RRT (RCP II) in Mission, TX at Prime Healthcare

Date Posted: 5/14/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    900 South Bryan Road
    Mission, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    5/14/2020

Job Description

Overview
JOB DESCRIPTION 0 EVALUATION FORM 0
POSITION TITLE: RESPIRATORY CARE PRACTITIONER - II
DEPARTMENT: CARDIOPULMONARY
REPORTS TO: DIRECTOR / MANAGERSUPERVISION GIVEN: NONE
EMPLOYEE NAME:
EVALUATION PERIOD: _______________ EVALUATION DUE: _______________
The following statements are intended to describe the major elements and requirements of the position and should not be taken as an all-inclusive list of responsibilities, duties, and skills required of individuals assigned to this job.
JOB SUMMARY: Under the direction and authorization of the medical director and cardiopulmonary director, the RCP II is responsible for performing respiratory therapeutic and pulmonary diagnostic procedures as ordered by the physician. Emphasis will be toward the assessment, planning, implementation and documentation of care, with consideration of age and population specific needs and requirements of the patient. In the absence of a supervisor, may be assigned/identified as Lead RCP, having responsibility for the section or department during their shift.
 
AGE-SPECIFIC COMPETENCIES
Employees working in this capacity must meet age-specific competencies related to the following categories: Χ Neonate/Infant: Birth \u2013 12 months Χ Child / Pediatric: 1 \u2013 12 yearsΧ Adolescent: 13-17 years Χ Adult: 18 \u2013 64 years Χ Geriatric: 65 and over
EDUCATION, EXPERIENCE, TRAINING
1. State Respiratory Care Practitioner (RCP) License required2. Current BCLS (AHA) certificate upon hire and maintain current.3. Registered Respiratory Therapist (RRT) certification from the National Board of Respiratory Care (NBRC) required4. 2 years experience as an RCP preferred.5. ACLS certificate within 60 day of hire and maintain current.6. NRP certificate preferred 7. PALS certificate within 60 days of hire and maintain current.8. Associate Degree or Bachelor of Science degree required. If there is no Associate Degree or Bachelor of Science Degree, a high school diploma or equivalent is required
 
 
 
 
 
 
 
 
 
 
 
 
PERFORMANCE EVALUATION INSTRUCTIONS: SCORE EACH CATEGORY BASED ON THE FOLLOWING CRITERIA:3 MEETS AND EXCEEDS ALL STANDARDS 2 MEETS ALL STANDARDS 1 MEETS SOME STANDARDS -SOME IMPROVEMENT NEEDED 0 IMPROVEMENT NEEDED***NOTE: Please refer to "Position
Responsibilities

