Assesses and implements respiratory therapy and life support for patients across all medical center areas, including the NICU. Collaborates with physicians to manage cardiopulmonary abnormalities and provides critical ventilatory support.
Requirements summary
Requires a degree from an accredited Respiratory Care program and a California RCP license. Must have at least one year of recent NICU experience and NBRC certification.
Assesses, plans, implements and evaluates respiratory therapy care and life support to patients in all areas of the medical center, including neonatal intensive care who have deficiencies and abnormalities of the cardiopulmonary system under the supervision of physician and prescription. Performs other patient comfort duties necessary to maintain the flow of patient care in the unit.
Essential Responsibilities
Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
QUALITY
OF
SERVICE:
Professional
Conduct: Applies philosophy and demonstrates knowledge of the Patient Bill of Rights. Treats members, coworkers, and individual employees with respect and dignity. Maintains the privacy and confidentiality of both members and employees with regard to medical records and communication regarding disease, conditions, and status. Greet members promptly and courteously, addresses adult members by their proper title (i.e., Mr., Mrs., Ms.) and last name except when otherwise mutually agreed upon by the provider and patient.
Telephone
Courtesy and
Assistance: Adheres to regional and department guidelines for courtesy and consideration during telephone use. Determines and documents the following information upon taking a phone call: name of patient, phone number where patient can be reached, the reason (nature & urgency) for the call, date and time of the call and name of the person taking the call. Gives immediately to the requested provider or designee all messages of an emergency or urgent nature, gives non-urgent messages to the requested provider or designee in a timely manner. JOB DUTIES AND RESPONSIBILITIES RESPIRATORY CARE PRACTITIONER III Demonstrates knowledge, application, competency, and assessment skills for all specific patient/member age categories; neonatal, pediatric, and adult.
Patient
Care and
Member
Service: Demonstrates proficiency in providing direct/indirect care and service to patient/member groups; neonatal, pediatric, and adult ages and classifications. Participates in patient care rounds as an active member of the critical care team. Knows admitting diagnosis and pulmonary pathophysiology for assigned patients, and performs patient assessment and provides appropriate therapy. Evaluates and can state data obtained from respiratory monitoring devices on assigned patients. Evaluates patients response to all respiratory care provided and appropriately documents required information as outlined in department policies and procedures. Determines appropriateness and provides recommendations for respiratory care services, taking into consideration the needs of different age groups, cognitive abilities, and development status. Initiates new routine orders within time specified in department policies and procedures. Measures and adjusts airway cuff pressures. Recommends changes in diagnostic and therapeutic procedures to physicians, nursing, and/or coworkers. Taking into consideration patient age and development status modifies those treatments/procedure techniques, which do not require a change in physicians orders to optimize the delivery of care, and reports modifications to appropriate health care team members. Utilizes appropriate chain-of-command when consulting on patients not responding to standard therapeutic procedures. Performs respiratory diagnostic and therapeutic procedures. Verbalizes mechanisms of action, dosage, contraindications, and adverse reactions for all medications upon request. Obtains approval prior to administering any medications, which is not included on the approved medication list. Stores unused, doses of medications in the department medication cabinet or refrigerator as indicated by the medication instructions. Provides ventilatory support during patient inter-intra hospital transfers. May be part of a high functioning Pediatric and Neonatal transport team as applicable. Performs procedures for disinfecting and sterilization and adheres to infection control policies and procedures. Washes hands before and after physical contact with the patient and after using the restroom as described in handwashing procedure. Adheres to isolation procedure as indicated. Practices Universal Precautions at all times. Performs and evaluates blood gas analysis to include quality control procedures adhering to laboratory policies and procedures. Assures that quality control of equipment is performed and at acceptable levels. Obtains arterial blood samples. Ensures that blood samples and requisition slips have required information. Handles and disposes of blood samples per policy and procedure. Performs blood gas analysis. Documents and reports critical blood gas values to nurse/physician. Performs analyzer maintenance and quality controls as qualified, and ensures cleanliness of the blood gas laboratory. Performs cardiopulmonary and neonatal resuscitation (CPR/NR) and responds to emergencies in all areas. Auscultates lungs to assure proper endotracheal tube placement. Identifies primary affected lobes and positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy. Identifies contraindications in regards to chest physiotherapy and appropriately informs and provides recommendations to the physician. Performs oral, nasal, and tracheal suctioning to ensure airway patency. Collaborates with the physician and nursing in regards to the appropriate frequency of suctioning for assigned patients. Provides reasonable solutions upon the identification of problems. Participates in-group action problem solving processes. Complies with patient safety practices/policies; takes appropriate safety measures considering patients age and developmental status.
