Veterans Affairs, Veterans Health Administration Registered Respiratory Therapist in Dallas, Texas
Veterans Affairs, Veterans Health Administration
1 vacancy in the following location:
- Dallas, TX
Work Schedule is Full Time - Excepted Service Permanent
Opened Wednesday 10/5/2016 (18 day(s) ago)
** Closes Tuesday 10/25/2016 (2 day(s) away)
Vacancy Identification Number (VIN): 1818391
OUR MISSION:To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans.
VA North Texas Health Care System is the second busiest VA system in the nation and we are growing! Comprised of the Dallas VA Medical Center, Sam Rayburn Memorial Veterans Center in Bonham, Fort Worth Outpatient Clinic and Tyler VA Primary Care Clinic, VANTHCS is an integrated health care system with approximately 4,600 employees and over 1,600 volunteers and clinical trainees. VANTHCS also coordinates a Community Based Outpatient Clinic program throughout its 40-county primary service area to improve access to care for veterans throughout 38 North Texas and 2 in southern Oklahoma. Through these four distinctive facilities and relationships with other agencies, VANTHCS provides a continuum of health care services to a veteran population of approximately 110,000.
Housed on an 84-acre campus, Dallas VA Medical Center is the corporate headquarters for VANTHCS and serves as the tertiary referral center. Through its partnership with The University of Texas Southwestern Medical Center at Dallas (UT Southwestern), it also has emerged as a major teaching and medical research center. Primary care and multi-specialty outpatient clinics are also provided, making VANTHCS the 2nd largest health care system based on number of patients seen.
VA offers generous paid time off and a variety of predictable and flexible scheduling opportunities. For more information on the Department of Veterans Affairs, go to http://www.vacareers.va.gov/.
VA encourages persons with disabilities to apply. The health related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
The primary purpose of this position is to provide respiratory care to all Veterans to in and out patients. The position is located in Pulmonary Disease Section with Medical Service at the VA North Texas Health Care System. Some of the duties consist of:
Setting up, monitoring, and trouble-shooting volume ventilator in the ICU/SCI and general care areas for those patients that require mechanical ventilation. This includes both in the department records and the patients chart.
Provide airway care for both the ICU/SCI and general care patients.
Measure respiratory compliance, tidal volume and inspiration force.
Providing oxygen and life support to patients during CPR.
Assisting physicians with intubation, both emergent and elective. Provide oxygen therapy.
Charting all modes of therapy and patient assessments in CPRS and Essentials.
Administration of E-Z Pap therapy.
Administration of medication nebulizers to patients requiring aerosol medication.
Removes secretions from patients airways using a sterile suction catheter attached to a vacuum source.
Prepares and installs basic respiratory equipment, CPAP, BIPAP, flow meters, heaters, and tank regulators for patients use including evaluation of equipment, operation and explanation of procedures to the patient where applicable.
Checks patients equipment to verify proper operation in compliance with doctors orders.
Administration of helium/oxygen mixtures for patients with airway obstruction.
Performs trachea lavage and sputum inductions.
Performs chest percussion and postural drainage.
Evaluates a patients overall cardiopulmonary condition in relationship to the modes of therapy being delivered in order to determine the need and/or effectiveness of treatment.
Transports ventilator dependent patients on portable volume ventilator to radiology and other special procedures areas. This requires staying with the patient and monitoring the ventilator.
Measuring tracheal cuff pressures and records in CPRS and Essentris.
Provide a complete and thorough report to oncoming shift.
Responds to all STAT calls from nurses and physicians for equipment failure and malfunction.
Is able to recognize when equipment is malfunctioning and reports to chief, assistant chief, or charge therapist.
Verifies all physician orders before therapy is administered to make certain that all orders are correct.
Instructs patients how to improve their ability to breathe during times of respiratory distress.
Administers incentive spirometry per physician orders.
Changes all equipment and makes certain that all non-disposable items are sent to the SPD unit for sterilization and cleaning.
Make sure that all medication administered to patient are the correct dosage and within the expiration date.
Draws and analyzes blood gases throughout the medical center.
Perform emergency intubation outside of the OR for all patients requiring emergency airway management.
Charge Therapist Duties
In the absence of the Assistant Chiefs, will serve as charge therapist.
Charge therapist will be responsible for assigning the CPR beepers to the staff therapist with the most CPR experience.
Charge therapist may grant annual leave in the absence of the Chief or Assistant Chiefs of Respiratory Therapy.
In the event employees are calling in and requesting leave for the next tour of duty, it will be the charger therapists duty to make certain that the tour is adequately staffed to the best of their abilities.
Charges therapist are responsible for recording all employee call ins and reporting their absence to the next tour of duty.
Charge therapist will make certain that the breakdown sheet is complete, all blood accession blood gas test are cleared, beepers, pulse oximeters are accounted for as well as reporting any missing equipment to the next shift.
WORK SCHEDULE: (40 hour workweek) 07:30 pm - 8:00 am, rotating every other weekend.
