Regist Respiratory Therapist - Pulmonary Function Specialist

Employer
USAJobs
Location
Washington, D.C
Posted
Oct 15, 2020
Closes
Oct 22, 2020
Hours
Full Time
Duties

Summary

The Registered Respiratory Therapist (RRT), Pulmonary Functions Specialist, is a member of the VA healthcare team and performs quality therapeutic and diagnostic respiratory care under the order of a healthcare provider with recognized prescribing authority. Under the supervision of the Section Chief/Assistant Chief/Supervisor of Respiratory Care Services, the incumbent displays proficiency and performs at a level of excellence in Respiratory Care.
Learn more about this agency

Responsibilities

The Registered Respiratory Therapist (RRT) is a member of the VA healthcare team and performs quality therapeutic and diagnostic respiratory care under the order of a healthcare provider with recognized prescribing authority. Under the supervision of the Section Chief/Assistant Chief/Supervisor of Respiratory Care Services, the incumbent displays proficiency and performs at a level of excellence in Respiratory Care. The incumbent is responsible for his/her individual program of duties within the service and serves as a mentor to other staff, both within and outside the Respiratory Care service. Patient satisfaction and service recovery are integral parts of the responsibilities of RRTs.The RRT provides guidance and oversight as necessary. Continual Improvement (Performance Improvement) is a constant responsibility of the RRT as it is for all VHA employees. The duties performed by RRTs at the DC VAMC include, but are not limited to:
  • Patient assessment and monitoring, and appropriate intervention is necessary.
  • Performance of Pulmonary Function testing including Lung volume measurement, body plethysmography
  • Lung volumes measured by
  • Lung volumes measured by nitrogen washout
  • Lung volumes measured
  • Flow-volume loop measurements
  • Air-flow measurements in the lab and at bedside
  • Air-flow measurements after bronchodilator administration
  • Diffusing capacity
  • Airway resistance measurement
  • Lung compliance measurement
  • VD/VT determinations
  • Performance of Arterial blood gas analysis
  • Arterial puncture and catheterization
  • Arterial blood gas analysis
  • Oxyhemoglobin saturation determinations and other co-oximetry procedures
  • Performance of Cardiopulmonary exercise testing
  • Performing pre-appointment calls per policy to patients to reduce no-call/no-show appointments.
  • Collection, retrieval, analysis, storage of test data in testing systems and hospital computer systems.
  • Timely completion of mandated Quality Assurance procedures.
  • Timely completion of Maintenance and Calibrations of all devices, including Biocals of Pulmonary Function equipment.
  • Operation of blood gas instruments, to include ongoing maintenance procedures and recording of same, when assigned or as necessary.
  • Administration of medication to the cardiopulmonary system
  • Appropriate identification of patient via hospital approved two patient identifiers
  • Verification of all orders before implementation
  • Reprocessing of Reusable Medical Equipment (RME) in accordance with VHA Directives and facility and department policies
  • Administration of mixed gases as necessary for diagnostic tests
  • Cardiopulmonary resuscitation (CPR) in Lab.
  • Notification of physician regarding abnormal results and the need for associated action relative to the patient's ventilatory and oxygenation status
  • Documentation of notification of critical values to appropriate care providers
  • Patient/family education
  • Collaboration/consultation with attending physicians, residents, fellows, interns, PAs, Nurse Practitioners, other hospital staff
  • Recognition of the need for medical intervention if patient safety is at risk.
  • Home oxygen evaluations
  • Appropriate, accurate and complete documentation for all services
  • Various other duties as assigned
  • Appropriate equipment selection/assembly for care ordered by provider/protocol.
  • Therapeutic and diagnostic procedures using medications, medical gases, mixed medical gases (e.g., nitric oxide), administration devices, humidification and aerosols.
  • Transport of patients on oxygen, BiPAP, transport ventilators or other devices.
  • Discontinuation/exchange/reprocess equipment per facility/department policies.
  • Maintain natural and artificial airways as necessary, including suctioning and securing of nasal/oral endotracheal tubes or tracheostomies.
  • Application, weaning and removal of ventilator support, with appropriate monitoring of patient/ventilator system.
  • Bronchopulmonary drainage and breathing exercises.
  • Participation in Emergency Response Teams.
  • Assistance with insertion and maintenance of artificial airways and bronchoscopy.
  • Arterial punctures/arterial line draws, blood gas analysis and quality control procedures.
  • Calculate pertinent cardiopulmonary parameters (e.g., A-a gradient, shunt, etc.).
  • Notify physician of abnormal blood gas results and the need for action relative to the patient's ventilatory and oxygenation status.
  • Patient/family education.
  • Collaboration/consultation/training with attending physicians, residents, fellows, interns, Pas, Nurse Practitioners, other hospital staff.
  • Appropriate, accurate and complete documentation.
  • Various other duties as assigned.
Work Schedule: Generally day shift, no weekends
Financial Disclosure Report: Not required.
Recruitment/Relocation incentives: May be offered to highly qualified candidates.