Charting and
Documentation: Provides timely, accurate, legible record keeping and data entries per departmental policy and procedure. Enters required information into the Respiratory Cares department system for recording statistical data related to procedures performed, workload and staffing. Assumes responsibility for all required Respiratory Care documentation on all assigned patients.
Equipment and
Supplies: Effectively utilizes equipment and supplies. Demonstrates the ability to setup, operate, troubleshoot, and perform corrective action based upon department policies and procedures and manufacturers recommendations. Utilizes appropriate procedures in reporting malfunctioning or suspect equipment and supplies. Determines whether equipment malfunction is life threatening versus non-life threatening and responds appropriately. Assumes responsibility and ensures patient safety during any equipment failure. Maintains inventory level of respiratory care equipment and supplies as assigned.
Productivity and
Time
Management: Maintains department productivity standards. Reports inability to complete procedures seeks assistance if patient care is compromised.
Job and
Personal
Maturity: Demonstrates flexibility and adaptability by accepting new ideas and supporting changes in the department and hospital/clinic. Functions independently with minimum direction.
Communication
Utilizes effective listening, verbal, nonverbal and writing skills formally and informally. Utilizes the chain-of-command in the event of a difficult situation or decision. Immediately reports critical values to appropriate team members. Interacts professionally when discussing patient care plans/recommendations with health care team members.
Education and
Staff
Development: Participates in training and orientation of new employees as required. Participates in and provides patient education, within the department and medical enter. Attends department continuing education, meetings as required.
RCP
III (
Includes all skills required of
RCP
I,
RCP
II and
RCP
III): Functions at Independent Level in Adult Critical Care areas. Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation. Demonstrates ability to effectively wean from mechanical ventilator per medical center protocols. Demonstrates ability to implement all respiratory modalities of care specific to the Adult critical care.
RCP
III (includes all skills required of
RCP
I,
RCP
II, and
RCP
III): Functions at Independent Level in Neonatal Critical Care areas. Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation per protocol or Doctors order. Demonstrates ability to effectively wean from mechanical ventilation per medical center protocols. Demonstrates ability to implement all respiratory modalities of care specific to Neonatal critical care in this medical center. Documents therapy and intervention in medical record per medical center policy and procedure.
Basic Qualifications
Experience Minimum one (1) year of recent NICU experience within the past 12 months. Education Graduate of an approved 2 year Respiratory Care program accredited by the Respiratory Care Accrediting Board (RCAB) or Commission on Accreditation for Respiratory Care (CoARC). License, Certification, Registration Respiratory Care Practitioner License (California) Registered Respiratory Therapist Certificate from National Board of Respiratory Care Neonatal Resuscitation Program Basic
Life
Support from
American
Heart
Association
Additional
Requirements: Certified Pulmonary Function Technologist (CPFT) or Registered Pulmonary Function Technologist (RPFT) from the National Board of Respiratory Care (NBRC) is required for any Respiratory Care Practitioner (RCP) working in the Pulmonary Function Laboratory (PFT). Functions at independent level in all areas of Medical/Surgical, Adult and Pediatric Intensive Care areas and Neonatal Intensive Care (NICU). Experience requirements may be waived or modified when an appropriate program or course is available and successfully completed for area of specialization
Preferred Qualifications
Pediatric Advanced Life Support Certification (PALS), Sugar & Safe Care-Temperature-Airway-Blood Pressure- Lab Work-Emotional Support. (S.T.A.B.L.E. Certification). Two (2) years recent experience in the Neonatal intensive Care Unit in the past 24 months. Stable certification preferred.
