, and to receive other benefits and
privileges of employment. Please contact us to request
accommodation by emailing us at .
Keywords: Tufts Medical Center, Waltham , Respiratory Therapist- Adult Critical Care- (36hrs/wk, Rotating) Sign-on Bonus Available, Healthcare , Boston, Massachusetts
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