Respiratory Care Practitioner

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Night - 12 Hour (United States of America)

This is a Stanford Health Care Tri-Valley job.

A Brief Overview
Under the supervision of the Technical Manager and upon request of the physician, performs the activities of a Respiratory Therapist in therapy procedures. Sets up and operates various types of respiratory care equipment to be utilized in the diagnosis and treatment of respiratory disease and/or illness.

Locations
Stanford Health Care Tri-Valley

What you will do

• The job duties listed are typical examples of work performed by positions in this job classification and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on department or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.
• Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
• Administration of aerosolized medications via handheld nebulizers (HHN), metered dose inhalers (MDI), dry powder inhalers (DPI), large volume continuous nebulizers, and intrapulmonary percussive ventilation (IPV);
• Administration of medical gases via nasal cannulas, oxygen masks, high flow nasal cannulas, and large volume nebulizers.
• Performing routine tracheostomy care and weaning.
• Assembling and assuring safety and proper functioning of all equipment /supplies necessary for providing respiratory care.
• Documentation of results, findings, and assessments in the patient’s electronic medical record.
• Performing airway clearance using chest physiotherapy (CPT), vibratory positive expiratory pressure devices, cough assist device, or nasotracheal suctioning.
• Assessing pulmonary mechanics using portable spirometry devices.
• Responding to cardiopulmonary arrests and rapid response calls.
• Responds to calls and provides therapy to patients requiring emergency care.
• Educating patients, families, physicians, nurses, and other members of the health care team about routine respiratory procedures, medications, modalities, and disease processes.
• Providing continuous positive airway pressure (CPAP) or biphasic positive airway pressure (BiPAP) for patients in need.
• Providing invasive ventilation for medically stable patients who use such devices at home.
• Performing arterial blood gas sampling and analysis.
• Oversees and trains staff and community college students working on general medical floors.
• Emergency care specialists:
• Demonstrate the ability to perform all aspects of emergency airway and ventilation management.
• Orient new staff and develop skills of other practitioners in emergency and ventilation management.
• Participate in quality and compliance supervision for respiratory care provided in the emergency department.
• Assist in education coordination for RCPs and nurses working in emergency department.

• Successful completion of a 2-year American Medical Association (AMA) approved Respiratory Care Program Required

• 5+ years to 7 years previous experience providing non-intensive respiratory care procedures Required
• Competent and sign off of all RCP I requirements Required

• LEVEL REQUIREMENTS:
• Administration of aerosolized medications to patients on mechanical ventilators or biphasic positive airway pressure (BiPAP) devices via nebulizers, metered dose inhalers (MDI), dry powder inhalers (DPI), and intrapulmonary
• Administration of medications used to treat pulmonary hypertension or refractory hypoxemia in critical care areas, Cath lab and main operating rooms (MOR)
• Administers and weans inhaled nitric oxide
• Administration of high flow oxygen via mechanical ventilator
• Assembling and assuring safety and proper functioning of all equipment/supplies necessary for providing respiratory care in the critical care setting
• Applying and manipulating mechanical ventilator modes and parameters (including airway pressure release ventilation and high-frequency oscillation) to correct or maintain acid-base balance
• Utilizing ventilator protocols developed for critical care areas
• Transporting critically ill patients within the hospital
• Collaborating with other disciplines to mobilize patients who require ventilator support
• Assisting with bedside bronchoscopy for intubated patients
• Assisting with bedside tracheostomy/bronchoscopy procedures
• Providing care to patients in all critical care units
• Responding to calls and provides therapy to patients requiring emergency care for all conditions
• Oversees and train’s staff and respiratory therapy students working on general medical floors and ICU
• Functioning in the role as lead critical care practitioner (workload assignments, quality supervision, clinical specialist, etc.)
• Providing care to patients in Neonatal Critical Care Unit (NICU) and Labor Delivery
• Assisting in neonatal resuscitation, intubation and ventilator management
• Applying and managing bubble CPAP and high flow cannula on infants and pediatric patients
• RCP Tier #3 (RCP Tier 3 specific)
• Leadership and specialized skills
• Demonstrated competence in one of the three offered specialization tracks—leadership, emergency care, interventional pulmonology, or outpatient clinics.
• Leadership track specialists:
• Perform as a resource therapist and relief supervisor.
• Participate in quality and compliance supervision.
• Superuser/trainer of specialized respiratory equipment/procedure.
• Participate in quality improvement or research projects and data collection/analysis.
• Manage projects and lead organizational change
• Be an active member of a hospital committee
• Bronchoscopy/Interventional pulmonology specialists:
• Assist with advanced procedures in endoscopy, interventional procedure rooms, bedside, and in the main operating room (MOR).
• Participate in the Respiratory quality committee.
• Assist in education coordination for RCPs and nurses working in the interventional pulmonology arena.
• Participate in interventional pulmonology research or quality improvement projects with data collection/analysis.
• Outpatient clinic specialists:
• Provide respiratory care services to patients in the pulmonary function testing laboratory (PFT).
• Supervise quality of care and compliance in clinic setting.
• Educates outpatients as necessary including understanding disease processes, managing asthma, smoking cessation, home treatments, etc.
• Participates in community outreach and health projects.
• Participates in research quality improvement projects and data collection/analysis as needed. "

• These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
• Ability to adjust communications to fit the needs and level of understanding of the receiver.
• Ability to think critically, conduct analysis, formulate conclusions, and reflect on practice.
• Ability to process equipment and utilize personal protective equipment to reduce risk of infection.
• Understanding of commonly used medical terminology.
• Knowledge of new technologies, changes in practice, or updates relating to respiratory care.
• Knowledge of the principles of health, hospital, and clinic organization and administration.
• Knowledge of the indications, contraindications, and hazards of respiratory therapies, anatomy, physiology, and pathophysiology related to the cardiopulmonary system.
• Ability to provide superior customer service along with quality respiratory care to positively impact patient experience and outcomes.

• RCP - Licensed Respiratory Care Practitione in CA required .
• RRT - Registered Respiratory Therapist preferred .
• CRT - Certified Respiratory Therapist preferred .
• Current American Heart Association Certification for Basic Life Support for Healthcare Providers required .
• ACLS - Advanced Cardiac Life Support required .
• PALS - Pediatric Adv Life Supp required .
• NRP - Neonatal Resuscitation Program required .

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $49.45 - $65.93 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.