and Evaluation Ratings" for more detailed information about the ratings.METHOD: (O) OBSERVATION (D) DEMONSTRATION (V) VERBALIZED
SECTION I: PERFORMANCE ACCOUNTABILITY
A. KNOWLEDGE OF WORKRATING1. Competently performs clinical and physiological assessment of patients as related to the cardiopulmonary system for all ages served. Is able to integrate data and act as a consultant to the medical staff for optimizing respiratory therapy.
2. Evaluates patient response to therapy, including pain, and identifies the need for further assessment and/or revise the need for respiratory therapy. Initiates appropriate nurse and physician contact for intervention if needed. (age specific) 3. Knowledgeable of directives involving "No Code" policy. 4. Knowledgeable in the procedure for obtaining arterial blood specimens for blood gas analysis and understands the possible complications and contraindications associated with the procedure. 5. Demonstrates knowledge and understanding of the differences in techniques and treatment modalities as performed on patients of varying ages (age specific). 6. Demonstrates knowledge and understanding of oxygen concentrations and medication doses as they relate to patients of varying ages (age specific). 7. Verbalizes an accurate knowledge of P&Ps regarding response times to QH, QID, TID, BID, NOW, ASAP, STAT, ER, ICU, L&D, Code Blue and Code Pink responses. 8. Demonstrates ability to assess patient, his/her needs, and ability to tolerate treatment and reassessment for response to treatment.
B. DUTIES AND RESPONSIBILITIESRATING1. Demonstrates accurate administration of respiratory medications; verbalizes knowledge of restrictions/precautions that apply to medication administration; recognizes generic/trade drug names. 2. Sets up and monitors mechanical ventilators and the associated critical care duties needed for such treatment, such as airway management and tracheal suctioning. 3. Consults with other healthcare providers to formulate a teaching plan based on identified learning needs of a patient and evaluates effectiveness of learning; includes patient's family in the teaching as appropriate. 4. Coordinates and directs patient care to ensure patients' needs are met and that hospital policy is followed. Treats patients and their families with respect and dignity. 5. Performs all aspects of direct patient care in an environment that optimizes patient safety. 6. Performs EKGs utilizing proper electrode placement, performs mechanical/tracing troubleshooting and recognizes severely abnormal results for physician notification, sends reports to physicians who requested them and files reports in department according to department procedures. (age specific) 7. Demonstrates competency to perform IPPB or alternative modes (EZPAP) using mouth seal & mouthpiece therapy; knowledge of indications, contraindications and hazards of therapy (age-specific). 8. Performs Allens test properly and indicates its purpose; performs safe sample analysis (age-specific). 9. Demonstrates competency to perform free-flow nebulizer therapy using mask, mouthpiece, and blow-by/mask for infants; knowledge of indications, contraindications and hazards of therapy (age-specific). 10. Demonstrates competency to perform metered-dose inhaler (MDI) therapy using spacer devices, proper instruction for patient use, knowledge of indications, contraindications and hazards of therapy; knowledge of drug interactions with same-drug liquid doses (age-specific), contraindications and hazards of therapy (age- specific). 11. Demonstrates competency to properly instruct patient on Incentive Spirometry exercises, optimizing patient under- standing and compliance to perform on own, knowledge to utilize alternative methods (EZPAP) for non-compliance or ineffective outcomes; knowledge of indications, contraindications and hazards of therapy (age-specific). 12. Demonstrates competency to properly administer oxygen therapy via nasal cannula, simple mask, venturi-mask, non/partial rebreather mask, high-flow and humidifier setups, Bird blenders for infant hoods, portable oxygen tank use, use of flowmeters, flowmeters with power take-off, oxygen regulators; knowledge of indications, contra- indications, hazards and optimal titration practices (age-specific). 13. Demonstrates competency to properly administer aerosol therapy via large volume nebulizer, instructions and education to patient and/or parents; knowledge on indications, contraindications, hazards of therapy and optimal titration practices (age-specific). 14. Demonstrates competency in safe and proper performance of sputum induction; knowledge of tonicity of saline used; knowledge of indications, contraindications and hazards of procedure; knowledge of proper sample handling to Clinical Laboratory and required requisitions/paperwork/documentation (age-specific). 15. Demonstrates competency to perform unit specific ventilator/ventilation management setup, Operation Verification Procedure (OVP) and safe and proper use; competency in ventilator weaning techniques and parameter interpretation (age- specific). 16. Demonstrates competency in safe and proper performance of suctioning (tracheal, nasotracheal, orotracheal); safe and proper use of suction catheters; knowledge of indications, contraindications and hazards; knowledge to Clinical Laboratory and required requisitions/paperwork/documentation (age-specific). 