The Respiratory Care Practitioner I (RCP) performs routine respiratory care procedures as assigned, varying in complexity. These include, but are not limited to: preparation, administration and monitoring of medication and treatment modalities and gas therapy, ventilator support, spirometry and assistance with bronchoscopy. May perform diagnostic testing of the cardiac respiratory system. As a member of the direct patient care team, provides direct assistance to physicians and other care health professionals with respiratory care related procedures within the scope of the professional licensure. Delivers exceptional patient care and adheres to standards and guidelines established by respiratory agencies and Houston Methodist to ensure optimal patient safety and customer service.
PATIENT AGE GROUP SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
DUTIES AND RESPONSIBILITIES
PEOPLE - 20%
- Promotes a positive work environment and contributes to a dynamic, team focused work unit that actively helps one other to achieve optimal department results. Collaborates with all members of the patient care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner. (EF)
- Serves as resource to co-workers, may teach and orient new respiratory care practitioners.
SERVICE - 30%
- Performs respiratory care as assigned to include but not limited to: arterial blood gas and analysis, pulse oximetry, spirometry and flow volume loops, lung volume determination, airway resistance measurement, breath diffusion capacity, bronchoprovocation testing, maximal inspiratory and expiratory pressures, bronchodilator administration, diagnostic radiology procedures. Prepares, administers and monitors treatment modalities and medication delivery. Implements, monitors and evaluates ventilator support. (EF)
- Performs other procedures and tests as needed and if assigned such as Electrocardiograms, Holters, and Arterial Blood Gas.
- Provides care for the physical needs of patients by executing various respiratory care concepts to maximize performance. This includes: positioning, physiology, procedure preparation, and technical factors. Modifies technical factors to achieve desired results and recognizes complications / limitations associated with certain procedures. Proactively identifies how to address these for optimum outcomes. (EF)
QUALITY/SAFETY - 30%
- Reports "near misses" and inputs errors promptly into PSN to improve processes and identify trends. Contributes to identification of corrective action and improvement activities and contributes to meeting departmental and hospital targets for quality and safety. (EF)
- Troubleshoots, calibrates and performs preventive maintenance and quality control on all equipment and analyzers per department guidelines, documenting activities. Assembles, prepares, cleans and operates bronchoscopy equipment, monitoring equipment and accessories in accordance with manufacturing recommendations and department guidelines. Reports malfunctions. (EF)
- Provides direct assistance to physicians, performing tests as ordered, assessing and assuring quality, acceptability and reliability of results; takes corrective action and involves others as needed toward achievement of this end. (EF)
FINANCE - 10%
- Accurately documents all patient care and respiratory related activities and procedures in the appropriate documentation system. Enters charges at the time service is delivered. (EF)
- Uses resources efficiently; does not waste supplies. Self-motivated to independently manage time effectively and prioritize daily tasks.
GROWTH/INNOVATION - 10%
- Participates in departmental projects and shared governance activities.
- Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development as a Respiratory Care Practitioner.
This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Graduate of education program approved by the credentialing body for the required credential(s) indicated below
No experience required: one year experience as a Respiratory Care Practitioner preferred
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
Registered as Respiratory Therapist by National Board for Respiratory Care (NBRC-RRT)
Licensed as Respiratory Care Practitioner by the Texas Medical Board (TMB-RCP)
American Heart Association BLS
American Heart Association ACLS upon hire if at: HMSL, HMWB, HMW, HMTWH, HMStJ, or HMStC (note: current RCP I's as of this job description revision date have until 2/19/2018 to obtain if a new requirement); if at HMH or HMSJ, ACLS may be required of certain employees depending on area assigned (in these cases, employee has 90 days from notice of requirement to obtain and entity management is responsible for documentation and tracking)
American Heart Association Neonatal Resuscitation Program (NRP) within 90 days of hire if at: HMSL, HMWB, HMW, HMTWH, or HMStJ (note: current RCP I's as of this job description revision date have until 5/19/2017 to obtain if this is a new requirement); if at HMH or HMSJ, NRP may be required of certain employees depending on area assigned (in these cases, employee has 90 days from notice of requirement to obtain and entity management is responsible for documentation and tracking); NRP is not required at HMStC
American Heart Association PALS may be required if at HMH, HMSL, HMWB, HMW, HMTWH, or HMSJ of certain employees depending on area assigned (in these cases, employee has 90 days from notice of requirement to obtain and entity management is responsible for documentation and tracking); if at HMStJ PALS required within 90 days of hire (note: current RCP I's at HMStJ as of this job description revision date have until November 1, 2017 to obtain); PALS not required if at HMStC
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going evaluations consisting of one or more of the following: skills, competency assessments and/or performance reviews
- Possesses basic computer knowledge; operates multiple computer systems to include, Hospital / Respiratory Information Systems and Office software to maintain patient and exam documents
- Exhibits strong interpersonal and team player skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers
- Adapts to multiple ongoing priorities with minimal supervision including, organizing work flow and actively participating in problem-solving
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Activity Checklist attached (see below)
Includes office, patient care units, and invasive procedure areas
May include exposure to hazardous chemicals, blood borne pathogens
Adherence to universal precautions is required
Extended periods of standing and walking are required
Able to flex hours and work other shifts to meet needs related to unanticipated acuity; meet operational needs; may require on-call