Summary:
Under the general supervision of the Director of Pediatric Pulmonology and following standard policies and procedures performs a variety of diagnostic pulmonary function tests on patients using spirometers gas analyzers oximeters and other equipment to evaluate and test for lung disease. When assisting a physician obtains washing samples tissue samples and performs other procedures within the lung using bronchosopes biopsy forceps and other instruments.

Responsibilities:

1. Testing:
Receives orders from physicians for pulmonary function tests (PFT) to be performed on patients. Reviews patient medical records informing physician of any previous difficulty with testing

Explains procedures and gives instructions on various breathing maneuvers to patients to allay fears and obtain accurate results from tests

Records data and reads graphical data from tests and performs routine mathematical calculations

Performs a variety of diagnostic pulmonary function test procedures on patients including:
a.) Routine pulmonary function studies using spirometer body box and gas analyzer to measure flow rates.
b.) Drawing arterial blood gas
c.) Measure peak cough flow FeNO
d.) Methocholine challenge test
e.) Perform impulse oscillometry and infant stress oximetry
f.) More advanced testing such as measurement of carbon monoxide diffusing capacity lung volumes and respiratory muscle pressures.
g.) Monitors patient during six-minute walk test
h.) tcPCO2 monitoring
i.) Assist in other procedures as needed including bronchoscopy (see below)

2. Lab Management:

Maintain Supplies available in PFT lab

Clean equipment after use-Cystic Fibrosis Foundation Infection Prevention and Control guidelines in use HEPA filtration unit maintenance

Calibrate and maintain testing equipment: identify and seek resolution for technical problems

Oxygen e-Cylinder for PFT lab

Maintain portable suction machine (check daily stock supplies)

Maintain a clean work environment

3. Testing Equipment:

Calibrate and maintain spirometer/laptop

Troubleshoot as needed for the Respiratory and Immunology Center (RIC) and the satellite offices

Maintain spirometer supplies by ordering and restocking

4. General Respiratory Care:

Obtain sputum samples (tracheal aspirate throat swab induction)

Assist in Respiratory Care for VIP clinic

Assist in Respiratory Care for CF clinic including yearly evaluation of all patients

Assist in Respiratory Care for Pediatric Pulmonology clinic

Assist in Respiratory Care for Asthma/Allergy clinic

Maintain medication supply (bronchodilators mucolytics hydration provocholine)

Assist providers with bronchoscopy procedures (procedure room OR suite PICU) by preparing equipment assist with taking samples cytological washings and tissue biopsy using bronchoscope and biopsy brush

Obtain equipment and supplies from various departments/areas maintain clean storage area track cleaning and disinfecting of scopes prior to use maintain bronchoscope travel bag packed with supplies

Order medium for transporting of biopsies or cytology washing

Order equipment provider deems necessary for the procedure (scissors clamps)

5. Educate Patients and Families:

Act as respiratory therapy liaison for pulmonologists and other medical staff regarding inpatient care/equipment or testing as needed

Proper use of inhaled medications and multiple devices for delivery

Proper order of inhaled medications in conjunction with airway clearance

Airway clearance rational and techniques (Chest PT technique Autogenic Drainage PEP/OPEP devices different Vest therapy systems etc.)

High tech equipment (mechanical ventilators CPAP and BiPAP machines and cough assist machines
Tracheostomy care

Pulse Oximetry

Create cough assist care plans for patients

Complete annual visits for CF patients update care plans and provide expert airway clearance and equipment guidance

Cleaning and disinfection (at home and hospital of devices/equipment) to be taught
Educate co-workers/nurses in airway clearance medication delivery and devices

Perform clinical administrative functions as requested such as manage patient test results document and scan assign to interpreting provider send results to ordering provider as needed in EMR

Participate in QI and other projects within the department or for special groups

Develop and present educational tools to staff and patients

Attend national and/or regional conferences

Attend staff meetings or administrative meetings as needed

Performs other duties as assigned

Other information:

BASIC KNOWLEDGE:

Completion of High School plus an AMA approved Associate Degree Respiratory Therapy program. Certification or Registry required. Licensed as a Respiratory Care Practitioner in the State of Rhode Island.

Maintain BLS

Knowledge of test procedures and reactions of patients while undergoing test procedures.

Demonstrated knowledge and skills necessary to provide care patients with consideration of aging processes human development stages and cultural patterns in each step of the care process.

EXPERIENCE:

One year of related experience preferred

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Works in a patient care environment where both physical and mental effort is required to deal with patients families all levels of hospital staff etc.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: UNAP