At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** The Flex Respiratory Care Practitioner (RCP) is expected to float to various assigned sites throughout the Bon Secours Mercy Health System, outside of their home location, to provide patient care promoting and restoring patients’ health through the respiratory care process. The RCP is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs respiratory care procedures, diagnostic services, patient monitoring and patient and staff education through the relevant standards and scope of practice for the respiratory therapist. **Our System Flex Team consists of the following locations:** + **Maryview Medical Center** in Portsmouth, VA + **Mary Immaculate Hospital** in Newport News, VA + **Memorial Regional Medical Center** in Richmond, VA + **Southampton Memorial Hospital** in Franklin, VA + **The Jewish Hospital** in Cincinnati, OH + **Anderson Hospital** in Cincinnati, OH + **West Hospital** in Cincinnati, OH + **Lourdes Hospital** in Paducah, KY + **Marcum and Wallace Hospital** in Irvine, KY + **St Elizabeth Youngstown Hospital** in Youngstown, OH + **St Anne Hospital** in Toledo, OH + **St Rita's Medical Center** in Lima, OH + **St Francis - Downtown** in Greenville, SC + **Springfield Regional Medical Center** in Springfield, OH + and **more** ! **Essential Job Functions** + _​_ Data collection and accurate record keeping as well as product evaluation and assessment + Assists physician performing procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy in intubation (if intubation is performed by respiratory therapy in the facility), and invasive monitoring + Performs CPR including closed chest compressions and airway management techniques in accordance with the AHA ACLS protocol + Conducts prescribed therapeutic procedures to achieve maintenance of a patient airway, including use of appropriate airways including endotracheal tubes, nasopharyngeal and oropharyngeal airways, maintenance of airway humidification, aspiration of secretions, extubation, maintenance of correct endotracheal tube (ETT), cuff pressures, and documents procedures in patient and department records + Selects, assembles, monitors, and evaluates mechanical ventilators for proper function and operation, including correction of malfunctions, cleanliness and determines appropriateness use for patient condition + Performs pulmonary function tests (PFT) + Assesses patient's physical status by inspection, palpation, auscultation, percussion, patient behavior and reviewing existing data in patient's record + Performs treatments according to physician orders, explains therapy and therapeutic goals to patient; modifies treatment procedures based on patient response + Determines appropriateness of prescribed therapy and recommends methods to physician to achieve therapeutic goals including intermittent positive pressure breathing (IPPB), aerosol therapy, postural drainage and percussion, ultrasonic nebulizer, incentive spirometry, metered dose inhalers and spacers, etc. + Sets up and maintains different modes of oxygen therapy to maintain adequate partial pressure of oxygen in arterial blood (PaO2) with accurate inspired levels of oxygen + Administers intermittent positive pressure breathing (IPPB) or aerosol therapy by first preparing the prescribed medication ordered by the physician and adjusting the machine or device to accomplish patient’s individual clinical needs; document and observe patient’s vital signs, productivity of cough, relief of dyspnea, improved breath sounds and any adverse reactions to therapy; and use judgement and technical skill to determine possible adverse reactions and suggestions for appropriateness of therapy + Gives postural drainage, vibration, percussion to ensure proper drainage of bronchial secretions by use of manual or mechanical percussion; check orders and X-rays for segments to be treated prior to initiating treatment; auscultation prior to and after procedure to note presence of clearance of secretions and response to therapy + Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural drainage and clapping, oxygen therapy, ventilator care and home aerosol therapy + Procurement of sputum for culture and sensitivity or airway clearance either by patient coaching, administration of mucolytics, aerosol therapy or endotracheal / nasopharyngeal suctioning + Evaluates normal and pathologic blood and urine laboratory value ranges + Performs arterial punctures and analysis; has an in-depth knowledge of analysis and arterial blood gas (ABG) interpretation. Performs arterial line procedures, takes safety precautions, sterile procedure, flushing, and ABG aspirations + Performs EKG’s and understands electronic monitoring, lead placement, and basic arrhythmias + Maintains all respiratory therapy equipment and supplies + Responds to cardio-pulmonary resuscitations and actively participates as indicated by clinical circumstances This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. **Licensing/Certification** Current Respiratory Care License in the state they are working (required) National Board for Respiratory Care (NBRC) credentialed (required) BLS Basic Life Support - American Heart Association (required) ACLS Advanced Cardiac Life Support - American Heart Association or Red Cross (required) PALS Pediatric Advanced Life Support - American Heart Association (required) NRP (Neonatal Resuscitation Program) - AAP/AWHONN (required) Registered Respiratory Therapist (RRT) (preferred) Certified Pulmonary Function Technologist (CPFT) (preferred) **Education** Associate Degree AMA approved school for Respiratory Care (required) Bachelor’s degree (preferred) **Work Experience** 1 Year in Acute Care Setting and demonstrated clinical competency in at least two of the following environments: Nursery/NICU, PICU, ICU/CCU, ED and general care areas (required **_)_** **Training** **_EPIC Electronic Health Record (EHR)_** **Language** _._ **Not Applicable** **Patient Population** Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) **Working Conditions** Periods of high stress and fluctuating workloads may occur. Long-distance or air travel as needed- not to exceed 10% travel. General office environment. May be exposed to high noise levels and bright lights. May be exposed to physical altercations and verbal abuse. May be exposed to limited hazardous substances or body fluids.* May be required to use physical restraints. May be exposed to human blood and other potentially infectious materials.* May be exposed to adverse weather conditions; cold, hot, dust, wind, etc. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. _* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control._ **Physical Requirements** **Physical Demands** Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) **_____** X **_____** **_____** Lifting/ Carrying (50-100 lbs.) **_____** X **_____** **_____** Push/ Pull (0-50 lbs.) **_____** X **_____** **_____** Push/ Pull (50-100 lbs.) **_____** X **_____** **_____** Stoop, Kneel **_____** **_____** X **_____** Crawling **_____** X **_____** **_____** Climbing **_____** X **______** **_____** Balance **_____** **_____** X **_____** Bending **_____** **_____** X **_____** **Work Position** Frequency 0% 1-33% 34-66% 67-100% Sitting **_____** X **_____** **_____** Walking **_____** **_____** **_____** X Standing **_____** **_____** **_____** X **Additional Physical Requirements/Hazards** **Physical Requirements** Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone/audio recordings Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near **Hazards** Depth perception Use of Latex products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure **Skills** Gather and interpret data ​Non-invasive respiratory therapy equipment such as oximeters or end-tidal CO2 analyzers Therapeutic procedures to include CPAP/BiPap, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high flow oxygen, continuous aerosols, ventilator management, diagnostic testing EKGs, electronic monitoring, lead placement, and basic arrhythmias Arterial blood gas punctures and testing Airway maneuvers Bedside pulmonary function Patient assessment Patient education Chest suction equipment Chest X-ray interpretation Sterile procedure Interpersonal skills Communication skills Diversity Customer service skills Organizational skills and time management skills Accountability Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com