The Long Beach VA Health Care System is currently recruiting two (2) Registered Respiratory Therapist positions in Medical HCG in Long Beach, CA. Incumbent participates in complex decision-making processes that are related to direct and indirect patient care in both inpatient and outpatient setting. Major Duties: Maintain Basic Life Support (BLS) certified and Advanced Cardiac Life Support (ACLS) certifications. Promptly respond to all STAT pages regarding a patient's cardio-pulmonary status, making an assessment of and providing emergency ventilation and /or oxygenation support for patients as needed. Promptly responds to cardiac/respiratory arrest, provides emergency airway management and assists in CPR. Assist in endotracheal tube insertion and securing of tube placement. Assess airway patency, including auscultation of the lung field and documentation of findings. Assess and document the ventilatory status of the patient and provide assistance in determining the course of care. Provide and monitor delivery of inhaled medication as directed and prescribed by a physician. Provide and monitor delivery of oxygen administration as ordered and directed by a physician. Provide and monitor all modes of invasive and noninvasive mechanical ventilation as ordered and directed by a physician. Perform, monitor, and document physician order changing the modes of ventilation, oxygen concentration, positive end expiratory pressure, pressure support, peak flow, sensitivity, inspiratory pressure, expiratory pressures, respiratory mechanics and alarm settings on all mechanical ventilatory devices. Monitor and document per physician orders static and dynamic compliance, airway resistance, rapid shallow breathing index, pressure/volume/flow graphics or other available data to enhance ventilator and/or artificial airway weaning. Provide and document artificial airway maintenance and care to ensure a mechanism to prevent nosocomial infections. Provide and document airway clearance by either endotracheal, tracheal or nasotracheal suctioning utilizing strict infection control measures at all times. Provide input and assistance in changing or downsizing of tracheotomy tubes per a physician order. Assure preventive measures are taken and are documented to decrease Hospital Acquired Pressure Incidents with endotracheal tubes or masks. Provide and document chest physiotherapy as directed by a physician. Perform and document arterial punctures to obtain arterial blood gas samples for analysis per the Joint Commission standards, Clinical Laboratory Improvement Amendments (CLIA) regulations. Perform arterial blood gas analysis. Perform diagnostic testing procedures to include but not limited to bedside spirometery, nocturnal oximetry and oxygen therapy assessments, 6- minute walk test, wrist oximetry and home sleep studies within facility. Provide assistance and documentation of therapeutic bronchoscopy procedures and bronchoscopy visualized intubations. Provide patient and/or family education related to disease process, disease prevention, home equipment or supplemental oxygen use, resuscitation equipment and other questions or concerns that fall within the knowledge realm of a credentialed respiratory therapist. Ensure that medication and equipment supply levels are monitored and adequate to provide patient care delivery twenty-four hours a day. Clean, assemble and perform any diagnostic testing and or quality control on all equipment immediately following discontinuation of patient use according to manufactures recommendations. Review on an annual basis, as new changes are provided, or policies are updated the departments Policy and Procedure Manual. Work Schedule: Full-time, Swing Shift Telework: Not Available Virtual: This is not a virtual position. Position Title/Functional Statement #:Regist Respiratory Therp/PD000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.