Respiratory Care Practitioner jobs at Kaiser Permanente - 34 jobs

Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities: * Selects Reviews, Obtains and Interprets Data: Reads and evaluates physicians orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner. * Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview. * Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages. * Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring. * Performs Diagnostic Modalities: Performs procedures and interprets results: ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction. May perform EKGs. May place Holter monitor. May perform pulmonary function, and sleep diagnostic tests. * May perform Exercise Stress Tests. May perform indirect calorimetry. * Selects Assembles and Checks Equipment for Proper Function, Operation and Cleanliness: Selects, assembles and checks equipment for cleanliness, proper function and safe operation. Ensures proper function and ready availability of respiratory related life support equipment. Troubleshoots and performs minor repairs of equipment. May perform Quality control procedures for blood analysis devices. * May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment. * Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment. * Participates in routine departmental preventive maintenance program and performs basic repairs. * Orders/stocks departmental supplies. * Initiates, Conducts and Modifies Prescribed Therapeutic or Diagnostic Procedures: Operates all medical equipment within manufacturer and department guidelines to safely treat patients. Checks and adjusts alarms. Observes established safety and security procedures and protects patients from nosocomial infection. Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome. Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, and/or achieve adequate ventilation and oxygenation * Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response. * Documents all required information in the medical record according to departmental policy and procedure. Initiates pressure-cycled/volume-cycled/high frequency ventilation. Weans/modifies mechanical ventilation according to assessment and physician orders. * Assists with or performs extubation. * Conducts patient education and disease management. Performs cardiopulmonary resuscitation according to resuscitation guidelines. May assist with or perform intubation. May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and intubation. * May participate in land/air critical care transport. May assist with high risk deliveries. May assist with surfactant replacement in neonates. May participate in pulmonary rehabilitation, home care. May assist with discharge planning. May assist with community outreach. May initiate and implement therapist driven protocols. * Supervision and Administration: May assign, organize and coordinate the work of assigned Respiratory Care Practitioners. May demonstrate respiratory care procedures to trainees and other health care personnel. May train assigned practitioners and complete assigned practitioner competency reviews. * Contributes to departmental quality improvement activities. May schedule staff and perform staffing functions. * Assesses priorities for delivery of patient care and redistributes resources as necessary throughout shift. Protects data from intentional or unintentional destruction, modification, or disclosure. * Maintains a current knowledge base of departmental information management systems, including collection, maintenance, and dissemination of information, as well as appropriate audit trails. * May develop policies and procedures, both clinical and administrative. May serve as Timekeeper for TIME system. * Other Assessment Criteria: Complies with attendance and punctuality expectations and with meal and break schedules. Accurately documents time in/out in TIME keeping system or time card. * Maintains a professional appearance, displays professional conduct and ethical behavior. * Participates in continuing education for professional development in Respiratory Care and related fields. May serve on hospital committees. May participate in professional organizations. * Supervisory Responsibilities: This job has no supervisory responsibilities. Grade: 770

We are so glad you are interested in joining Sutter Health! Organization: SSMC-Sutter Solano Medical Center Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies or abnormalities. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis and physician orders in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or orient other staff to the department. Job Description: EDUCATION: Other: Graduate of a two-year respiratory care program accredited by the Committee on Accreditation for Respiratory Care (CoARC) (may be evidenced by RCP/RRT/CRT license) CERTIFICATION & LICENSURE: RCP-Respiratory Care Practitioner NRP-Neonatal Resuscitation Provider if required at the entity RRT-Registered Respiratory Therapist (required at hire or, if hired before 09/30/2025, required within 90 days of 09/30/2025) OR CRT-Certified Respiratory Therapist (required at hire or, if hired before 09/30/2025, required within 90 days of 09/30/2025) BLS-Basic Life Support Healthcare Provider DEPARTMENT REQUIRED CERTIFICATION & LICENSURE: PALS-Pediatric Life Support (required at hire or, if hired before 09/25/2025, required within 90 days of 09/25/2025) TYPICAL EXPERIENCE: 2 years of recent relevant experience. SKILLS AND KNOWLEDGE: Knowledge of respiratory therapy principles, procedures, views, and equipment, including some experience responding to traumas and various hospital emergencies. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Capable of performing routine or emergency respiratory care as well as a basic understanding of human anatomy, physiology, pathology, and medical terminology. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), electronic health records (EHR), and EPIC. Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. Ensure the privacy of each patient's protected health information (PHI). Build collaborates relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Function effectively and perform this position in an emergency situation. Job Shift: Nights Schedule: Short Hour Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Saturday Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 12 Employee Status: Short Hour Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $52.67 to $64.51 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SSMC-Sutter Solano Medical Center Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies or abnormalities. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis and physician orders in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or orient other staff to the department. Job Description: EDUCATION: Other: Graduate of a two-year respiratory care program accredited by the Committee on Accreditation for Respiratory Care (CoARC) (may be evidenced by RCP/RRT/CRT license) CERTIFICATION & LICENSURE: RCP-Respiratory Care Practitioner NRP-Neonatal Resuscitation Provider if required at the entity RRT-Registered Respiratory Therapist (required at hire or, if hired before 09/30/2025, required within 90 days of 09/30/2025) OR CRT-Certified Respiratory Therapist (required at hire or, if hired before 09/30/2025, required within 90 days of 09/30/2025) BLS-Basic Life Support Healthcare Provider DEPARTMENT REQUIRED CERTIFICATION & LICENSURE: PALS-Pediatric Life Support (required at hire or, if hired before 09/25/2025, required within 90 days of 09/25/2025) TYPICAL EXPERIENCE: 2 years of recent relevant experience. SKILLS AND KNOWLEDGE: Knowledge of respiratory therapy principles, procedures, views, and equipment, including some experience responding to traumas and various hospital emergencies. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Capable of performing routine or emergency respiratory care as well as a basic understanding of human anatomy, physiology, pathology, and medical terminology. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), electronic health records (EHR), and EPIC. Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. Ensure the privacy of each patient's protected health information (PHI). Build collaborates relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Function effectively and perform this position in an emergency situation. Job Shift: Nights Schedule: Short Hour Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Saturday Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 12 Employee Status: Short Hour Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $52.67 to $64.51 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus This position is one of performing Respiratory Therapy modalities in a progressive health care environment. On a day-to-day basis, the therapist will often have to perform technical procedures on complex life support systems, and make on the spot decisions that affect patient care In a wide variety of settings from neonatal to geriatric. The therapist also has the responsibility for assuring that all prescribed therapy is performed with quality. Job Description: EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma Other: Graduate from an accredited school of Respiratory Therapy CERTIFICATION & LICENSURE RCP-Respiratory Care Practitioner BLS-Basic Life Support Healthcare Provider Active membership in the A.A.RC. (American Association for Respiratory Care) recommended. Active membership in the C.S.R.C. (California Society for Respiratory Care) recommended License or Certification. Must have, present and maintain current valid license from Respiratory Care Examining Committee. PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: One or more years experience in the practical application of Respiratory Therapy under medical supervision. With experience In the practical application of Respiratory Therapy procedures under medical direction. SKILLS AND KNOWLEDGE Demonstration of proficiency during clinical rotation in accredited school of Respiratory Therapy. Must present valid license from Respiratory Care Board or Certificate of Completion from accredited Respiratory Therapy Program and a valid work permit. Job Shift: Nights Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $55.45 to $70.39 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus This position is one of performing Respiratory Therapy modalities in a progressive health care environment. On a day-to-day basis, the therapist will often have to perform technical procedures on complex life support systems, and make on the spot decisions that affect patient care In a wide variety of settings from neonatal to geriatric. The therapist also has the responsibility for assuring that all prescribed therapy is performed with quality. Job Description: EDUCATION * Equivalent experience will be accepted in lieu of the required degree or diploma. * HS Diploma * Other: Graduate from an accredited school of Respiratory Therapy CERTIFICATION & LICENSURE * RCP-Respiratory Care Practitioner * BLS-Basic Life Support Healthcare Provider * Active membership in the A.A.RC. (American Association for Respiratory Care) recommended. * Active membership in the C.S.R.C. (California Society for Respiratory Care) recommended License or Certification. * Must have, present and maintain current valid license from Respiratory Care Examining Committee. PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * One or more years experience in the practical application of Respiratory Therapy under medical supervision. * With experience In the practical application of Respiratory Therapy procedures under medical direction. SKILLS AND KNOWLEDGE * Demonstration of proficiency during clinical rotation in accredited school of Respiratory Therapy. * Must present valid license from Respiratory Care Board or Certificate of Completion from accredited Respiratory Therapy Program and a valid work permit. Job Shift: Nights Schedule: Part Time Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $55.45 to $70.39 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SRMC-Sutter Roseville Med Center This position will have a focus on NICU and Labor and Delivery (L&D). Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies. Job Description: EDUCATION: * Other: Graduate of Respiratory Care Program accredited by the Committee on Accreditation for Respiratory Care (CoARC) CERTIFICATION & LICENSURE * CA Licensed Respiratory Care Practitioner (RCP) required. * National Board for Respiratory Care (NBRC) Registered Respiratory Therapist (RRT) or Certified Respiratory Therapist (CRT) Certification required * NRP-Neonatal Resuscitation Provider within 180 days of hire. * BLS - Basic Life Support PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: * Experience with intubation of infants strongly preferred. * Acute care clinical experience in Respiratory Care, training in arterial puncture and blood gas analysis. Previous experience in performing EKG is desired. SKILLS AND KNOWLEDGE: * Knowledge of anatomy, physiology and pathophysiology, chemistry, and physics. * Knowledge of bedside pulmonary function testing; mechanics and equipment. * Knowledge of arterial puncture and blood gas analysis, equipment and quality control. * Demonstrated familiarity with the Joint Commision on Accreditation of Healthcare Organizations (JCAHO) standards and College of American Pathologists (CAP) accreditation standards. * Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. * Must be able to work in a fast-paced and challenging environment and take appropriate actions in volatile situations. * Must be able to understand, read and write the English language. Job Shift: Nights Schedule: Full Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 30 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $54.73 to $66.73 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Ashby Campus Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies or abnormalities. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis and physician orders in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or orient other staff to the department. Job Description: EDUCATION: Other: Graduate of a two-year respiratory care program accredited by the Committee on Accreditation for Respiratory Care (CoARC) (may be evidenced by RCP/RRT/CRT license) CERTIFICATION & LICENSURE: * RCP-Respiratory Care Practitioner * NRP-Neonatal Resuscitation Provider if required at the entity * RRT-Registered Respiratory Therapist within 90 days OR CRT-Certified Respiratory Therapist within 90 days * BLS-Basic Life Support Healthcare Provider TYPICAL EXPERIENCE: * 2 years of recent relevant experience. PREFERRED EXPERIENCE: * 2 years of Level III NICU experience. * NICU Transport experience. SKILLS AND KNOWLEDGE: * Knowledge of respiratory therapy principles, procedures, views, and equipment, including some experience responding to traumas and various hospital emergencies. * Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. * Capable of performing routine or emergency respiratory care as well as a basic understanding of human anatomy, physiology, pathology, and medical terminology. * Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. * Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. * General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), electronic health records (EHR), and EPIC. * Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. * Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. * Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. * Ensure the privacy of each patient's protected health information (PHI). * Build collaborates relationships with peers and other healthcare providers to achieve departmental and corporate objectives. * Function effectively and perform this position in an emergency situation. Job Shift: Days Schedule: Per Diem/Casual Shift Hours: 12 Days of the Week: Variable Weekend Requirements: As Needed, Rotating Weekends Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $59.93 to $74.91 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Ashby Campus Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies or abnormalities. