This position oversees and directs the daily operations of the Respiratory Therapy Department to support the needs of patients and hospital staff for second shift, when Manager of Respiratory is not present and/or when directed by management. The employee renders independent professional respiratory care procedures to patients and assists in the development and implementation of standards of care, policies and procedures for the department.
Assists in developing policies, procedures and patient care standards to meet current hospital policy, licensing requirements and Joint Commission standards.
Monitors staff compliance with policies, procedures and standards of care. Provides counsel and discipline on policies, procedures and standards of care appropriately in the daily supervision of the Respiratory Therapy Department.
Assists in supervising Respiratory Therapy’s performance improvement monitoring system to measure patient care outcomes and identifies improvement opportunities. Works within the hospital Performance Improvement system, utilizing tools and reporting mechanisms to demonstrate improvement over time.
Involves staff in the performance improvement processes for the department; i.e., problem identification, data collection, data assessment and follow up processes for measuring improvement.
Assists in the development of programs and protocols which are in compliance with national professional guidelines, i.e., National Board of Respiratory Care, American Association of Respiratory Care, and the Joint Commission on the Accreditation of Healthcare Organization’s standards.
Implements guidelines of the Relationship and Results Oriented Healthcare Model for delivery of nursing care, utilizing the recommended bundles of best practice. Monitors staff adherence to RROHC Nursing Model.
Notifies physicians of potentially dangerous patient situations as observed while performing respiratory and/or cardiopulmonary procedures.
Communicates with patients and family on daily basis as appropriate to ensure patients are educated appropriately on procedures or care to be administered.
Documents appropriate patient care information in departmental records and medical charts.
Conducts set-up, titration, protocol and appropriate oxygen delivery and evaluates to ensure patient stability as needed.
Performs patient ventilator management including set-up, checks, testing, cleaning, performing PMs, troubleshooting, weaning, discontinuance and documentation as necessary.
Performs NIV, BiPAP or CPAP management including set-up, mask fitting, discontinuance, cleaning, troubleshooting and documentation as required.
Performs arterial puncture, labeling, ordering, analysis reporting and interpretation of blood gas analysis and documents same as needed.
Performs oxygen analyzation on patient and equipment utilizing pulse-oximetry and O2 analyzer.
Conducts Peak Flow and Incentive Spirometry procedures with appropriate documentation of patient education.
Manages the department with efficient and effective use of equipment, supplies, linen, and other resources required for patient care. Communicates with other leaders in planning for effectively utilizing these resources. Manages equipment use in a safe and effective manner, preventing unnecessary repairs and replacement.
Provides counsel to staff on adhering to cost saving measures.
Ensures that appropriate number and skill level of staff are employed to meet the respiratory and cardiopulmonary needs of the hospital and that they are being utilized effectively.
Coordinates with and adheres to Human Resources’ policies and procedures in managing department staff.
Conducts orientation for new staff members within an efficient timeframe, including safety and infection control practices specific to the department, and interdepartmental relationships.
Assists with managing, documenting and investigating incidents and accidents to determine contributing factors and details regarding the incident. Ensures that notifications are complete and appropriate documentation and interventions are in place.
Prepares written and oral reports for the Manager of Respiratory.
Assists and participates in activities related to the inspection/investigation of the hospital by regulatory or accrediting agencies.
Assists in assessing the competencies and skill of staff to meet the requirements of their respective job descriptions.
Monitors employee performance to identify education and training needs as well as performance improvement needs. Assists the Manager of Respiratory in implementing plans for improvement as appropriate.
Performs staff appraisals within the policies of the hospital to include the probationary initial evaluation and the annual evaluation on all department staff.
Counsels staff with appropriate documentation as needed to recognize and reward good performance and to identify and monitor areas needing improvement. Involves Manager of Respiratory in counseling as needed.
Identifies educational needs of staff and works with available resources both internally and externally to meet the learning needs of staff.
Performs PFT and stress testing.
Performs laboratory examinations as well as clerical duties as needed primarily in the laboratory.
Studies the macroscopic morphology of blood and body fluid constituents to obtain data for use in the diagnosis and treatment of disease including proficiency testing, and validation therapeutic process.
Conducts clinical laboratory examinations on body fluids and exudates utilizing quantitative, qualitative or automated methods.
Receives written or electronic requests from physicians for routine or special laboratory tests.
Contacts laboratory instrument manufacturers when required.
Interacts with and/or performs clinical laboratory on patients of all ages.
Obtains specimens for clinical laboratory examination directly from patients of any age, including infants.
Operates scientific instruments and performs any required procedures as needed.
In the absence of the Manager, may be designated to serve as acting supervisor of the Lab, with all incumbent duties of the section supervisor.
Evaluates media, reagents, and standards according to established criteria.
Takes inventory according to prescribed lists.
Evaluates the Respiratory Therapy Department’s functions continuously to determine opportunities for expanding services or reducing those that are not utilized. Monitors department activity and function on monthly basis for utilization.
Helps plan strategically for short-term and long-term service expansion or enhancement within the department.
Seeks opportunities to improve respiratory services provided by the department.
Identifies services that are not effectively utilized and determines appropriate interventions for improvement if applicable.
Remains current on new technology and practices that may be effectively implemented to serve the respiratory and cardiopulmonary needs of the hospital.
Manages employees in resolving disputes among co-workers, elevating matters to Human Resources when appropriate.
Assists in completion of payroll documentation and approval of timecards in Kronos.
Participates in budget and strategic planning with the emphasis on the potential for the Respiratory Therapy Department to grow in volume, services, quality and/or programs.
Conducts quality assurance assessments for the Respiratory Therapy Department.
Conducts staff education, communication, training initiatives and competencies as needed.
Conducts patient care meetings with staff as required.
Maintains and improves competencies by participating in and attending professional educational programs and meetings and reading current professional literature.
Supports and demonstrates practices consistent with the hospital’s mission, philosophy, standards, policies and procedures.
Emergency duty may be required of the incumbent that includes working in special needs or Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.
Associate’s degree required; Bachelor’s degree preferred.
Minimum of four (4) years experience required.
Basic Life Support (BLS) certifications required and Advanced Cardiovascular Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Resuscitation Provider preferred. Minimum of one of the following certifications is preferred: Neonatal Pediatric Specialist, Asthma Educator, Certified Pulmonary Function Technician, and Registered Pulmonary Function Technician.
State of Florida Registered Respiratory Therapist license in required.