17. Demonstrates competency in airway management of endotracheal tubes, tracheostomy tubes, ETT/trach care, ETT taping/re-taping/repositioning; knowledge to identify skin integrity changes with ETT/trach tubes; knowledge of indications, contraindications and hazards of airway maintenance (age-specific). 18. Demonstrates competency to assist with endotracheal intubation; setup of intubation tray and supplies; verification of tube cuff competency; cricoid pressure, proper tube placement and tube securement; knowledge of indications, contraindications and hazards (age-specific). 19. Demonstrates competency in safe patient transfers and transports (internal, external); checks necessary equipment on crash carts, resuscitation bag, oxygen cylinder pressures. 20. Demonstrates competency operating department’s blood gas analyzers, knowledge on calibration, trouble- shooting, preventive maintenance and quality control analysis; knowledge of panic values and immediate notification to physician (age-specific). 21. Demonstrates competency to setup pulse oximeters, rapid correlation and interpretation of oximetry values, setup of all alarm parameters; troubleshooting interventions and what appropriate action to take for abnormal values (age-specific). 22. Demonstrates ability to recognize normal and abnormal signs of growth in the newborn to geriatric patient and the ability to act on abnormal findings (age-specific). 23. Follow’s hospital and departmental infection control policies and procedures. 24. Documents all pertinent data on the patient’s medical record following completion of any service. 25. Competent in performing employee and patient skin testing and measurement of skin test results. Provides accurate documentation of test results according to department procedure. 26. Competently assists with bronchoscopy and laryngoscopy procedures, including equipment / supply set up, patient preparation, monitoring of the patient, laboratory specimen processing, cleaning of equipment, leakage testing of scopes. Knowledgeable of radiologic concerns for fluoroscopy procedures. 27. Performs transcutaneous oxygen studies, including maintenance and calibration of electrodes, obtains optimum measurement of selected sites. 28. Attends and maintains mandatory training in safe patient handling, trained in safe lifting techniques, includes but not limited to 1. Appropriate use of lifting devices and equipment, 2. Five areas of body exposure: vertical, lateral, bariatric repositioning and ambulation 3. Use of lifting devices to handle patients safely. 29. Performs other duties as assigned or required.
C. INITIATIVE AND JUDGMENT/ATTENDANCE AND RELIABILITYRATING1. Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet them. 2. Recognizes and responds to priorities, accepts changes and new ideas. Has insight into problems and the ability to develop workable alternatives. 3. Accepts constructive criticism in a positive manner. 4. Adheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardiness. 5. Uses time effectively and constructively. Does not abuse supplies, equipment, and service. 6. Observes all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies).
SECTION II: SERVICE EXCELLENCE RATING1. Patient-Centered: Respectful of and responds to patients preferences, values and needs 2. Accountability & Customer Focused: Participates actively and positively affects the outcomes of customer service activities 3. Teamwork & Communication: Is a team player and communicates effectively at all levels 4. Privacy & Safety: Follow and abide by all privacy (HIPAA) regulations regarding patient information 5. Attitude & Respect: Being sensitive to customer/co-worker emotions, thoughts, and feelings by being culturally aware of their preferences and cultural norms in a courteous and professional manner
SECTION III: CONTINUOUS QUALITY IMPROVEMENT
A. CORPORATE INTEGRITY RATING1. Understands and abides by all departmental policies and procedures and is knowledgeable and complies with federal, state, and local laws that govern business practices as well as all accreditation standards that apply to the position. 2. Conducts business in an ethical and trustworthy manner at all times.
B. EDUCATION AND ENVIRONMENT OF CARE RATING1. Attends scheduled in-service and mandatory in-service. Communicates ideas to supervisor for a safer layout of equipment, tools, and/or processes. 2. Follows standard precautions and transmission based precautions. 3. Adheres to procedure for proper disposal of medical sharps, pharmaceutical and medical waste per hospital policy. 4. Is knowledgeable in the hospital safety program and takes necessary steps to maintain a safe environment. Adheres to safe work practices in order to prevent injuries and illnesses. 5. Is familiar with emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes
C. CONTINUOUS QUALITY IMPROVEMENTRATING1. Active participant in Continuous Quality Improvement program by assisting in finding new and better ways of performing duties and responsibilities. 2. Understands performance improvement concepts and demonstrates understanding by:a) Defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting. b) Able to verbalize at least one departmental or hospital wide improvement initiative that has occurred within the last 12 months.
 
 
 
POSITION TITLE: RCP II DEPARTMENT: CardiopulmonaryInstructions: The frequency indicated reflects the requirements for normal working hours. Please indicate (X) the essential physical requirements for this position. Reasonable accommodations will be made as necessary.
PHYSICAL REQUIREMENTSA. SITTING: I. WRIST DEVIATION (SIDE TO SIDE):1. Never (0 hours) 01. Never (0 hours) 0
2. Occasionally (< 3 hours daily) 12. Occasionally (< 3 hours daily) 0
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 1
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
B. STANDING: J. HAND/WRIST REPETITIONS (UP AND DOWN):1. Never (0 hours) 01. Never (0 hours) 0
2. Occasionally (< 3 hours daily) 02. Occasionally (< 3 hours daily) 1
3. Frequently (3-6 hours daily) 13. Frequently (3-6 hours daily) 0
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
C. WALKING: K. REACHING:1. Never (0 hours ) 01. Never (0 hours) 0
2. Occasionally (< 3 hours daily) 02. Occasionally (< 3 hours daily) 0
3. Frequently (3-6 hours daily) 13. Frequently (3-6 hours daily) 1
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
D. LIFTS AND CARRIES: FREQUENCY:2. 11 to 24 pounds 0Never 1Occasionally 0Frequently 0Constantly3. 25 to 34 pounds 0Never 1Occasionally 0Frequently 0Constantly4. 35 to 50 pounds 1Never 0Occasionally 0Frequently 0Constantly5. 51 to 74 pounds 1Never 0Occasionally 0Frequently 0Constantly6. 75 to 100 pounds 1Never 0Occasionally 0Frequently 0Constantly7. Over 100 pounds 1Never 0Occasionally 0Frequently 0ConstantlyE. LIFTS OVERHEAD: FREQUENCY:1. < 10 pounds 0Never 1Occasionally 0Frequently 0Constantly2. 11 to 24 pounds 0Never 1Occasionally 0Frequently 0Constantly3. 25 to 34 pounds 1Never 0Occasionally 0Frequently 0Constantly4. 35 to 50 pounds 1Never 0Occasionally 0Frequently 0Constantly5. 51 to 74 pounds 1Never 0Occasionally 0Frequently 0Constantly6. 75 to 100 pounds 1Never 0Occasionally 0Frequently 0Constantly7. Over 100 pounds 1Never 0Occasionally 0Frequently 0ConstantlyF. TWISTING: L. GRASPING:1. Never (0 hours ) 01. Never (0 hours ) 0
2. Occasionally (< 3 hours daily) 12. Occasionally (< 3 hours daily) 0
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 1
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
G. BENDING: M. PULLING:1. Never (0 hours ) 01. Never (0 hours ) 0
2. Occasionally (< 3 hours daily) 02. Occasionally (< 3 hours daily) 1
3. Frequently (3-6 hours daily) 13. Frequently (3-6 hours daily) 0
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
H. SQUATTING/KNEELING/CRAWLING/CLIMBING: N. PUSHING:1. Never (0 hours ) 01. Never (0 hours ) 0
2. Occasionally (< 3 hours daily) 12. Occasionally (< 3 hours daily) 1
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 0
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
 
PHYSICAL REQUIREMENTS cont.O. GROSS MOTOR MOVEMENTS: Q. FINE MOTOR MOVEMENTS:1. Never (0 hours) 01. Never (0 hours) 0
2. Occasionally (< 3 hours daily) 12. Occasionally (< 3 hours daily) 0
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 1
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
VISUAL REQUIREMENTS HEARINGP. VISUAL REQUIREMENTS: R. HEARING REQUIREMENTS:1. Close eye work (small figures) 11. Special requirements (please 0
2. Color discrimination 0specify) - Minimal color discrimination 0- Normal color discrimination 13. Other 0WORKING CONDITIONSS. TEMPERATURE: X. NON-IONIZING RADIATION (WELDING FLASH MICROWAVES, SUN, ETC.):1. < 15 Degrees Fahrenheit 01. Never (0 hours) 1
2. Between 16 and 95 degrees 12. Occasionally (< 3 hours daily) 0
3. > 95 degrees 03. Frequently (3-6 hours daily) 0
4. Constantly (> 6-8 hours daily) 0
T. ELEVATIONS: Y. IONIZING RADIATION (X-RAY, RADIOACTIVE ISOTOPES):1. Work < 5 feet above ground 11. Never (0 hours ) 0
2. Work 5 \u2013 9 feet above ground 02. Occasionally (< 3 hours daily) 1
3. Work 10 \u2013 15 feet above ground 03. Frequently (3-6 hours daily) 0
4. Work > 15 feet above ground 04. Constantly (> 6-8 hours daily) 0
U. CRAWL SPACE/CRAMPED POSITION: Z. NOISE (LOUD/REPETITIVE, <85 DECIBELS PER OSHA STANDARD):1. Never (0 hours ) 11. Never (0 hours ) 0
2. Occasionally (< 3 hours daily) 02. Occasionally (< 3 hours daily) 1
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 0
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
V. HAZARDOUS EXPOSURE (CHEMICAL {E.G. LATEX} & INFECTIONS): Z1. PERSONAL PROTECTIVE EQUIPMENT (E.G. RESPIRATORY MASK, ETC.):1. Never (0 hours ) 01. Never (0 hours ) 0
2. Occasionally (< 3 hours daily) 12. Occasionally (< 3 hours daily) 0
3. Frequently (3-6 hours daily) 03. Frequently (3-6 hours daily) 1
4. Constantly (> 6-8 hours daily) 04. Constantly (> 6-8 hours daily) 0
W. SQUATTING/KNEELING/CRAWLING/CLIMBING: 1. Never (0 hours ) 02. Occasionally ( 6-8 hours daily) 0
 
