Registered Respiratory Therapist
Houston, TX
ABOUT THIS ROLE
<p>The Registered Respiratory Therapist (RRT) works independently providing respiratory care in both inpatient and/or outpatient settings. The incumbent must be able to use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met.</p><h3>Major Duties</h3><p>May perform emergency tracheal intubation. Is responsible for airway management during a cardiac or respiratory arrest. Assist with other aspects of CPR. Responds to Code Blue's (CPR) and RRT Rapid Response Team calls. Responds to all STAT calls regarding a patient's respiratory Status, making an assessment and providing emergency ventilatory and/or oxygenation support. In collaboration with the physician: Initiates mechanical ventilation, selecting the equipment and settings relative to the patients needs based on assessment of the patient and physician orders. This may also involve such modalities as high frequency ventilation, ASV, Close-Loop Ventilation, Advance & Hybrid Ventilation Modes and other state of the art modalities or techniques. Monitors mechanical ventilation via ABG results, chest auscultation, chest x-rays, bedside pulmonary functions, clinical observations and adjust parameters accordingly. Maintains the patient on mechanical ventilation providing periodic checks, appropriate troubleshooting and equipment maintenance. Removes patient from mechanical ventilation using appropriate monitoring and weaning techniques to determine the patient's ability to breathe spontaneously. Airway management responsibilities to include suctioning, securing the airway, and other hygiene functions are shared with nursing personnel. Other therapies include: Suctioning-nasotracheal and endotracheal Chest physiotherapy, VEST Therapy Administration of aerosolized pharmacological agents Assistance with the selection, placement, monitoring, cuff integrity and subsequent change of both endotracheal and tracheostomy tubes. Administers and monitors oxygen to include High Flow Oxygen per policy and procedure manual. Initiates hyperinflation therapies to include, but not limited to, acapella, incentive spirometry or other PAP therapies in accordance to physician's orders or protocol. Performs Beside spirometry, ABG's, pulmonary mechanics, assists beside bronchoscope, sputum inductions, and HO2 set ups and education and needed. Performs arterial blood gas punctures (radial/brachial, and femoral sticks with physician approval), analysis and report results, particularly critical values to physician and or primary nurse and may assist in the placement or drawing from indwelling arterial lines with proper certification and competencies. Monitors/measures lung parameters such as (vital capacity, tidal volumes, negative inspiratory force, etc.) and recommends various forms of weaning procedures to the Attending Physician and house staff physician upon patient's critical status. Work Schedule: Monday - Friday: 6:45pm to 7:15am and 10:45pm to 7:15am, alternating weekends, subject to change based on the needs of the facility. Telework: Not AvailableVirtual: This is not a virtual position. Functional Statement #: 580-02382F, 580-02381F, 580-02380F, 580-00450F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized</p><h3>Requirements</h3>You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement. As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: your performance and conduct; the needs and interests of the agency; whether your continued employment would advance organizational goals of the agency or the Government; and whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.<h3>Education</h3>Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.