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis and physician orders in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or orient other staff to the department. Job Description: EDUCATION: Other: Graduate of a two-year respiratory care program accredited by the Committee on Accreditation for Respiratory Care (CoARC) (may be evidenced by RCP/RRT/CRT license) CERTIFICATION & LICENSURE: * RCP-Respiratory Care Practitioner * NRP-Neonatal Resuscitation Provider if required at the entity * RRT-Registered Respiratory Therapist within 90 days OR CRT-Certified Respiratory Therapist within 90 days * BLS-Basic Life Support Healthcare Provider TYPICAL EXPERIENCE: * 2 years of recent relevant experience. PREFERRED EXPERIENCE: * 2 years of Level III NICU experience. * NICU Transport experience. SKILLS AND KNOWLEDGE: * Knowledge of respiratory therapy principles, procedures, views, and equipment, including some experience responding to traumas and various hospital emergencies. * Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. * Capable of performing routine or emergency respiratory care as well as a basic understanding of human anatomy, physiology, pathology, and medical terminology. * Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. * Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. * General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), electronic health records (EHR), and EPIC. * Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. * Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. * Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. * Ensure the privacy of each patient's protected health information (PHI). * Build collaborates relationships with peers and other healthcare providers to achieve departmental and corporate objectives. * Function effectively and perform this position in an emergency situation. Job Shift: Nights Schedule: Per Diem/Casual Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $59.93 to $74.91 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Ashby Campus Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies or abnormalities. Exercises sound judgment, and developed clinical skills to provide input to and implement the patient's plan of care based on the diagnosis and physician orders in a timely manner. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent patient assessment, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific procedures and/or orient other staff to the department. Job Description: EDUCATION: Other: Graduate of a two-year respiratory care program accredited by the Committee on Accreditation for Respiratory Care (CoARC) (may be evidenced by RCP/RRT/CRT license) CERTIFICATION & LICENSURE: * RCP-Respiratory Care Practitioner * NRP-Neonatal Resuscitation Provider if required at the entity * RRT-Registered Respiratory Therapist within 90 days OR CRT-Certified Respiratory Therapist within 90 days * BLS-Basic Life Support Healthcare Provider TYPICAL EXPERIENCE: * 2 years of recent relevant experience. PREFERRED EXPERIENCE: * 8 years of NICU/NICU Transport, Pulmonary Rehab experience. * Respiratory Therapy Clinical Preceptor experience. SKILLS AND KNOWLEDGE: * Knowledge of respiratory therapy principles, procedures, views, and equipment, including some experience responding to traumas and various hospital emergencies. * Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. * Capable of performing routine or emergency respiratory care as well as a basic understanding of human anatomy, physiology, pathology, and medical terminology. * Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. * Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. * General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), electronic health records (EHR), and EPIC. * Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. * Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. * Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. * Ensure the privacy of each patient's protected health information (PHI). * Build collaborates relationships with peers and other healthcare providers to achieve departmental and corporate objectives. * Function effectively and perform this position in an emergency situation. Job Shift: Days Schedule: Per Diem/Casual Shift Hours: 12 Days of the Week: Variable Weekend Requirements: As Needed, Rotating Weekends Benefits: No Unions: No Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $59.93 to $74.91 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: SRMC-Sutter Roseville Med Center This position will have a focus on NICU and Labor and Delivery (L&D). Performs therapeutic, diagnostic, and emergency respiratory care procedures and provides assessment, treatment, care and evaluation for patients with respiratory insufficiencies. Job Description: EDUCATION: Other: Graduate of Respiratory Care Program accredited by the Committee on Accreditation for Respiratory Care (CoARC) CERTIFICATION & LICENSURE CA Licensed Respiratory Care Practitioner (RCP) required. Registered Respiratory Therapist (RRT) preferred. NRP-Neonatal Resuscitation Provider within 180 days of hire. BLS - Basic Life Support PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: Experience with intubation of infants strongly preferred. Acute care clinical experience in Respiratory Care, training in arterial puncture and blood gas analysis. Previous experience in performing EKG is desired. SKILLS AND KNOWLEDGE: Knowledge of anatomy, physiology and pathophysiology, chemistry, and physics. Knowledge of bedside pulmonary function testing; mechanics and equipment. Knowledge of arterial puncture and blood gas analysis, equipment and quality control. Demonstrated familiarity with the Joint Commision on Accreditation of Healthcare Organizations (JCAHO) standards and College of American Pathologists (CAP) accreditation standards. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a fast-paced and challenging environment and take appropriate actions in volatile situations. Must be able to understand, read and write the English language. Job Shift: Nights Schedule: Part Time Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 24 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $52.12 to $63.55 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: EMC - Eden Medical Center Assesses, provides and documents respiratory therapy to patients as ordered by physician, according to established standards and practices. Performs tasks which require a substantial amount of scientific knowledge and technical skill. Job Description: EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. Other: Graduate of accredited 2 year program in Respiratory Therapy or graduate of accredited 1 year program and successful completion of special skills assigned by Director of Cardiopulmonary Department. CERTIFICATION & LICENSURE RRT-Registered Respiratory Therapist RCP-Respiratory Care Practitioner OR CRTT-Certified Respiratory Therapy Technician BLS-Basic Life Support Healthcare Provider PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: Familiarity with usual equipment and Therapy used in Respiratory Care. Job Shift: Day/Evening/Night Schedule: Per Diem/Casual Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $55.13 to $71.93 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

