Respiratory Care Practitioner NICU PICU — St. Mary's Hospital
Bon Secours, Richmond, VA, United States
Respiratory Care Practitioner II – St. Mary's Hospital
Job Summary: The Respiratory Care Practitioner II is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures including oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services, and patient and staff education. Monitors the patient’s response to such therapies and makes recommendations to change or modify approaches based on assessment.
Bonus Information
Attending a full‑time offer of employment may be eligible for a sign‑on bonus. New graduates receive $5,000; candidates with at least one year of experience receive $15,000. Rules and restrictions apply; internal BSMH associates are not eligible.
Essential Functions
May serve as the shift “Charge Therapist” ensuring adequate respiratory care staffing, assigning duties, adjusting assignments, assisting with meal coverage, fielding call‑offs, and providing suitable staffing for the next shift.
May assist a physician with procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy intubation (if performed by respiratory therapy), tracheostomy endotracheal tube changes, and invasive monitoring.
Performs CPR, including closed‑chest compressions and airway management in accordance with the AHA ACLS protocol.
Conducts therapeutic airway procedures—using endotracheal tubes, nasopharyngeal and oropharyngeal airways, maintaining humidification, aspiration, extubation, and ETT cuff pressures—and documents each procedure.
Selects, assembles, monitors, and evaluates mechanical ventilators, correcting malfunctions, ensuring cleanliness, and determining appropriate use for patient conditions.
May perform pulmonary function tests (PFT).
Serves as a preceptor for new team members and/or students.
Assesses patient physical status via inspection, palpation, auscultation, percussion, behavior, and data review.
Performs treatments per physician orders, explains goals, and modifies techniques based on patient response.
Recommends therapeutic methods—including IPPB, aerosol therapy, postural drainage, percussion, ultrasonic nebulizer, incentive spirometry, metered‑dose inhalers, and spacers—to achieve goals.
Sets up and maintains various oxygen therapy modes to maintain adequate PaO₂ levels with accurate inspired oxygen concentrations.
Administers IPPB or aerosol therapy, adjusting machines or devices, monitoring vital signs, cough productivity, dyspnea relief, and adverse reactions, and using technical skill to assess therapy appropriateness.
Provides postural drainage, vibration, or percussion using manual or mechanical methods; verifies orders and X‑rays, and auscultates before and after treatment.
Instructs patients and families on incentive spirometry, MDI use, postural drainage, oxygen therapy, ventilator care, and home aerosol therapy.
Obtains sputum for culture and sensitivity or performs airway clearance by coaching patients, using aerosol therapy, or suctioning endotracheally
asopharyngeally.
Evaluates laboratory values in blood and urine, including normal and pathologic ranges.
Performs arterial punctures and analyses; possesses in‑depth arterial blood gas interpretation, line procedure knowledge, safety precautions, sterile technique, and flushing.
May perform EKGs, understands electronic monitoring, lead placement, and basic arrhythmias.
Maintains all respiratory therapy equipment and supplies.
Responds to cardiopulmonary resuscitations and participates actively as needed.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.
Education
Bachelor’s Degree in Respiratory Therapy, Health Care, Healthcare Administration, or Business Administration (preferred).
Required Licenses & Certifications
Current Respiratory Care License in the state of employment (required).
National Board for Respiratory Care (NBRC) credential (required).
Registered Respiratory Therapist (RRT) (preferred).
BLS Basic Life Support – American Heart Association (required).
ACLS Advanced Cardiac Life Support – American Heart Association or Red Cross (required).
PALS Pediatric Advanced Life Support – American Heart Association (required).
NRP (Neonatal Resuscitation Program) – AAP/AWHONN (preferred).
Certified Pulmonary Function Technologist (CPFT) (preferred).
Registered Pulmonary Function Technologist (RPFT) (preferred).
ACCS (Adult Critical Care Specialist) – NBRC (preferred).
Valid driver’s license (required for Home Care/DME).
Experience
Two years of experience as a Respiratory Care Professional (required).
Skills & Abilities
Strong interpersonal skills and effective interaction with patients, families, physicians, and staff.
Good communication and customer service skills.
Organizational and time‑management skills.
Ability to receive and incorporate feedback.
Ability to gather and interpret data.
Accountability.
Knowledge of non‑invasive respiratory therapy equipment such as oximeters or end‑tidal CO₂ analyzers.
Proficiency in therapeutic procedures: CPAP/BiPAP, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high‑flow oxygen, continuous aerosols, ventilator management, diagnostic testing.
Understanding of EKGs, electronic monitoring, lead placement, and basic arrhythmias.
Arterial blood‑gas puncture and testing skills.
Airway maneuver skills.
Bedside pulmonary function testing.
Patient assessment and education abilities.
Knowledge of chest suction equipment and chest X‑ray interpretation.
Training
EPIC Electronic Health Record (EHR) training (preferred).
What We Offer
Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions (when eligible).
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts.
Paid time off, parental and FMLA leave, short‑ and long‑term disability benefits, backup care for children and elders.
Tuition assistance, professional development, and continuing education support.
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation during the employment selection process, please contact The Talent Acquisition Team.
