Respiratory Care Practitioner II Registered
Company: Kaiser Permanente Zion Medical Center
Posted on: May 3, 2021
Under physician supervision, in accordance with policies and
procedures approved by the Medical Director, is expected to assume
primary clinical responsibility for all respiratory care modalities
and to exercise considerable independent clinical judgment in the
respiratory care of patients. Must be capable of serving as a
technical resource person to the physician regarding current
practices in respiratory care and to the hospital staff regarding
effective and safe methods for administering respiratory care.
Works under the general supervision of an administrative supervisor
or the direction of a technical lead to deliver respiratory care
services to patients in all areas of the hospital. Must be able to
adapt to the particular area of duty assignment and to perform
special duties required by the assignment. Standards of performance
for the area to which the individual is assigned must be
Special duties may include provision of basic and advanced
respiratory care to neonatal and pediatric patients in the
intensive care unit and during transport, which frequently requires
making rapid decisions and assisting physicians to respond to
status changes in neonatal and pediatric patients.
Special duties may include performance of a variety of diagnostic
tests of the cardiopulmonary system and to determine the effect of
disease and treatment on that system.
- Selects Reviews, Obtains and Interprets Data : Reads and
evaluates physicians orders, clarifying as needed. Accurately
transcribes physician orders to electronic charting system or
departmental patient master. Reviews patient information including
history, lab data, radiologic studies, progress notes, respiratory
and cardiovascular monitoring data and performs assessment/data
collection in systematic manner.
- Systematically assesses patients overall cardiopulmonary status
by inspection, palpation, percussion, auscultation, and patient
- Interprets data to formulate goal-directed plan of care and
determines requirements for treatment such as type and duration of
therapy, precautions to be observed, equipment required, and
medication and dosages.
- Determines modifications to physician orders, which optimize
patient, care and makes recommendations to physician. Recommends
procedures to obtain additional data including radiographs,
bronchoscopy, Gram stain and C&S, spirometry, blood gas
analysis, lung mechanics, work of breathing, EKG, noninvasive
- Performs Diagnostic Modalities : Performs procedures and
interprets results: ABG sampling and analysis, co-oximetry,
spirometry, pressure-volume and flow-volume loops, cuff pressure,
sputum induction. May perform EKGs. May place Holter monitor. May
perform pulmonary function, and sleep diagnostic tests.
- May perform Exercise Stress Tests. May perform indirect
- Selects Assembles and Checks Equipment for Proper Function,
Operation and Cleanliness: Selects, assembles and checks
equipment for cleanliness, proper function and safe operation.
Ensures proper function and ready availability of respiratory
related life support equipment. Troubleshoots and performs minor
repairs of equipment. May perform Quality control procedures for
blood analysis devices.
- May perform Quality control, calibrate, maintain and
troubleshoot pulmonary function diagnostic equipment.
- Participates in routine departmental programs of cleaning,
disinfecting and sterilizing of respiratory care and other related
- Participates in routine departmental preventive maintenance
program and performs basic repairs.
- Orders/stocks departmental supplies.
- Initiates, Conducts and Modifies Prescribed Therapeutic or
Diagnostic Procedures: Operates all medical equipment within
manufacturer and department guidelines to safely treat patients.
Checks and adjusts alarms. Observes established safety and security
procedures and protects patients from nosocomial infection.
Explains planned therapy or procedure and goals to patient in
understandable terms to achieve optimal therapeutic
outcome.Conducts therapeutic procedures to maintain a patent
airway, remove bronchopulmonary secretions, and/or achieve adequate
ventilation and oxygenation
- Monitors patients physiological responses to therapy,
recognizes patient adverse reaction and stops or modifies or
recommends modification to procedure based on patient
- Documents all required information in the medical record
according to departmental policy and procedure. Initiates
pressure-cycled/volume-cycled/high frequency ventilation.
Weans/modifies mechanical ventilation according to assessment and
- Assists with or performs extubation.
- Conducts patient education and disease management. Performs
cardiopulmonary resuscitation according to resuscitation
guidelines. May assist with or perform intubation. May assist the
physician when performing bronchoscopy, thoracentesis,
tracheostomy, cardioversion, and intubation.
- May participate in land/air critical care transport. May assist
with high risk deliveries. May assist with surfactant replacement
in neonates. May participate in pulmonary rehabilitation, home
care. May assist with discharge planning. May assist with community
outreach. May initiate and implement therapist driven
- Supervision and Administration: May assign, organize and
coordinate the work of assigned Respiratory Care Practitioners. May
demonstrate respiratory care procedures to trainees and other
health care personnel. May train assigned practitioners and
complete assigned practitioner competency reviews.
- Contributes to departmental quality improvement activities. May
schedule staff and perform staffing functions.
- Assesses priorities for delivery of patient care and
redistributes resources as necessary throughout shift. Protects
data from intentional or unintentional destruction, modification,
- Maintains a current knowledge base of departmental information
management systems, including collection, maintenance, and
dissemination of information, as well as appropriate audit
- May develop policies and procedures, both clinical and
administrative. May serve as Timekeeper for TIME system.
- Other Assessment Criteria: Complies with attendance and
punctuality expectations and with meal and break schedules.
Accurately documents time in/out in TIME keeping system or time
- Maintains a professional appearance, displays professional
conduct and ethical behavior.
- Participates in continuing education for professional
development in Respiratory Care and related fields. May serve on
hospital committees. May participate in professional
- Supervisory Responsibilities: This job has no
- At least three (3) years regular (20 hours or more per week) of
recent experience as Respiratory Care.
- High school diploma OR General Education Diploma (GED)
- Graduate from a respiratory care education program supported by
CoARC or accredited by CAAHEP, with 62 semester hours of college
credit, including a background in the basic sciences, or
baccalaureate degree in an area other than respiratory care or
Associates of Arts or Science degree. Respiratory Care
Practitioners who received their RCP license prior to 1986 and
currently working at Kaiser Permanente are exempt from this
License, Certification, Registration
- Registered Respiratory Therapist Certificate
- Respiratory Care Practitioner License (California) from
National Board of Respiratory Care
- Ability to read and comprehend simple instructions, technical
manuals, and short correspondence or memos. Ability to write simple
- Ability to speak and understand spoken English.
- Ability to effectively present information in one-on-one and
small group situations to customers, clients, and other employees
of the organization
- Must be willing to work in a Labor Management Partnership
- Also refer to Position Specifications outlined in the
appropriate collective bargaining agreement.
- Certification: Registered by the National Board for Respiratory
Care. Certified or Registered Pulmonary Function Technologist by
the National Board for Respiratory Care preferred, may be required
for this particular position.Neonatal/Pediatric Specialist by the
National Board preferred, may be required for this particular
position. Respiratory Care Practitioners who received their RCP
license prior to 1986 and currently working at Kaiser Permanente
are exempt from obtaining their CRT credential.
- At least one year of recent critical care experience preferred,
may be required for this particular position.
- At least one year of clinical experience in neonatal/pediatric
respiratory care preferred, may be required for this particular
- Depending on the particular specialty, ACLS, NRP or PALS may be
required for this particular position.
- Keyboard skills preferred.
- Registered by the Board of Registered Polysomnographic
Technologists preferred, may be required for this particular
Keywords: Kaiser Permanente Zion Medical Center, Roseville , Respiratory Care Practitioner II Registered, Other , Roseville, California
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