We are so glad you are interested in joining Sutter Health! Organization: EMC - Eden Medical Center Assesses, provides and documents respiratory therapy to patients as ordered by physician, according to established standards and practices. Performs tasks which require a substantial amount of scientific knowledge and technical skill. Job Description: EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. Other: Graduate of accredited 2 year program in Respiratory Therapy or graduate of accredited 1 year program and successful completion of special skills assigned by Director of Cardiopulmonary Department. CERTIFICATION & LICENSURE RRT-Registered Respiratory Therapist RCP-Respiratory Care Practitioner OR CRTT-Certified Respiratory Therapy Technician BLS-Basic Life Support Healthcare Provider PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: Familiarity with usual equipment and Therapy used in Respiratory Care. Job Shift: Day/Evening/Night Schedule: Per Diem/Casual Shift Hours: 12 Days of the Week: Variable Weekend Requirements: Every other Weekend Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $55.13 to $71.93 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Assesses, plans, implements and evaluates respiratory therapy care and life support to patient in adult intensive care as well as pediatrics and med surg with deficiencies and abnormalities of the cardiopulmonary system under the supervision of physician and prescription. Performs other patient comfort duties necessary to maintain the flow of patient care in the unit. This care includes providing life support services, oxygen therapy, medical gas therapy, pharmaceutical treatments, chest physiotherapy, blood gas draws etc. Essential Responsibilities: * Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. * QUALITY OF SERVICE: * Professional Conduct: Applies philosophy and demonstrates knowledge of the Patient Bill of Rights. Treats members, coworkers, and individual employees with respect and dignity. * Maintains the privacy and confidentiality of both members and employees with regard to medical records and communication regarding disease, conditions, and status. * Greet members promptly and courteously, addresses adult members by their proper title (i.e., Mr., Mrs., Ms.) and last name except when otherwise mutually agreed upon by the provider and patient. * Telephone Courtesy and Assistance: * Adheres to regional and department guidelines for courtesy and consideration during telephone use. * Determines and documents the following information upon taking a phone call: name of patient, phone number where patient can be reached, the reason (nature & urgency) for the call, date and time of the call and the name of the person taking the call. * Gives immediately to the requested provider or designee all messages of an emergency or urgent nature, gives non-urgent messages to the requested provider or designee in a timely manner. * RESPIRATORY CARE PRACTITIONER II * Demonstrates knowledge, application, competency, and assessment skills for all specific patient/member age categories; neonatal, pediatric, and adult. * Patient Care and Member Service: * Demonstrates proficiency in providing direct/indirect care and service to patient/member groups; neonatal, pediatric, and adult ages and classifications. * Participates in patient care rounds as an active member of the critical care team. * Knows admitting diagnosis and pulmonary pathophysiology for assigned patients, and performs patient assessment and provides appropriate therapy. * Evaluates and can state data obtained from respiratory monitoring devices on assigned patients. * Evaluates patients response to all respiratory care provided and appropriately documents required information as outlined in department policies and procedures. * Determines appropriateness and provides recommendations for respiratory care services, taking into consideration the needs of different age groups, cognitive abilities, and development status. * Initiates new routine orders within time specified in department policies and procedures. * Measures and adjusts airway cuff pressures. * Recommends changes in diagnostic and therapeutic procedures to physicians, nursing, and/or co-workers. Taking into consideration patient age and development status modifies those treatments/procedure techniques, which do not require a change in physicians orders to optimize the delivery of care, and reports modifications to appropriate health care team members. * Utilizes appropriate chain-of-command when consulting on patients not responding to standard herapeutic procedures. Performs respiratory diagnostic and therapeutic procedures. Verbalizes mechanisms of action, dosage, contraindications, and adverse reactions for all medications upon request. * Obtains approval prior to administering any medications, which is not included on the approved medication list. Stores unused, doses of medications in the department medication cabinet or refrigerator as indicated by the medication instructions. * Provides ventilatory support during patient inter-intra hospital transfers. * Performs procedures for disinfecting and sterilization and adheres to infection control policies and procedures. * Washes hands before and after physical contact with the patient and after using the restroom as described in handwashing procedure. Adheres to isolation procedure as indicated. * Practices Universal Precautions at all times. * Performs and evaluates blood gas analysis to include quality control procedures adhering to laboratory policies and procedures. * Assures that quality control of equipment is performed and at acceptable levels. Obtains arterial blood samples. * Ensures that blood samples and requisition slips have required information. * Handles and disposes of blood samples per policy and procedure. * Performs blood gas analysis. Documents and reports critical blood gas values to nurse/physician. Performs analyzer maintenance and quality controls as qualified, and ensures cleanliness of the blood gas laboratory. * Performs cardiopulmonary and neonatal resuscitation (CPR/NR) and responds to emergencies in all areas. Auscultates lungs to assure proper endotracheal tube placement. Identifies primary affected lobes and positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy. * Identifies contraindications in regards to chest physiotherapy and appropriately informs and provides recommendations to the physician. * Performs oral, nasal, and tracheal suctioning to ensure airway patency. * Collaborates with the physician and nursing in regards to the appropriate frequency of suctioning for assigned patients. Provides reasonable solutions upon the identification of problems. * Participates in-group action problem solving processes. * Complies with patient safety practices/policies; takes appropriate safety measures considering patients age and developmental status. * Charting and Documentation: * Provides timely, accurate, legible record keeping and data entries per departmental policy and procedure. * Enters required information into the Respiratory Cares department system for recording statistical data related to procedures performed, workload and staffing. * Assumes responsibility for all required Respiratory Care documentation on all assigned patients. * Equipment and Supplies: * Effectively utilizes equipment and supplies. * Demonstrates the ability to setup, operate, troubleshoot, and perform corrective action based upon department policies and procedures and manufacturers recommendations. * Utilizes appropriate procedures in reporting malfunctioning or suspect equipment and supplies. Determines whether equipment malfunction is life threatening versus non-life threatening and responds appropriately. * Assumes responsibility and ensures patient safety during any equipment failure. Maintains inventory level of respiratory care equipment and supplies as assigned. * Productivity and Time Management: * Maintains department productivity standards. Reports inability to complete procedures seeks assistance if patient care is compromised. * Job and Personal Maturity: * Demonstrates flexibility and adaptability by accepting new ideas and supporting changes in the department and hospital/clinic. * Functions independently with minimum direction. Communication: Utilizes effective listening, verbal, nonverbal and writing skills formally and informally. Utilizes the chain-of-command in the event of a difficult situation or decision. Immediately reports critical values to appropriate team members. Interacts professionally when discussing patient care plans/recommendations with health care team members. * Education and Staff Development: * Participates in training and orientation of new employees as required. Participates in and provides patient education, within the department and medical enter. * Attends department continuing education and meetings as required. RCP II ( Includes all skills required of RCP I, RCP II): * Functions at Independent Level in Adult Critical Care areas. * Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. * Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. * Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation. * Demonstrates ability to effectively wean from mechanical ventilator per medical center protocols. * Demonstrates ability to implement all respiratory modalities of care specific to the Adult critical care.

Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities: + Selects Reviews, Obtains and Interprets Data: Reads and evaluates physicians orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner. + Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview. + Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages. + Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring. + Performs Diagnostic Modalities: Performs procedures and interprets results: ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction. May perform EKGs. May place Holter monitor. May perform pulmonary function, and sleep diagnostic tests. + May perform Exercise Stress Tests. May perform indirect calorimetry. + Selects Assembles and Checks Equipment for Proper Function, Operation and Cleanliness: Selects, assembles and checks equipment for cleanliness, proper function and safe operation. Ensures proper function and ready availability of respiratory related life support equipment. Troubleshoots and performs minor repairs of equipment. May perform Quality control procedures for blood analysis devices. + May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment. + Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment. + Participates in routine departmental preventive maintenance program and performs basic repairs. + Orders/stocks departmental supplies. + Initiates, Conducts and Modifies Prescribed Therapeutic or Diagnostic Procedures: Operates all medical equipment within manufacturer and department guidelines to safely treat patients. Checks and adjusts alarms. Observes established safety and security procedures and protects patients from nosocomial infection. Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome. Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, and/or achieve adequate ventilation and oxygenation + Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response. + Documents all required information in the medical record according to departmental policy and procedure. Initiates pressure-cycled/volume-cycled/high frequency ventilation. Weans/modifies mechanical ventilation according to assessment and physician orders. + Assists with or performs extubation. + Conducts patient education and disease management. Performs cardiopulmonary resuscitation according to resuscitation guidelines. May assist with or perform intubation. May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and intubation. + May participate in land/air critical care transport. May assist with high risk deliveries. May assist with surfactant replacement in neonates. May participate in pulmonary rehabilitation, home care. May assist with discharge planning. May assist with community outreach. May initiate and implement therapist driven protocols. + Supervision and Administration: May assign, organize and coordinate the work of assigned Respiratory Care Practitioners. May demonstrate respiratory care procedures to trainees and other health care personnel. May train assigned practitioners and complete assigned practitioner competency reviews. + Contributes to departmental quality improvement activities. May schedule staff and perform staffing functions. + Assesses priorities for delivery of patient care and redistributes resources as necessary throughout shift. Protects data from intentional or unintentional destruction, modification, or disclosure. + Maintains a current knowledge base of departmental information management systems, including collection, maintenance, and dissemination of information, as well as appropriate audit trails. + May develop policies and procedures, both clinical and administrative. May serve as Timekeeper for TIME system. + Other Assessment Criteria: Complies with attendance and punctuality expectations and with meal and break schedules. Accurately documents time in/out in TIME keeping system or time card. + Maintains a professional appearance, displays professional conduct and ethical behavior. + Participates in continuing education for professional development in Respiratory Care and related fields. May serve on hospital committees. May participate in professional organizations. + Supervisory Responsibilities: This job has no supervisory responsibilities. Grade: 770 Basic Qualifications: Experience + At least three (3) years regular (20 hours or more per week) of recent experience as Respiratory Care. Education + High school diploma OR General Education Diploma (GED) required.Graduate from a respiratory care education program supported by CoARC or accredited by CAAHEP, with 62 semester hours of college credit, including a background in the basic sciences, or baccalaureate degree in an area other than respiratory care or Associates of Arts or Science degree. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from this educational requirement. License, Certification, Registration + Respiratory Care Practitioner License (California) from National Board of Respiratory Care + Basic Life Support + Registered Respiratory Therapist Certificate Additional Requirements: + Ability to read and comprehend simple instructions, technical manuals, and short correspondence or memos. Ability to write simple correspondence. + Ability to speak and understand spoken English. + Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization + Must be willing to work in a Labor Management Partnership environment. + Also refer to Position Specifications outlined in the appropriate collective bargaining agreement. Preferred Qualifications: + Certification: Registered by the National Board for Respiratory Care. Certified or Registered Pulmonary Function Technologist by the National Board for Respiratory Care preferred, may be required for this particular position.Neonatal/Pediatric Specialist by the National Board preferred, may be required for this particular position. Respiratory Care Practitioners who received their RCP license prior to 1986 and currently working at Kaiser Permanente are exempt from obtaining their CRT credential. + At least one year of recent critical care experience preferred, may be required for this particular position. + At least one year of clinical experience in neonatal/pediatric respiratory care preferred, may be required for this particular position. + Depending on the particular specialty, ACLS, NRP or PALS may be required for this particular position. + Keyboard skills preferred. + Registered by the Board of Registered Polysomnographic Technologists preferred, may be required for this particular position. COMPANY: KAISER TITLE: Respiratory Care Practitioner II Registered LOCATION: Sacramento, California REQNUMBER: 1387653 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Assesses, plans, implements and evaluates Respiratory Therapy care and life support to patients in adult intensive care as well as pediatrics and medical surgical with deficiencies and abnormalities of the cardiopulmonary system under the supervision of physician and prescription. Performs other patient comfort duties necessary to maintain the flow of patient care in the unit. This care includes providing life support services, oxygen therapy, medical gas therapy, pharmaceutical treatments, chest physiotherapy, blood gas draws, etc. Essential Responsibilities: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. QUALITY OF SERVICE: * Professional Conduct: Applies philosophy and demonstrates knowledge of the Patient Bill of Rights. * Treats members, coworkers, and individual employees with respect and dignity. * Maintains the privacy and confidentiality of both members and employees with regard to medical records and communication regarding disease, conditions, and status. * Greet members promptly and courteously, addresses adult members by their proper title, (i.e., Mr., Mrs., Ms.), and last name except when otherwise mutually agreed upon by the provider and patient. * Telephone Courtesy and Assistance: Adheres to regional and department guidelines for courtesy and consideration during telephone use. * Determines and documents the following information upon taking a phone call: name of patient, phone number where patient can be reached, the reason (nature & urgency) for the call, date and time of the call and the name of the person taking the call. * Gives immediately to the requested provider or designee all messages of an emergency or urgent nature, gives non-urgent messages to the requested provider or designee in a timely manner. RESPIRATORY CARE PRACTITIONER II * Demonstrates knowledge, application, competency, and assessment skills for all specific patient/member age categories; pediatric and adult. Patient Care and Member Service: * Demonstrates proficiency in providing direct/indirect care and service to patient/member groups; pediatric and adult ages and classifications. * Participates in patient care rounds as an active member of the critical care team. * Knows admitting diagnosis and pulmonary pathophysiology for assigned patients, and performs patient assessment and provides appropriate therapy. * Evaluates and can state data obtained from respiratory monitoring devices on assigned patients. * Evaluates patients response to all respiratory care provided and appropriately documents required information as outlined in department policies and procedures. * Determines appropriateness and provides recommendations for respiratory care services, taking into consideration the needs of different age groups, cognitive abilities, and development status. * Initiates new routine orders within time specified in department policies and procedures. * Measures and adjusts