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POSITION TITLE: 278- RRT Charge LOCATION: Clinical REPORTS TO: Director of Ancillary Services REVISION DATE: 6/1/2026
Minimum high school diploma or equivalent required for all positions (may be allowed to sign a GED agreement to obtain within 6 months). REQUIRED: Completion of an Approved Respiratory Therapy Program Completion of NBRC Therapist Multiple- Choice Exam, or equivalent, earning CRT or RRT credentials Licensure by the Kentucky Board of Respiratory Care PREFERRED:
N/A REQUIRED: PREFERRED: OTHER REQUIREMENTS OR
Required to maintain CPR Certification by the American Heart Association
The
- reflects the general details considered necessary to fulfill the essential job functions and shall not be construed as all-inclusive of all work requirements inherent in this position. Other specific job-related knowledge and skills may be required. All employees subject to an annual performance evaluation based on the duties and responsibilities of this position. PHYSICAL DEMANDS & WORKING ENVIRONMENT: Usual working space is a well-ventilated area. Requires standing, walking, turning, bending, stooping, and lifting. Clear speech to communicate effectively with customers (e.g. patients, families, and other team members). Fine and gross motor skills. Environment may be stressful at times, therefore ability to work under stressful conditions is necessary. Lifting up to 50 lbs may be required, anything over 50 lbs should be a team lift or with the use of a lifting aid. Also subject to bloodborne pathogens at all times in patient care. May have occasional exposure to radiation during radiology procedures and to dangerous chemicals (cleaning and disinfecting agents). COMPLIANCE AND REGULATORY EXPECTATIONS: All employees are expected to conduct themselves in a manner that upholds the highest standard of integrity, ethical behavior, and regulatory compliance. As a condition of employment, employees must adhere to:
- OCH Code of Conduct
- OCH Policies and Procedures
- Scope of Practice within License/Certification.
- HIPAA and HIPAA Security Confidentiality Standards
- Workplace Safety
- Mandatory Training
- Annual Compliance Education ESSENTIAL JOB FUNCTIONS & KEY
The Respiratory Therapists are to perform cardiopulmonary treatments and services to patients. Charge therapist will work under the Respiratory Supervisor, Respiratory Manager, and Director of Ancillary Services. Respiratory staff must be able to lift patients, push equipment, work under stress, make independent judgements regarding patient care, and deal professionally with others.
They are responsible for assuring that services are provided in a manner that is consistent with Ohio County Hospital policies, procedures, as well as the purpose, vision, and values. Respiratory Therapists must be proficient at taking vital signs, assessing and monitoring patient’s cardiopulmonary status, and performing CPR and basic first aid if needed. Respiratory Therapists are responsible for (but not limited to) aerosol therapy, oxygen therapy, pulmonary function testing, peak flow monitoring, incentive spirometry, noninvasive ventilation management (BiPAP and CPAP), proper Code Blue response and resuscitation, ventilator management, percussion therapy, electrocardiograms (EKG), nerve conduction studies, Holter/Event set-up/scanning, stress testing, arterial blood gases, and electroencephalography.
The charge therapist will be responsible for covering assigned duties when supervisor and/or manager is not available. The charge therapist will also work with the supervisor to complete all duties in a timely manner. Must be capable of identifying situations that may adversely affect patient outcomes and critical testing results and follow department policies to correct problems immediately.
If guidance is needed, will seek from the supervisor, manager or Ancillary Director. Will perform daily tasks/duties as requested from the supervisor, manager and/or Ancillary Director. WORKING ENVIRONMENT: Works in Respiratory Therapy department, as well as various other departments of the hospital performing respiratory therapy treatments/procedures.
Consistently standing on feet, pushing equipment, and frequent bending, stooping, lifting, and pulling Will be required to provide direct patient care, which requires both fine and gross motor skills. Must be able to adapt to different personalities and stressful situations, not allowing them to interfere with the accuracy or quality of work performed. Subject to the hazard of contact with patients with communicable diseases and combative patients.
Frequently subject to exposure to blood borne pathogens, dangerous and odorous chemicals and specimens (cleaning and disinfecting agents, chemicals, and preservatives). Occasional exposure to radiation and toxic chemicals is possible. May also occasionally be exposed to electrical hazards.
HEALTH
Acceptable pre-employment health screening. (Noncommunicable diseases or disabilities which would prevent the employee from being able to perform the required functions of the job description in accordance with the American Disabilities Act) Emotional Stability Ability to function effectively under stressful circumstances Acceptable attendance record Must be able to see with or without correction well enough to read, observe signs and symptoms, and read monitoring equipment Must be able to hear well enough to conduct a proper patient assessment (breath sounds, blood pressure, etc.) PERFORMANCE CRITREIA: Communications: Keeps Respiratory Manager informed on matters which are of importance to the well-being of the Respiratory Department (safety, morale, work methods, equipment, procedures, staffing, transfers, etc.) Attends 75% of department staff meetings and initials minutes if not present for the meeting.
Attends mandatory hospital and department in-services. If not in attendance is responsible for obtaining information covered. Regularly reviews posted memos, notes, and in-services.
Signs all forms promptly. Maintains confidentiality and complies with HIPAA, protecting patient privacy at all times. Establish a good rapport with physicians, physician offices, and other hospital departments.
Maintains a good working relationship with respiratory co-workers. Informs director of actual or anticipated problems to include staffing, performance, or patient related concerns. Listens attentively and request clarification and/or feedback as indicated.
Perform supervising and other reasonable management duties as requested by the Respiratory Manager Will communicate and assist with competency or proficiency needs to as the department supervisor and will take the initiative to obtain additional training, on days off if necessary, to adequately perform job duties. Exhibits the positive human relations skills on cooperation, dependability, courtesy, tactfulness, enthusiasm, and overall good attitude.
