Respiratory Therapist - Night Shifts- 36h / week
Respiratory Therapist (Registered)
Full Time / Nights / Weekends Required
- 2 years critical care experience preferred
- ACLS/BLS Required
- Academic teaching institution preferred
- Level III NICU with NRP, NPS a plus
At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.
We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.
In support of this, we commit ourselves to the following values:
If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.
I. Position Function:
The Respiratory Therapy Department has formally adopted the American Association For Respiratory Care Clinical Practice Guidelines (AARC CPG) for patient care. Respiratory Therapists function in a physician supervised environment following AARC CPG (where applicable) as well as established departmental standards and practices. Respiratory Therapists provide critical care service to all patient age groups.
II. Job Relationships:
Reports to the Technical Manager of Respiratory Therapy (or his/her designee).
Interacts with other health care professionals to plan, provide, monitor, and evaluate respiratory care services for out patients.
Has the authority to provide all facets of critical care respiratory therapy based upon patient assessment and within hospital/department policies, procedures, and the American Association for Respiratory Care Clinical Practice Guidelines.
In the event of an untoward response to therapy, the therapist will institute appropriate emergency procedures/protocols and notify the physician and nurse responsible for the patient while remaining in constant attendance at the patients bedside until relieved.
IV. A. Responsibilities/Essential Functions:
1.) "Provides superior customer service to internal and external clients, customers,
and patients as referenced in the Service Excellence Standards."
Reviews the medical record including:
- Physicians orders for completeness, indications for therapy as well as potential
contraindications prior to administering therapies/medications in accordance with AARC
- Conducts a clinical patient assessment including but not limited to, cardiac, pulmonary and
- Further detailed assessment criteria is contained within the individual AARC CPG for the
Assembles equipment in accordance with manufacturers specifications and departmental standards. Confirms that equipment is functioning per manufacturers specifications prior to use. Monitors equipment function during use and applies appropriate corrective action in the event of malfunction.
Administers ordered therapy while clinically monitoring patient for outcome, hazards, or complications arising during, or immediately following therapy. Maintains, monitors, measures, and adjusts mechanical ventilators appropriately to assure proper function and to ascertain therapeutic effectiveness.
Performs routine oxygen, aerosol, and emergent airway management, chest physiotherapy, postural drainage, and/or sputum induction to maintain patient airways (in accordance with AARC CPG).
Performs assessments of patients and deliver systems (i.e., Ventilator Systems) on a regular basis in accordance with AARC CPG and departmental standards and practice.
Documents patient assessments, therapies delivered, patient monitoring, responses to therapies, and complications within the medical record in accordance with AARC CPG.
Provides emergency response for cardiopulmonary arrest, respiratory emergencies, hospital disasters and other emergencies as needed. Delivers basic life support maneuvers such as maintenance of a patent airway, external cardiac compression, manual ventilation by way of mouth-to-mouth, bag-valve-mask, and related ventilation techniques. Maintains AHA BLS certification on an annual basis.
Acts as a member of the health care delivery team assisting in the development and implementation of multdisciplinary patient care plans. Documents assessment of patient response to ongoing care and participates in the reevaluation of care delivery. Acts as and integral part of the health team that partakes in the pulmonary rehabilitation of the difficult to wean patient.
Provides routine care, cleaning, disinfecting and maintenance of departmental equipment. Documents equipment malfunction and alerts supervisor. Assists with maintaining stock levels by notifying supervisor as levels require replenishment.
Measures using appropriate available instrumentation, pulmonary function, gas exchange, respiratory rate, tidal and minute ventilation, alveolar-to-arterial PO2 gradient, intrapulmonary shunt fraction, respiratory mechanics (including static and dynamic compliance), pulse rate, blood pressure, arterial blood gases, end-tidal CO2, and pulse oximetary Calibrates and maintains pulmonary function equipment, and other departmental equipment in accordance with manufacturers recommendations, and departmental standards.
With appropriate training, the therapist assists in the performance of bronchoscopes, sleep studies, bronchial provocation, and exercise testing for evaluation of hypoxemia and/or desaturation studies.
Maintains departmental documentation including, but not limited to:
- Patient Charting
- Departmental Therapy Records
- Quality Assurance
- Patient Charges
Assists in the development, implementation, and maintenance of departmental quality assurance programs and audits as assigned.
B. Responsibilities/Non-Essential Functions:
Enhances professional growth and development through in-service meetings, educational programs, current literature, workshops, etc.
Is strongly encouraged to partake in the local and national respiratory therapy societies.
V. Reporting Requirements:
Respiratory therapists shall be responsible for reporting:
- Patient's condition, therapies, therapeutic goals and objectives, and response to therapy on
a shift to shift basis.
- Adverse reactions to pharmaceuticals and/or therapies.
- Hospital variance report notification.
Respiratory therapists shall be accountable for:
- Maintaining the confidentiality and security of all hospital related, medical staff related, and
patient related data and information, electronic or hard copy.
- Abiding by all hospital/department policies and procedures.
- Accurately measuring/calculating pulmonary parameters.
- Knowledge of all facets of critical care respiratory therapy and American Association for
Respiratory Therapy Clinical Practice Guidelines.
Two years of respiratory therapy experience.
Interpersonal and communication skills sufficient to satisfactorily explain respiratory therapy/pulmonary function test procedures to patients.
RRT License in respiratory therapy by the Commonwealth of Massachusetts.
Certified in Basic Life Support by the AHA or Red Cross required, Advanced Life Support Certification preferred.
Must obtain sufficient annual Continuing Education to maintain license.
Important COVID message
Please note, St. Elizabeth's Medical Center is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence, and convenience: Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled, and professional way.
This position is subject to the COVID-19 Vaccination Policy for Steward Health Care Workforce. Employees in this position will be required to provide adequate proof of vaccination for COVID-19 by an FDA-approved vaccine prior to starting work. Steward will consider requests for exemptions from this vaccine requirement on the basis of medical condition or sincerely held religious belief in accordance with applicable Federal laws.