The Registered Respiratory Therapy CPAP Coordinator must be clinically competent, management supportive, maintain a positive attitude, and be dependable. The therapist must have knowledge of anatomy and physiology including in-depth understanding of the structure and function of the lungs and bronchi as related to gas exchange and ventilation to administer special ventilatory techniques. Must have basic knowledge of sleep physiology enabling therapist to utilize information supplied by smart cards and nocturnal oximetry and make effective recommendations to the responsible physician. Must have knowledge of sleep disorders and the effect of commonly used drugs on sleep architecture and sleep disordered breathing. The person occupying this position may also need to administer complex respiratory treatment to ambulatory and non-ambulatory patients not only in the CPAP clinic, but also in other areas of the medical center. Manages the day to day operation of the Sleep/PAP clinic to include training program resources and fiscal management. Ensure patient's right to make informed decision regarding his/her own care, all information is treated confidentially and honors the patient's rights and informs the patient of their responsibilities (if any) in the care process. Consults sleep disordered breathing-related literature on a regular basis to stay acquainted with alternative modes of therapy for this population of patients. He/she will use this knowledge in the clinical setting in a practical manner by making recommendations for newer alternative treatments to the physician. Cleans, assembles, monitors, calibrates, and troubleshoots a variety of complex respiratory equipment to ensure accurate performance. Identifies and corrects mechanical malfunctions or replaces defective equipment. Reports any equipment malfunctions or patient care issues to the supervisor. These would include nocturnal oximeters, BiPAP/Auto BiPAP/CPAP/Auto CPAP devices for patients with sleep disordered breathing. Based on patient assessment, protocols, and analysis of sleep study reports, recommends adjustments to settings. Consults and develops plans with physician to provide adequate therapy for patients with sleep disordered breathing. Performs diagnostic tests to include smart card reviews and arterial blood gases (if applicable). All these tests will be performed in the medical center. Assists with job related research projects as requested by supervisor. Compiles data for periodic reports needed by the Sleep Health Center or the Respiratory Care Department as related to BiPAP/Auto BiPAP/CPAP/Auto CPAP device performance improvement activities, quality control, workload evaluation and equipment usage. Works with the Pulmonary Medicine physicians concerning home BiPAP/Auto BiPAP/CPAP/Auto CPAP patient discharges. Monitors patient for non-compliance and for poor response to therapy and independently takes corrective action based on established policy, protocol, and experience. Notifies appropriate personnel as required. Recognizes the need for medical intervention if there is a patient safety risk. Initially and continually assesses the cardiopulmonary condition of the assigned patients using data acquired through physical examination and respiratory monitoring and diagnostic equipment. Determines the effectiveness and/or need for change in the therapy being administered. Monitors and interprets values such as apnea-hypopnea index, smart card reports and nocturnal oxygen saturation (as applicable) for reporting patient status and making recommendations to physicians regarding treatment. Prioritizes workload based on patient assessment Work Schedule: Monday-Friday 8:00am to 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.