Performs all manner of respiratory therapy procedures and treatments prescribed by CNWWH medical providers.
Routine dutie shall include providing health care services to individuals eligible for services in accordance with the self-governance compact and funding agreement between the Cherokee Nation and United States executed under the authority of the Indian Self-Determination and Education Assistance Act. Establishes and maintains mechanical ventilatory support for critical newborn, pediatric, and adult patients using a variety of pressure and volume ventilator. Makes all ventilator adjustments as determined by the interpretation of diagnostic test results, observation and assessment, patient response and ventilatory status. Monitors the patient for changes in cardio-pulmonary status and responds appropriately. Maintains a patent and stable airway during resuscitation and mechanical ventilation; performs oral intubations, establishes and maintains stability of artificial airway, and maintains appropriate cuff pressures. Applies advanced ventilator techniques such as Continuous Positive Airway Pressure (CPAP), Pressure Support (PS), Synchronized Intermittent Mandatory Ventilation (SIMV), Positive End Expiratory Pressure (PEEP); demonstrates expertise in the management of patients on life support systems and is responsible for total care and maintenance of the equipment. Establishes ventilator weaning criteria specific for each patient and initiates weaning procedures without direction from the physician. Performs extubations after it has been determined by the therapist that the patient has met all weaning criteria. Initiates and performs effective CPR without physician direction. Ability to use a variety of manual resuscitators and maintains air exchange and respiration. Transports patients, when necessary, within or outside the hospital while maintaining ventilation and perfusion. Performs arterial punctures for blood gas analysis, interprets results, and acts accordingly. Makes recommendations to the physician regarding treatment based on blood gas results and clinical evaluation. Obtains blood samples from the appropriate anatomical location on patients of all sizes and age, or from Swan-Ganz and arterial catheters. Performs daily calibrations and maintenance of the blood gas analyzer,; quality control and assures accuracy of test results. Troubleshoots malfunctions and takes the appropriate steps to correct problems occurring with the analyzer. Continually assesses the cardio-pulmonary status of patients using information collected from physical observation and the accurate interpretation of diagnostic test results. Determines the effectiveness and/or need for therapy. Performs hemodynamic monitoring and interprets Pulmonary Artery Pressures, Pulmonary Capillary Wedge pressures, Cardiac Output, and Central Venous Pressure measurements for the purpose of making adjustments in ventilation. Assists the physician with special procedures including diagnostic and therapeutic bronchoscopy, thoracoscopy, thoracentesis, and surgical tracheotomy. Assists the Pediatrician with the delivery of high-risk infants, especially those born prematurely. Performs Pulmonary Function studies, interprets results, and makes recommendations to the physician relative to the patient's diagnosis and treatment. Processes contaminated equipment, including cleaning and sterilization, assembly, function, and safety checks, and returns equipment to inventory in the proper location. Identifies and corrects mechanical malfunctions on all equipment; performs emergency repair on ventilators and assures reliability; checks inventory daily and replaces items needed for daily operations. Documents all treatments, findings, observations, and progress pertinent to patient care in the appropriate medical record. Demonstrates expertise (technique and theory) in the administration of a variety of treatment modalities, including Intermittent Positive Pressure Breathing (IPPB), Hand Held Nebulae's, oxygen and aerosol therapy, and chest percussion with postural drainage. Serves as consultant to the nursing and medical staff regarding diagnostic information, patient status, and appropriate treatment regimens for individual cases. Serves as a clinical instructor for Respiratory Therapy students. Other duties may be assigned.
Certified Respiratory Therapist
One year certificate from college or technical school; or one and one-half years related experience; or equivalent combination of education and experience.
No additional experience is required.
Registered Respiratory Therapist
Associate's degree from 2-year college or technical school; or two years (60 credit hours) coursework from 4-year college or university; or three years related experience; or equivalent combination of education and experience.
No additional experience is required.
An individual should have knowledge of Database software.
CERTIFICATES, LICENSES, REGISTRATIONS:
Must be a Registered Respiratory Therapist. Must possess Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) certificates.