Duke University Health System Job Description:

FLSA: Pay Target: F3 
Date: 03/06/2017   Supervisory Responsibility: Yes 

General Description of the Job Class

The Clinical Lead, Respiratory Therapist (RT) is a role developed to work in coordination with the RT leadership in an assigned unit or department to ensure the work is accomplished effectively. The Clinical Lead RT is the first line of support for staff, physicians, and other related providers on concerning RT specific clinical issues and topics. They will supervise, perform, evaluate and coordinate 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 in intermediate, intensive and emergency care areas. They will be responsible for supervising, coaching, and mentoring their assigned core group of staff.


Duties and Responsibilities of this Level

Clinical Support - Perform all duties and responsibilities of the Respiratory Care Practitioner Advanced and Respiratory Care Practitioner, ECMO. - RT staff resource/expert concerning all clinical and operational questions/issues. - Demonstrates strong critical thinking skills by making appropriate decisions. Rapidly prioritizes both planned and unplanned events, and proactively addresses actual and potential problems, exceeding patient or client expectations. - Instruct and supervise patient and therapeutic assessments to assure optimal medical decisions. - Expert in all RT technology in the assigned departments. - Coordinate all emergency responses. - Assist in the development/updates with clinical care protocols/policy and procedures. - Evaluate patient care plans. - Ability to interact with physicians/medical staff on a high level. - Function as a liaison between Clinical Resource Manager, and Clinical Engineering to ensure proper operation and service of equipment. Document and report any malfunctioning or broken equipment. - Assure safe and appropriate working environment. - Assure appropriate staff and skill level for each patient care area. - ECMO Specialist.

Leadership/Managerial - Develop expected job results, performance plans, and professional goals for assigned staff. - Appraise performance of all staff members. - Provide input into applicant hiring and termination decisions. - Monitor and report all patient care, safety, medication, technical, and employee incidents. - Monitor adherence to policy, procedures and practice guidelines. - Monitor ventilator protocol adherence. - Implement any necessary corrective actions in a timely manner. - Conduct shift planning to include assignments and redirection of staff as needed. - Assure appropriate supply inventory. - Provide feedback for all schedule assignments. - Coordinate and monitor departmental improvement projects. - Communicate daily activities to RT leadership

Education/Mentoring - Provide orientation, education and training as needed internal and external to Duke Respiratory Care Services. - Assure/Assess respiratory care staff competency and safety. - Plan and conduct instructional sessions. - Communicate/educate changes in policy and procedures in an effective/consistent manner.

Other - Coordinate the evaluation of products/equipment. - Provide input into departmental equipment selection and function. - Assist with all departmental clinical research projects. - Serve on department related committees


Required Qualifications at this Level


Work requires completion of a Bachelor's degree in Respiratory Care, Healthcare, Business, or a field related to the assigned clinical discipline.

Note: Candidates without a Bachelor's degree will be required to complete their degree within three (3) years of appointment.



Five years of experience in clinical respiratory therapy, including at least three years of experience in intensive care respiratory therapy; supervisory experience preferred.


Degrees, Licensure, and/or Certification:

- Current RT licensure from the North Carolina State Board of Respiratory Care - Registered Respiratory Therapist (RRT) by the National Board 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 Program (if applicable) - Respiratory Specific Certifications (to be completed within 1 year of hire) - Adult Clinical Lead RT ??? Adult Critical Care Specialist (ACCS) - Pediatric Clinical Lead RT ??? Neonatal Pediatric Specialist (NPS)


Knowledge, Skills, and Abilities:

- Knowledge of professional theory, practice and procedure. - Ability to assess respiratory needs of acute and chronically ill patients and their families. - Able to independently seek out resources and work collaboratively. - Ability to establish and maintain effective working relationships. - Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. - Able to teach patients and families in accordance with the plan of care. - Able to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up. - Able to use fine motor skills. - Able to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status. - Able to use computer and learn new software programs. - Able to navigate the entity to provide clinical care for patients. - Able to withstand prolonged standing and walking. - Able to remain focused and organized. - Working knowledge of procedures and techniques involved in administering routine and special treatments to patients. - 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



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.