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Respiratory Therapist, NICU per diem

Company: Dignity Health
Location: Carmichael
Posted on: November 24, 2022

Job Description:

**Respiratory Therapist, NICU per diem**

Mercy San Juan Medical CenterCarmichael, California

**Requisition ID** 2022-271450 **Employment Type** PRN **Department** Neonatal ICU **Hours/Pay Period** 8 **Shift** Day **Weekly Schedule** per diem days **Remote** No **Category** Therapy


Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California serving the areas of north Sacramento County and south Placer County for more than 50 years. It is one of the area's largest and most comprehensive medical centers. Dedicated to the community's well-being our staff and volunteers provide excellence in care for our patients each year. Mercy San Juan Medical Center has received recognition for being a Comprehensive Stroke Center and Center of Excellence for Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.


Under general medical and supervisory direction, administers the full range of respiratory care modalities in all patient care areas. Initiates and terminates mechanical ventilation per Cardiac surgery protocol or physician orders. Operates and maintains blood gas analyzer. Provides quality respiratory care services including routine and complex diagnostic and therapeutic procedures designed to evaluate, stabilize, prevent or remedy neonatal, pediatric, adult and geriatric pulmonary abnormalities. Utilizes a multi-disciplinary plan of care, including respiratory care protocols, assesses indications, initiates appropriate therapeutic interventions and evaluates anticipated outcomes. Acts as a clinical resource person to department and hospital patient care team. Provides education to patients and their families.

Job Specific Duties

1.1 Initiates and monitors mechanical ventilation to assure the patient is being ventilated adequately and according to protocol or the physician's written or verbal orders.

1.2 Blood gas sampling following appropriate infection control technique.

1.3 Extubates patients as per Cardiac and ICU protocol or the physician's written or verbal orders.

1.4 Organizes and gives a comprehensive patient report to the incoming shift.

1.5 Approaches the physician to clarify prescribed therapy and recommends modification when indicated.

1.6 Assesses and monitors the use of oxygen by performing pulse oximetry to verify medical need for oxygen. Recommends changes in therapy.

1.7 Assesses breath sounds, heart rate, respiratory rate, sputum production and clinical condition of the patient before, during and after therapy administration.

1.8 Checks physician's orders before administering therapy. Obtains appropriate orders if indicated.

1.9 Evaluates efficacy of therapy being given and approaches the physician to recommend appropriate changes.

1.10 Consults and discusses with the Medical Director of R.T. concerns about the management of patients receiving therapy.

1.11 Interprets arterial blood gases correctly and makes/recommends appropriate and timely changes in ventilator settings or therapy.

1.12 Performs daily and weekly preventive maintenance on blood gas analyzer. Informs incoming shift if unable to do so.

1.13 Performs quality control on blood gas analyzer before it is used. Doesn't operate it if QC values are out of established limits.

1.14 Maintains proper and timely documentation of preventive maintenance/quality control procedures.

1.15 Fills out timecard accurately and on a daily basis.

1.16 Documents accurately on the patient's chart and department's master all related information about therapy given.

1.17 Entries in the medical record are to be completed accurately and in real time. Informs incoming shift or R.T. head if unable to do so.

1.18 Assists with equipment cleaning and stocking of supplies.

1.19 May assist with ensuring necessary staffing

1.20 Assign appropriate work assignments and levels of equipment as needed

1.21 Serve as the department's Super User for new procedures and/or equipment as needed

1.22 Teaching, and department/hospital competency assessments as needed.

1.23 Critical care transports intra-facility


+ 5 years minimum acute care experience, with 1 year of critical care experience. If no qualified candidate, may consider training positions, depending on staffing needs.

+ Completion of an AMA approved respiratory therapy program.

+ Bachelors Degree in Respiratory Care,

+ Health Sciences or Credentialed in one of the following by the National Board of Respiratory Care Advanced Critical Care Specialty, Neonatal/Pediatric Specialist, Certified/Registered Pulmonary Function Technologist

+ Licensed Respiratory Care Practitioner with the State of California.

+ BLS with AHA logo, ACLS, PALS and NRP certification required.

**Equal Opportunity**

CommonSpirit Health--- is an Equal Opportunity/Affirmative Action employer committed to

a diverse and inclusive workforce. All qualified applicants will be considered for

employment without regard to race, color, religion, sex, sexual orientation, gender

identity, national origin, age, disability, marital status, parental status,

ancestry, veteran status, genetic information, or any other characteristic protected

by law. For more information about your EEO rights as an applicant,

pleaseclick here. (\_0/EEOLawPoster.pdf)

CommonSpirit Health--- will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).

CommonSpirit Health--- participates in E-Verify.

Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

Keywords: Dignity Health, Carmichael , Respiratory Therapist, NICU per diem, Healthcare , Carmichael, California

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