Job Summary:

　　Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or 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 interview

　　Interprets 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, nonivsasive 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 induction

　　May perform EKGs

　　May place Holter monitor

　　May perform pumonary function, and sleep diagnostic tests

　　May perform Exercise Stress Tests

　　May perform indirect calorimetry

　　Selects Assembles and Check 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 Therapeuti or Diagnostic Procedures:

　　Operates all medical equipment within manufacturer and department guidelines to safely treat patients

　　Checks and adjusts alarms

　　Observes 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 maitain a patent airway, remove bonchopulmonary 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 rehabilitaiton, home care

　　May assist with discharge planning

　　May assist with community outreach

　　May 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 helath care personnel

　　May train assigned practioners 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 throught 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 ehtical behavior

　　Participates in continuing education for professional development in Respiratory Care and related fields

　　May serve on hospital committees

　　May participate in professional organizations

　　This job has no supervisory responsibilities

　　Grade 750

　　Basic Qualifications:

　　Experience

　　Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos.

　　Ability to write simple correspondence

　　Ability to speak and understand spoken English

　　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 or General Education Equivalent(GED) required.

　　License, Certification, Registration

　　Respiratory Care Practitioner License (California)

　　Registered Respiratory Therapist Certificate

　　Basic Life Support

　　Additional Requirements:

　　Depending on the particular specialty, ACLS, NRP or PALS may be required for this position.

　　Preferred Qualifications:

　　Keyboard skills preferred. At least one year of recent critical care experience preferred, may be required for this particular position. At least one year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular position.

　　Registered by the National Board for Respiratory Care. Certified or Registered Pulmonary Function Technologist by the National Board for Respiratory Care preferred, may be required for this particular position.

　　Registered by the Board of Registered Polysomnographic Technologists preferred, may be required for this particular position. Neonatal/Pediatric Specialist by the National Board preferred, 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.

　　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 a baccalaureate degree in an area other than respiratory care or Associates of Arts of Science degree, preferred. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from this educational requirement.

　　COMPANY: KAISER

　　TITLE: Respiratory Care Practitioner I Registered, Oncall, Day

　　LOCATION: Redwood City, California

　　REQNUMBER: 1236056

　　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, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.