Respiratory Manager - Full Time en CVH Carson Valley Health

Respiratory Manager - Full Time

POSITION SUMMARY:

Under the direction of the Chief Nursing Officer, the Respiratory Services Manager has 24-hour responsibility for the effective implementation of the philosophy, goals, policies, and procedures of the hospital and the Respiratory department and their effect on patient care in the hospital. The Respiratory Services manager must have the ability to be a change agent and provide staff development and act as a clinical resource for their department. The manager will have the authority to make decisions on that unit in the areas of patient care, human resource, and financial management.

POSITION REQUIREMENTS:

Minimum Education

• Must possess current NV state license
• BLS/ACLS certification required.
• Must be registered, or registry eligible certified or certified eligible in respiratory care
• Must be a graduate of an approved school of respiratory care
• NRP within 6 months of employment

Minimum Work Experience

• Five years clinical experience preferred
• Demonstrated leadership ability and potential managerial competency
• Evidence of this includes, but is not limited to, effective communication skills, ability to deal well with people, ability to problem solve, ability to confront; resolve issues, ability to motivate others, ability to plan, organize, and direct the activities of others
• Demonstrates clinical competence in respiratory care services

POSITION ESSENTIAL FUNCTIONS:

Staff

• Ensure that new employees and other designated individuals have attended general hospital orientation as required
• Ensure staff members have completed and/ or maintained competencies and any licensing/ certification as designated by their job description
• Evaluations are completed within Human Resource policy guidelines
• Staff counseling, complete with opportunities for improvement, are done on a timely basis and in a professional manner in conjunction with HR
• Ensure all staff understands the culture and history of our organization as well as the strategic goals for the future.

Management

• Monitors trends and recommends staffing adjustments based on them.
• Manages hours worked, including overtime for all unit personnel.
• Monitors and controls salary and wages budget.
• Analysis of variance is completed in terms of rate and volume.
• Recommendations regarding changes of products/par levels reflect cost, quality, and standardization.
• Projects and recommends capital equipment needs for the unit and provides back up documentation and justification.
• Defines performance objectives for the department and assesses the level of competence of staff in a timely manner.
• Incorporates quality improvement data and/or patient satisfaction data into departmental goals.
• Demonstrates a clear understanding of regulations applicable to patient care and/or other department functions.
• Oversees unit CQI program which monitors and evaluates critical aspects of care.

Therapeutic Modalities

• Knows and follows the indications and contraindications, the policy and procedures in administering therapeutic modalities.
• Responsible for the safe and effective administration of medically prescribed medications.
• Assures proper physician order before administration of medication.
• Discontinues treatment if any adverse or contraindication noted and documents in patient's EMR at time of occurrence as well as notifying the appropriate staff member, ie., nurse, physician.
• Maintains accurate records, documenting clinical notes in patient's EMR.
• Sets up, monitors, and documents oxygen administration.
• Understands how to use various measuring devices to include, but not limited to, pulse oximeter, Wrights respirometer, oxygen blenders, carbon monoxide breath test and documents properly in patient's EMR.
• Participates in reporting patient progress, and prioritizing patient condition to the next shift, nursing, and physician. Gives bedside report.

Code Team

• As member of the "code team" responds to arrest situations. As part of the team may be expected to perform CPR (compressions). Must be certified in CPR procedures bi-annually
• Maintains current BLS, ACLS, and NRP.
• Proper handling and usage of ambu-bag and assures proper function during code. Utilizes proper technique as observed/ reported by code team participants

Equipment

• Responsible for the setup, safety checks, monitoring, and troubleshooting of mechanical ventilators, CPAP, and BIPAP machines.
• Upon physician's order, sets up parameters, tests equipment, documents patient's tolerance, and settings being monitored in EMR for ventilators, CPAP, and BIPAP machines.
• Performs ventilator/BI PAP/CPAP checks per protocol during assigned shift as documented in patient's EMR.
• Weans ventilator patients per policy and documents in EMR.
• Cuff pressures are to be measured every shift and documented on flow sheet when completed
• Tubing, handheld nebulizers and ambus are changed as per department policy and documented in patient's EMR.
• Performs and documents arterial punctures as ordered by the physician
• Performs all aspects of artificial airway care.
• Assures multidisciplinary charting is meaningful and complete.
• Is prepared and gives bedside report.

EKG

• Performs 12 lead EKGs. May be required to perform Stress EKG testing following training in that area.
• Ensures that all EKG's done in this facility are charged and accounted for.
• Responsible for cleaning and stocking all EKG machines in the facility.
• Responsible for keeping the crash cart in EKG department in order and up to date.
• Schedules Stress tests in a timely manner, coordinating with nuclear medicine and Physician.
• Responsible for keeping the equipment working properly and notifying the manager & Bio Med tech of any equipment problems or failures.
• Gives minimally one weekend a month (or 2 weekend days) and one winter and summer holiday availability for call.