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Registered Respiratory Therapist (RRT) - Nights

St. David's Georgetown Hospital is part of St. David's HealthCare , one of the largest health systems in Texas, which was recognized with a Malcolm Baldrige National Quality Award in 2014. St. David's Georgetown Hospital offers a range of services, including a 24-hour emergency department with a level IV trauma center; Certified Primary Stroke Center; Certified Chest Pain Center; inpatient and outpatient surgery; advanced pulmonary intervention; critical care capabilities; acute inpatient and outpatient rehabilitation; and maternity and newborn services with mother-baby couplet care close to home for Georgetown families. In conjunction with its parent campus, St. David's Medical Center , Healthgrades awarded St. David's Georgetown Hospital the 2016 America's 100 Best Hospitals Award™, 2016 Patient Safety Excellence Award™ and the 2016 Outstanding Patient Experience Award™-a unique trio of awards that only three hospitals in the nation were able to achieve-as well as the 2016 Distinguished Hospital Award for Clinical Excellence. Additionally, St. David's Georgetown Hospital was named to the list of 100 Top Hospitals by Truven Health Analytics for four years in conjunction with its parent campus, and the facility earned a national distinction for patient safety from The Leapfrog Group from 2012 to 2016.
The Registered Respiratory Therapist (RRT) administers respiratory care to patients as ordered by the attending physician. Conducts diagnostic procedures to evaluate the need for, and response to, therapy.
ESSENTIAL JOB RESPONSIBILITIES
Initiates, monitors and maintains mechanically ventilated patients

  • Assists with placement of artificial airways (High Risk/High Volume).

  • Performs and documents patient assessment including but not limited to breath sounds, airway patency and cuff pressure at least once per shift (High Risk/Low Volume).

  • Verifies and documents ventilator function and patient status q2h minimum (High Risk/High Volume).

  • Assists with transportation of ventilator-dependent patients (High Risk/Low Volume).

  • Assists at deliveries as requested for neonatal resuscitation and/or stabilization (High Risk/ Low Volume)

  • Monitors ECMO as appropriate.


Administers and monitors respiratory care treatments

  • Administers therapy according to established departmental policy (High Risk/High Volume)

  • Evaluates patient within 2 hours of notification of respiratory therapy orders and initiates as stated (High Risk/Low Volume)

  • Instructs patient and family members in proper methods of respiratory therapy

  • At end of shift, assures assigned areas are stocked as required

  • Responds promptly to treatment needs in Emergency Department (High Risk/High Volume)

  • Responds immediately to Dr. Leo codes and correctly manages the airway and external compressions (High Risk/Low Volume)

  • Responds immediately to all emergent patient situations including but not limited to Rapid Response, Stroke Alert, Stemi Alert and Trauma Alert.

  • Promptly sets up oxygen new starts per department policy (High Risk/High Volume)

  • Follows established hospital and departmental infection control policies


Records pertinent information in patient's medical record

  • Accurately documents all respiratory care interventions during assigned shift

  • Documents patient and family education

  • Maintains up-to-date departmental records

  • Enters charges per shift for services performed/provided

  • Provides oncoming shift with current and accurate patient report


Performs noninvasive and invasive diagnostic tests and monitoring

  • Performs arterial blood gas sampling and analyses and communicates ""critical"" values immediately per department policy (High Risk/High Volume).

  • Performs pulmonary function tests ordered in pulmonary function laboratory and reports tests within 3 hours.

  • Performs beside spirometry and accurately records results.

  • Performs peak flow, inspiratory and expiratory force, vital capacity measurements and accurately records results.

  • Monitors pulse oximetry, transcutaneous C02 and end-tidal C0P2 levels.

  • Performs EKGs as ordered (High Risk/Low Volume).

  • Monitors ECMO.


Performs cleaning, preventive maintenance and calibration of RC equipment as required

  • Cleans, assembles, verifies function of ventilators and documents same prior to patient use (High Risk/Low Volume).

  • Cleans, calibrates and maintains PFT equipment per manufacturing specifications and department policy.

  • Perform arterial blood gas instrumentation calibration and maintenance per CAP requirements.

  • Calibrates and troubleshoots TCM and oxygen analyzers.


Functions as respiratory care protocol assessor

  • Assesses patient per physician-approved criteria (RCP) within 1 hour of receipt of order and documents same (High Risk/Low Volume).

  • Writes correct therapy orders based on accurate triage score in physician's order sheet under ""RCP"" (High Risk/Low Volume).

  • Delivers initial therapies as ordered (High Risk/Low Volume).

  • Reassesses patient within established time frame, changing therapy as indicated and documents same (High Risk/Low Volume).

  • Conveys all RCP therapies - initial and changes - to appropriate staff members and documents same in departmental records (High Risk/Low Volume).


Qualifications:
EDUCATION AND EXPERIENCE
Required: Sufficient college credits to qualify for registry exam or Graduate of AMA approved Respiratory Therapist program required.
Preferred: Acute Care Hospital experience preferred
LICENSES AND CERTIFICATES
Required: Registered Respiratory Therapist credential by the National Board for Respiratory Care (NBRC). Current Texas Respiratory Care Practitioner license. Current certification as BCLS Provider .
Preferred: NRP. ACLS.
Company Description:

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA.




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