1. Performs all respiratory care services according to physician’s order demonstrating a good working knowledge of departmental policy and procedure and the ability to make appropriate decisions based on these policies and procedures as evidenced by direct observation.
1. Verifies provider orders and performs patient assessment prior to initiation of all respiratory therapy and as part of the reorder evaluation according to departmental policy and procedure.
1. Demonstrates knowledge of principles, theory and operation of respiratory equipment and monitoring systems in the critical care environment (mechanical ventilators, BIPAP/CPAP machines, High-Flow systems) to all age groups as evidenced by competencies and/or direct observation.
1. Demonstrates proper setup, operation, and monitoring of equipment used for delivery of therapeutic gases (Heliox, bubble CPAP, High-Flow O2, nebulized and humidified O2) as evidenced by competencies and/or direct observation.
1. Performs aerosol therapy (small volume nebulizers, large volume nebulizers, Vix1 nebs, ISO nebs) in accordance with departmental policy and procedure as evidenced by competencies and/or direct observation.
1. Delivers medications safely in accordance with 2-identifier policy and procedure as evidenced by competencies and/or direct observation. Responds to adverse effects of medications by proper notification to physician and utilizing the Catalyst reporting system.
1. Performs Chest Physio Therapy in accordance with departmental policy and procedure as evidenced by competencies and/or direct observation.
1. Performs proper technique in suctioning (open and closed systems) in age specific populations in accordance with department policy and procedure as evidenced by competencies and/or direct observation.
1. Provide NICU support for setup, maintenance, and breakdown of respiratory equipment, including, but not limited to, bubble CPAP, High-Flow systems, and mechanical ventilators.
1. Shows proper skill level setting up cart including labeling of medications/solutions when appropriate and performing “Time Out” during outpatient and in-patient bronchoscopy procedures as evidenced by competencies and/or direct observation.
1. Demonstrates knowledge of operation and set up of bronchoscopy and monitoring equipment. Provide physician support during bronchoscopy such as, instilling solutions, taking biopsy samples, utilizing brushings per department protocols, handling, labeling, and ordering of samples in EMR from physician order, transport of specimens to lab for processing, and billing/documentation of procedure.
1. Demonstrates safe and proper collection, transport and analysis of arterial blood gases as evidenced by successful completion of competencies, including age specific requirements for sampling and testing, and/or direct observation.
1. Understands the theory and operation of the point of care blood gas analyzer as evidenced by the ability to assess the accuracy/precision of the instrument utilizing daily maintenance record. Routine trouble shooting and monthly QC.
