The Chief of Respiratory Therapy displays proficiency and performs at a level of excellence in Respiratory Care. The services are performed in accordance with the guidelines established by the National Board of Respiratory Care (NBRC), American Association for Respiratory Care (AARC), and policies and procedures of the GLAVA. Basic Requirements: a. 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. b. Education. Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor. c. 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. d. 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. 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. 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. e. Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements. f. 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). g. Grandfathering Provision. The following is the standard grandfathering policy for all hybrid title 38 qualification standards. Please carefully review the qualification standard to determine the specific education, credential or certification requirements that apply to this occupation. All persons employed in VHA in this occupational series or in another occupational series and performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education, credential or certification that are part of the basic requirements of the occupation. For employees who do not meet all the basic requirements required in this standard, but who met the qualifications applicable to the position at the time they were appointed to it, the following provisions apply: (1) Employees in an occupation that does not require a licensure, certification or registration, may be reassigned, promoted or demoted within the occupation. (2) Employees in an occupation that requires a licensure, certification or registration, may be reassigned, promoted up to and including the full performance level or demoted within the occupation, but may not be promoted beyond the full performance level or placed in supervisory or managerial positions. (3) Employees in an occupation that requires a licensure, certification or registration only at higher grade levels must meet the licensure, certification or registration requirement before they can be promoted to those higher-grade levels. (4) Employees who are appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed, on a temporary or permanent basis, until they fully meet the basic requirements of the standard. (5) Employees initially grandfathered into this occupation, who subsequently obtain additional education and/or licensure, certification or registration that meet all the basic requirements of this qualification standard must maintain the required credentials as a condition of employment in the occupation. (6) If an employee who was retained in an occupation listed in 38 U.S.C. § 7401(3) under this provision leaves that occupation or employment with the VA, the employee loses protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation and/or VA. Grade Determinations: Supervisory Registered Respiratory Therapist, GS-14. (a) Experience, Licensure and Credential. Candidates must: i. Have one year of creditable experience equivalent to the GS-13 grade level demonstrating the clinical competencies described at that level. It is highly desirable that the candidate possess certification in one or more functional specialties such as critical care, pulmonary, education and sleep medicine. ii. Hold an active license and RRT credential. (b) Education. It is highly desirable that the candidate possess a Bachelor of Science degree from a nationally accredited college or university in respiratory care; cardiopulmonary science; or a health-related field. (c) Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i. Skill in implementing patient care and operations change by recognizing opportunities for improvement and analyzing data. ii. Skill in the development and implementation of appropriate standards of care for respiratory care. iii. Ability establish a completely integrated program that emulates "best practice" and follows national policies. iv. Ability to supervise employees. v. Ability to forecast resource needs to manage fiscal matters. (d) Assignments. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity and range of variety and must be performed by the incumbent at least 25% of the time. They manage all administrative and clinical aspects of the organizational unit. The organizational unit may be located at one facility or multiple divisions of a facility. They have broad and overall responsibility for the service-level department and full responsibility for clinical practice, program management, education, human resources management, budget management and supervision for employees whose work involves providing high acuity care. They provide leadership with objective, independent assessments and recommendations for policy, operational and administrative issues and initiatives requiring decision and action. They plan, assess and evaluate programs to ensure coordination between care delivered by the program and overall delivery of health care within the facility. Supervisory RRTs initiate and conduct audits and analyze a wide variety of data related to program planning and the specialized needs of the Veteran, the service and the medical center. They advise leadership on policy implications, key issues, relationships to both internal and external interest groups and recommend courses of action. They prepare special reports and responses, Congressional responses, briefing papers, issue briefs and decision papers for the medical center leadership, VISN or central office, which may be highly sensitive, confidential and of a complex nature. They develop policies, procedures and protocols, performance and quality standards, position descriptions and functional statements. Preferred Experience: Experience as Faculty in a respiratory care program; Experience in Research. References: VA Handbook 5005/141 PART II APPENDIX G11 ["Major duties to include but not limited to: Assists the Chief of Pulmonary, Critical Care and Sleep with preparing formal requests for filling vacancies for additional personnel to meet work requirements. Selects or participates with significant influence in selection of employees from eligible candidates. Keeps employees and Assistant Chiefs informed of important hospital policies. Identifies, provides and conducts continuing education and training needs of staff. Formulates plans and arranges for appropriate training courses for respiratory care staff members with new treatment procedures or operation of new types of medical equipment. Participates in both the planning and delivery of comprehensive in-service respiratory and related care teaching and training programs for subordinates and other staff in different disciplines. Plans instruction and participates as an instructor for the facility respiratory care educational program. Assigns and explains work requirements relative to respiratory care for new or changed, as well as existing, programs. Resolves technical work problems, including those not covered by precedents or established policies. Monitors continuing education hours for each employee and reports any noted deficiencies to the Chief, Pulmonary, Critical Care and Sleep. Initiates corrective action for any noted deficiencies and provides specific documentation for disciplinary actions. Assists the Chief, Pulmonary, Critical Care and Sleep with development and updates guidelines and policies for non-routine or complex assignments. Assists with establishment, implementation and reporting of performance improvement activities to assure compliance with The Joint Commission (TJC) standards. Responsible to report all staff usage of leave to the Chief, Pulmonary, Critical Care and Sleep. Investigates patient and employee incidents, identifies safety hazards, and initiates corrective action. Assists with the sequence /implementation of respiratory daily operations and recommends changes to the Chief, Pulmonary, Critical Care and Sleep of work assignments to improve work, service, or job satisfaction. Resolves technical work problems, including those not covered by precedents or established policies. Analyzes and resolves problems which impede delivery of respiratory care. Assists in collecting/providing accurate data for the Quality Improvement (QI) and Quality Assurance (QA) programs in the Respiratory Therapy Department. Reviews daily computer (event capture) data entry utilizing the respiratory care unit DSS reporting system. Reviews all patient consults /encounters received are accurate and are closed out in Vista/CPRS. Ensures respiratory staff has been scheduled to provide adequate staffing coverage at all times. Assists with the development and maintains appropriateness of policy and procedure manuals of the Respiratory Therapy Section. Complete the annual inventory and maintenance of CMR (EIL). Consistently maintains complete confidentiality of all files, i.e., medical, financial, employees, and computer or other sensitive material, which may jeopardize the privacy of others. Participates in management of employee timecards to include leave and overtime approval as well as timecard certification. Attends all mandatory in-services as directed. Assists in providing learning experiences for respiratory therapy students and allied health professionals and provide instruction where indicted. This includes conducting student orientation and administration of competency testing. Conducts in-service training to physicians, nurses, respiratory students, and respiratory personnel as assigned. Maintains current BLS/ALS Certification. Completes required TMS modules. Maintain California State License for Respiratory Care. Maintains RRT credentials. Work Schedule: Full-Time 08:00am - 4:30pm\nTelework: Not Available\nVirtual: This is not a virtual position.\nFunctional Statement #: 000000\nRelocation/Recruitment Incentives: Not Authorized\nPCS Appraised Value Offer (AVO): Not Authorized\nFinancial Disclosure Report: Not required"]
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.