Respiratory Therapist

Location: Wenatchee, WA
Facility: Central Washington Hospital
Schedule: Full Time; 3 - 12 hours shifts
Shift: Evening/Night Shift
Hours: 6p-6a

Job Description

Position Summary:

  • Provides bedside respiratory care to patients as assigned by supervisors and given on the physician’s written order for both in house and out patient care.
Essential Functions:
  • Essential Functions:
    • Responsible for the safe and effective administration of medically prescribed medications, knowing their indications and contraindications.
      • Assures proper physician order before administration of medication as evidenced by QA.
    • Knows and follows the indications and contraindications, the policy and procedures in administering therapeutic modalities to include: Nebulizer, CPT, Flutter Valve, CPAP/BiPAP, High Flow.
      • Assures proper physician order before treatment administered as evidenced by QA.
      • Discontinues treatment if any adverse or contraindication noted and documented in patient chart at time of occurrence as well as notifying the appropriate staff member, i.e., nurse, physician.
    • Sets up and monitors all oxygen aerosol administration
      • Maintains oxygen cylinders in proper carriers at all times as observed by manager.
      • Gauges are to be checked each shift to assure proper working condition. Broken gauges are to be replaced immediately, broken gauge placed in container for broken equipment and marked.
    • Be a member of the “code team” responding to arrest situations.
      • Maintains current BLS, ACLS, PALS and NRP cards.
      • Performs external compression when needed in a code situation.
      • Proper handling and usage of hand resuscitator and assures proper function during code. Utilizes proper technique as observed/reported by code team participants.
    • Performs all aspects of artificial airway care. Able to perform deep blind tracheal suctioning on patients.
    • Familiar with measuring devices to include, but not limited to, pulse oximeter, Wrights respirometer, oxygen blenders.
      • According to policy and procedure upon physician’s written order oxygen Sat. obtains values and documents in patient records.
      • According to policy and procedure upon physician’s written request obtains mechanics with Wrights respirometer, manometer, cuff/pressure, and documents in patient’s records.
    • Responsible for the set up, safety check, monitoring, and troubleshooting of mechanical ventilators.
      • Upon physician’s written order, sets up parameter on ventilator, pressure check, and documents in patient’s flow sheet.
      • Performs ventilator checks every three hours during assigned shift as documented on flow sheet.
      • As a weaning process, places patient on CPAP as ordered by physician within an hour and documents in flow sheet upon completion of change.
      • Cuff pressures are to be measured every shift and documented on flow sheet when completed.
      • Tubing, handheld nebulizers and hand resuscitators are changed as per department policy and documented on patient’s flow sheet and department records.
    • Familiar with CPAP set up and administration of CPAP.
    • Maintains accurate and legible records, documenting clinical notes in patients charts.
      • Accurate and legible notes are to be kept in patient records as evidenced by QA.
      • Treatments are not discontinued unless proper notification is given.
      • Assures Kardex system is current and complete by end of shift as evidenced by shift report; i.e., full name, room number, diagnosis, full treatment order, date ordered, time of treatment given noted.
    • Participation in reporting patient progress, and prioritizing patient condition to the next shift.
    • Proper documentation in department records. Participates in staff meetings, attends lectures, conferences and seminars.
      • Attends staff meetings as scheduled as evidenced by minutes of meeting
      • Attends lectures, seminars as scheduled as evidenced by rosters or awarded certificates.
    • Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, and specific job related hazards.
      • All required safety education programs have been attended.
      • Provides complete and accurate responses to safety questions.
      • Operates assigned equipment and performs all procedures in a safe manner as instructed.
      • Maintains work area and equipment in condition required by department standards.
      • Demonstrates proper body mechanics in all functions.
      • If Manager/Leader, provides for the safety of department employees.
    • Follows the hospital exposure control plans/bloodborne and airborne pathogens.
      • Demonstrates knowledge of techniques, procedures and correct use of protective barrier equipment.
      • Assures a safe environment by instituting appropriate control measures.
      • Attends annual education programs.
    • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
      • Interacts with all of the above in a considerate, helpful and courteous manner as observed by manager and peers
      • Fosters mature professional relationships with fellow employees in a courteous, friendly manner as measured by management observation and peer input.
      • Maintains professional composure and confidence during stressful situations.
      • Maintains open communication using appropriate chain of command regarding issues
      • Conducts all work activities with respect for rights and wishes of patients, visitors, families, and fellow employees.
      • Maintains confidentiality of all hospital and patient information at all times as observed by peers and management.
      • Presents neat appearance in proper attire and identification as required by the position, department, and administrative policy.
      • Continuously displays a “can do” attitude within the department and across departmental lines to contribute to the overall customer service program.
    • Promotes effective working relations and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department’s/unit’s ability to meet its goals and objectives.
      • Supports the hospital’s mission, policies, and procedures through attendance and participation at committee meetings, if applicable.
      • Utilizes automated system to communicate inter and intra departmentally, as appropriate.
      • Completes work assignments on time/readily accepts assignments as observed by manager.
      • Reports to work on time and is at work as scheduled, as observed by manager.
    • Makes CCA clinical rounds with medical director as required.
  • Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
  • Required:
    • Must be a graduate of an approved school of respiratory care.
    • Must be registered, or registry eligible, certified by NBRC.
    • Current certifications in BLS for Healthcare Providers
    • ACLS and NRP within 6 months of hire date
    • Must possess current Washington State license
    • Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.
  • Desired:
    • One year experience.
Additional Information