airway cuff pressures. * Recommends changes in diagnostic and therapeutic procedures to physicians, nursing, and/or co-workers. * Taking into consideration patient age and development status modifies those treatments/procedure techniques, which do not require a change in physicians orders to optimize the delivery of care, and reports modifications to appropriate health care team members. * Utilizes appropriate chain-of-command when consulting on patients not responding to standard therapeutic procedures. * Performs respiratory diagnostic and therapeutic procedures. * Verbalizes mechanisms of action, dosage, contraindications, and adverse reactions for all medications upon request. * Obtains approval prior to administering any medications, which is not included on the approved medication list. * Stores unused, doses of medications in the department medication cabinet or refrigerator as indicated by the medication instructions. * Provides ventilatory support during Adult patient inter-intra hospital transfers. * Performs procedures for disinfecting and sterilization and adheres to infection control policies and procedures. * Washes hands before and after physical contact with the patient and after using the restroom as described in hand-washing procedure. * Adheres to isolation procedure as indicated. * Practices Universal Precautions at all times. * Performs and evaluates blood gas analysis to include quality control procedures adhering to laboratory policies and procedures. * Assures that quality control of equipment is performed and at acceptable levels. * Obtains arterial blood samples. * Ensures that blood samples and requisition slips have required information. * Handles and disposes of blood samples per policy and procedure. * Performs blood gas analysis. * Documents and reports critical blood gas values to nurse/physician. * Performs analyzer maintenance and quality controls as qualified, and ensures cleanliness of the blood gas laboratory. * Performs Basic Life Support and Pediatric Life support (BLS/PALS) and responds to emergencies in all areas. * Auscultates lungs to assure proper endotracheal tube placement. * Identifies primary affected lobes and positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy. * Identifies contraindications in regards to chest physiotherapy and appropriately informs and provides recommendations to the physician. * Performs oral, nasal, and tracheal suctioning to ensure airway patency. * Collaborates with the physician and nursing in regards to the appropriate frequency of suctioning for assigned patients. * Provides reasonable solutions upon the identification of problems. * Participates in-group action problem solving processes. * Complies with patient safety practices/policies; takes appropriate safety measures considering patients age and developmental status. Charting and Documentation: * Provides timely, accurate, legible record keeping and data entries per departmental policy and procedure. Maintains departmental workload documentation. * Assumes responsibility for all required Respiratory Care documentation on all assigned patients. Equipment and Supplies: * Effectively utilizes equipment and supplies. * Demonstrates the ability to setup, operate, troubleshoot, and perform corrective action based upon department policies and procedures and manufacturers recommendations. * Utilizes appropriate procedures in reporting malfunctioning or suspect equipment and supplies. * Determines whether equipment malfunction is life threatening versus non-life threatening and responds appropriately. * Assumes responsibility and ensures patient safety during any equipment failure. * Maintains inventory level of respiratory care equipment and supplies as assigned. Time Management: * Maintains department standards for documentation of work. Reports inability to complete procedures seeks assistance if patient care is compromised. Job and Personal Maturity: * Demonstrates flexibility and adaptability by accepting new ideas and supporting changes in the department and hospital/clinic. * Functions independently with minimal direction. Communication: * Utilizes effective listening, verbal, nonverbal and writing skills formally and informally. * Utilizes the chain-of-command in the event of a difficult situation or decision. * Immediately reports critical values to appropriate team members. * Interacts professionally when discussing patient care plans/recommendations with health care team members. Education and Staff Development: * Participates in orientation of new employees as required. * Participates in and provides patient education, within the department and medical enter. * Attends department continuing education and meetings as required. * RCP II includes all skills required of RCP I and RCP II. * Functions at independent level in Adult Critical Care, Pediatric, and Med/Surg areas. * Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. * Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. * Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation. * Demonstrates ability to effectively wean from mechanical ventilator per medical center protocols. * Demonstrates ability to implement all respiratory modalities of care specific to the Adult critical care.

Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities: * Selects Reviews, Obtains and Interprets Data: Reads and evaluates physicians orders, clarifying as needed. Accurately transcribes physician orders to electronic charting system or departmental patient master. Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner. * Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview. * Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages. * Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician. Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, noninvasive monitoring. * Performs Diagnostic Modalities: Performs procedures and interprets results: ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction. May perform EKGs. May place Holter monitor. May perform pulmonary function, and sleep diagnostic tests. * May perform Exercise Stress Tests. May perform indirect calorimetry. * Selects Assembles and Checks Equipment for Proper Function, Operation and Cleanliness: Selects, assembles and checks equipment for cleanliness, proper function and safe operation. Ensures proper function and ready availability of respiratory related life support equipment. Troubleshoots and performs minor repairs of equipment. May perform Quality control procedures for blood analysis devices. * May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment. * Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment. * Participates in routine departmental preventive maintenance program and performs basic repairs. * Orders/stocks departmental supplies. * Initiates, Conducts and Modifies Prescribed Therapeutic or Diagnostic Procedures: Operates all medical equipment within manufacturer and department guidelines to safely treat patients. Checks and adjusts alarms. Observes established safety and security procedures and protects patients from nosocomial infection. Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome. Conducts therapeutic procedures to maintain a patent airway, remove bronchopulmonary secretions, and/or achieve adequate ventilation and oxygenation * Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response. * Documents all required information in the medical record according to departmental policy and procedure. Initiates pressure-cycled/volume-cycled/high frequency ventilation. Weans/modifies mechanical ventilation according to assessment and physician orders. * Assists with or performs extubation. * Conducts patient education and disease management. Performs cardiopulmonary resuscitation according to resuscitation guidelines. May assist with or perform intubation. May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and intubation. * May participate in land/air critical care transport. May assist with high risk deliveries. May assist with surfactant replacement in neonates. May participate in pulmonary rehabilitation, home care. May assist with discharge planning. May assist with community outreach. May initiate and implement therapist driven protocols. * Supervision and Administration: May assign, organize and coordinate the work of assigned Respiratory Care Practitioners. May demonstrate respiratory care procedures to trainees and other health care personnel. May train assigned practitioners and complete assigned practitioner competency reviews. * Contributes to departmental quality improvement activities. May schedule staff and perform staffing functions. * Assesses priorities for delivery of patient care and redistributes resources as necessary throughout shift. Protects data from intentional or unintentional destruction, modification, or disclosure. * Maintains a current knowledge base of departmental information management systems, including collection, maintenance, and dissemination of information, as well as appropriate audit trails. * May develop policies and procedures, both clinical and administrative. May serve as Timekeeper for TIME system. * Other Assessment Criteria: Complies with attendance and punctuality expectations and with meal and break schedules. Accurately documents time in/out in TIME keeping system or time card. * Maintains a professional appearance, displays professional conduct and ethical behavior. * Participates in continuing education for professional development in Respiratory Care and related fields. May serve on hospital committees. May participate in professional organizations. * Supervisory Responsibilities: This job has no supervisory responsibilities. Grade 770

