This position is located in the Respiratory Care Unit of the Pulmonary Medicine Section of Medical Service at the VA New Jersey Health Care System. The incumbent serves as a Registered Respiratory Therapist (RRT) and performs her/his duties under the supervision of the Chief, Respiratory Care. The Incumbent will travel between East Orange & Lyons campus as schedule for assignment and driving is required on campus at Lyons. Basic Requirements: Citizenship. Citizen of the United States (U.S.). Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, of this part. See 38 U.S.C. § 7407(a) for more information. 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. (2) Loss of Licensure, Certification or Credentials. An employee in this occupation, who fails to maintain the required certifications, RRT credential or license must be removed from the occupation, which may also result in the termination of employment. Once credentialed, licensed or certified, RTs/RRTs must maintain a full, valid and unrestricted license, credential and certification to practice respiratory care. 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). 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) Grade Determinations: 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. RRT's suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. RRT's 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 5005/141 Part II Appendix G11, dated 03/12/2021. The full performance level of this vacancy is GS-11, which is the actual grade at which an applicant may be selected for this vacancy. Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. ["Respiratory Therapists function as members of the medical team in treating and assessing the needs of individuals who may be seriously ill and provide around the clock care to individuals who otherwise would not be able to survive life-threatening conditions. 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 health care professionals to ensure quality of patient care within area of specialty. Duties perform but are not limited to: The Respiratory Therapist (RT) serves in a critical care setting with responsibility for independently administering a variety of complex treatments and tests to both ambulatory and non-ambulatory patients in all areas of the Medical Center as required. During emergency situations, the RT serves as a member of the Code Blue team in response to Cardiac and/or Respiratory arrests and is responsible independently inserting artificial airways into patient's trachea to provide controlled breathing consistent with the VA NJHCS Out-Of-The-Operating Room Airway Management policy. They initiate manual ventilation using a manual resuscitation bag or bag-valve-mask (BVM) and maintains ventilation. The RT is involved with the Rapid Response Team and responds to all calls in order to assess for any respiratory needs. Setup and monitors a variety of complex respiratory equipment such as volume or pressure ventilators for critical care patients. Based on patient assessment and analysis of arterial blood gas data, independently adjusts ventilator settings in order to change the patient's ventilation status. Applies advanced ventilation techniques such as pressure control ventilation, tube compensation, and volume and pressure support ventilation. Monitors patients closely to avoid complications and to alter the plan as necessary. Initially and continuously assesses the cardiopulmonary condition of assigned patients using data acquired through physical examination, respiratory monitoring, and diagnostic equipment. Determines the effectiveness of the therapy being administered, communicates with physician, and suggests alternate modes of treatment as indicated. Performs airway and endo-tracheal tube care on patients with artificial airways, including cleaning and securing the trach and endotracheal tube site, in-line suctioning, monitoring tube cuff pressure and inspecting equipment and patient to insure proper function. Operates suction catheters attached to vacuum to remove secretions from patients' airways. Places nasal and oropharyngeal airways and performing nasal and tracheal suctioning. Knowledge of basic medical sciences and how they relate to the respiratory and cardiovascular system. Knowledge of infrequently used respiratory equipment, procedures, and techniques. A full list of job duties can be found in the Functional Statement of this position. Work Schedule: Tour of duty is 6-12 hours shift 7pm-7am, 1-8hour shift 11pm-7am (Including Holiday & Weekend)\nVirtual: This is not a virtual position.\nFunctional Statement #: 21P29-A Financial Disclosure Report: Not required"]
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