The Respiratory Services department provides inpatient services to all patient care areas to include ICU, Emergency Department, and medical surgical patient care areas, as well as limited inpatient services in the CLC and SMRTP. The NWI VA HCS Respiratory Services departments provide outpatient services to all NWI VA outpatient facilities, ACCs, and CBOCs as assigned. The Registered Respiratory Therapist contributes to Patient Centered Care strategies through the functions listed below. Duties include but are not limited to: Inpatient Care Safely and accurately initiates mechanical ventilation and makes suggestions on advanced modes of therapy. Manages non-invasive ventilation to include CPAP/BIPAP. Follows all ventilator bundle guidelines. Manages and maintains the patient airway and ventilation using appropriate mechanical means. Performs advanced airway management (OORAM/intubating). Recognizes the need for emergency measures in the most critically ill patient and performs accordingly as part of the CODE BLUE and RRT teams. Demonstrates competency in artificial airway management to include tracheostomy care and endotracheal tube management. Obtains biologics to include arterial blood gas puncture. Uses critical thinking skill when performing analysis and interpretation. Accurately able to run arterial/venous blood gases on blood gas analyzer and accurately enter results Accurately verifies orders and acts in a timely manner and consults with providers and other healthcare professionals to deliver high quality care. Consistently determines and initiates complex respiratory care such as RT driven protocols to determine appropriate therapy for medication management, lung expansion, pulmonary hygiene and oxygen therapy. Documentation is completed in the electronic medical record (including ICCA) per policy. Accurately and safely delivers inhaled medications using proper technique, medication dosage and delivery and monitor the patient for potential side effects, assuring the ongoing safety of the patient receiving respiratory care. Is competent in the use of BCMA. Correctly enters event capture and encounter data within the required timeframes. Utilizes patient assessment skills when monitoring for abnormalities in pulse, breath sounds and respiratory rate pre and post respiratory therapies. Outpatient Care Safely and accurately initiates mechanical ventilation orders and contract care for home patients and makes suggestions on advanced modes of therapy. Manages non-invasive ventilation to include CPAP/BIPAP/AVAPS/ASV. Assesses clinical picture based on remote monitoring data and initiates adjustments in therapy based on data using protocols and/or Pulmonary physician order. Follows all PAP therapy guidelines. Acts as PAP therapy Case manager for assigned patients, ensuring data download and regular clinical assessment of therapy efficacy. Recognizes the need for emergency measures and performs accordingly following BLS guidelines and current policy. Demonstrates competency in artificial airway management to include tracheostomy and Laryngectomy Care. Uses critical thinking skills when performing ABG analysis and interpretation and uses ABG and Sp02 data to make recommendations for home oxygen and PAP therapy orders. Accurately verifies orders and acts in a timely manner and consults with providers and other healthcare professionals to deliver high quality care. Consistently determines and initiates complex respiratory care such as RT driven protocols to determine appropriate therapy for medication management, lung expansion, pulmonary hygiene, PAP and oxygen therapy. Documentation is completed in the electronic medical record per policy. Pulmonary Lab Duties where applicable. Work Schedule: Tuesday through Friday; 6:00 am to 4:30 pm Financial Disclosure Report: Not required
Internal Number: 598773600
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.