Summary

The incumbent will be located at the Veterans Affairs Portland Health Care System (VAPORHCS).The incumbent reports to the incumbent reports to the Assistant Chief of Respiratory Care Services (RCS) and Chief of Respiratory Care Services along with the Chief of Pulmonary and Critical Care Medicine and the Clinical Director of Division of Hospital & Specialty Medicine (DHSM).

Qualifications

Basic Requirements:

• Citizenship
• Citizen of the United States (U.S) Education
• Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor
• Licensure
• Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full - current and unrestricted license from a state to practice as an RRT
• Credential
• Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid - current - unrestricted credential of RRT
• (1) Exception
• RT positions will be designated only to individuals who are in the process of obtaining credentials to become an RRT
• These individuals will only be hired on a temporary appointment as provided below
• (a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credential
• Individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor - acquired the CRT credential - are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RT
• The temporary appointment is made under the authority of 38 U.S.C. § 7401(a)(1)(B) for a period not to exceed one year from date of employment
• Candidates must hold an active - current - full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level
• (b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is received
• (c) RTs must provide care only under the close supervision of an RRT
• (d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment
• (e) Failure to Obtain Credential
• In all cases - RTs must actively pursue meeting national prerequisites for the RRT credential from the first day of their appointment
• Failure to become credentialed within one year from date of appointment will result in removal from the GS-0601 RT series and may result in termination of employment
• The Human Resources (HR) Office staff will provide RTs - in writing - the requirement to 1) obtain their RRT credential
• 2) the date by which the RRT credential must be acquired
• and 3) the consequences for not becoming RRT credentialed by the deadline
• The HR Office staff must provide the written notice to selectees prior to entrance on duty date and maintain a copy in the electronic Official Personnel Folder
• English Language Proficiency
• RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f)
• Grade Determinations: In addition to the basic requirements for employment in paragraph 3 above - all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows: Respiratory Therapist - GS-05
• (a) Experience
• None beyond the basic requirements
• (b) Education and Licensure
• This level assignment is designated as temporary under paragraph 4d(1) above for individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor - acquired the CRT credential - licensed by their state and are working towards obtaining RRT credential
• Assignment
• This is the entry level developmental position
• Registered Respiratory Therapist - GS-07
• (a) Experience - Education - Licensure and Registration
• In addition to the basic requirements - candidates must possess their RRT credential
• (b) Demonstrated Knowledge - Skills and Abilities
• In addition to the requirements above - candidates must demonstrate all the following KSAs: i
• Ability to perform therapeutic modalities related to respiratory care
• ii
• Skill in analyzing physiological specimens obtained to include arterial blood gases - pulse oximetry - End tidal Co2 (ETCo2) monitoring - basic spirometry and other basic diagnostic procedures
• iii
• Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes
• iv
• Skill in assessing oxygenation and ventilation
• v
• Ability to perform basic airway management to include artificial airways and mechanical ventilation
• Assignment
• This is a developmental position
• RRTs at this grade level will be responsible for the following assignments with minimal clinical supervision from an RRT at the full performance level in both inpatient and/or outpatient settings
• Registered Respiratory Therapist - GS-09
• (a) Experience or Education - Licensure and Credential
• Candidates must have: i
• One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level
• OR ii
• A Master of Science degree in respiratory care AND a license AND an RRT credential
• (b) Demonstrated Knowledge - Skills and Abilities
• In addition to the requirements above - candidates must demonstrate all the following KSAs: i
• Skill in performing therapeutic modalities related to respiratory care
• ii
• Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes
• iii
• Skill in assessing oxygenation and ventilation
• iv
• Ability to perform airway management to include artificial airways and mechanical ventilation
• Assignments
• This is a developmental position
• RRTs at this grade level are responsible for the following under general guidance in both inpatient and/or outpatient settings
• RRTs obtain - interpret and analyze physiological specimens and data
• They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty
• Registered Respiratory Therapist - GS-11
• (a) Experience - Licensure and Credential
• Candidates must have: i
• One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level
• ii
• Hold an active license and RRT credential
• (b) Demonstrated Knowledge - Skills and Abilities
• In addition to the requirements above - candidates must demonstrate all the following KSAs: i
• Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes
• ii
• Skill in evaluating the efficacies of therapeutic modalities
• iii
• Skill in performing advanced airway and ventilation management
• Assignments
• This assignment is the full performance level
• RRTs at this grade level work independently providing respiratory care in both inpatient and/or outpatient settings
• The specific assignments are dependent on facility structure and complexity levels
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Preferred Experience: 2 years of ICU experience - Bachelor of Science in respiratory care - Adult Critical Care Specialist (ACCS) certified
• The full performance level of this vacancy is GS-11
• The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-11
• Physical Requirements: See VA Directive and Handbook 5019 - Employee Occupational Health Service for requirements.

Duties

• The duties of this position include - but are not limited to: Perform the following procedures with proficiency and confidence under minimal supervision: Oxygen - aerosol - humidity - and positive pressure breathing therapy
• Implement adult mechanical ventilation using the PB980 - LTV 1000/1200 - Astral and other ventilators
• Maintain - adjust - and monitor patients on a ventilator
• Wean long-term ventilator patients
• Performs weaning parameters on patients being weaned off a ventilator( Following the Ventilator Liberation protocol )
• Implement Acute and Chronic NIPPV set-up and use(Respironics V60 - Home NIPPV devices CPAP - Auto CPAP - BIPAP - Auto Bipap
• Implement HHFNC (Heated High1
• Flow Nasal Cannula) therapy
• Incumbent will read and review the patient's chart and evaluate physician's orders for respiratory therapy
• Position patient and perform chest physiotherapy and postural drainage therapy/positioning - noting effectiveness of therapy or perform Flutter Value Administer aerosolized medications as prescribed in the physician's order while following hospital policy regarding the administration of medication(s) (BCMA) Perform Arterial Blood gas analysis by: Performing an Arterial Blood Gas draw to obtain blood specimen from Radial or Brachial artery
• Must have basic understanding of blood gas and acid base interpretation
• Consult with superiors and/or physicians on blood gas results and make recommendations for best course of action for the patient
• Respond to emergencies - make assessments - and implement proper actions and judgments
• Perform bedside pulmonary function testing as required
• Assist in and performs minor and preventative maintenance of department equipment - when necessary Prepare departmental requisitions - charges - and other paperwork that pertains to the department
• May be called upon to aid in the evaluation of new equipment and supplies
• Perform all Respiratory Therapy tasks using aseptic techniques/universal precautions to provide best care available to the patient
• Work Schedule:0500-1730 and 0500-1330 - Variable days - Monday-Sunday (plus some holidays and on-call) Telework: Not Available Virtual: This is not a virtual position
• Functional Statement #: 000000 Relocation/Recruitment Incentives: Authorized Permanent Change of Station (PCS): Not Authorized