Respiratory Therapist- Adult Critical Care- (36hrs/wk, Rotating) Sign-on Bonus A

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 and include the ICUs, in-patient rooms, the Emergency Room, and outpatient clinics. A request for service originates from the medical staff of Tufts Medical Center and can be communicated to the therapist by direct telephone conversation and/or beeper page.All patients are assessed for their needs initially and on an ongoing 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 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, and are provided in accordance with 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.PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:Neonatal and pediatric trainingAdvanced certifications: ACLS, NRP, PALSIncentive career ladder supporting expanded skillsetsParticipation in neonatal and pediatric transport programExtracorporeal Membrane Oxygenation (ECMO) trainingParticipation in orientation of new employees, primary preceptor opportunitiesQuality and Safety initiatives: participating in composing and maintaining clinical practice guidelines and protocolsParticipation in various departmental and critical care research opportunitiesInitiates patients on invasive and non-invasive mechanical ventilation; routinely checks and maintains proper function of ventilator in conjunction with the physician order.Abides by infection control guidelines for invasive and non-invasive equipment per departmental policy.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.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).Routinely assists in the transport of patients requiring life-support to and from referral hospitals.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.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.Documents therapy, patient assessment, and interventions performed in a concise, accurate, and thorough manner.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.Administers therapeutic agents such as Heliox, Surfactant, Tobramycin, Ribavirin and Pentamidine.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.Demonstrate the ability to communicate with and assess the patient needs of different age populations.Ability to perform all required duties under emergency and extreme stress situations.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 may be substituted for the above 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.AGE SPECIFIC COMPETENCIES:Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span.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 and poisonous gases.

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