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Job Summary: The Respiratory Care Practitioner II is responsible for providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures including oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services, and patient and staff education. Monitors the patient’s response to such therapies and makes recommendations to change or modify approaches based on assessment.
Bonus Information
Attending a full‑time offer of employment may be eligible for a sign‑on bonus. New graduates receive $5,000; candidates with at least one year of experience receive $15,000. Rules and restrictions apply; internal BSMH associates are not eligible.
Essential Functions
May serve as the shift “Charge Therapist” ensuring adequate respiratory care staffing, assigning duties, adjusting assignments, assisting with meal coverage, fielding call‑offs, and providing suitable staffing for the next shift.
May assist a physician with procedures such as bronchoscopy, transtracheal catheter insertion, tracheotomy intubation (if performed by respiratory therapy), tracheostomy endotracheal tube changes, and invasive monitoring.
Performs CPR, including closed‑chest compressions and airway management in accordance with the AHA ACLS protocol.
Conducts therapeutic airway procedures—using endotracheal tubes, nasopharyngeal and oropharyngeal airways, maintaining humidification, aspiration, extubation, and ETT cuff pressures—and documents each procedure.
Selects, assembles, monitors, and evaluates mechanical ventilators, correcting malfunctions, ensuring cleanliness, and determining appropriate use for patient conditions.
May perform pulmonary function tests (PFT).
Serves as a preceptor for new team members and/or students.
Assesses patient physical status via inspection, palpation, auscultation, percussion, behavior, and data review.
Performs treatments per physician orders, explains goals, and modifies techniques based on patient response.
Recommends therapeutic methods—including IPPB, aerosol therapy, postural drainage, percussion, ultrasonic nebulizer, incentive spirometry, metered‑dose inhalers, and spacers—to achieve goals.
Sets up and maintains various oxygen therapy modes to maintain adequate PaO₂ levels with accurate inspired oxygen concentrations.
Administers IPPB or aerosol therapy, adjusting machines or devices, monitoring vital signs, cough productivity, dyspnea relief, and adverse reactions, and using technical skill to assess therapy appropriateness.
Provides postural drainage, vibration, or percussion using manual or mechanical methods; verifies orders and X‑rays, and auscultates before and after treatment.
Instructs patients and families on incentive spirometry, MDI use, postural drainage, oxygen therapy, ventilator care, and home aerosol therapy.
Obtains sputum for culture and sensitivity or performs airway clearance by coaching patients, using aerosol therapy, or suctioning endotracheally
asopharyngeally.
Evaluates laboratory values in blood and urine, including normal and pathologic ranges.
Performs arterial punctures and analyses; possesses in‑depth arterial blood gas interpretation, line procedure knowledge, safety precautions, sterile technique, and flushing.
May perform EKGs, understands electronic monitoring, lead placement, and basic arrhythmias.
Maintains all respiratory therapy equipment and supplies.
Responds to cardiopulmonary resuscitations and participates actively as needed.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job‑related duties as required by their supervisor, subject to reasonable accommodation.
Education
Bachelor’s Degree in Respiratory Therapy, Health Care, Healthcare Administration, or Business Administration (preferred).
Required Licenses & Certifications
Current Respiratory Care License in the state of employment (required).
National Board for Respiratory Care (NBRC) credential (required).
Registered Respiratory Therapist (RRT) (preferred).
BLS Basic Life Support – American Heart Association (required).
ACLS Advanced Cardiac Life Support – American Heart Association or Red Cross (required).
PALS Pediatric Advanced Life Support – American Heart Association (required).
NRP (Neonatal Resuscitation Program) – AAP/AWHONN (preferred).
Certified Pulmonary Function Technologist (CPFT) (preferred).
Registered Pulmonary Function Technologist (RPFT) (preferred).
ACCS (Adult Critical Care Specialist) – NBRC (preferred).
Valid driver’s license (required for Home Care/DME).
Experience
Two years of experience as a Respiratory Care Professional (required).
Skills & Abilities
Strong interpersonal skills and effective interaction with patients, families, physicians, and staff.
Good communication and customer service skills.
Organizational and time‑management skills.
Ability to receive and incorporate feedback.
Ability to gather and interpret data.
Accountability.
Knowledge of non‑invasive respiratory therapy equipment such as oximeters or end‑tidal CO₂ analyzers.
Proficiency in therapeutic procedures: CPAP/BiPAP, jet aerosol, oxygen therapy, incentive spirometry, chest physiotherapy, pulse oximetry, high‑flow oxygen, continuous aerosols, ventilator management, diagnostic testing.
Understanding of EKGs, electronic monitoring, lead placement, and basic arrhythmias.
Arterial blood‑gas puncture and testing skills.
Airway maneuver skills.
Bedside pulmonary function testing.
Patient assessment and education abilities.
Knowledge of chest suction equipment and chest X‑ray interpretation.
Training
EPIC Electronic Health Record (EHR) training (preferred).
What We Offer
Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions (when eligible).
Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts.
Paid time off, parental and FMLA leave, short‑ and long‑term disability benefits, backup care for children and elders.
Tuition assistance, professional development, and continuing education support.
Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation during the employment selection process, please contact The Talent Acquisition Team.
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