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RESPIRATORY CARE PRACTITIONER, ADVANCED

Job Title: RESPIRATORY CARE PRACTITIONER, ADVANCED
Job Code: 4250
FLSA: N
Job Level: F2
Revised Date: 07/17/2023
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

Six months to one year of clinical experience following graduation from a respiratory care program.

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.


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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.