Minimum Qualifications: 

1. Associate’s degree from an accredited Respiratory Care program. 

2. Licensed by the state of Massachusetts to provide respiratory care. 

3. Registered Respiratory Therapist (RRT) or Certified Respiratory Therapist (CRT). If employed at TMC, must be RRT.

4. One (1) year of experience as a Registered Respiratory Therapist. 

5. Basic Life Support (BLS) Certification. 

Preferred Qualifications: 

1. Bachelor’s degree from an accredited Respiratory Care program. 

2. Two (2) years of experience as a Registered Respiratory Therapist. 

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned. 

1. Initiates patients on invasive and non-invasive mechanical ventilation; routinely checks and maintains proper function of ventilator in conjunction with the physician order.  

2. Abides with infection control guideline for invasive and non-invasive equipment per departmental policy.  Changes and adjusts ventilator parameters based on clinical assessment and blood gas analysis in accordance with physician orders.  

3. Weans patients from mechanical ventilation and other therapies through patient assessment and adjusting parameters within prescribed protocols. 

4. Administer inhaled medications in accordance with institutional guidelines derived from the department of respiratory care and pharmacy. 

5. Administers oxygen using low flow, high flow, open and closed circuits. 

6. Embodies patient and family centered care. Explains procedures to patients and family.  

7. Provides services to analyze blood specimens for blood gases, glucose and electrolytes in neonatal and pediatric intensive care units. 

8. Administers Positive Pressure Breathing, (e.g. CPAP or BiPAP), which consists of the application of positive pressure to the upper airway to promote better lung inflation and aerosol distribution.  

9. Routinely assists in the transport of patients requiring life-support to and from referral hospitals.   

10. Provides in-house transport of mechanically ventilated and other high-risk patients.  

11. Provides non-traditional therapies, e.g. Nitric Oxide gas administration, as ordered. 

12. Provides resuscitation and support services at all high-risk deliveries. 

13. Monitors effectiveness of therapy using non-invasive techniques such as pulse oximetry, end tidal CO2 and transcutaneous PO2/PCO2, in addition to invasive techniques such as arterial blood gas sampling. 

14. Analyzes inspired oxygen concentration using various oxygen analyzers.  

15. Calibrates monitors and maintains Transcutaneous Oxygen Monitors, End Tidal CO2 and pulse Oximetry monitors.   

16 Assists in Cardio-Pulmonary Resuscitation as part of Code Team primarily providing airway management and manual resuscitation.   Commonly administers drugs via the endotracheal tube during cardiopulmonary rescue e.g. Lidocaine, Atropine Sulfate and Epinephrine. 

17. Documents therapy, patient assessment, and interventions performed and test results in the progress notes of the medical record in a concise, accurate, and thorough manner.  

18. Transcribe a detailed shift note for all patient’s cared for during the shift.  

19. Responsible for acknowledging the proper assembly of all respiratory therapy equipment prior to and during patient use. 

20. Performs daily rounds and fairly bills patients for services rendered. Attend rounds daily with the intensive care unit critical care team and is an active participant in the patient’s care. 

21. Assists with development of in-service programs for departmental personnel. 

22. Assists the Associate Director with the orientation of new employees; acts as a preceptor for new employees and is utilized as a clinical instructor for students enrolled in local universities. 

23. Successful completion of adult critical care orientation (ability to support patients in all adult ICU's, ED, and imaging areas).

24. Ability to initiate inhaled epoprostenol and nitric oxide in the operating room or ICU setting independently. 

Physical Requirements:  

1. Able to walk and stand for approximately 90% of the time. 

2. Able to transport respiratory therapy equipment (up to 100 lbs.) using carts or wheels on the equipment to and from patient areas.  

3. Able to communicate with and assess the patient needs of different age populations. 

4. Requires manual dexterity using fine hand manipulation to operate computer keyboard and or respiratory equipment. 

5. Requires ability to see computer screen and reports. 

Skills & Abilities: 

1. Knowledge of medical terminology, physiology of the cardiopulmonary system, and Respiratory Science. 

2. Ability to communicate effectively with all professional staff as well as all patients. 

3. Ability to assess patient status and develop treatment plans. 

4. Ability to perform all required duties under emergency and stressful situations.