Kaiser Permanente Respiratory Care Practitioner I Registered - Grade 750 in Vacaville, California
Assume primary clinical responsibility for all respiratory care modalities & to exercise considerable independent clinical judgment in the respiratory care of patients.
Essential Functions: Reads & evaluates physician's 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 & cardiovascular monitoring data & performs assessment/data collection in systematic manner Systematically assesses patient's overall cardiopulmonary status by inspection, palpation, percussion, auscultation, & patient interview Interprets data to formulate goal-directed plan of care & determines requirements for treatment such as type & duration of therapy, precautions to be observed, equipment required, & medication & dosages. Determines modifications to physician orders, which optimize patient, care & makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain & C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring Performs procedures & interprets results: ABG sampling & analysis, co-oximetry, spirometry, pressure-volume & flow-volume loops, cuff pressure, sputum induction. May perform EKG's May place Holter monitor May perform pulmonary function, & sleep diagnostic tests May perform Exercise Stress Tests May perform indirect calorimetry Selects, assembles & checks equipment for cleanliness, proper function & safe operation. Ensures proper function & ready availability of respiratory related life support equipment Troubleshoots & performs minor repairs of equipment May perform Quality control procedures for blood analysis devices May perform Quality control, calibrate, maintain & troubleshoot pulmonary function diagnostic equipment Participates in routine departmental programs of cleaning, disinfecting & sterilizing of respiratory care & other related equipment Participates in routine departmental preventive maintenance program & performs basic repairs Orders/stocks departmental supplies Operates all medical equipment within manufacturer & dept guidelines to safely treat patients. Checks & adjusts alarms Observes established safety & security procedures & protects patients from nosocomial infection. Explains planned therapy or procedure & goals to patient in understandable terms to achieve optimal therapeutic outcome Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, &/or achieve adequate ventilation & oxygenation Monitors patient's physiological responses to therapy, recognizes patient adverse reaction & stops or modifies or recommends modification to procedure based on patient response Documents all required information in the medical record according to departmental policy & procedure Initiates pressure-cycled/volume-cycled/high frequency ventilation Weans/modifies mechanical ventilation according to assessment & physician orders Assists with or performs extubation Conducts patient education & 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, & 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 outreach May initiate & implement therapist driven protocols
Qualifications: Basic Qualifications: - At least one (1) year of recent critical care experience preferred, may be required for this particular position - At least one (1) year of clinical experience in neonatal/pediatric respiratory care 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 a baccalaureate degree in an area other than respiratory care or Associates of Arts of Science degree, preferred. Current Kaiser Permanente employees who received their RCP license prior to 1986 are exempt from this educational requirement - Licensed Respiratory Care Practitioner in the State of California - Registered by the National Board of Respiratory Care - Certification (CRT) from the National Board of Respiratory Care. (Respiratory Care Practitioners who received their RCP license prior to 1986 & currently working at Kaiser Permanente are exempt from obtaining their CRT credential. - BLS required - 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 - Depending on the particular specialty, ACLS, NRP or PALS may be required for this particular position - Ability to read & comprehend simple instructions, technical manuals, & short correspondence or memos - Ability to write simple correspondence - Ability to speak & underst& spoken English - Ability to effectively present information in one-on-one & small group situations to customers, clients, & other employees of the organization - Keyboard skills preferred - Must be willing to work in a Labor Management Partnership environment - Also refer to Position Specifications outlined in the appropriate collective bargaining agreement
COMPANY Kaiser Permanente
TITLE Respiratory Care Practitioner I Registered - Grade 750
LOCATION Vacaville, CA