Registered Respiratory Therapist - Pulmonary Function Technologist (Pft)

The RRT is under the technical and administrative supervision of the Supervisor of Pulmonary Outpatient Services and under the medical direction of the director of Pulmonary Function Laboratory. They review completed work for results achieved and for conformance of department policies and requirements. The supervisor places considerable reliance on the RRT's knowledge on complex procedures, and completed work in evaluated for technical soundness, appropriateness, and conformity to policy.Qualifications: Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.

BASIC REQUIREMENTS:

• Citizenship: Citizen of the United States.
• Education: Individuals must have successfully completed a respiratory care program accredited by the CoARC or its successor.
• Licensure: Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a full, current and unrestricted license from a state to practice as an RRT.
• Credential: Persons appointed or reassigned to RRT positions in the GS-0601 series must possess and maintain for the duration of employment a valid, current, unrestricted credential of RRT.
• English Language Proficiency: applicants must be proficient in spoken and written English.

May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria).

Grade Determinations: In addition to the basic requirements above, applicants must meet the grade requirements below.

GS-07 Experience: In addition to the basic requirements, candidates must possess their RRT credential. Additionally, applicants must demonstrate the following KSAs:

1. Ability to perform therapeutic modalities related to respiratory care.
2. Skill in analyzing physiological specimens obtained to include arterial blood gases, pulse oximetry, End tidal Co2 (ETCo2) monitoring, basic spirometry and other basic diagnostic procedures.
3. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes.
4. Skill in assessing oxygenation and ventilation.
5. Ability to perform basic airway management to include artificial airways and mechanical ventilation.

Assignment. This is a developmental position. RRTs at this grade level will be responsible for the following assignments with minimal clinical supervision from an RRT at the full performance level in both inpatient and/or outpatient settings. RRTs complete patient assessment through direct contact, chart review and other means as appropriate and share the information with health care team members. They use accepted measuring/monitoring tools for determining plan of care. They place nasal and oropharyngeal airway and perform nasal and tracheal suctioning. RRTs obtain, analyze and report arterial and venous blood gas samples. They perform duties in the critical area with close supervision to include in- line suctioning, re-positioning and securing Endo Tracheal tube, bag valve mask ventilation, assisting in patient transport and performing patient ventilator assessment. RRTs provide outpatient services, such as positive airway pressure (PAP) therapy, oxygen therapy and COPD care.

GS-09 Experience: Applicants must have one year of creditable experience equivalent to the GS-7 level, or possess a Master of Science degree in respiratory care. In addition, applicants must demonstrate the following KSA's:

1. Skill in performing therapeutic modalities related to respiratory care.
2. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
3. Skill in assessing oxygenation and ventilation.

Assignment. This is a developmental position. RRTs at this grade level are responsible for the following under general guidance in both inpatient and/or outpatient settings. RRTs obtain, interpret and analyze physiological specimens and data. They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty. They manage and maintain the airway and ventilation of the patient through the use of appropriate mechanical means. RRTs assess and evaluate patients to determine and recommend intervention to develop and implement a plan of care, such as, implementing protocols, intubation, monitoring critical systems and uses advanced modes of ventilation. They provide outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care.

GS-11 Experience: Applicants must have one year of creditable experience equivalent to the GS-9 level. In addition, candidates must demonstrate all the following KSAs:

1. Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.
2. Skill in evaluating the efficacies of therapeutic modalities.
3. Skill in performing advanced airway and ventilation management.

Assignments. This assignment is the full performance level. RRTs at this grade level work independently providing respiratory care in both inpatient and/or outpatient settings. The specific assignments are dependent on facility structure and complexity levels. They use data and patient assessment to establish appropriate plan of care and determine if outcomes are being met. They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty. They manage and maintain the airway and ventilation of the patient using appropriate mechanical means. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation. They monitor critical systems. They use advanced modes of ventilation and outpatient services, such as home ventilators and COPD case management. RRTs suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. RRTs at this grade level may perform invasive procedures such as arterial line placement. They serve as a preceptor to lower graded staff. They may lead projects developing new policies, procedures or protocols.
The full performance level of this vacancy is GS-11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-07 to GS-11.

References: VA Handbook 5005, Part II, Appendix G11- Registered Respiratory Therapist.
Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.

Education: IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.Employment Type: FULL_TIME