Lifespan
SUMMARY
Administer and evaluate a wide variety of therapeutic and diagnostic procedures to aid in the diagnosis and treatment of primary pulmonary disease and other medical problems that may affect a patient's pulmonary status. Perform other related duties as required. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES
Perform according to the Respiratory Services Policy & Procedures Manual (204-211) a variety of therapeutic procedures, including:
Intermittent positive pressure breathing
Chest physiotherapy
Postural drainage
Nebulizer/erosol therapy
Incentive Spirometry
Breathing exercises
Tracheal irrigation and aspiration
Administer all inhalant medications with a scientific understanding of actions, expected responses, and adverse reactions, including:
Bronchodilators, Mucolytics, Antibiotics, Wetting agents, Steroids, Chromalin drugs, Anti-fungal agents
Set up and perform CPAP, Bi-PAP, and non-invasive ventilation. Provide and monitor continuous oxygen and humidification therapy. Instruct patient on the use of equipment and monitor equipment function, proper use of equipment, and compliance with written physician's orders.
Initiate, monitor, and provide respiratory care to all patients dependent on mechanical ventilation for life support (P&P Manual, Section 301-310), including adult mechanical ventilation and neonatal/pediatric ventilation.
Perform equipment check-out procedures prior to use to ensure proper function, adjust all ventilatory parameters, initiate and monitor mechanical ventilation, and make adjustments to coordinate the ventilator with the patient.
Demonstrate knowledge of all ventilator modes.
Nebulize fluids, irrigate airway, and perform deep tracheal suction and cuff care as needed.
Monitor oxygen concentration, ventilatory volumes, muscular strength, humidification, ventilating pressures, sputum collection and characteristics, breath sounds, and changes in respiratory/pulmonary condition and ability.
Monitor equipment for proper function.
Demonstrate ability to properly perform arterial blood gas analysis when authorized by the physician (P&P Manual, Section 401-407).
Accurately transcribe ABG results and correlate results with the clinical situation. Make arrangements to improve oxygenation and acid‑base balance. Call physician with critical values.
Interpret and execute all orders prescribed by a physician. Review history and physical, lab and X‑ray reports, and interdisciplinary progress notes to assess patient’s condition and therapeutic needs.
Work within the physician's order to deliver appropriate therapy.
Determine best methods for therapy such as appropriate pressure and flow rates for intermittent positive pressure breathing, positions for chest physiotherapy/postural drainage, types of breathing exercises, sensitivity, flow rates, pressure limits/control, ventilatory waveforms, suction or irrigation needs for patients on mechanical ventilation.
Respond to hazards of therapies appropriately, including life‑threatening situations.
Instruct patient on rationale and proper procedures for all therapies.
Monitor pulmonary and cardiac response and results of all therapies.
Perform accurate and complete documentation of all findings to physician via medical record.
Evaluate changes in patient’s condition and determine if current therapy is successful in meeting therapeutic objectives.
Accept verbal/telephone orders from physicians when appropriate and transcribe accurately in the medical record (see P & P Manual, Section 106A).
Perform Respiratory Therapy Protocols/Consults upon certification (P & P Manual, Section 220).
Obtain respiratory history and perform patient assessment, including inspection, palpation, percussion, auscultation, and review of diagnostic data such as PFTs, ABGs, EKGs, reports, X‑rays, and blood work.
For Respiratory Protocols/Consults, provide assessment of the need for therapeutic intervention and develop a Respiratory Care Plan.
Perform daily patient assessments and adjust therapy as necessary.
Demonstrate knowledge of proper use of manual resuscitators (adult, child, infant).
Accurately perform diagnostic procedures including bedside pulmonary function screening, EKGs, oximetry, end tidal carbon dioxide measurements, and sputum induction for laboratory studies.
Initiate and maintain life‑saving measures in emergency situations, assist physician with intubation, and confirm endotracheal tube position.
Properly use all cardio‑respiratory equipment including EKG machines, oxygen delivery devices, pediatric tents, oxygen analyzers, blenders, spirometers, negative inspiratory force meters, incentive spirometers, air compressors, liquid oxygen systems, cuff pressure manometers, heated/cool nebulizers.
Aquire special certifications at Newport Hospital for performance of arterial blood gases and respiratory therapy protocols/consults.
Accompany patient during ambulance transport from Newport Hospital to another facility, performing respiratory care as needed.
Assess patient’s status and interpret the appropriate information to identify patient’s requirements relative to age‑specific or special needs.
Handle and store medical gases safely.
Prepare and deliver reports on patient’s condition, progress and effects of therapy to Respiratory Care Practitioners on duty.
Communicate regularly with physicians regarding abnormal effects of therapy, abnormal diagnostic exams, or other respiratory/pulmonary concerns.
Act as in‑house resource for staff members, physicians, and patients requiring respiratory/pulmonary assistance.
Set clinical priorities daily per policy and procedure.
Assist Cardiopulmonary Services Director in orientation and training of new staff and students at Newport Hospital.
Participate in applicable off‑site activities including health fairs and school career days.
Perform esophageal studies including PH ambulatory, motility, or Bravo capsule procedures when applicable.
MINIMUM QUALIFICATIONS
Rhode Island Respiratory Care Practitioner license (RCP)
CRT required, RRT preferred.
Associate degree from a Cardio‑Respiratory Care Program.
Current CPR certification.