 
 
 
 
EQUIPMENT THAT MAY BE USED TO PERFORM JOB:Telephones Calculator Telephones Copy MachinePayroll System FAX Machines Computer/Laptop Pager SystemOther: Specify
OSHA BLOODBORNE PATHOGENS CATEGORY CLASSIFICATION
I ________________________________________ understand that the duties that are required of me in my job position places me in a Category:
0 Priority A (Frequent Exposure) 0 Priority B (Occasional Exposure)0 Priority C (No Anticipated Exposure)
SIGNATURE ACKNOWLEDGES RECEIPT AND UNDERSTANDING OF THE JOB DESCRIPTION. UNDERSTANDS THE JOB REQUIREMENTS AND CAN PERFORM THE MINIMUM REQUIREMENTS AND ESSENTIAL FUNTIONS OF THIS POSITION. I have received education and training relative to this OSHA category classification and understand the requirements that will be expected of me in order to complete the above-mentioned duties.
Employee's Signature:Date:
Supervisor's Signature:Date:
 
 
 
 
 
 
 
 
 
 
 
 
POSITION RESPONSIBILITIES AND EVALUATION RATINGS
Indicators of Performance Level3 Exceptional \u2013 Meets and Exceeds All Standards Performance of this caliber is extremely rare. It is a rating that should be reserved for those who clearly and consistently demonstrate extraordinary and exceptional accomplishments in all major areas of responsibility. Employees who perform at this level are easily recognized by their peers as well as others outside their own group and as well as those in related areas. It is a level of performance that is seldom equaled by others who hold positions of comparable scope and responsibility.2 Meets All Standards This rating should be assigned to those whose demonstrated performance clearly meets all the requirements of the position in terms of quality and quantity of output. It is performance normally expected of those who have the necessary education, training and relevant experience to enable them to effectively perform in a consistently reliable and professional manner. Although minor deviations may occasionally occur, the overall level of performance meets or may slightly exceed major job duties1 Meets Some Standards \u2013 Needs Improvement This is a performance level that does not fully meet job requirements in all areas of major responsibilities. The individual may demonstrate the ability to complete most assignments; however, the need for further development and improvement is clearly recognized. This individual needs coaching and counseling to fully meet the requirements of the position. The employee is approaching meeting the expectations, but may be a new employee and not fully expected to meet all job requirements at this time.0 Immediate Improvement Needed This is a performance level that does not meet job requirements in all areas of major responsibilities. The individual may demonstrate the ability to complete some assignments; however, the need for immediate development and improvement is clearly recognized. This individual needs constant coaching and counseling to fully meet the requirements of the position. This category describes a level of performance, which should significantly improve within a reasonable period if the individual is to remain in the position.PERFORMANCE EVALUATION SUMMARY REPORT
 
CATEGORY NUMBER OF COMPONENTSCATEGORY TOTAL SCORE RESULTS(Score: by # of Components)COMMENTS
SECTION I \u2013 Performance AccountabilityA. Knowledge of Work B. Duties and
Responsibilities

C. Initiative and Judgment/ Attendance and Reliability
SECTION II \u2013 Service Excellence
Service Excellence
SECTION III \u2013 Continuous Quality Improvement
A. Corporate Integrity B. Education and Environment of Care C. Continuous Quality Improvement FINAL RESULTS Total Comp Total Score Final Results in %GOALS:
 
EMPLOYEE’S COMMENTS:
 
SUPERVISOR’S COMMENTS: (Summarize strengths and areas needing improvement. Indicate development plans for improving performance during the next appraisal period)
 
 
Employee’s SignatureDate:Department Manager’s SignatureDate:Human Resources Department AcknowledgmentDate:

Qualifications

 
We are an Equal Opportunity/Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf