Overview Under the direction of a physician, the RRT provides all respiratory care related duties and functions as a member of the interdisciplinary team. Sets up and administers all routine and complex respiratory care procedures to patients in all areas of the hospital, particularly the Pediatric, Emergency/Trauma Department, Step-Down Critical Care, Adult Critical Care Units, Pulmonary Function/ Bronch lab, or other specialty unit using protocol driven care. Provides critical and emergent care, airway stabilization and management, non-invasive ventilation, and is responsible for acute care ventilators used for continuous short and long term ventilation. Exemplifies the Mercyhealth mission, vision and values, and acts in accordance with the organization's policies and procedures. They will perform other duties as assigned. Responsibilities Essential Duties and Responsibilities Performs the duties listed in the Registered Respiratory Therapist Level 1 job description. Initiate, monitor, evaluate, and wean invasive and non-invasive ventilation. Makes parameter recommendations based on clinical assessment, technical assessment, patient compliance, patient response, laboratory values, and patient status. Initiates and provides on-going evaluation of treatment regime including medication delivery and oxygenadministration through therapist driven protocols by performing patient assessments to determine the needs related to treatment therapies, frequencies, and duration of treatment regime ordered by physician. Assesses patients clinically before and after the administration or application of any medication, procedure, or device; recommends appropriate therapy including initial therapy, changes in therapy, and discontinuation. Monitors, assesses, educates, and documents the patient and/or family on therapies, medications, goals oftherapies, and equipment during treatment. For PFT/ Bronch specialty, additional competence in the set-up, calibration, and troubleshooting of pulmonary function testing and bronchoscopy equipment required, with the ability to perform all diagnostic and therapeutic procedures as ordered by physicians including/not limited to PF screens, Basic PFT's, pre/post bronchodilator testing, lung diffusion, metabolic testing, cardiopulmonary stress testing, ABG draws, NIF, MVV, methacholine challenges, and CO2 measurements. Responds to emergent care situations including adult and pediatric, in the hospital and assists with resuscitation by providing chest compressions, airway management, airway stabilization, and ventilatory support in accordance with the ACLS/PALS guidelines from the American Academy of Pediatrics and American Heart Association guidelines and as directed by the Code Team Leader. Transports adult patients on mechanical ventilators, non-invasive ventilation devices, and critically ill to intrahospital procedures and testing. Provides developmentally appropriate care to support the various patient populations during their hospitalization. Demonstrates competence in the care of pediatric and adult patients (when/if assigned to these patients) relative to determining each patient's age related and other physical, psycho-social, and cultural needs. Assists with the orientation process for new employees and employees orienting to adult specialty care units. Acts as the charge therapist in the absence of the Lead Respiratory Therapist on a rotational basis as assigned, performing the duties and responsibilities described in that job description to the best of your ability. Performs other duties as assigned. Culture of Excellence Behavior Expectations To perform the job successfully, an individual should demonstrate the following behavior expectations: Quality - Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. Partnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Cost - Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue. Education and Experience Graduate of an accredited Respiratory Care Program Minimum 1 year respiratory experience required, 6 months critical care Certification and Licensure RRT If not eligible for RRT, CRT required CPR ACLS within 6 months of hire NRP within 90 days of orientation, for those departments requiring delivery attendance CPFT or RPFT preferred for PFT/ Bronch specialty IL and/ or WI Respiratory Care Practitioner license Skills and Abilities Good mathematical and interpersonal skills Special Physical Demands The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; climb, balance, talk, and hear. The employee is occasionally required to sit, stoop, kneel, crouch, or crawl, taste, and smell. Specific vision abilities require by this job include frequent ability to adjust focus and occasionally distance vision, color vision, peripheral vision, and depth perception. The employee must regularly lift and/or move up to 50 pounds and occasionally exert up to 100 pounds of force. Level of Supervision Work requires a moderate level of independent judgment along with good interpretative and interpersonal skills with justification and accountability to, Manager, and Director.