**Job Type:** Regular **Time Type:** Full time **Work Shift:** Rotating (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** Supporting our NICU patients, this role assumes primary responsibility for patient care including: examination, evaluation, treatment planning, and administration of Respiratory Care procedures in response to a physician's order. This position is eligible for a sign-on bonus!* Eligibility guidelines & Payout terms: -$10,000 signing bonus for full time New hire to BILH system or a previous employee who left in good standing and returning to BILH after 1 year Important Details: •Full time status at BIDMC is considered for schedules greater than or equal to 30 hours per week. Please note, per diem employees are not eligible for sign on bonuses. • Please note, sign on bonuses are subject to change based on the organization’s hiring needs and will be determined by Talent Acquisition on an ongoing basis. BILH/BIDMC Talent Acquisition reserves the right to change sign on bonus eligible jobs and amounts at any time. **Job Description:** **Department Specific Job Responsibilities:** Manages artificial airways. Initiates and manages mechanical respiratory support, including: bubble CPAP, conventional ventilators, and HFOV, and inhaled Nitric Oxide. Respond to all high-risk deliveries and L&D emergency alarms as part of the Neonatal Resuscitation Team. Run blood gas samples, interpret results, and recommend any needed interventions. Administer respiratory medications, including: surfactant, MDI, nebulizer treatments. Clean, set up and perform pre-use checks on all NICU respiratory care equipment. **Essential Responsibilities:** Assesses patient condition based on medical history, observation, examination, physician's diagnosis, laboratory findings and the results of specific tests or respiratory function and other appropriate diagnostic procedures. Develops or modifies the respiratory care plan and makes specific recommendations to physicians regarding indicated therapy. Administers appropriate diagnostic tests and procedures to evaluate responses to therapy, including: arterial blood gas sampling and interpretation of the results; oxygen saturation by direct measurement and pulse oximetry; end-tidal carbon dioxide measurement; pulmonary mechanics; spirometry; metabolic testing; and may assist the physician with special procedures such as bronchoscopy. Develops a specific patient care plan according to the patient's clinical presentation at the time of the reassessment. Responds to respiratory and other defined emergencies such as high risk deliveries, cardiopulmonary arrest and trauma team activations. Maintains artificial airways and provides manual or mechanical ventilation when mechanically ventilated patients are transported from critical care areas to other locations for tests and procedures. Evaluates the patient's home care equipment needs and makes referrals and recommendations upon request. Initiates patient and caregiver teaching as appropriate. Completes necessary documentation of all pertinent observations related to patient care treatments, response to treatments, and all recommendations for modifications in the treatment plan. **Required Qualifications:** Associate's degree in Respiratory Care/Cardiopulmonary Science required. License Respiratory Therapist License required., and Registration Reg Respiratory Therapist required., and Certificate 1 Basic Life Support required. 0-1 years related work experience required. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. **Competencies:** Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. **Written Communications:** Ability to communicate clearly and effectively in written English with internal and external customers. **Oral Communications:** Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. **Knowledge:** Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. **Customer Service:** Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. **Age based Competencies:** Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. **Physical Nature of the Job:** Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**