PAY RANGE $33.53-$55.31
EEO STATEMENT Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840
WORK TYPE PT nights 6:15pm -6:45 am every other weekend, HT
WORK SHIFT Night
DAILY HOURS 8 hours
DRIVING REQUIRED No
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Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES
Perform according to the Respiratory Services Policy & Procedures Manual (204-211) a variety of therapeutic procedures, including:
Intermittent positive pressure breathing
Chest physiotherapy
Postural drainage
Nebulizer/erosol therapy
Incentive Spirometry
Breathing exercises
Tracheal irrigation and aspiration
Administer all inhalant medications with a scientific understanding of actions, expected responses, and adverse reactions, including:
Bronchodilators, Mucolytics, Antibiotics, Wetting agents, Steroids, Chromalin drugs, Anti-fungal agents
Set up and perform CPAP, Bi-PAP, and non-invasive ventilation. Provide and monitor continuous oxygen and humidification therapy. Instruct patient on the use of equipment and monitor equipment function, proper use of equipment, and compliance with written physician's orders.
Initiate, monitor, and provide respiratory care to all patients dependent on mechanical ventilation for life support (P&P Manual, Section 301-310), including adult mechanical ventilation and neonatal/pediatric ventilation.
Perform equipment check-out procedures prior to use to ensure proper function, adjust all ventilatory parameters, initiate and monitor mechanical ventilation, and make adjustments to coordinate the ventilator with the patient.
Demonstrate knowledge of all ventilator modes.
Nebulize fluids, irrigate airway, and perform deep tracheal suction and cuff care as needed.
Monitor oxygen concentration, ventilatory volumes, muscular strength, humidification, ventilating pressures, sputum collection and characteristics, breath sounds, and changes in respiratory/pulmonary condition and ability.
Monitor equipment for proper function.
Demonstrate ability to properly perform arterial blood gas analysis when authorized by the physician (P&P Manual, Section 401-407).
Accurately transcribe ABG results and correlate results with the clinical situation. Make arrangements to improve oxygenation and acid‑base balance. Call physician with critical values.
Interpret and execute all orders prescribed by a physician. Review history and physical, lab and X‑ray reports, and interdisciplinary progress notes to assess patient’s condition and therapeutic needs.
Work within the physician's order to deliver appropriate therapy.
Determine best methods for therapy such as appropriate pressure and flow rates for intermittent positive pressure breathing, positions for chest physiotherapy/postural drainage, types of breathing exercises, sensitivity, flow rates, pressure limits/control, ventilatory waveforms, suction or irrigation needs for patients on mechanical ventilation.
Respond to hazards of therapies appropriately, including life‑threatening situations.
Instruct patient on rationale and proper procedures for all therapies.
Monitor pulmonary and cardiac response and results of all therapies.
Perform accurate and complete documentation of all findings to physician via medical record.
Evaluate changes in patient’s condition and determine if current therapy is successful in meeting therapeutic objectives.
Accept verbal/telephone orders from physicians when appropriate and transcribe accurately in the medical record (see P & P Manual, Section 106A).
Perform Respiratory Therapy Protocols/Consults upon certification (P & P Manual, Section 220).
Obtain respiratory history and perform patient assessment, including inspection, palpation, percussion, auscultation, and review of diagnostic data such as PFTs, ABGs, EKGs, reports, X‑rays, and blood work.
For Respiratory Protocols/Consults, provide assessment of the need for therapeutic intervention and develop a Respiratory Care Plan.
Perform daily patient assessments and adjust therapy as necessary.
Demonstrate knowledge of proper use of manual resuscitators (adult, child, infant).
Accurately perform diagnostic procedures including bedside pulmonary function screening, EKGs, oximetry, end tidal carbon dioxide measurements, and sputum induction for laboratory studies.
Initiate and maintain life‑saving measures in emergency situations, assist physician with intubation, and confirm endotracheal tube position.
Properly use all cardio‑respiratory equipment including EKG machines, oxygen delivery devices, pediatric tents, oxygen analyzers, blenders, spirometers, negative inspiratory force meters, incentive spirometers, air compressors, liquid oxygen systems, cuff pressure manometers, heated/cool nebulizers.
Aquire special certifications at Newport Hospital for performance of arterial blood gases and respiratory therapy protocols/consults.
Accompany patient during ambulance transport from Newport Hospital to another facility, performing respiratory care as needed.
Assess patient’s status and interpret the appropriate information to identify patient’s requirements relative to age‑specific or special needs.
Handle and store medical gases safely.
Prepare and deliver reports on patient’s condition, progress and effects of therapy to Respiratory Care Practitioners on duty.
Communicate regularly with physicians regarding abnormal effects of therapy, abnormal diagnostic exams, or other respiratory/pulmonary concerns.
Act as in‑house resource for staff members, physicians, and patients requiring respiratory/pulmonary assistance.
Set clinical priorities daily per policy and procedure.
Assist Cardiopulmonary Services Director in orientation and training of new staff and students at Newport Hospital.
Participate in applicable off‑site activities including health fairs and school career days.
Perform esophageal studies including PH ambulatory, motility, or Bravo capsule procedures when applicable.
MINIMUM QUALIFICATIONS
Rhode Island Respiratory Care Practitioner license (RCP)
CRT required, RRT preferred.
Associate degree from a Cardio‑Respiratory Care Program.
Current CPR certification.
PAY RANGE $33.53-$55.31
EEO STATEMENT Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
LOCATION Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840
WORK TYPE PT nights 6:15pm -6:45 am every other weekend, HT
WORK SHIFT Night
DAILY HOURS 8 hours
DRIVING REQUIRED No
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