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Respiratory Care Practitioner II

Location Walnut Creek, California Job Number 984702 Date posted 09/28/2021
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Description:
Job Summary:


Under supervision of a physician experienced in respiratory care, in accordance with policies and procedures approved by the Medical Director, is expected to assume clinical responsibility for specific respiratory care modalities and to adjust or modify therapeutic techniques within well-defined procedures based on a limited range of patient responses.   Works under the general supervision of an administrative supervisor or at the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital.  Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment.  Standards of performance for the area to which the individual is assigned must be maintained.     Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients.     Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system.





Essential Responsibilities:



  • Selects Reviews, Obtains and Interprets Data:  



      • Reads and evaluates physicians orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and  cardiovascular monitoring data and performs assessment/data collection in systematic manner. Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interviewInterprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages. Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S,  spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring.
































                                      • Performs Diagnostic Modalities:


                                      • Performs procedures and interprets results:  


                                      • ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum duction. May perform EKGs. May place Holter monitor. May perform pulmonary function, and sleep diagnostic tests. May perform Exercise Stress Tests. May perform indirect calorimetry.  

                                      • Selects Assembles and Checks Equipment for Proper Function, Operation and Cleanliness:


                                      • Selects, assembles and checks equipment for cleanliness, proper function and safe operation. Ensures proper function and ready availability of respiratory related life support equipment. Troubleshoots and performs minor repairs of equipment. May perform Quality control procedures for blood analysis devices. May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment. Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment. Participates in routine departmental preventive maintenance program and performs basic repairs. Orders/stocks departmental supplies.  

                                      • Initiates, Conducts and Modifies Prescribed Therapeutic or Diagnostic Procedures:  


                                      • Operates all medical equipment within manufacturer and department guidelines to safely treat patients. Checks and adjusts alarmsObserves established safety and security procedures and protects patients from nosocomial infection. Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal  therapeutic outcome. Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, and/or achieve adequate ventilation and oxygenation. Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response. Documents all required information in the medical record according to departmental policy and procedure. Initiates pressure-cycled/volume-cycled/high frequency ventilation. Weans/modifies mechanical ventilation according to assessment and physician orders. Assists with or performs extubation. Conducts patient education and disease management. Performs cardiopulmonary resuscitation according to resuscitation guidelines. May assist with or perform intubation. May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and  intubation. May participate in land/air critical care transport. May assist with high risk deliveries. May assist with surfactant replacement in neonates. May participate in pulmonary rehabilitation, home care. May assist with discharge planning. May assist with community outreachMay initiate and implement therapist driven protocols.  

                                      • Supervision and Administration:  


                                      • May assign, organize and coordinate the work of assigned Respiratory Care Practitioners.  May demonstrate respiratory care procedures to trainees and other health care personnel  May train assigned practitioners and complete assigned practitioner competency reviews. Contributes to departmental quality improvement activities. May schedule staff and perform staffing functions. Assesses priorities for delivery of patient care and redistributes resources as necessary throughout shift. Protects data from intentional or unintentional destruction, modification, or disclosure. Maintains a current knowledge base of departmental information management systems, including collection,  maintenance, and dissemination of information, as well as appropriate audit trails. May develop policies and procedures, both clinical and administrative. May serve as Timekeeper for TIME system.  

                                      • Other Assessment Criteria:  


                                      • Complies with attendance and punctuality expectations and with meal and break schedules. Accurately documents time in/out in TIME keeping system or time card.  Maintains a professional appearance, displays professional conduct and ethical behavior. Participates in continuing education for professional development in Respiratory Care and related fields. May serve on hospital committees. May participate in professional organizations.

                                      • Supervisory Responsibilities:  


                                      • This job has no supervisory responsibilities.  


                                      • Competencies:  


                                      • To perform the job successfully, an individual should demonstrate the following competencies :  


                                      • Reading/Writing/Math:  


                                      • Reads patient charts and lab results, hospital and departmental policy and procedure manuals, technical manuals. Charts legibly in computerized charting system as well as manually on ventilator flow sheets and treatment records.  Performs basic computations, for example: calculate drug dosages, ventilator parameters, and staffing requirements.  

                                      • Job Knowledge:  


                                      • Demonstrates knowledge of current respiratory care modalities. Demonstrates knowledge and basic skill in the care of infants, pediatric and adult patients. Has basic knowledge of cardiopulmonary physiology and other sciences related to respiratory care. Has a thorough understanding of drugs used in respiratory care procedures. Has knowledge of equipment used in respiratory care procedures  Demonstrates advanced knowledge of fetal cardiopulmonary development, disease states specific to neonatal and pediatric patients, and special considerations in dealing with these patients prior to working in neonatal/pediatric intensive care units.

                                      • Time Management:


                                      • Works efficiently with minimal supervision. Organizes assigned work to complete all tasks and duties. Remains flexible to respond to unplanned demands on time and emergency situations.  Re-organizes and prioritizes, discriminating between essential and non-essential, recognizing the importance of providing for all essential patient care.  Problem Solving: Identifies problems in a timely manner; collects and analyzes information, using intuition and experience to complement data; guided by well-defined procedures, makes decisions and takes action.

                                      • Interpersonal Skills:  


                                      • Subject to stressful professional relationships. Understands the management of and displays an ability to control his or her own behavior and to influence the behavior of others. Contributes to building an effective multidisciplinary team; balances team and individual responsibilities.  

                                      • Communication Skills:


                                      • Speaks and understands English.  Able to effectively communicate technical ideas to both medical and lay, verbally and in writing. Listens and gets clarification to ensure that instructions and requests are fully understood.  Able to take direction in emergency situation, such as during a code. Gives complete verbal report, listens when receiving report from peers.  

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    • Grade: 755




Basic Qualifications:
Experience


  • At least three (3) years regular (20 hours of more per week) of recent experience as Respiratory Care.  At least one (1) year of clinical experience in the field of polysomnography preferred, may be required for this particular position. High School Diploma/GED. Graduate of an accredited respiratory care education program supported by CoARC or accredited by CAAHEP,  required, with 62 semester hours of college credit, including a background in the basic sciences, or baccalaureate degree in an area other than respiratory care or Associates of Arts or Science degree, preferred \n Licensed Respiratory Care Practitioner in the State of California \n Certification (CRT) from the National Board of Respiratory Care.  Respiratory Care Practitioners who received                  their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from obtaining their CRT credential. \n At least one year of recent critical care experience preferred, may be required for this particular position \n At least one year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular position. \n Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos. \n Ability to write simple correspondence  o Ability to speak and understand spoken English \n Ability to effectively present information in one-on-one and small group situations to customers, clients, and other                 employees of the organization.  Must be willing to work in a Labor Management Partnership environment. Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.


Education

  • High School Diploma/GED. Neonatal/Pediatric Specialist by the National Board preferred, but may be required for this particular position. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from obtaining their CRT credential. Licensed Respiratory Care Practitioner in the State of California. Depending on the particular specialty, ACLS, NRP or PALS may be required for this particular position.
License, Certification, Registration
  • Respiratory Therapist Certificate
  • Basic Life Support
  • Respiratory Care Practitioner License (California)
Additional Requirements:

Preferred Qualifications:

  • Keyboard skills preferred. At least one (1) year of recent critical care experience preferred, may be required for this particular position. At lease one (1) year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular position.
  • Graduate from a respiratory care education program supported by CoARC or accredited by CAAHEP, required, with 62 semester hours of college credit, including a background in the basic sciences, or baccalaureate degree in an area other than respiratory care or Associates of Arts or Science degree, preferred.
Primary Location: California,Walnut Creek,Walnut Creek Hospital Scheduled Weekly Hours: 1 Shift: Night Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun, *Variable. On Call NOCs Working Hours Start: 11:00 PM Working Hours End: 07:30 AM Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: A01|SEIU|United Healthworkers Job Level: Individual Contributor Department: Walnut Creek Hospital - Respiratory Therapy - 0201 Travel: No Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.