Veterans Affairs, Veterans Health Administration Registered Respiratory Therapist in Dayton, Ohio
Summary This position is located at the Dayton VA Medical Center under the Medicine Service line. The Registered Respiratory Therapist will be responsible for completing patient assessment through direct contact, chart review and other means as appropriate and share information with health care team members. Responsibilities Provide Respiratory Care to critically ill and/or poor risk patients in ICU and step-down units. Administer oxygen, aerosol, humidity, and positive pressure breathing therapy. Position patient and perform chest physiotherapy and drainage, noting effectiveness of therapy. Collects sputum specimens using aerosol administration. Implement adult artificial ventilation upon physician's order. Maintain and monitor ventilator patients are required and make adjustments based on blood gas analysis with physician's approval. Using difficult intubation equipment (i.e. combitube, LMA and Glidescope). Administer prescribed medications that pertain to the field, note contraindications and/or adverse reactions, notify the physician and recommend corrective therapy as indicated Perform arterial blood gases analysis from arterial puncture or arterial line. Interpret the results of the analysis, consult with the physician on the results and make recommendation. Perform various measurements including but not limited to vital capacities, and make recommendations. Provide emergency respiratory therapy treatments to critically ill patients. Perform EKGs, pulmonary function tests, and monitor patient reactions to therapy with use of pulse oximetry. Set up and administer portable oxygen Assist physician in bronchoscopy procedures including but not limited to therapeutic bronch, endobronchial ultrasound, linear probe and navigational. Stock designated equipment areas and RT cart Work Schedule: Night shift position, 7:00pm - 7:30am, 6 -12 hour shifts and 1 - 8 hour shift in one pay period, including every other weekend coverage. Compressed/Flexible: Compressed Telework: Not available Virtual: This is not a virtual position. Functional Statement #: 91208-A, 91209-A, 91210-A, 91211-A Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor. *Must include educational supporting documentation in application packet. Licensure: Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full, current and unrestricted license from a state to practice as an RRT. Candidates must hold an active, current, full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level. Certification: Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid, current, unrestricted credential of RRT. Candidates must hold an active, current, full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level. Physical Standards: Outlined below. English Language Proficiency: RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Grandfathering Provision: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Preferred Experience: Not applicable. Grade Determinations: To qualify for the GS-5 grade level, you must meet the above listed grade level qualifications. This level of assignment is designated as temporary via the exception clause for individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, licensed by their state and are working towards obtaining RRT credential. To qualify for the Gs-7 grade level, you must hold an active, current, full and unrestricted RRT credential and be licensed. In addition, you must demonstrate all the following Knowledge, Skills, and Abilities (KSAs): Ability to perform therapeutic modalities related to respiratory care. Skill in analyzing physiological specimens obtained to include arterial blood gases, pulse oximetry, End tidal Co2 (ETCo2) monitoring, basic spirometry and other basic diagnostic procedures. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes. Skill in assessing oxygenation and ventilation. Ability to perform basic airway management to include artificial airways and mechanical ventilation. To qualify for the GS-9 grade level, you must have one year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level OR a Master of Science degree in respiratory care AND a license AND an RRT credential. Creditable experience is only creditable if credentialed as a Certified Respiratory Therapist (CRT) or RRT, the experience is in respiratory care, pulmonary function testing or polysomnography and directly related to the position being filled. Examples of experience may include: completing patient assessment through direct contact, chart review and other means as appropriate and share the information with health care team members; using accepted measuring/monitoring tools for determining plan of care; placing nasal and oropharyngeal airway and perform nasal and tracheal suctioning; obtaining, analyzing and reporting arterial and venous blood gas samples; performing duties in the critical area with close supervision to include in- line suctioning, re-positioning and securing Endo Tracheal tube, bag valve mask ventilation, assisting in patient transport and performing patient ventilator assessment; and, providing outpatient services, such as positive airway pressure (PAP) therapy, oxygen therapy and COPD care. In addition, you must demonstrate all the following Knowledge, Skills, and Abilities (KSAs): Skill in performing therapeutic modalities related to respiratory care. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes. Skill in assessing oxygenation and ventilation. Ability to perform airway management to include artificial airways and mechanical ventilation. To qualify for the GS-11 grade level, you must have one year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level AND hold an active license and RRT credential. Examples of experience may include: obtaining, interpreting and analyzing physiological specimens and data; consulting with physicians and other healthcare professionals to ensure quality of patient care within area of specialty; managing and maintaining the airway and ventilation of the patient through the use of appropriate mechanical means; assessing and evaluating patients to determine and recommend intervention to develop and implement a plan of care, such as, implementing protocols, intubation, monitoring critical systems and uses advanced modes of ventilation; and, providing outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care. In addition, you must demonstrate all the following Knowledge, Skills, and Abilities (KSAs): Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes. Skill in evaluating the efficacies of therapeutic modalities. Skill in performing advanced airway and ventilation management. References: VA Handbook 5005/141, Part II, Appendix G11. The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-11. Physical Requirements: Moderate lifting/carrying (15-44lbs), pushing, reaching above shoulder, use of fingers, both hands required, walking/standing (up to 6 hours), kneeling, repeated bending, climbing, both legs required; ability for rapid mental and muscular coordination simultaneously, able to view computer/monitor screens, both eyes required, hearing aides permitted. Environmental factors include silica, asbestos, fumes, smoke or gases, slippery or uneven walking surfaces, working closely with others and alone, protracted or irregular hours of work. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.