Registered Respiratory Therapist
AdventHealth
**All the benefits and perks you need for you and your family:**
- Benefits from Day One
- Paid Days Off from Day One
- Career Development
- $15,000 Sign-on Bonus
- $5,000 Relocation
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**Schedule:** Full Time (36 hours per week)
**Shift** : Night, 3/12s, 7p-7a
**The community you’ll be caring for:**
**Location:** **Altamonte:** 601 E. Altamonte, Altamonte Springs, FL
· Located north of Orlando in the community of Altamonte Springs, our facility is consistently named “Best Hospital” for overall quality, reputation, doctors and nurses by local residents
· As the largest satellite campus within the AdventHealth system, AdventHealth Altamonte has been providing state-of-the-art healthcare to the community since 1973
· The 398-bed hospital cares for more than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources.
**The role you’ll contribute:**
The Registered Respiratory Therapist is responsible for the provision/supervision of respiratory clinical care responsibilities to age specific groups. Respiratory Care processes include assessing, planning, implementing, delivering, and evaluating the treatment, care, and patient needs to achieve goals. Adheres to the AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Registered Respiratory Therapists at AdventHealth Central Florida Division (CFD):
· Are an integral part of the multi-disciplinary front-line patient care team in all areas of the hospital and work at the top of their license and Scope of Practice.
· Initiate, operate, manage, and discontinue pulmonary life support equipment.
· Work to reduce patient mortality/ICU length of stay through use of clinical and critical thinking skills.
· Through patient evaluation, guided by protocols and prescriber care plans, modify the plan of care, up to discontinuation of service for:
o Patients receiving ventilatory life support and oxygen therapy.
o Patients receiving aerosolized medications, bronchial hygiene therapy, and lung expansion therapy.
· **Manage the utilization of inhaled medical gasses.**
**The expertise and experiences you’ll need to succeed** **:**
**Minimum Qualifications:**
**EDUCATION AND EXPERIENCE REQUIRED:**
· Associate degree in Respiratory Therapy or Cardiopulmonary Science
**LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:**
+ Active and Current Florida State License as a Registered Respiratory Therapist
+ Basic Life Support (BLS) certification (provided at AdventHealth via RQI)
+ Pediatric Advanced Life Support (PALS) certification (Children’s only) (provided at AdventHealth via RQI)
_Departments 3000 150600/150602 Extended Respiratory Care exempt from this requirement._
+ Advanced Cardiac Life Support (ACLS) certification (Excludes Children’s) (provided at AdventHealth via RQI)
**KNOWLEDGE AND SKILLS REQUIRED:**
· Critical thinking and patient assessment skills, with the ability to evaluate and modify plan of care.
· Ability to ensure infection control.
· Effective oral and written communication skills, including documentation in the patient care record (EMR), and ability to use and adapt to computer systems and applications.
· Airway management skills, including insertion and maintenance of a patent airway.
· Ability to provide optimal respiratory support including administration of oxygen and Heliox, administration of inhaled medications, lung expansion, and bronchial hygiene therapy.
· Ability to appropriately initiate, operate, manage, and liberate non-invasive and invasive modes of mechanical ventilation.
**_·_** Ability to perform ABG Puncture, analysis, arterial cannulation using sterile procedure, and hemodynamic monitoring.
· Ventilator patient transportation
· Knowledge and skill to care for the pediatric, adolescent, adult, and geriatric patient in a health care delivery system.
· _For Altamonte, Celebration, and Winter Park_ : Knowledge and skill to care for the neonatal patient. Newborn oxygen therapy, newborn arterial blood gas sampling, newborn stabilization, and newborn ventilator care (as applicable)
**_KNOWLEDGE AND SKILLS PREFERRED:_**
**Preferred Qualifications:**
· Bachelor’s degree in Respiratory Therapy or Cardiopulmonary Science
· Infant / Pediatric experience (campus specific)
_·_ _Active Registered Respiratory Therapist (RRT) credential from the National Board for Respiratory Care (NBRC)_
_·_ _Active RRT-ACCS credential (Registered Respiratory Therapist – Adult Critical Care Specialist) from the National Board of Respiratory Care (NBRC)_
· _For Children’s, Apopka, Winter Park, Altamonte, East Orlando, Kissimmee, and Celebration: Current PALS and NRP_
**The value you’ll bring to the team:**
· Demonstrates, through behavior, AdventHealth’s service standards.
· Assesses and makes appropriate decisions and interventions according to patient evaluation / needs. Sets patient goals, assisting in the development of a plan of care along with the multidisciplinary team. Evaluates / interpret diagnostic data including but not limited to lab results and monitoring data. Communicates effectively with the multi-disciplinary team.
· Satisfactorily completes department orientation, airway management certification (campus specific), critical care training program, Infant/ Pediatric Emergency training program (campus specific) and is proficient at all applicable procedures defined below.
_·_ Practices standard precautions and enforces safety regulations according to hospital policies on a continual basis. Documents and charges for procedures accurately and completely to ensure quality standards set by the department and hospital.
· Responds to Code Blue emergencies immediately providing CPR according to the American Heart Association guidelines. Performs airway maintenance including proper use of manual resuscitators, suctioning, extubation, assists with bronchoscopy, assists with tracheostomy tube insertion, oral and nasal pharyngeal airway insertion, LMA insertion, manages patients with laryngectomy. Provides procedural respiratory support. May perform endotracheal intubation, under direct supervision, or after completion of documented competency.
· Through use of protocols/prescriber care plans, chart review, and conferring with multidisciplinary team, determines proper therapy delivery device/ frequency, making appropriate changes/ recommendations to plan of care. Delivers inhaled medications, bronchial hygiene therapy, lung expansion therapy and manages patients receiving inhaled gasses.
· Provides respiratory care to patients on invasive and non-invasive mechanical ventilators. Initiates, operates, transports, and liberates conventional modes of ventilation per policy and procedure/ prescriber care plan. Reviews chest radiology reports as necessary. Initiates, maintains, transports and monitors inhaled medical gasses. (campus specific upon completion of competency). Prones / ambulates ventilated patients.
· Properly performs hemodynamic procedures to include arterial cannulation using sterile technique, assembly, calibration; assisting with pulmonary artery catheter insertion, calibration; performs cardiac output and hemodynamic/ cardiopulmonary profiles. Maintains hemodynamic lines (campus specific).
· Proactively initiates process improvement ideas. Assists with clinical instruction / precepting and serves as a resource person to lower-level therapists. Supports hospital and department mission, goals, and department metrics. Performs other duties as requested by department leadership.
· Obtains, performs, and reports findings of blood gas and co-oximetry analysis. Performs quality control as needed. Setup and perform oximetry, apnea, TC and ETCO 2 monitoring as ordered by physician. Performs EKGs after hours (campus specific)
**·** **May perform waived and/or non-waived Point of Care Testing. If performing non-waived Point of Care Testing, as defined in AHCA rule 59A-7.034, must have approved competency and documented proof (copy of either diploma or transcript, at the highest level of academic achievement) at the time of AdventHealth Orlando non-waived Point of Care training.**
· After completion of critical care training and airway management certification, may fill in at a stand-alone ED in the absence of a stand-alone ED Respiratory Therapist
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category:** Respiratory Services
**Organization:** AdventHealth Altamonte Springs
**Schedule:** Full-time
**Shift:** 3 - Night
**Req ID:** 24020118
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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