The therapist works within the Critical Care Service Line of the VA Healthcare System. The therapist is responsible for providing all ordered modalities of care as outlined in the Respiratory Therapy Section Policy and Procedure manual. It is required that therapists be registered by the National Board of Respiratory Care (NBRC) or possess a certificate from another body which the NBRC recognizes as its credentialing equivalent.
Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. 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. 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. 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. 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. RTs must provide care only under the close supervision of an RRT. Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment. 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. Grade Determinations.In addition to the basic requirements for employment, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows: Registered Respiratory Therapist, GS-11. 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. 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. They use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met. They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty. They manage and maintain the airway and ventilation of the patient using appropriate mechanical means. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation. They monitor critical systems. They use advanced modes of ventilation and outpatient services, such as home ventilators and COPD case management. RRTs suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. RRTs at this grade level may perform invasive procedures such as arterial line placement. They serve as a preceptor to lower graded staff. They may lead projects developing new policies, procedures or protocols References: VA HANDBOOK 5005, PART II, APPENDIX G11 March 12, 2021The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is GS-11. Physical Requirements: Work is primarily performed in all patient care areas (in-patient and outpatient). Respiratory Therapists will have extensive interaction with patients, staff, physicians, family members, and visitors. It will involve walking, standing, and bending, reaching and stretching to set-up and taking apart equipment, lifting, and positioning patient and carrying, pushing or pulling moderate heavy objects (15-44lbs). Respiratory Therapists must have or obtain the ability to handle varying levels of stress in a positive manner. Preferred Experience: Five years of experience Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-11. Physical Requirements: Work is primarily performed in all patient care areas (in-patient and outpatient). Respiratory Therapists will have extensive interaction with patients, staff, physicians, family members, and visitors. It may involve walking, standing, and bending, reaching and stretching to set-up and taking apart equipment, lifting, and positioning patient and carrying, pushing or pulling moderate heavy objects (15-44lbs). Respiratory Therapists must have or obtain the ability to handle varying levels of stress in a positive manner.
The therapist is responsible for operating and monitoring medical equipment and instruments in connection with a variety of examination and treatment procedures, which require a high degree of judgment, manual dexterity and skill. The therapist must have the interpersonal skills required to work as a cooperative and integral member of the team of physicians, nurse caregivers and other hospital personnel who care for critically ill patients. The therapist must also possess the personal skills required to deal with sick and suffering human beings, and distraught family members, and be able to relate to these individuals in a caring and professional manner. The therapist must be mentally and emotionally capable of working with gravely ill and dying people. The therapist must possess the in-depth knowledge of cardiopulmonary physiology of critically ill patients. The therapist is responsible for making rapid and accurate observations of vital parameters, such as heart rate, pattern of breathing, breath sounds, and quantity and character of respiratory secretions and having knowledge of the importance of vital parameters in relation to the patient's condition. The therapist is responsible for reporting sudden changes to the responsible physician immediately, and for making appropriate recommendations. The position has five areas of responsibility: (A) Direct Patient Care, (B) Maintenance of Equipment, (C) Shift Leader, (D) Liaison between Physicians and Respiratory Therapy, (E) Other Responsibilities as Assigned. Work Schedule: Full Time Hours: Monday Thru Friday and every other weekend, 11 pm - 7:30 am Financial Disclosure Report: Not required