Northwell Health
Job Description
Performs independent comprehensive respiratory assessment and therapy as prescribed by a physician. Provides patient/significant other with respiratory therapy education. Prepares, operates and maintains respiratory care equipment.
Job Responsibility
Reviews data in the patient record including history, lab data, radiological studies, progress notes, respiratory and cardiovascular monitoring data. Documents / records respiratory therapy data as required and communicates data to appropriate members of the health care team. Assesses patient’s overall cardiopulmonary status using observation, auscultation, lab/bed-side tests, non-invasive monitoring, and interview techniques. Interviews patient to determine orientation, dyspnea, activities of daily living, social support, nutritional status, and learning needs. Performs and interprets bedside procedures including pulse oximetry, ABG analysis, Co-oximetry, mixed venous sampling, hemodynamic and pulmonary mechanics. Obtains additional data by calculating lung compliance, airway resistance, work of breathing, PaO2/FIO2 ratio, and other noninvasive monitoring including airway graphics. Selects, assembles, and checks equipment for proper function, operation, and cleanliness. Performs quality control procedures for blood analysis devices, diagnostic equipment, ventilators, and gas metering devices. Explains planned therapy and goals to patients and evaluates, monitors, and records patient’s response to respiratory care. Communicates results of therapy to appropriate members of the healthcare team. Performs blood gas sampling to include arterial punctures and sampling from arterial lines and swan ganz catheters. Monitors mechanical ventilator patients to include: airway pressures, tidal volumes, respiratory rate, I/E ratio, FIO2, cuff pressure, and alarm settings. Modifies mechanical ventilation to include recommendations in modifications of the respiratory care plan. Assesses mechanical ventilator patients for weaning parameters and possible extubations. Instructs, initiates, and adjusts mechanical nasal mask and negative pressure ventilation to achieve adequate spontaneous and artificial ventilation. Modifies artificial airway management to include endotracheal tube positioning, cuff pressure monitoring, tracheotomy care, and adjustments in airway humidification systems. Administers medicated aerosol therapy, encourages bronchopulmonary hygiene, and when indicated assists in suctioning of bronchopulmonary secretions. Makes modifications in therapeutic procedures based on patient response. Modifies oxygen and specialty gas therapy and makes changes in mode, flow, and concentration when appropriate. Explains various procedures being performed to other employees, patients, or patient family members. Assists pulmonary physicians, as required. Initiates, conducts, or modifies respiratory care techniques in an emergency. Performs related duties as required. Job Qualification
• High School Diploma or equivalent, required. Certificate of completion from an accredited respiratory therapy program, required. • Current NYS Respiratory Therapist license, required. • Minimum of one (1) year of clinical experience, preferred.
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Reviews data in the patient record including history, lab data, radiological studies, progress notes, respiratory and cardiovascular monitoring data. Documents / records respiratory therapy data as required and communicates data to appropriate members of the health care team. Assesses patient’s overall cardiopulmonary status using observation, auscultation, lab/bed-side tests, non-invasive monitoring, and interview techniques. Interviews patient to determine orientation, dyspnea, activities of daily living, social support, nutritional status, and learning needs. Performs and interprets bedside procedures including pulse oximetry, ABG analysis, Co-oximetry, mixed venous sampling, hemodynamic and pulmonary mechanics. Obtains additional data by calculating lung compliance, airway resistance, work of breathing, PaO2/FIO2 ratio, and other noninvasive monitoring including airway graphics. Selects, assembles, and checks equipment for proper function, operation, and cleanliness. Performs quality control procedures for blood analysis devices, diagnostic equipment, ventilators, and gas metering devices. Explains planned therapy and goals to patients and evaluates, monitors, and records patient’s response to respiratory care. Communicates results of therapy to appropriate members of the healthcare team. Performs blood gas sampling to include arterial punctures and sampling from arterial lines and swan ganz catheters. Monitors mechanical ventilator patients to include: airway pressures, tidal volumes, respiratory rate, I/E ratio, FIO2, cuff pressure, and alarm settings. Modifies mechanical ventilation to include recommendations in modifications of the respiratory care plan. Assesses mechanical ventilator patients for weaning parameters and possible extubations. Instructs, initiates, and adjusts mechanical nasal mask and negative pressure ventilation to achieve adequate spontaneous and artificial ventilation. Modifies artificial airway management to include endotracheal tube positioning, cuff pressure monitoring, tracheotomy care, and adjustments in airway humidification systems. Administers medicated aerosol therapy, encourages bronchopulmonary hygiene, and when indicated assists in suctioning of bronchopulmonary secretions. Makes modifications in therapeutic procedures based on patient response. Modifies oxygen and specialty gas therapy and makes changes in mode, flow, and concentration when appropriate. Explains various procedures being performed to other employees, patients, or patient family members. Assists pulmonary physicians, as required. Initiates, conducts, or modifies respiratory care techniques in an emergency. Performs related duties as required. Job Qualification
• High School Diploma or equivalent, required. Certificate of completion from an accredited respiratory therapy program, required. • Current NYS Respiratory Therapist license, required. • Minimum of one (1) year of clinical experience, preferred.
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