Under physician supervision, in accordance with policies and procedures approved by the Medical Director, is expected to assume primary clinical responsibility for all respiratory care modalities and to exercise considerable independent clinical judgment in the respiratory care of patients. Must be capable of serving as a technical resource person to the physician regarding current practices in respiratory care and to the hospital staff regarding effective and safe methods for administering respiratory care. Works under the general supervision of an administrative supervisor or the direction of a technical lead to deliver respiratory care services to patients in all areas of the hospital. Must be able to adapt to the particular area of duty assignment and to perform special duties required by the assignment. Standards of performance for the area to which the individual is assigned must be maintained. Special duties may include provision of basic and advanced respiratory care to neonatal and pediatric patients in the intensive care unit and during transport, which frequently requires making rapid decisions and assisting physicians to respond to status changes in neonatal and pediatric patients. Special duties may include performance of a variety of diagnostic tests of the cardiopulmonary system and to determine the effect of disease and treatment on that system. Essential Responsibilities: * Selects Reviews, Obtains and Interprets Data: * Reads and evaluates physicians orders, clarifying as needed * Accurately transcribes physician orders to electronic charting system or departmental patient master * Reviews patient information including history, lab data, radiologic studies, progress notes, respiratory and cardiovascular monitoring data and performs assessment/data collection in systematic manner * Systematically assesses patients overall cardiopulmonary status by inspection, palpation, percussion, auscultation, and patient interview * Interprets data to formulate goal-directed plan of care and determines requirements for treatment such as type and duration of therapy, precautions to be observed, equipment required, and medication and dosages * Determines modifications to physician orders, which optimize patient, care and makes recommendations to physician * Recommends procedures to obtain additional data including radiographs, bronchoscopy, Gram stain and C&S, spirometry, blood gas analysis, lung mechanics, work of breathing, EKG, nonivsasive monitoring * Performs Diagnostic Modalities: * Performs procedures and interprets results; ABG sampling and analysis, co-oximetry, spirometry, pressure-volume and flow-volume loops, cuff pressure, sputum induction * May perform EKGs * May place Holter monitor * May perform pumonary function, and sleep diagnostic tests * May perform Exercise Stress Tests * May perform indirect calorimetry * Selects Assembles and Check Equipment for Proper Function, Operation and Cleanliness: * Selects, assembles and checks equipment for cleanliness, proper function and safe operation * Ensures proper function and ready availability of respiratory related life support equipment * Troubleshoots and performs minor repairs of equipment * May perform Quality control procedures for blood analysis devices * May perform Quality control, calibrate, maintain and troubleshoot pulmonary function diagnostic equipment * Participates in routine departmental programs of cleaning, disinfecting and sterilizing of respiratory care and other related equipment * Participates in routine departmental preventive maintenance program and performs basic repairs * Orders/stocks departmental supplies * Initiates, Conducts and Modifies Prescribed Therapeuti or Diagnostic Procedures: * Operates all medical equipment within manufacturer and department guidelines to safely treat patients * Checks and adjusts alarms * Observes established safety and security procedures and protects patients from nosocomial infection * Explains planned therapy or procedure and goals to patient in understandable terms to achieve optimal therapeutic outcome * Conducts therapeutic procedures to maitain a patent airway, remove bonchopulmonary secretions, and/or achieve adequate ventilation and oxygenation * Monitors patients physiological responses to therapy, recognizes patient adverse reaction and stops or modifies or recommends modification to procedure based on patient response * Documents all required information in the medical record according to departmental policy and procedure * Initiates pressure-cycled/volume-cycled/high frequency ventilation * Weans/modifies mechanical ventilation according to assessment and physician orders * Assists with or performs extubation * Conducts patient education and disease management * Performs cardiopulmonary resuscitation according to resuscitation guidelines * May assist with or perform intubation * May assist the physician when performing bronchoscopy, thoracentesis, tracheostomy, cardioversion, and intubation * May participate in land/air critical care transport * May assist with high risk deliveries * May assist with surfactant replacement in neonates * May participate in pulmonary rehabilitaiton, home care * May assist with discharge planning * May assist with community outreach * May initiate and implement therapist driven protocols * Supervision and Administration: * May assign, organize and coordinate the work of assigned Respiratory Care Practitioners * May demonstrate respiratory care procedures to trainees and other helath care personnel * May train assigned practioners and complete assigned practitioner competency reviews * Contributes to departmental quality improvement activities * May schedule staff and perform staffing functions * Assesses priorities for delivery of patient care and redistributes resources as necessary throught shift * Protects data from intentional or unintentional destruction, modification, or disclosure * Maintains a current knowledge base of departmental information management systems, including collection, maintenance, and dissemination of information, as well as appropriate audit trails * May develop policies and procedures, both clinical and administrative * May serve as Timekeeper for TIME system * Other Assessment Criteria: * Complies with attendance and punctuality expectations and with meal and break schedules * Accurately documents time in/out in TIME keeping system or time card * Maintains a professional appearance, displays professional conduct and ehtical behavior * Participates in continuing education for professional development in Respiratory Care and related fields * May serve on hospital committees * May participate in professional organizations * This job has no supervisory responsibilities Grade: 750

SYSTEM WIDE SEASONAL TEAM - Full Time, Benefited, Limited tenure Scripps employee who supports assignments of 13 or 26 weeks. This is varied shift and must be willing to work either day or night shift and float to any of our 5 hospitals located in San Diego. Completion bonus available at the end of the initial 13 week assignment = $7K. Pay rate is the seasonal flat rate of $47.12 Our Scripps System-wide Resource Services (SSRS) department supports the entire Scripps Health system. As a member of the float team, you can fill vital roles on assignments throughout the system to provide critical coverage for employee's leave of absences, sick calls, and peak service demands while gaining experience in a variety of environments. Join our Scripps SSRS team as a Respiratory Therapist where you will provide direct patient care within the scope of your practice. This includes the following\: In collaboration with other caregivers, assesses, plans, implements and evaluates actions for respiratory care. Performs all technical diagnostic and therapeutic procedures related to respiratory care. Performs other core responsibilities necessary to maintain the flow of patient care and comfort in the unit. Responds to critical situations. Utilizes computer systems in performing position duties. Adheres to Hospital and departmental policies and procedures. Participates in Quality Control, preventative maintenance and performance improvement activities. The types of opportunities we offer are as follows: SYSTEM WIDE RESOURCE TEAM - Permanent Scripps employees who support long-term assignments, typically 12 weeks in duration SYSTEM WIDE SEASONAL TEAM - Full Time, Limited tenure Scripps employee who supports assignments of 13 or 26 weeks. Completion bonus available at the end of the initial assignment * Previous Scripps employees interested in a seasonal position are required to have left the organization for a frame of one (1) year prior to onboarding as a seasonal employee.#LI-JS1 Required Qualifications: One (1) or more years RCP acute care experience. Excellent interpersonal skills. Enjoys working with the public. Must be able to speak, read, and follow instructions in English. Technically competent in the department skills inventory. Computer literate. Current California RCP license required Current American Heart Association BLS Preferred Qualifications: Graduate of one or two year AMA School of Respiratory Care. ventilator experience is strongly preferred NRP Certification NICU Experience Travel Requirements\: Work between the five (5) Scripps Health hospital campuses\: Encinitas, La Jolla, Torrey Pines, San Diego, and Chula Vista.

