The incumbent serves as a member of the Inpatient Respiratory Therapy Section and works in the Medical Service at the South Texas Veterans Healthcare System, San Antonio, Texas. The Respiratory Therapy Section is a 24/7 clinical operation and is fully responsible for providing the full range of inpatient respiratory therapy services. 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. 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). 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). Grade Determinations: Registered Respiratory Therapist, GS-11 Experience, Licensure and Credential. Candidates must have One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level. AND hold an active license AND a RRT credential. Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: (a) Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes. (b) Skill in evaluating the efficacies of therapeutic modalities. (c) Skill in performing advanced airway and ventilation management. Preferred Experience: -Advanced Cardiac Life Support (ACLS) preferred. Basic understanding and application of computer use to include Word, Excel, and medical charting software. -Minimum 1 year of clinical experience in application of all oxygen modalities including low flow and high flow systems, aerosol and nebulizer delivery systems, airway clearance modalities, and proficiency in collection and interpretation of arterial blood gases. -Adult Critical Care Specialist (RRT-ACCS) with minimum 3 years of clinical experience in Intensive Care Units. Able to safely and competently initiate and monitor various mechanical ventilators, high frequency oscillator ventilators, and portable transport ventilators. Knowledge and experience in delivery of nitric oxide. Able to initiate application of CPAP and Noninvasive Positive Pressure Ventilation (NPPV) devices. -Prefer experience as crew member in ground or air critical care transport team or team member of hospital acute care rapid response team. -Prefer previous experience in team leader capacity with ability to distribute workload assignments appropriately and able to work with minimal supervision. Prefer 1 year of Emergency Department clinical experience. -Minimum 1 year of clinical experience in care and management of artificial airways to include ability to perform complete tracheostomy care as well as knowledge with application of speaking valve on tracheostomy tube. References: VA Handbook 5005/141 PART II Appendix G11 Registered Respiratory Therapist, GS-0601 Veterans Health Administration March 12, 2021 The full performance level of this vacancy is GS11. 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: Moderate lifting, 15-44 pounds; Moderate carrying, 15-44 pounds; Straight pulling (2 hours); Pulling hand over hand (2 hours); Pushing (2 hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (6 hours); Standing (4 hours); Crawling (.5 hours); Kneeling (2 hours); Repeated bending (2 hours); Climbing, legs only (2 hours); Climbing, use of legs and arms; Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16" to Jaeger 1 to 4; Far vision correctable in one eye to 20/20 and to 20/40 in the other; Both eyes required; Depth perception; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid may be permitted); Emotional and Mental Stability; Running; Physical proximity to patients. ["Duties may include but are not limited to: -Collect, review and evaluate relevant clinical data from the medical records, care team, patient and patient's family to ensure appropriate care when indicated. -Performing both basic and complex therapeutic procedures for adults and geriatric patients and must be competent in monitoring patients receiving mechanical ventilation, assisting with bedside percutaneous tracheotomies , using techniques that include interpretation of clinical data, describing and interpreting arterial blood gas values and acid base balance. -Apply clinical expertise in such a manner as to upgrade patient care where indicated and assist the provider in formulating an appropriate respiratory care plan based upon patient assessment, history, lung auscultation, chest x-ray, pulse oximetry, etc. -Communicate changes in the respiratory therapy plan and/or patient status to other health care team members as appropriate. -Make recommendations to providers regarding changes in treatment based upon patient observation and diagnostic test values. -Provide effective and relevant education to the patient, family, students, and facility staff when appropriate. -Perform emergency and acute respiratory therapy procedures in accordance with departmental guidelines and industry standards. -Actively participate in departmental quality assurance and hospital organizational performance improvement. -Assembles, checks, and corrects malfunctions and performs quality controls on respiratory care equipment. -Participate in in-service education pertaining to respiratory therapy, maintaining a close relationship with other disciplines and students who may rotate through the health care facility. Work Schedule: Full-time, Monday-Friday, 7:30 pm to 8:00 am. Rotating Shifts may include nights, weekends, and holidays Compressed/Flexible: Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: Registered Respiratory Therapist/000000 Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized Financial 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.