Kaiser Permanente
Respiratory Care Practitioner I Registered
Kaiser Permanente, San Francisco, California, United States, 94199
Respiratory Care Practitioner I Registered
Job Summary Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities Selects, reviews, obtains and interprets data: reads and evaluates physicians orders, clarifying as needed; accurately transcribes physician orders to electronic charting system or departmental patient master; reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in a systematic manner Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview Interprets data to formulate goal-directed plan of care and determines requirements for treatment (type and duration of therapy, precautions, equipment, medications and dosages) Determines modifications to physician orders to optimize patient care and makes recommendations to physician Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring Performs procedures and interprets results (ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction); may perform EKGs; may perform pulmonary function and sleep diagnostic tests; may perform Exercise Stress Tests Equipment and Quality Assurance Assembles and checks equipment for proper function and cleanliness; ensures proper function and readiness of respiratory life-support equipment; troubleshoots and performs minor repairs May perform quality control procedures for blood analysis devices; may calibrate and troubleshoot pulmonary function diagnostic equipment Participates in cleaning, disinfecting and sterilizing of respiratory care and related equipment; participates in preventive maintenance and basic repairs Orders/stocks departmental supplies Therapeutic/Diagnostic Procedures Operates all medical equipment within guidelines to safely treat patients; checks and adjusts alarms; observes safety and infection control procedures Explains planned therapy to patients; conducts procedures to maintain airway, clear secretions, and achieve ventilation and oxygenation Monitors patient responses and adjusts therapy as needed; documents information in the medical record Initiates and manages ventilation (pressure-cycled/volume-cycled/high-frequency); weans/modifies ventilation; assists with extubation Provides patient education and disease management; performs CPR according to guidelines May assist with intubation, bronchoscopy, thoracentesis, tracheostomy, cardioversion, and related procedures; may participate in critical care transport or high-risk deliveries; may assist with surfactant replacement in neonates May participate in pulmonary rehabilitation, home care, discharge planning and community outreach; may initiate and implement therapist-driven protocols Supervision and Administration May assign, organize and coordinate the work of assigned Respiratory Care Practitioners; may demonstrate procedures and train staff; may conduct competency reviews Contributes to departmental quality improvement activities; may schedule staff and perform staffing functions Assesses priorities for delivery of patient care and redistributes resources as needed; protects data; maintains knowledge of information management systems and audit trails May develop clinical and administrative policies and procedures; may serve as Timekeeper Other Assessment Criteria Adheres to attendance, punctuality, meal and break schedules; documents time in TIME keeping system; maintains professional appearance and ethical conduct Participates in continuing education and may participate in professional organizations This job has no supervisory responsibilities Qualifications Experience Basic Qualifications: Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos Ability to write simple correspondence; ability to speak and understand English; ability to present information effectively; willingness to work in a Labor Management Partnership environment Refer to Position Specifications outlined in the appropriate collective bargaining agreement Education High school diploma or GED required License, Certification, Registration Respiratory Care Practitioner License (California) Registered Respiratory Therapist Certificate Basic Life Support Additional Requirements ACLS, NRP or PALS may be required depending on specialty Preferred Qualifications One year of recent critical care experience preferred; neonatal/pediatric respiratory care experience preferred; and may be required for this position National Board for Respiratory Care certification/Registered Pulmonary Function Technologist; and other relevant certifications may be preferred or required Educational background: CoARC/CAAHEP accreditation; degree requirements may vary by position Location and Employment Details Location: San Francisco, CA Employment type: Full-time Seniority level: Entry level This description may include references to job postings and related positions. It is intended to reflect the responsibilities and qualifications for the Respiratory Care Practitioner I Registered role and does not imply any guarantees of employment.
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Job Summary Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities Selects, reviews, obtains and interprets data: reads and evaluates physicians orders, clarifying as needed; accurately transcribes physician orders to electronic charting system or departmental patient master; reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in a systematic manner Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview Interprets data to formulate goal-directed plan of care and determines requirements for treatment (type and duration of therapy, precautions, equipment, medications and dosages) Determines modifications to physician orders to optimize patient care and makes recommendations to physician Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring Performs procedures and interprets results (ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction); may perform EKGs; may perform pulmonary function and sleep diagnostic tests; may perform Exercise Stress Tests Equipment and Quality Assurance Assembles and checks equipment for proper function and cleanliness; ensures proper function and readiness of respiratory life-support equipment; troubleshoots and performs minor repairs May perform quality control procedures for blood analysis devices; may calibrate and troubleshoot pulmonary function diagnostic equipment Participates in cleaning, disinfecting and sterilizing of respiratory care and related equipment; participates in preventive maintenance and basic repairs Orders/stocks departmental supplies Therapeutic/Diagnostic Procedures Operates all medical equipment within guidelines to safely treat patients; checks and adjusts alarms; observes safety and infection control procedures Explains planned therapy to patients; conducts procedures to maintain airway, clear secretions, and achieve ventilation and oxygenation Monitors patient responses and adjusts therapy as needed; documents information in the medical record Initiates and manages ventilation (pressure-cycled/volume-cycled/high-frequency); weans/modifies ventilation; assists with extubation Provides patient education and disease management; performs CPR according to guidelines May assist with intubation, bronchoscopy, thoracentesis, tracheostomy, cardioversion, and related procedures; may participate in critical care transport or high-risk deliveries; may assist with surfactant replacement in neonates May participate in pulmonary rehabilitation, home care, discharge planning and community outreach; may initiate and implement therapist-driven protocols Supervision and Administration May assign, organize and coordinate the work of assigned Respiratory Care Practitioners; may demonstrate procedures and train staff; may conduct competency reviews Contributes to departmental quality improvement activities; may schedule staff and perform staffing functions Assesses priorities for delivery of patient care and redistributes resources as needed; protects data; maintains knowledge of information management systems and audit trails May develop clinical and administrative policies and procedures; may serve as Timekeeper Other Assessment Criteria Adheres to attendance, punctuality, meal and break schedules; documents time in TIME keeping system; maintains professional appearance and ethical conduct Participates in continuing education and may participate in professional organizations This job has no supervisory responsibilities Qualifications Experience Basic Qualifications: Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos Ability to write simple correspondence; ability to speak and understand English; ability to present information effectively; willingness to work in a Labor Management Partnership environment Refer to Position Specifications outlined in the appropriate collective bargaining agreement Education High school diploma or GED required License, Certification, Registration Respiratory Care Practitioner License (California) Registered Respiratory Therapist Certificate Basic Life Support Additional Requirements ACLS, NRP or PALS may be required depending on specialty Preferred Qualifications One year of recent critical care experience preferred; neonatal/pediatric respiratory care experience preferred; and may be required for this position National Board for Respiratory Care certification/Registered Pulmonary Function Technologist; and other relevant certifications may be preferred or required Educational background: CoARC/CAAHEP accreditation; degree requirements may vary by position Location and Employment Details Location: San Francisco, CA Employment type: Full-time Seniority level: Entry level This description may include references to job postings and related positions. It is intended to reflect the responsibilities and qualifications for the Respiratory Care Practitioner I Registered role and does not imply any guarantees of employment.
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