Consults with the appropriate personnel regarding important patient information i.e. history/labs/specific test, or any other information that would contribute to a safe procedure. Skills/Knowledge: Demonstrates a solid understanding of respiratory procedures, i.e., EKG, EMG, Holter/Event monitor set-up, ABG, stress testing, aerosol therapy, oxygen therapy, peak flow monitoring, incentive spirometry, invasive/noninvasive ventilation management, resuscitation, and percussion therapy.
Possesses solid understanding of the equipment operation and attached components. Provides general safety for patients, fellow employees, and self in accordance with the hospital and departmental standards. Follows proper patient identification procedures.
Wears ID badge at all times when on duty. Reviews order, patient charts, and any other pertinent information before proceeding with the procedure. Will check with the ordering physician if further clarification is needed.
Demonstrates competency with the Hospital Information System (CPSI) and ECW. During computer “downtime,” ensures proper procedures/processes are carried out. Completes all work before leaving shift, informs the next shift of any pending procedures/issues before clocking out, i.e.
“hand-off” communications. Participates in orientation, training new staff, and completes appropriate competency/orientation forms. Maintains inventory to ensure proper quantity of supplies are kept within the department, as well as efficient respiratory supplies in the emergency department, medical-surgical unit, and intensive care unit.
Will maintain continuing education as required by the Kentucky Board of Respiratory Care, and National Board of Respiratory Care (if applicable), and current BLS CPR certification, and forwards all updated copies to the Respiratory Manager and Human Resources. Assesses work area environment for any patient/visitor/employee safety hazards. Reports all safety issues immediately to necessary parties.
Consistently assures all equipment, supplies, oxygen hook-ups, suction hook-ups, and medical gas cylinders are maintained properly and in excellent working condition at all times. Assures all assigned individual duties/assignments are completed accurately and in a timely manner. Patient Care/Satisfaction: Interpret and enforces current standards of practice, policies, and procedures at Ohio County Hospital.
Interprets and enforces all hospital wide policies and procedures to include Infection and Exposure Control Plan, Personnel Policies, and Employee Health Policies. Participates in Ohio County Hospital’s continuous improvement efforts by actively participating in data collection analysis of findings, identification of opportunities for improvement. Provides a private/confidential environment and warm attitude when interacting with the patient.
Do not conduct discussions around the patient room and hallways. Obtains a thorough history from the patient and records on worksheet, requisition, and enters the diagnosis as listed on the physician order into CPSI. Obtains readings for urgent procedures following Critical Test Results policy.
Do not let a patient leave if a critical test result is identified, and contact the ordering physician for instructions. Explains the procedure to the patient and family prior to every procedure. Always confirms correct side with the patient and clarifies if indicated, with ordering physician.
Always introduces self and department to patient. Provides explanations and information regarding all respiratory procedures/therapies provided to the patient. Demonstrates knowledge and skills necessary to provide respiratory services to patients of all ages, and the ability to adapt for the patients’ individual needs.
Uses proper hand-washing techniques and follows all hospital policies related to hand-washing. Dayshift Full/Part-Time Specific
Demonstrates solid understanding of specialty procedures, i.e. PFT, EEG, EMGs, and Holter/Event monitor scanning. Completes initial and annual competency covering each specialty procedure.
Completes weekly inspection of medical gas outdoor storage area, records on checklist. Assures to follow proper EKG procedures, and distributes EKG appropriately. Keeps adequate stock all of supplies in procedure room, i.e.
EEG linens, paste, PFT filters, nose clips, etc. Orders gas cylinders on Wednesdays, based on the cylinder par stock level. Assures these cylinders are distributed according to policy.
Keeps department area clean and free from clutter. Cleans laptop cart and EKG machine weekly. Assures all stock is put away, in correct location.
Also ensures stock is maintained in other department areas. Supervisor
Performs daily responsibilities/tasks when supervisor and/or manager is absent. Notifies manager of any physician, patient, employee, and/or other conflicts detrimental in natures. Enforces all privacy, confidentiality, and safety policies.
Maintains daily procedure counts, including work-load units and daily procedure logs. Attends weekly meetings with supervisor and/or manager, to ensure all communications with night shift are complete, addresses any issues/concerns that night shift may present Perform outpatient reminder calls, providing patients with instructions for next-day testing Conducts follow up out-patient surveys. Responsible for night shift ABG quality control procedures/records Responsible for adequate night shift scheduling and handling vacation requests when applicable.
Ensures staff completes nightly tasks timely and prioritizes tasks accordingly. Responsible for covering shifts when call-ins or no-shows occur. Responsible for staffing when add-on procedures and/or workload exceeds the number of staff scheduled.
Orders all supplies as needed, ensures adequate inventory Assists supervisor in dealing with conflict or any issues that arise with physicians, patients, employees, etc. Trains new night-shift staff Completes quarterly education with night-shift staff Works on tasks delegated by the supervisor and/or manager when assigned Ensures alarm testing and checklists are completed in a timely manner Qualifications
Minimum high school diploma or equivalent required for all positions (may be allowed to sign a GED agreement to obtain within 6 months). REQUIRED: Completion of an Approved Respiratory Therapy Program Completion of NBRC Therapist Multiple- Choice Exam, or equivalent, earning CRT or RRT credentials Licensure by the Kentucky Board of Respiratory Care PREFERRED:
N/A REQUIRED: PREFERRED: OTHER REQUIREMENTS OR
Required to maintain CPR Certification by the American Heart Association
Nights