Registered Respiratory Therapist

Summary

The Primary Purpose of the Position is: Provide Respiratory Care to all Veterans, both in and out-patients. The Organizational Location of the Position is: Respiratory Therapy Unit, Pulmonary Section, Medical Service, VA North Texas Health Care System (VANTHCS), Dallas, TX .

Duties

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until March 05, 2027 .The initial cut-off date for referral of eligible applications will be March 10, 2026, with subsequent cut-off dates every two weeks until 03/05/2027. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled. Applicants who are referred will be considered for 90 days, after 90 days applicants will have to reapply. Duties may include but are not limited to: Setting up, monitoring, and trouble-shooting volume ventilators in the ICU/SCI and general care areas for those patients that require mechanical ventilation. This includes both in the department records and the patient's chart. Provide airway care for both the ICU/SCI and general care patients. Measure respiratory compliance, tidal volume and inspiratory force. Providing oxygen and life support to patients during CPR. Assisting physicians with elective intubation. Perform emergency airway intubations during CODES. Provide oxygen therapy. Charting all modes of therapy and patient assessments in CPRS, Vista and Essentris. Administration of E-Z Pap therapy, Metaneb and Aerobeka. Administration of medication nebulizers to patients requiring aerosol medication. Removes secretions from patient's airways using a sterile suction catheter attached to a vacuum source. Prepares and installs basic respiratory equipment, CPAP, BIPAP, flow meters, heaters, and tank regulators for patient's use including evaluation of equipment, operation and explanation of procedures to the patient where applicable. Checks patient's equipment to verify proper operation in compliance with doctor's orders. Administration of helium/oxygen mixtures for patients with airway obstruction. Performs tracheal lavage and sputum inductions. Performs chest percussion and postural drainage Evaluates a patient's overall cardiopulmonary condition in relationship to the modes of therapy being delivered in order to determine the need and/or effectiveness of treatment. Transports ventilator dependent patients on portable volume ventilators to radiology and other special procedures areas. This requires staying with the patient and monitoring the ventilator. Measuring tracheal cuff pressures and records in CPRS and Essentris. Provide a complete and thorough report to oncoming shift. Responds to all STAT calls from nurses and physicians for equipment failure and malfunction. Must be able to recognize when equipment is malfunctioning and reports to chief, assistant chief, or charge therapist. Verifies all physician orders before therapy is administered to make certain that all orders are correct. Instructs patients how to improve their ability to breathe during times of respiratory distress. Administers incentive spirometry per physician orders. Changes all equipment and makes certain that all non-disposable items are sent to the SPD unit for sterilization and cleaning. Make sure that all medication administered to patient are the correct dosage and within the expiration date. Draws and analyzes blood gases throughout the medical center. Work Schedule: Nights and rotating weekends Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Autthorized

Qualifications

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. Exception. RT positions will be designated only to individuals who are in the process of obtaining credentials to become an RRT. These individuals will only be hired on a temporary appointment as provided below.(a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credential. Individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RT. The temporary appointment is made under the authority of 38 U.S.C. § 7401(a)(1)(B) for a period not to exceed one year from date of employment. Candidates must hold an active, current, full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level.(b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is received.(c) RTs must provide care only under the close supervision of an RRT.(d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment.(e) 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. 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). 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). 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: Respiratory Therapist, GS-05 Experience. None beyond the basic requirements. 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. Registered Respiratory Therapist, GS-07 Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential. Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: Ability to perform therapeutic modalities related to respiratory care. 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. Ability to collaboratively consult with physicians and other heal