Located in Fremont, Ohio, ProMedica Memorial Hospital has served the citizens of Sandusky County and the adjacent communities since 1918. In fact, our hospital was built with funds raised by members of our community on land donated by the family of former United States President, Rutherford B. Hayes.

The Registered Respiratory Therapist will be competent to care for patients of all ages to include infants, children, adolescents, adult and geriatric population dependent on the area assigned. This individual performs the duties and responsibilities outlined below as assigned, under minimal supervision from the Respiratory Care Department leadership team and the Medical Directors of Respiratory Care.  The Registered Respiratory Therapist performs these assigned duties and responsibilities according to regulatory standards, clinical practice guidelines, policies and procedures approved by the Medical Directors and Administration. This individual will frequently make independent decisions regarding modification of therapy in accordance with clinical practice guidelines, policies and procedures.

ACCOUNTABILITIES 

1. Achieves and maintains a level of competency to perform prescribed therapeutic and diagnostic procedures within their scope of practice, as required per business unit, in accordance to departmental competency standards, which include general care, critical care, emergency care and diagnostic procedures, including, but not limited to, the following:  
•    General Care: patient identification and assessment, medical gas delivery, medication administration via nebulizers and MDI/DPI, Broncho pulmonary hygiene and hyperinflation therapy
•    Critical Care: initiation, management, and weaning of invasive and non-invasive ventilation; airway management and suction, including tracheostomy, endotracheal and pharyngeal; cuff and ETCO2 monitoring,  intubation and extubation; set-up, calibration, insertion (arterial lines) and maintenance of indwelling lines and catheters, and high risk newborn deliveries
•    Emergency Care: responds to rapid responses and emergency codes; performs cardiopulmonary resuscitation (CPR), airway management, and actively participates in patient stabilization, internal and external transports 
•    Diagnostic Care: blood sampling and analysis, specimen collection, continuous and/or noninvasive monitoring, bedside pulmonary function screens, spontaneous breathing parameters and electrocardiograms (EKG) 
Note: critical tests and values will be reported in a timely manner per Hospital Policy.

2. Safely assembles, operates and trouble shoots therapeutic and diagnostic equipment required for patient care, including but not limited to, the following:
•    Gas administration, monitoring and analyzing devices including flow meters and regulators, blenders, cylinders and bulk systems, compressors, analyzers, and pulse oximeters
•    Mechanical devices, including mechanical ventilators, manometers, gauges, spirometers and EKG machines.
•    Laboratory equipment for blood gas analysis  
•    Age specific patient care equipment, including resuscitation equipment, oral and nasal airways, endotracheal and tracheal tubes
•    Equipment disinfection and sterilization

3. Understands and applies Respiratory Care Clinical Practice Guidelines, to provide safe, highly
efficient and cost effective care, using evidence based best practice.  

4. Provides educational needs of patients on disease specific process, tobacco cessation and
respiratory care services provided, including instruction for home care equipment and medications.  

5. Assist with clinical instruction of respiratory care, nursing, medical students and residents, as
needed. Actively participates in the orientation of new staff and contributes to the growth of
others.

6. Understands and acts in accordance with all Respiratory Care and Hospital Policies and
Procedures for those areas assigned and is able to independently function in those areas.  

7. Completes accurate patient documentation, including billing and productivity standards.
Participates in creating a plan of care, evaluate achievement of identified goals, record results and
communicate pertinent information to appropriate members of the health care team

8. Performs other related duties as assigned or requested by leadership within the scope of
training and practice, including the ability to perform essential duties in other business units as
part of a shared staffing plan, as required.