The Primary Purpose of the Position is to: : Provide Respiratory Care to all Veterans inpatient and outpatient. The Organizational Location of the Position is: Pulmonary Disease Section, Respiratory Therapy/Pulmonary Function Unit, Medical Service, VA North Texas HealthCare System.
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.(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. Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. 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: Respiratory Therapist, GS-05 Experience. None beyond the basic requirements. 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. Registered Respiratory Therapist, GS-07 Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential. Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: Ability to perform therapeutic modalities related to respiratory care. 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. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes. Skill in assessing oxygenation and ventilation. Ability to perform basic airway management to include artificial airways and mechanical ventilation. Registered Respiratory Therapist, GS-09 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. Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: Skill in performing therapeutic modalities related to respiratory care. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes. Skill in assessing oxygenation and ventilation. Ability to perform airway management to include artificial airways and mechanical ventilation. 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. AND 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: Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes. Skill in evaluating the efficacies of therapeutic modalities. Skill in performing advanced airway and ventilation management. Grandfathering Provision: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Preferred Experience: Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential. Experience with interpreting arterial blood gas results and coordinating patient care. Ability to perform airway management, including artificial airways and mechanical ventilation. Ability to perform therapeutic modalities in respiratory care. 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. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-05 to GS-11. 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)
Duties may include but are not limited to: Sets up, monitoring, and trouble-shooting volume ventilators in the ICU/SCI and general care areas for those patients that require mechanical ventilation. This includes both in the department records and the patient's chart. Provides airway care for both the ICU/SCI and general care patients. Measures respiratory compliance, tidal volume and inspiratory force. Provides oxygen and life support to patients during CPR. Assisting physicians with elective intubation. Perform emergency airway intubations during CODES. Provide oxygen therapy. Charts all modes of therapy and patient assessments in CPRS, Vista and Essentris. Administration of E-Z Pap therapy, Metaneb and Aerobeka. Administration of medication nebulizers to patients requiring aerosol medication. Removes secretions from patient's 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 patient's use including evaluation of equipment, operation and explanation of procedures to the patient where applicable. Checks patient's equipment to verify proper operation in compliance with doctor's orders. Administers helium/oxygen mixtures for patients with airway obstruction. Performs tracheal lavage and sputum inductions. Performs chest percussion and postural drainage. Evaluates a patient's 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 ventilators to radiology and other special procedures areas. This requires staying with the patient and monitoring the ventilator. Measures tracheal cuff pressures and records in CPRS and Essentris. Provides a complete and thorough report to oncoming shift. Responds to all STAT calls from nurses and physicians for equipment failure and malfunction. Must be 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. Makes 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. Performs emergency intubations outside of the OR for all patients requiring emergency airway management. Work Schedule: 7:30 pm-8:00 am, Alternating weekends (12 hr compressed tour of duty) (temporary rotating shifts) Compressed/Flexible: 12 hour shifts as determined by the Service Telework: Not available Virtual: This is not a virtual position. Permanent Change of Station (PCS): Not Authorized Pay: Competitive salary and regular salary increases When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA I Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)