Respiratory Care Practitioner - Maryview Medical Center

With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities.

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well‑being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

The Respiratory Care Practitioner I is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures including but not limited to oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services and patient and staff education. Monitors the patient’s response to such therapies and makes recommendations to change or modify based on the assessment.

• May serve as a preceptor to new team members and/or students.
• Assesses patient’s physical status by inspection, palpation, auscultation, percussion, patient behavior and reviewing existing data in patient’s record.
• Performs treatments according to physician orders, explains therapy and therapeutic goals to patient; modifies treatment procedures based on patient response.
• Determines appropriateness of prescribed therapy and recommends methods to physician to achieve therapeutic goals including IPPB, Aerosol therapy, Postural drainage and percussion, ultrasonic nebulizer, incentive spirometry, metered dose inhalers and spacers, etc.
• Sets up and maintains different modes of oxygen therapy, to maintain adequate PaO2’s with accurate inspired levels of oxygen.
• Administers intermittent positive pressure breathing (IPPB) or Aerosol Therapy by first preparing the prescribed medication ordered by the physician and adjusting the machine or device to accomplish patient’s individual clinical needs; document and observe patient’s vital signs, productivity of cough, relief of Dyspnea, improved breath sounds and any adverse reactions to therapy; and use judgement and technical skill to determine possible adverse reactions and suggestions for appropriateness of therapy.
• Gives postural drainage, vibration, percussion to ensure proper drainage of bronchial secretions by use of manual or mechanical percussion; check orders and X-rays for segments to be treated prior to initiating treatment; auscultation prior to and after procedure to note presence of clearance of secretions and response to therapy.
• Instructs patients and families in incentive spirometer, metered dose inhaler (MDI) administration, postural drainage and clapping, oxygen therapy, ventilator care and home aerosol therapy.
• May assist doctor with bronchoscopy and tracheostomy; assists with tracheostomy endotracheal tube changes; ensures proper humidification.
• Procurement of sputum for culture and sensitivity or airway clearance either by patient coaching, administration of mucolytics, aerosol therapy or endotracheal / nasopharyngeal suctioning.
• Evaluates normal and pathologic blood and urine laboratory value ranges.
• Performs arterial punctures and analysis; has an in-depth knowledge of analysis and arterial blood gas (ABG) interpretation. Performs arterial line procedures, takes safety precautions, sterile procedure, flushing, and ABG aspirations.
• May perform EKG’s; understands electronic monitoring, lead placement, and basic arrhythmias.
• Maintains all Respiratory Therapy equipment and supplies.
• Responds to cardio-pulmonary resuscitations and actively participates as indicated by clinical circumstances.

This document is not an exhaustive list of all…