FUNCTIONAL STATEMENT TITLE: Registered Respiratory Therapist
- Not Required
- Must pass pre-employment examination
- Must be proficient in written and spoken English
- Designated and/or random drug testing may be required
- Background and-or Security Investigation required
- Selective Service Registration is required for males born after 12/31/1959
Knowledge of administering assisted and controlled ventilation to patients with tracheostomies and other complex medical problems requiring frequent adjustments in ventilator parameters, able to develops plans for weaning patients from ventilators, and able to assess the respiratory status of the patients using data acquired through physical observation and clinical analysis of blood gas data, chest x-rays, and electrocardiogram to determine the effectiveness of therapy being administered and to make recommendations to physicians regarding changes in treatment.
Knowledge of arterial blood gas samples and analyzation, following all universal precautions in dealing with blood.
Knowledge to perform complex respiratory procedures with minimal supervision. Is able to participate with physicians and nurses and other staff in planning respiratory treatment, with great reliance therapy on the individual's knowledge of the equipment.
Knowledge to provide emergency or clinical respiratory care and conducts training sessions with respiratory therapy students, hospital staff, patients and family members.
Demonstrated communication skills in various settings (i.e. patients, families, peer, etc).
Ability to use an electronic medical record and office automation software to enter and extract data to process consults, schedule patients, develop databases, produce correspondence, etc.
A CERTIFICATE OR PERMIT IS REQUIRED TO PRACTICE IN TEXAS. IF SELECTED, THIS IS MANDATORY BEFORE EMPLOYMENT CAN BEGIN*
U.S. citizenship. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
Certificate as an Registered Respiratory Therapist from the NBRC (National Board for Respiratory Care) and a registry number, or a certificate from another body which the NBRC recognizes as its credentialing equivalent. This includes registration based on either: (1) Having fulfilled the requirements and passed the registry examination for a registered inhalation or respiratory therapist administered by the (1) National Board for Respiratory Therapy from July 1974 through 1982 or (2) American Registry of Inhalation Therapist from 1961 through June 1974.
In accordance with 38 U.S.C. 7402(d) and 7407(d), no person shall serve in direct patient care positions unless they are proficient in spoken and written English.
Must meet physical requirements as outlined in the 'PHYSICAL REQUIREMENTS' section of this announcement.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience
GS-7. None beyond the basic requirements.
GS-8. Candidates must have all of the following:
(1) At least 1 year of successful experience related to respiratory therapy at the GS-7 level or equivalent. Qualifying experience at this level is work which includes duties such as: administering assisted and controlled ventilation to patients with tracheotomies and other complex medical problems requiring frequent adjustments in ventilator parameters; administering and monitoring advanced ventilator techniques such as positive end expiratory pressure and continuous positive airway pressure; developing plans for weaning patients from ventilators; assessing the respiratory status of patients using data acquired through physical observation and clinical analysis of blood gas data, chest x-rays, and electrocardiogram to determine the effectiveness of therapy being administered and to make recommendations to physicians regarding changes in treatment; performing the most difficult respiratory therapy procedures to maintain ventilation, including endotracheal intubation, tracheal lavage, and tracheotomy care; and providing in-service training to others in various specialized areas of respiratory care.
(2) Demonstrated knowledge and ability needed to perform complex respiratory procedures with minimal supervision. Is able to participate with physicians and nurses and other staff in planning respiratory treatment, with great reliance on the individual's knowledge of the equipment.
(3) Demonstrated knowledge and ability to provide emergency or critical respiratory care; service as a shift leader or supervisor or sole responsible respiratory therapist on a shift; and to plan and conduct training sessions with respiratory therapy students, hospital staff, patients, and family members.
References: VA Handbook 5005, Part II, Appendix G11, REGISTERED RESPIRATORY THERAPIST, April 15, 2002. http://www.va.gov/ohrm/joblistings/VAQualStds.doc
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
Physical Requirements:Medium LIfting (Up to 15 lbs.); Medium Carrying (Up to 15 lbs.); Straight Pulling (up to 1 minute); Pushing (1 minute); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 30 minutes); Standing (up to 1 hour); Repeated bending (up to 5 minutes); Near vision correctable at 13" to 16"; Hearing (aid permitted)
What To Expect Next
After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. During our review, if your résumé and application package do not support your questionnaire answers, we will adjust your rating accordingly. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email (if provided); otherwise, applicants will receive a notification letter via the U.S. Postal Service. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USAJOBS account and clicking on "Application Status." For a more detailed update of your status, click on "more information." Information regarding applicant notification points can be found in the USAJobs Resource Center.
VA offers a comprehensive benefits package. This link provides is an overview of the benefits currently offered: http://www.vacareers.va.gov/why-choose-va/benefits/index.asp.
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employees credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave.
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
Salary Range: $41,827.00 to $60,223.00 / Per Year
Series & Grade: GS-0601-00/00
Promotion Potential: 08
Supervisory Status: No
Who May Apply: Current Permanent VA Nationwide Employees Only
Control Number: 452524000
Job Announcement Number: AH-17-LTB-1818391-BU