Duke Life Flight - Pediatric Advanced Respiratory Care Practitioner - Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area.

For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Job Title: Duke Pediatric Lift Flight – Advanced Respiratory Therapist
Job Code: 4250
FLSA: N
Job Level: F1
Revised Date: 08/19/2019
Supervisory Responsibility: No

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General Description of the Job Class

Perform and evaluate diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice, performing work in accordance with physician orders in the neonatal, pediatric and adult patient populations.

Duties and Responsibilities of this Level

• Perform all duties and responsibilities required of a Respiratory Care Practitioner I.
• Evaluate appropriateness of medical orders.
• Proficient in the application of mechanical ventilator modalities.
• Proficient in the application of Non-Invasive Positive Pressure Ventilation (NPPV); Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP)
• Perform endotracheal intubation under the observation of a Supervisor or Advanced Practitioner. Perform extubations.
• Serve as member of the code/ emergency team. Administer medical gases.
• Insert nasogastric and orogastric tubes.
• Perform tracheotomy tube changes. Perform capnography monitoring.
• Transport patients requiring mechanical ventilation or airway protection.
• Interpret clinical data to optimize patient clinical objectives.
• Participate in clinical rounds with physicians, nurses and other health care providers
• Assist with Bronchoscopy. Assist with orientation and training of Level II RT.
• Assure safe operations of devices in the MRI.
• Qualified for certification in the hyperbaric chamber if applicable to the institution scope of practice

Required Qualifications at this Level

Education

Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent).

Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements

Must maintain North Carolina annual license requirements for CEUs

Experience

• A minimum of three years (4 years preferred) in clinical respiratory therapy including a minimum of one year in intensive care respiratory therapy within a neonatal or pediatric ICU. Advanced certification required (C-NPT) within two years of hire. If hired with critical care transport experience, certification required upon hire.
• Currently registered by the National Board for Respiratory Care (NBRC)  

Degrees, Licensure, and/or Certification

North Carolina State Licensure

Registry ( RRT) by the National Association for Respiratory Care (NBRC)

Certification in Basic Life Support (BLS)

Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS)

Certification in Neonatal Resuscitation (NRPS) if applicable to institution

Knowledge, Skills, and Abilities

• Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient.
• Skills validation/certification of competencies for the duties and responsibilities required for a Level I RT.
• Skills validation / certifications of competencies for the duties and responsibilities of this level. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team.
• Work is performed in all areas of the hospital.
• Work may require lifting or pushing in excess of 30 pounds.
• Required to carry emergency airway bag weighing approximately 20 pounds.
• Work requires walking, running, climbing and bending. Customer service and communication expertise.

Distinguishing Characteristics of this Level

N/A

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.