Mary Greeley Medical Center Special Procedure Respiratory Therapist in Ames, Iowa
Under general supervision, a registered respiratory therapist (RRT) also cross-trained in Neurodiagnostics (Sleep Disorders Center) is considered a Special Procedure Polysomnography Technologist. In addition to demonstrating all competencies as an RRT, also performs routine set-up, testing and caring for the client, monitors and maintains Sleep Disorders Center equipment and upholds the standards of practice of a professional Polysomnography technologist. Assists departmental communication and educates other professionals. Ensures all actions taken in carrying out responsibilities support patient centered care.
Unit Specific Position Responsibilities
Assists with development and revision of clinical guidelines.
Assists in community education programs to promote health awareness.
Performs related work as required.
Assessment: Observes and monitors signs, symptoms and reactions to respiratory care treatment and diagnostic testing, determines whether these exhibit normal or abnormal characteristics and consults with medical staff and other members of the health care team by making recommendations and suggesting changes as necessary.
Care Plan: Develop, implement, and monitor respiratory care plan.
Routine Therapy: Delivers aerosol therapy, medical gas therapy, chest physical therapy and postural drainage, and incentive breathing exercises. Initiates oxygen therapy per physician order or protocol and advises physician on options available. Periodically checks oxygen therapy delivery system and patient response.
Critical Care: Sets up, operates and troubleshoots mechanical ventilators, CPAP systems and headboxes in ICCU and NICU; checks such functions as flow, volumes, pressures, gas mixture and humidification system. Performs and interprets weaning parameters, determines patient's pulmonary compliance and advises physician of patient's ability to be weaned from mechanical ventilatory support during daily ICU Rounds.
Diagnostics: Performs bedside pulmonary function testing, exhaled gas analysis, ECG testing, and utilizes pulse oximetry to assess, adjust and wean oxygen therapy. Performs arterial blood gas collection, analysis, reporting, and
Airway Maintenance: Suctions patients, assist with tracheostomy care, conscious sedation support, and responds to emergency calls to provide airway maintenance.
External Transports: Coordinates and participates in the transport of certain types of patients by monitoring equipment and cardiopulmonary status of these patients.
Procedure Assist: Assists with special procedures such as bedside bronchoscopy.
Documentation: Maintains medical records and departmental records.
Emergency Response/Support: Key member of critical care response teams, include Code Blue, Rapid Response Team (ACT team), Trauma Alert, and Cardiac Alert.
Age Specific Care: Take into consideration the age, growth and development of the patient when planning and providing care and diagnostic procedures.
Participates in community educational programs to promote health awareness.
Independently performs Sleep Disorders Center procedures according to policy, selecting montages as appropriate and documents all pertinent information.
Measures and applies electrodes, ensuring accuracy of data.
Documents complete patient history, gathering information from all resources.
Reviews patient intake questionnaire, identifies individual patient needs and documents patient condition in the medical record during the procedure.
Instructs patient in procedure and provides discharge instructions.
Formulates and records technical impression of procedure.
Cleans and stocks equipment, notifying the supervisor of any problems.
Schedules patient testing and charging.
Cares for the adolescent >13 through geriatric patient in the Sleep Lab.
Acts as a resource person for other medical personnel concerning Sleep Disorders Center procedures.
After attending a Polysomnography scoring program and demonstrating competency, Polysomnography Technologists may score sleep studies, if applicable.
Recognizes clinical emergencies, insures patient safety and maintains infection control.
Cleans, disinfects and sterilizes various pieces of equipment according to procedures. Assembles and checks equipment for function prior to use with patient.
Demonstrates and maintains knowledge of operation of equipment and skill in administering neurodiagnostic procedures.
Assists with discharge planning and contributes to daily patient care conferences.
Qualifications, Knowledge & Experience
Required Qualifications (Including any licensure, certification, education):
Associate of Applied Science (AAS) degree in Respiratory Therapy Program accredited by the Commission on Accreditation for Respiratory Care (CoARC).
Registered Respiratory Therapist (RRT) with the National Board of Respiratory Care (NBRC).
Licensed as a Respiratory Care Practitioner by the Iowa Department of Public Health.
Must be a Registered Polysomnographic Technologist (RPSGT) OR a Sleep Disorder Specialist (SDS) by January, 2017
Basic Life Support (BLS) or within 90 days of hire.
Advanced cardiac life support (ACLS) or within one year of hire.
Neonatal Resuscitation Program (NRP) or within one year of hire.
Must maintain credentials throughout employment.
Mandatory Reporter training within 90 days of hire and must maintain throughout employment.
Required Knowledge, Skills & Experience:
Skilled in Polysomnography
Preferred Knowledge, Skills & Experience: