Description: Job Summary:

Monitors and ensures proper operation and functioning of respiratory therapy equipment. Monitors patients physiological parameters during therapy. Administers medical gases and aerosolized drugs. Functions independently in all units of the hospital.

Essential Responsibilities:

Initiates therapy under a Physicians order and makes appropriate recommendations for modalities of Therapy.
Implements therapy for, and monitors patients while on continuous mechanical ventilators and all modes of positive pressure breathing devices.  Utilizes clinical and other data to assess cardiopulmonary status of patients.  Assists in intubation.  Provides bedside spirometry.  Evaluates ventilator dependent patients readiness to wean.
Administers humidified medical gases as ordered by the physician.
Interprets blood gas results.  Consults attending physician regarding appropriate therapy.  Performs arterial punctures.  Withdraws blood samples from indwelling lines.
Provides ventilatory support during special procedures.  Coordinates transport of ventilator equipment.
Implements and monitors care of patients on heated aerosols and CPAP as per physicians order.
Develops good working relationships with laboratory, x-ray, infection control, nursing, physicians and other healthcare workers to maintain optimum total patient care.
Cleans and maintains all respiratory therapy equipment.   Assists in maintaining adequate inventory of respiratory supplies.  Conducts quality control tests on all respiratory equipment.  Maintains equipment in safe, workable order; Requests repair when necessary.
Participates in continuous quality improvement teams as required.
Monitors esophageal pressures, swan ganz catheter data, CVP, arterial blood pressures, electrolytes, fluid balance and intravascular volumes as they pertain to  Respiratory patients.
Performs chest physiotherapy, manual ventilation and suctioning.  Positions patients to facilitate respiration.
Performs tracheostomy care and mouth care on intubated/traced patients.  Changes tracheostomy tube as ordered.
Documents pertinent information in medical record.  Documents care provided in medical record.
Monitors disease processes, arterial and venous catheter placement and endotracheal tube placement via chest x-ray.
Communicates pertinent patient information to physicians, practitioners and nurses as appropriate.
Participates in patient rounds with Pulmonologist/Intensivist/Neonatologist.  Responds to and participates in Code Blue as part of Code team/RRT Team.  
Assists with making staff assignments based on patient acuity and staff skill set.
Coordinates staffing needs.
May act as contact for shift operational needs in absence of supervisor.
Acts a preceptor for new hires and respiratory students in all units.
Assists with audits of documents and RT bundle.
Assists with review of departmental policies.
Conducts in-services and competency check off for staff.
Assumes on call status as needed.
Basic Qualifications: Experience

Must have completed twelve (12) months experience and all requirements for Resp Therapist I.
Functions independently with minimal supervision on inpatient units.
Education
Associates degree with major in respiratory therapy.Documentation of highest level of education achieved must be provided. License, Certification, Registration Respiratory Therapist License (Hawaii)
Advanced Cardiac Life Support from American Heart Association
Basic Life Support from American Heart Association
Neonatal Resuscitation Program within 12 months of hire from American Academy of Pediatrics
Pediatric Advanced Life Support within 12 months of hire from American Heart Association
Registered Respiratory Therapist Certificate from National Board of Respiratory Care
Additional Requirements:
Demonstrated knowledge of and skill in written communication, oral communication, interpersonal relations, customer service, decision making, problem solving and teamwork. Preferred Qualifications:
N/A