Position is aligned organizationally under the Intensive Care Unit (ICU) of the V A/DoD Joint Venture (JV) Hospital at Elmendorf AFB, Alaska. The Respiratory Therapy (RT) Section is responsible for providing basic and advanced respiratory care services mainly to adult and geriatric patients at the V A/DoD Joint Venture Hospital and the Alaska VA Outpatient Clinic. The incumbent will be providing respiratory therapy and related care to VA veterans and DoD beneficiaries. The position requires utilization of both VA and Air Force guidelines, processes, and methods. Additionally, the respiratory therapist will be responsible for respiratory therapy education and responds to referrals from the 3 community out-based clinics aligned under the Alaska VA Healthcare System to include home oxygen responsibilities as needed. The RRT practices professionally, must be reliable, able to work independently, be pro-active and self-motivated. The incumbent is responsible for performing job duties in accordance with mission, vision, and values of Alaska VA Health Care System. Duties will include and supervision varies by grade: Assesses the respiratory status of critical care patients using data acquired through physical observation/examination, verbal and written communication from patients, family, and other healthcare team members, clinical analysis of blood gas data, chest x-rays, and reviews x-rays for endotracheal tube placement, pneumothorax recognition, atelectasis recognition, CT scans, electrocardiogram, and other data as relevant to patient care to determine the effectiveness of therapy being administered and coordinate with providers regarding changes in treatment. Assess and document pre and post therapy effectiveness. Administer/implements therapeutic measures as ordered by providers and per protocols, including but not limited to frequent adjustment of mechanical ventilators, Manual resuscitator bag-mask use. Determine indications/contraindications for therapy. BiPAP, CPAP, High Flow Nasal cannula (HFNC), oxygen titration, incentive spirometer, obtains and performs blood gases by arterial puncture, A-line, or venous access and analyzing using the I-STAT lab system. Recognize complications and respond to adverse effects. Percussion and postural drainage, positive end expiratory valve (PEP), MetaNeb, equipment/supply changes per hospital and department policies. Provide respiratory medication administration, nebulizers, continuous nebulizers, metered dose inhalers, and dry powder inhalers. Evaluate patients inspiratory and expiratory peak flow. Manage and evaluate compressed gas cylinders & regulators as well as on-demand oxygen regulators. Active participant in identifying and responding to both existing and potential emergency situations such as Rapid Response/nursing alerts, and Code Blue situations by initiating corrective treatment, respiratory medications, and emergency and resuscitative measures based on appropriate utilization of physician orders, unit and hospital guidelines, BLS, and ACLS protocol. Participate in mass-casualty staffing to provide airway management. Communicates significant information in a timely, knowledgeable, and professional manner to providers, other healthcare personnel, patients, and family members to facilitate safe and effective delivery of patient care. Critical values are reported within 30 minutes to RN and Provider and documented in the EMR as a Critical Value note. Identifies patient/family education needs and provision of patient/family teaching on matters involving or affecting patient care, including nutritional, psychosocial, and age-specific or developmental needs. Communicate with providers and discharge planners to provide accurate information about patient's needs at home and while hospitalized. Able to effectively perform oxygen evaluation for VA/DOD for in-patients at JBER hospital and document in EMR. Performs VA patient oxygen documentation, oxygen template order in-put, oxygen program daily operations, fire risk assessments, and processing. Maintains current VA EMR access, and familiarity of VA EMR use. Work Schedule: Shifts vary to cover 24/7 operations as mission dictates. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.