Respiratory Care Practitioner - Supplemental B NICU

Under general supervision, performs respiratory care related procedures in the NICU setting. Assesses patient condition, administers prescribed therapy and aerosolized medications, provides airway and ventilator management, performs respiratory related diagnostic tests, and records patient response to therapy modalities.

EducationCompletion of an approved and accredited respiratory programExperience2 years of clinical practice experience under general medical direction in a level

III NICU

settingKnowledge, Skills and Abilities Knowledge of respiratory therapy theory, practice and techniques Specific to the NICU settingProficiency in using computers and a variety of personal productivity applicationsProficiency in oral and written communicationProficiency in providing customer serviceKnowledge of laboratory and regulatory requirements relating to patient careRespiratory Care Staff have completed an accredited program in respiratory care and are licensed to practice respiratory care by the MD Board of Physician Quality Assurance. Staff are deemed proficient in respiratory care procedures on initial orientation in all modalities, and are overseen by a team consisting of a Respiratory Care Senior Manager, RT Assistant Manager, Medical Director, Laboratory Director, and a Neonatology Division headLicensures, CertificationsCurrent Maryland license as a respiratory care practitionerHealthcare Provider (CPR Certification)Neonatal Resuscitation for NICU (NRP) respiratory care practitionersPrincipal Duties and ResponsibilitiesAssesses oxygenation and recommends/initiates, administers, evaluates, and documents response to oxygen therapy, medical gas therapies including Heliox, High flow oxygen therapy, Nitric Oxide (NICU)Assesses need for, recommends/initiates, administers and evaluates/documents response to inhaled medications by assessing response to inhaled medications, follows appropriate procedures and protocols for medication reconciliation and patient identification as guided by clinical practice, and records and communicated missed medications. Ads to the Bronchodilator/Common Cannister protocol and progresses patients to MDI therapy. Scans all medications. Calls physician to obtain appropriate changes to medication ordersAssesses need for, recommends/initiates, administers and evaluates/documents response to therapies directed toward secretion mobilization and airway clearance by performing endotracheal suctioning, assessing response to chest physiotherapy (cough and breathing retraining, PEP therapy, postural drainage and percussion) and expansion therapies (Incentive Spirometry)Performs safe and effective cardiopulmonary resuscitation, including airway management techniques. Maintains all airway management competencies including Endotracheal intubation. Attends as assigned mock codesAssesses need for, recommends/initiates, sets-up/maintains and evaluates/documents response to mechanical ventilation, ventilator and weaning protocols, routine airway care, appropriate clinical alarm limits and documentation. Performs wake up and wean screens daily. Maintains Blood Gas Lab/C.A.P. standards for clinical laboratoriesRecommends, performs, and interprets diagnostic tests including FVC/NIF, portable spirometry, continuous pulse oximetry, overnight pulse oximetry, end-tidal CO2 monitoring per protocol and/or when ordered, transcutaneous monitoring in NICU, and laboratory testsInstructs patient, family, and significant others in the rationale and methodology or respiratory care procedures to facilitate patient/family cooperation, understanding and efficacy of care, including reassessment of care. Documents daily patient education, re-evaluations. Assesses prn medications for needPerforms the following support activities: decontaminates and sets and up equipment, provides equipment and cylinders when requested, secures rental equipment appropriately, daily oxygen rounds, troubleshooting and appropriate labeling of malfunctioning equipment, communicates opportunity for rental equipment returnWhen assigned to the NICU and is able to demonstrate competence, performs the following duties: neonatal resuscitation; sets up, manages, and troubleshoots high frequency oscillatory ventilation, neonatal mechanical ventilation and CPAP devices; Assesses, initiates/recommends, administers, and evaluates response to nebulized medications, administers surfactant, oxygen therapy, chest physiotherapy, endotracheal suctioning, arterial, capillary, and cord blood gases; Sets up and monitors ventilator humidification systems; recommends/sets up Transcutaneous monitor w appropriateDocuments on Pediatric Asthma Pathway and all Information Systems and paper documents accurately and completely. Communicates and documents functional concerns to the Help Desk and to relief therapist. Documents according to regulatory blood gas lab requirements. Relays accurate information to oncoming shift. Maintains patient orders, transitions therapies, and maintains work assignments accurately, responsibly and fairly among staffMaintains and completes competencies in a timely fashion. Applies Bronchodilator Protocol, Wake up and Wean and Common Cannister protocols consistently. Interprets patient care in accordance with these protocolsPhysical RequirementsAble to withstand prolonged periods of mental stress and strainPulling up to150 lbsLifting up to 150 lbsCarrying up to 50-75 lbsPushing up to 250 lbsStanding, walking, sitting, stoopingWorking ConditionsSome exposure to noise and/or vibrations; hazards (mechanical, radiant energy); biohazardous materials, burns, electrical, other; fumes, poor ventilation, mists, dust, odors, gas; moving machineryConditions of EmploymentMaintain current certification and licensure.

N-95 Fit TestingAd to stipulations outlined in the Supplemental pool contractAll roles must demonstrate GBMC ValuesGBMC ValuesValue DescriptionRespectI will treat everyone with courtesy. I will foster a healing environment.

Treats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others' needs, feelings, and capabilitiesExcellenceI will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

Meets and/or exceeds customer expectationsActively pursues learning and self-developmentPays attention to detail; follows throughAccountabilityI will be professional in the way I act, look and speak. I will take ownership to solve problems.

Sets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on timeTeamworkI will be engaged and collaborative. I will keep people informed.

Works cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of othersEthical BehaviorI will always act with honest... Visit the Employer site for more details