The Registered Respiratory Therapist will work independently providing respiratory care in both inpatient and/or outpatient settings. RRTs 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. 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: United States Citizenship. Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38U.S.C. § 7403(f). 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. Certification. 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. Grandfathering Provision. 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). All persons employed in VHA in this occupational series or in another occupational series and performing the duties as described in the qualification standard on the effective date of this qualification standard are considered to have met all qualification requirements for the grade held, including positive education, credential or certification that are part of the basic requirements of the occupation Preferred Certification: RPSGT or SDS Grade Determinations:Registered Respiratory Therapist, GS-11 (a) Experience, Licensure and Credential. Candidates must have: i. One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level. ii. Hold an active license and RRT credential. Examples of specialized experience include, but are not limited to: 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. 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. Provide outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care. (b)Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs: i. Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes. ii. Skill in evaluating the efficacies of therapeutic modalities. iii. Skill in performing advanced airway and ventilation management. (c) 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. References: VA Handbook 5005, Appendix G11. REGISTERED RESPIRATORY THERAPIST, GS-0601. March 12, 2021.The full performance level of this vacancy is GS-11. Physical Requirements: Work is primarily performed in patient care areas, inpatient and outpatient. Extensive interaction with patients, staff, physicians, family members, and visitors is involved. It may involve walking, standing, and bending, reaching and stretching to set-up and taking apart equipment, lifting and positioning patient and carrying, pushing or pulling moderate heavy objects (15-44 lbs). ["The full performance level of 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 were indicated based on assessment and analysis of patient response to treatment. RRTs atthis 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 Polysomnography RRT may conduct sleep study procedures that includepatient hookup, sleep screening tests, polysomnograms (night sleep tests), multiple sleep latency tests (day sleep tests) and troubleshooting, analysis, sleep staging, record scoring and video EEG monitoring, in the Sleep Lab where conditions require setting up, operating, and trouble-shooting diagnostic equipment during onsite testing. Will be required to initiate PAP therapy, select/fit appropriate PAP patient interface devices, independently titrate and document PAP level to achieve therapeutic goals. Key Duties: This position would function as a float to cover absences on nightshift but would primarily be stationed in the dayshift clinic. Duties include: - Initial and replacement CPAP/BiPAP setups- Address supply requests - CPAP Compliance reviews (critical for the first 90 days after initial setup) - Multiple Sleep Latency Testing- Overnight (in-lab) Sleep Studies - Issue, receive, reprocess, and score home sleep studies (also, includes much tracking of patient wait list and equipment until returned) - Issue, receive, reprocess, and download overnight pulse oximetry recordings (also, includes tracking of equipment until returned) - Address secure messages via My HealtheVet - Perform Home Sleep Testing and equipment setup ordered for veterans in the Community Living Center Compressed/Flexible Work Schedule: Full Time, Monday - Friday, 7:30 am to 4:00pm Telework: Not Available. Virtual: This is not a virtual position. Functional Statement #: Registered Respiratory Therapist #111-01. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized. Financial Disclosure Report: Not required."]

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