Assesses, plans, implements and evaluates respiratory therapy care and life support to patients in all areas of the medical center, including neonatal intensive care who have deficiencies and abnormalities of the cardiopulmonary system under the supervision of physician and prescription. Performs other patient comfort duties necessary to maintain the flow of patient care in the unit. Essential Responsibilities: * Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. * QUALITY OF SERVICE: * Professional Conduct: * Applies philosophy and demonstrates knowledge of the Patient Bill of Rights. Treats members, coworkers, and individual employees with respect and dignity. * Maintains the privacy and confidentiality of both members and employees with regard to medical records and communication regarding disease, conditions, and status. * Greet members promptly and courteously, addresses adult members by their proper title (i.e., Mr., Mrs., Ms.) and last name except when otherwise mutually agreed upon by the provider and patient. * Telephone Courtesy and Assistance: * Adheres to regional and department guidelines for courtesy and consideration during telephone use. * Determines and documents the following information upon taking a phone call: name of patient, phone number where patient can be reached, the reason (nature & urgency) for the call, date and time of the call and name of the person taking the call. * Gives immediately to the requested provider or designee all messages of an emergency or urgent nature, gives non-urgent messages to the requested provider or designee in a timely manner. * JOB DUTIES AND RESPONSIBILITIES RESPIRATORY CARE PRACTITIONER I * Demonstrates knowledge, application, competency, and assessment skills for all specific patient/member age categories; neonatal, pediatric, and adult. * Patient Care and Member Service: * Demonstrates proficiency in providing direct/indirect care and service to patient/member groups; neonatal, pediatric, and adult ages and classifications. * Participates in patient care rounds as an active member of the critical care team. Knows admitting diagnosis and pulmonary pathophysiology for assigned patients, and performs patient assessment and provides appropriate therapy. * Evaluates and can state data obtained from respiratory monitoring devices on assigned patients. * Evaluates patients response to all respiratory care provided and appropriately documents required information as outlined in department policies and procedures. * Determines appropriateness and provides recommendations for respiratory care services, taking into consideration the needs of different age groups, cognitive abilities, and development status. * Initiates new routine orders within time specified in department policies and procedures. Measures and adjusts airway cuff pressures. Recommends changes in diagnostic and therapeutic procedures to physicians, nursing, and/or co-workers. Taking into consideration patient age and development status modifies those treatments/procedure techniques, which do not require a change in physicians orders to optimize the delivery of care, and reports modifications to appropriate health care team members. * Utilizes appropriate chain-of-command when consulting on patients not responding to standard therapeutic procedures. * Performs respiratory diagnostic and therapeutic procedures. * Verbalizes mechanisms of action, dosage, contraindications, and adverse reactions for all medications upon request. * Obtains approval prior to administering any medications, which is not included on the approved medication list. Stores unused, doses of medications in the department medication cabinet or refrigerator as indicated by the medication instructions. * Provides ventilatory support during patient inter-intra hospital transfers. May be part of a high functioning Pediatric and Neonatal transport team as applicable. * Performs procedures for disinfecting and sterilization and adheres to infection control policies and procedures. * Washes hands before and after physical contact with the patient and after using the restroom as described in handwashing procedure. Adheres to isolation procedure as indicated. * Practices Universal Precautions at all times. * Performs and evaluates blood gas analysis to include quality control procedures adhering to laboratory policies and procedures. * Assures that quality control of equipment is performed and at acceptable levels. * Obtains arterial blood samples. * Ensures that blood samples and requisition slips have required information. * Handles and disposes of blood samples per policy and procedure. Performs blood gas analysis. * Documents and reports critical blood gas values to nurse/physician. * Performs analyzer maintenance and quality controls as qualified, and ensures cleanliness of the blood gas laboratory. * Performs cardiopulmonary and neonatal resuscitation (CPR/NR) and responds to emergencies in all areas. * Auscultates lungs to assure proper endotracheal tube placement. Identifies primary affected lobes and positions patient to optimize treatment while ensuring safety, prior to initiating chest physiotherapy. * Identifies contraindications in regards to chest physiotherapy and appropriately informs and provides recommendations to the physician. * Performs oral, nasal, and tracheal suctioning to ensure airway patency. * Collaborates with the physician and nursing in regards to the appropriate frequency of suctioning for assigned patients. * Provides reasonable solutions upon the identification of problems. * Participates in-group action problem solving processes. * Complies with patient safety practices/policies; takes appropriate safety measures considering patients age and developmental status. * Charting and Documentation: * Provides timely, accurate, legible record keeping and data entries per departmental policy and procedure. * Enters required information into the Respiratory Cares department system for recording statistical data related to procedures performed, workload and staffing. * Assumes responsibility for all required Respiratory Care documentation on all assigned patients. * Equipment and Supplies: * Effectively utilizes equipment and supplies. * Demonstrates the ability to setup, operate, troubleshoot, and perform corrective action based upon department policies and procedures and manufacturers recommendations. * Utilizes appropriate procedures in reporting malfunctioning or suspect equipment and supplies. Determines whether equipment malfunction is life threatening versus non-life threatening and responds appropriately. * Assumes responsibility and ensures patient safety during any equipment failure. Maintains inventory level of respiratory care equipment and supplies as assigned. * Productivity and Time Management: * Maintains department productivity standards. Reports inability to complete procedures seeks assistance if patient care is compromised. * Job and Personal Maturity: * Demonstrates flexibility and adaptability by accepting new ideas and supporting changes in the department and hospital/clinic. * Functions independently with minimum direction. * Communication: Utilizes effective listening, verbal, nonverbal and writing skills formally and informally. * Utilizes the chain-of-command in the event of a difficult situation or decision. Immediately reports critical values to appropriate team members. * Interacts professionally when discussing patient care plans/recommendations with health care team members. * Education and Staff Development: * Participates in training and orientation of new employees as required. * Participates in and provides patient education, within the department and medical enter. Attends department continuing education, meetings as required. RCP II ( Includes all skills required of RCP I, RCP II): * Functions at Independent Level in Adult Critical Care areas. Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. * Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. * Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation. * Demonstrates ability to effectively wean from mechanical ventilator per medical center protocols. * Demonstrates ability to implement all respiratory modalities of care specific to the Adult critical care. RCP III ( includes all skills required of RCP I, RCP II, and RCP III): * Functions at Independent Level in Neonatal Critical Care areas. * Demonstrates ability to assess for implementation or discontinuance of mechanical ventilation. * Demonstrates ability to implement all modalities of ventilation approved for use in the medical center. * Demonstrates ability to adjust ventilator parameters in response to changes in acid-base balance and oxygenation per protocol or Doctors order. * Demonstrates ability to effectively wean from mechanical ventilation per medical center protocols. * Demonstrates ability to implement all respiratory modalities of care specific to Neonatal critical care in this medical center. * Documents therapy and intervention in medical record per medical center policy and procedure.