Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• CH Wellness Program
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

For more information on our Benefits & Perks, click here!

Provides bedside respiratory care to patients as assigned by supervisors and given on the physician's written order for both in house and out patient care.

Position Reports To: Clinical Manager of Respiratory Care

1. Responsible for the safe and effective administration of medically prescribed medications, knowing their indications and contraindications.

   • Assures proper physician order before administration of medication as evidenced by QA.

2. Knows and follows the indications and contraindications, the policy and procedures in administering therapeutic modalities to include: Nebulizer, CPT, Flutter Valve, CPAP/BiPAP, High Flow.

   • Assures proper physician order before treatment administered as evidenced by QA.

   • Discontinues treatment if any adverse or contraindication noted and documented in patient chart at time of occurrence as well as notifying the appropriate staff member, i.e., nurse, physician.

3. Sets up and monitors all oxygen aerosol administration

   • Maintains oxygen cylinders in proper carriers at all times as observed by manager.

   • Gauges are to be checked each shift to assure proper working condition. Broken gauges are to be replaced immediately, broken gauge placed in container for broken equipment and marked.

4. Be a member of the "code team" responding to arrest situations.

   • Maintains current BLS, ACLS, PALS and NRP cards.

   • Performs external compression when needed in a code situation.

   • Proper handling and usage of hand resuscitator and assures proper function during code. Utilizes proper technique as observed/reported by code team participants.

5. Performs all aspects of artificial airway care. Able to perform deep blind tracheal suctioning on patients.

6. Familiar with measuring devices to include, but not limited to, pulse oximeter, Wrights respirometer, oxygen blenders.

   • According to policy and procedure upon physician's written order oxygen Sat. obtains values and documents in patient records.

   • According to policy and procedure upon physician's written request obtains mechanics with Wrights respirometer, manometer, cuff/pressure, and documents in patient's records.

7. Responsible for the set up, safety check, monitoring, and troubleshooting of mechanical ventilators.

   • Upon physician's written order, sets up parameter on ventilator, pressure check, and documents in patient's flow sheet.

   • Performs ventilator checks every three hours during assigned shift as documented on flow sheet.

   • As a weaning process, places patient on CPAP as ordered by physician within an hour and documents in flow sheet upon completion of change.

   • Cuff pressures are to be measured every shift and documented on flow sheet when completed.

   • Tubing, handheld nebulizers and hand resuscitators are changed as per department policy and documented on patient's flow sheet and department records.

8. Familiar with CPAP set up and administration of CPAP.

9. Maintains accurate and legible records, documenting clinical notes in patient's charts.

   • Accurate and legible notes are to be kept in patient records as evidenced by QA.

   • Treatments are not discontinued unless proper notification is given.

   • Assures Kardex system is current and complete by end of shift as evidenced by shift report; i.e., full name, room number, diagnosis, full treatment order, date ordered, time of treatment given noted.

10. Participation in reporting patient progress, and prioritizing patient condition to the next shift.

11. Proper documentation in department records. Participates in staff meetings, attends lectures, conferences and seminars.

    • Attends staff meetings as scheduled as evidenced by minutes of meeting

    • Attends lectures, seminars as scheduled as evidenced by rosters or awarded certificates.

12. Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, and specific job-related hazards.

    • All required safety education programs have been attended.

    • Provides complete and accurate responses to safety questions.

    • Operates assigned equipment and performs all procedures in a safe manner as instructed.

    • Maintains work area and equipment in condition required by department standards.

    • Demonstrates proper body mechanics in all functions.

    • If Manager/Leader, provides for the safety of department employees.

13. Follows the hospital exposure control plans/bloodborne and airborne pathogens.

    • Demonstrates knowledge of techniques, procedures and correct use of protective barrier equipment.

    • Assures a safe environment by instituting appropriate control measures.

    • Attends annual education programs.

14. Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

    • Interacts with all of the above in a considerate, helpful and courteous manner as observed by manager and peers

    • Fosters mature professional relationships with fellow employees in a courteous, friendly manner as measured by management observation and peer input.

    • Maintains professional composure and confidence during stressful situations.

    • Maintains open communication using appropriate chain of command regarding issues

    • Conducts all work activities with respect for rights and wishes of patients, visitors, families, and fellow employees.

    • Maintains confidentiality of all hospital and patient information at all times as observed by peers and management.

    • Presents neat appearance in proper attire and identification as required by the position, department, and administrative policy.

    • Continuously displays a "can do" attitude within the department and across departmental lines to contribute to the overall customer service program.

15. Promotes effective working relations and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department's/unit's ability to meet its goals and objectives.

    • Supports the hospital's mission, policies, and procedures through attendance and participation at committee meetings, if applicable.

    • Utilizes automated system to communicate inter and intra departmentally, as appropriate.

    • Completes work assignments on time/readily accepts assignments as observed by manager.

    • Reports to work on time and is at work as scheduled, as observed by manager.

16. Makes CCA clinical rounds with medical director as required.

    Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Being fully vaccinated against COVID-19 is an essential requirement of working at Confluence Health. Religious and medical exemptions will be considered upon request.

Required:

• Must be a graduate of an approved school of respiratory care.

• Registered, registry eligible, or certified by the NBRC.

• Current certifications in BLS for Healthcare Providers

• ACLS and NRP within 6 months of hire date

• Must possess current Washington State license

• Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.

• For Perdiem, PRN, or Pool positions an availability of 5 shifts per 6-week schedule must be maintained, one of which must be a weekend shift. The shifts must constitute availability of at least one 12-hour D/E and one 12-hour E/N per schedule. Availability must include one holiday per year and must be submitted in writing within 90 days of hire or by February 1st whichever is the most lenient. This condition is subject to the manager's discretion based on the needs of the department.

• Must show competency to be assigned to critical areas.

Desired:

• One year experience.

• EPIC EMR.

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position:

• Walking - F

• Sitting/Standing - F

• Reaching: Shoulder Height - O

• Reaching: Above shoulder height - O

• Reaching: Below shoulder height - O

• Climbing - O

• Pulling/Pushing: 25 pounds or less - O

• Pulling/Pushing: 25 pounds to 50 pounds - O

• Pulling/Pushing: Over 50 pounds - O

• Lifting: 25 pounds or less - F

• Lifting: 25 pounds to 50 pounds - O

• Lifting: Over 50 pounds - O

• Carrying: 25 pounds or less - O

• Carrying: 25 pounds to 50 pounds - O

• Carrying: Over 50 pounds - O

• Crawling/Kneeling - O

• Bending/Stooping/Crouching - O

• Twisting/Turning - O

• Repetitive Movement - O

Working Conditions:

• Not Specified

Job Classification:

• FLSA : Non-exempt
• Hourly/Salary : Hourly

Physical Exposures For This Position:

• Unprotected Heights - No

• Heat - No

• Cold - No

• Mechanical Hazards - No

• Hazardous Substances - No

• Blood Borne Pathogens Exposure Potential - Yes

• Lighting - Not specified

• Noise - No

• Ionizing/Non-Ionizing Radiation - No

• Infectious Diseases - Yes