Hybrid Registered Respiratory Therapist bei Department of Veterans Affairs

Registered Respiratory Therapist

Department: Department of Veterans Affairs

Location(s): Portland, Oregon

Salary Range: $53007 - $112940 Per Year

Job Summary: The Registered Respiratory Therapist (RRT) is assigned to the Pulmonary section within DHSM (Hospital and Specialty Medicine Division). The RRT serves as a member of the care team and provides care for ICU and inpatient veterans.

Major Duties:

• 1. . Perform the following procedures with proficiency and confidence under minimal supervision: Oxygen, aerosol, humidity, and positive pressure breathing therapy; Implement adult mechanical ventilation using the PB980, LTV 1000/1200, Astral and other ventilators; Maintain, adjust, and monitor patients on a ventilator; Wean long-term ventilator patients; Performs weaning parameters on patients being weaned off a ventilator( Following the Ventilator Liberation protocol ); Implement Acute and Chronic NIPPV set-up and use(Respironics V60, Home NIPPV devices CPAP, Auto CPAP, BIPAP, Auto Bi pap; Implement HHFNC (Heated High Flow Nasal Cannula) therapy. 2. Incumbent will read and review the patient's chart and evaluate physician's orders for respiratory therapy. 3. Position patient and perform chest physiotherapy and postural drainage therapy/positioning, noting effectiveness of therapy or perform Flutter Value. 4. Administer aerosolized medications as prescribed in the physician's order while following hospital policy regarding the administration of medication(s) (BCMA) 5. Perform Arterial Blood gas analysis by: Performing an Arterial Blood Gas draw to obtain blood specimen from Radial or Brachial artery; Must have basic understanding of blood gas and acid base interpretation; Consult with superiors and/or physicians on blood gas results and make recommendations for best course of action for the patient. Respond to emergencies, make assessments, and implement proper actions and judgments. 6. Perform bedside pulmonary function testing as required. 7. Assist in and performs minor and preventative maintenance of department equipment, when necessary 8. Prepare departmental requisitions, charges, and other paperwork that pertains to the department. 9. May be called upon to aid in the evaluation of new equipment and supplies 10. Perform all Respiratory Therapy tasks using aseptic techniques/universal precautions to provide best care available to the patient. Work Schedule: WK 1: Th/F/Sa 1700pm-0530am, WK 2: W/Th/F 1700pm-0530am & Sa 1700pm-0130am Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Qualifications: 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. 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). GRADE REQUIREMENTS. All individuals assigned to this occupation must meet all the basic qualification requirements above in paragraph 4 a-g and all basic qualification requirements defined in the specific assignment. All positions must be designated in one of the approved title or parenthetical title, as described below and duties must meet the definition of the assignment: a. Respiratory Therapist. Respiratory Therapist GS-05 positions designated in this qualification standard are developmental positions under the 0601 series and do not have the same requirements as Respiratory Therapists in the 0651 series. The Respiratory Therapist title in this standard may only be used at the GS-05 level while the incumbent is working towards obtaining the RRT registration. b. Registered Respiratory Therapist. Working titles, such as program coordinator, assistant chief, national program manager, etc., may be used at the organizational level to designate the work of the position. Grade Determinations: Respiratory Therapist, GS-05. (a) Experience. None beyond the basic requirements. (b) 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. (c) Assignment. This is the entry level developmental position. RTs at this grade level perform basic therapeutic modalities in all areas of respiratory care environment under close clinical supervision by an RRT at the full performance level or higher. RTs are responsible for such assignments as medication delivery related to respiratory care, initiating and monitoring oxygen therapy, assisting with cardiopulmonary resuscitation suctioning of artificial airway, evaluating and performing aerosol humidification therapy and participating in care team rounds. Registered Respiratory Therapist, GS-07. (a) Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential. (b) Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i. Ability to perform therapeutic modalities related to respiratory care. ii. 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. iii. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes. iv. Skill in assessing oxygenation and ventilation. v. Ability to perform basic airway management to include artificial airways and mechanical ventilation. (c) Assignment. This is a developmental position. RRTs at this grade level will be responsible for the following assignments with minimal clinical supervision from an RRT at the full performance level in both inpatient and/or outpatient settings. RRTs complete patient assessment through direct contact, chart review and other means as appropriate and share the information with health care team members. They use accepted measuring/monitoring tools for determining plan of care. Registered Respiratory Therapist, GS-09. (a) 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. (b) Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i. Skill in performing therapeutic modalities related to respiratory care. ii. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes. iii. Skill in assessing oxygenation and ventilation. iv. Ability to perform airway management to include artificial airways and mechanical ventilation. (c) Assignments. This is a developmental position. RRTs at this grade level are responsible for the following under general guidance in both inpatient and/or outpatient settings. RRTs obtain, interpret and analyze physiological specimens and data. 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 through the use of appropriate mechanical means. RRTs assess and evaluate patients to determine and recommend intervention to develop and implement a plan of care, such as, implementing protocols, intubation, monitoring critical systems and uses advanced modes of ventilation. Registered Respiratory Therapist, GS-11. (a) 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. (b) 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. (c) 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. Preferred Experience: 2 years of ICU experience, Bachelor of Science in respiratory care, Adult Critical Care Specialist (ACCS) certified. 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-5 to GS-11.

How to Apply: All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/07/2025 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12768345. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire. Click Submit My Answers to submit your application package. NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.

Application Deadline: 2025-08-07