Travel Required

Not required

Supervisory status
No

Promotion Potential
None

Requirements

Conditions of Employment

  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Designated and/or random drug testing required
  • Selective Service Registration is required for males born after 12/31/1959
  • Must be proficient in written and spoken English
  • You may be required to serve a probationary period
  • Subject to a background/security investigation
  • Selected applicants will be required to complete an online onboarding process
  • Must pass pre-employment physical examination


Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Certification: Has a certificate as an RRT from the NBRC (National Board for Respiratory Care) and a registry number, or a certificate from another body which the NBRC recognizes as its credentialing equivalent. This includes registration based on either:
    (1) Having fulfilled the requirements and passed the registry examination administered by the NBRC since 1983, or
    (2) Having fulfilled the requirements and passed the registry examination for a registered inhalation or respiratory therapist administered by the (1) National Board for Respiratory Therapy from July 1974 through 1982 or (2) American Registry of Inhalation Therapists from 1961 through June 1974.
  • English Language Proficiency. RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations: In addition to meeting the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates.

GS-8. Candidates must have all of the following:

(1) At least 1 year of successful experience related to respiratory therapy at the GS-7 level or equivalent. Qualifying experience at this level is work which includes duties such as: administering assisted and controlled ventilation to patients with tracheotomies and other complex medical problems requiring frequent adjustments in ventilator parameters; administering and monitoring advanced ventilator techniques such as positive end expiratory pressure and continuous positive airway pressure; developing plans for weaning patients from ventilators; assessing the respiratory status of patients using data acquired through physical observation and clinical analysis of blood gas data, chest x-rays, and electrocardiogram to determine the effectiveness of therapy being administered and to make recommendations to physicians regarding changes in treatment; performing the most difficult respiratory therapy procedures to maintain ventilation, including endotracheal intubation, tracheal lavage, and tracheotomy care; and providing in-service training to others in various specialized areas of respiratory care.

(2) Demonstrated knowledge and ability needed to perform complex respiratory procedures with minimal supervision. Is able to participate with physicians and nurses and other staff in planning respiratory treatment, with great reliance on the individual's knowledge of the equipment.

(3) Demonstrated knowledge and ability to provide emergency or critical respiratory care; service as a shift leader or supervisor or sole responsible respiratory therapist on a shift; and to plan and conduct training sessions with respiratory therapy students, hospital staff, patients, and family members.

Preferred Experience/Education:
At least one-year post respiratory registry program graduation experience.
Experience with advanced modalities such as inhaled Nitric oxide, APRV ventilation.
Registered or Certified Pulmonary Function Therapist (CPFT or RPFT)
BS degree or higher.

References: VA HANDBOOK 5005 PART II, APPENDIX G11

The full performance level of this vacancy is GS-08.

Physical Requirements: The work requires regular and recurring physical exertion such as standing or walking for prolonged periods of time; frequent bending, reaching, stooping, and stretching to set up and take apart respiratory equipment and apparatus; lifting and repositioning patients; and pushing or pulling heavy objects such as oxygen tanks and/or ventilator equipment.The work may require specific physical characteristics and abilities such as above-average dexterity to perform intricate respiratory therapy procedures.

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/ . If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html .

Additional information

This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

If you are unable to apply online view the following link for information regarding an Alternate Application .

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, résumé, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

NOTE:
A formal pay-setting process will be used to determine your salary. The salary may be at any point in the range listed for this vacancy.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Background checks and security clearance

Security clearance
Other

Drug test required
Yes

Position sensitivity and risk
Non-sensitive (NS)/Low Risk

Trust determination process
Credentialing , Suitability/Fitness

Required Documents

To apply for this position, you must provide a complete Application Package which includes:

  • VA Form 10-2850c
  • Professional Certification
  • Resume


VA Form 10-2850 C can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search . REQUIRED AT TIME OF APPLICATION

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

  • Cover Letter
  • DD-214/ Statement of Service
  • Disability Letter (VA)
  • VA Form 10-2850c
  • Professional Certification
  • Resume


Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx .

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education .

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

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