Hiring Bonus and Relocation Package Available   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical Nurse exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.

Hiring Bonus and Relocation Package Available   OHSU cares for acutely and critically ill patients in our Emergency Department.  We provide the latest evidence-based care and have a reputation for effective teamwork.  Emergency nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making with the team.  Emergency nurses also provide patient and family-centered care for the full spectrum of illnesses.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture. - Provide continuing care and monitoring of ED patients who present with psychiatric emergencies. - Collaborate with the multidisciplinary team on each patient’s plan of care. - Create and maintain a safe environment for patients and staff.

Hiring Bonus and Relocation Package Available     The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes     providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   Department Specific Responsibilities   1. The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. 2. The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care Coordinators and Managed Care Coordinators to ensure that all appropriate business-related information is gathered prior to the visit, authorizations have been obtained and pre-registration has taken place. 3. The RN Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families. 4. The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. 5. The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. 6. The RN Coordinator ensures that Provider orders that result from the new patient visit are recorded and executed.  S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed.  S/he tracks the post visit flow information to ensure that plans of care are executed in a timely fashion. 7. The RN Coordinator ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period.  The RN Coordinator is expected to troubleshoot any problems that patients and their families may encounter in preparing for or during their hospital stay.   General Clinical/Patient Care   1. Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment.  Uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Incorporates assessment of pain, nutritional and functional need. 2. Triages and responds or refers inquiries appropriately.  Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to appropriate members of the health care team.  Alerts Providers to unusual observations of patients to facilitate immediate attention e.g. respiratory distress. 3. Plans as appropriate for the needs of patients and uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Collaborates with Providers and other members of the clinical support team in planning for the needs of the patients. 4. Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients. 5. Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   Refers to appropriate members of the health team indicated. 6. Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods.  Implements patient teaching utilizing all available resources.    Inpatient Clinical Care   1. RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. 2. RN Coordinator will work with the Nursing Manager and the service chief in development of protocol and pathway driven care for most common malignancies treated on the Hem/Onc service as well as key measures of quality of care for the Med Onc Service, including adherence to pathways. 3. RN Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement.   Outpatient Clinical Care   1. Assesses patient/family status and needs both actual and potential according to established standards 2.  Educates patient/family on chemotherapy and plan of treatment as established by the Physician. 3. Coordinates and implements initiation of treatment plan of care. 4. Monitors, maintains and modifies the plan of care based on patient/family response to interventions. 5. Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with communication when necessary.  Uses standing orders to manage patient care when appropriate triage. 6. Recognizes and effectively responds to emergencies.  Speaks with Providers directly in all emergency situations. 7. Assists with appropriate program placement if needed.  8. Acts as a patient advocate, preserving basic patients and family rights.  Provides support to patients and families. 9. Demonstrates knowledge of practice specific standards of care in actual performance. 10. Clarifies and accurately executes provider orders, per established protocol. 11. Recognizes ethical issues and takes appropriate action in the provision of care. 12. Maintains current knowledge of pharmacology and competency in modes of administration.  13. Collaborates with the support services based on patient and family needs (genetic counseling, social work, nutrition, ect.)

The Health Unit Coordinator is part of the health care team and utilizes her/his knowledge and expertise to support and enhance nursing area/unit operations in areas throughout OHSU. The Health Unit Coordinator acts as receptionist and provides secretarial and clerical skills, computer entry services, and organizational and problem solving expertise. Health Unit Coordinators are assigned to work with all patient populations and age groups.

The purpose of this job/position is to function as a member of the patient care team by providing physical therapy services such as exercise, gait training, patient/family education, hydrotherapy, wound care and various other physical modalities to assist patients in improving strength, endurance, mobility, and flexibility and to decrease pain.  Therapists evaluate each patient referred, establish treatment goals and objectives, and to develop and implement the physical therapy treatment plan. Therapists are expected to supervise therapy interns, assist with other educational research activities conducted by the department or the hospital and meet hospital standards regarding documentation and productivity.

The purpose of this job/position is to function as a member of the Rehabilitation Services patient care team by providing occupational therapy services in the Acute Care setting such as ADL training, energy conservation, splint fabrication for upper extremities, exercise, sensory integrations and perceptual/cognitive training to assist patients in improving their function in work, leisure and self-care.     Treatment also includes patient/family education, and various therapeutic procedures to assist patients in improving function, strength, endurance, mobility and flexibility.   Therapists evaluate each patient referred, establish treatment goals and objectives, develop and implement the treatment plan, and assist in the process of discharge planning and post-hospital placement.    Therapists are expected to supervise therapy interns, assist with other educational research activities conducted by the department or the hospital and meet hospital standards regarding documentation and productivity.                                       

The Certified Nursing Assistant (CNA) assists care providers in the care of patients at a medical facility by performing simple procedures and treatments and maintaining a safe, clean, efficiently stocked environment. Work is performed in various locations throughout a medical facility such as examination rooms, emergency rooms, patient rooms and wards, and treatment rooms.   This is the first classification of a two level series. The CNA is differentiated from the second level by years of experience or CNA 2 licensure.   Patient Care. Assists in admission process by recording patient's name, address, phone number, age, and other personal information; takes and records vital signs such as blood pressure, pulse rate, respiration rate, and temperature; makes appointment for patient or refers patient to medical staff for immediate examination or treatment; records a list of patient's personal property and secures property if appropriate; transports patient to examination or treatment room with use of wheelchair or gurney or assists patient to walk; assists patient in undressing; assists physician or nurse with treatment or examination by passing instruments, applying or removing bandages and dressings, holding patient in proper position for x-rays or electrocardiograph, or collecting specimens; provides basic care such as feeding, grooming, bathing, and ambulating patients who are confined to bed; checks food trays for proper diet; records food and liquid intake and output; gives enemas; administers non-injectable medication under close supervision of physician or nurse; observes and reports changes in patient's conditions; assists physician and nurse in emergency procedures such as cardiopulmonary resuscitation.   Facility Maintenance. Unlocks doors at start of day; removes used and un-sterile supplies and instruments from examination or treatment rooms; stocks rooms with sterile supplies and instruments; washes and sterilizes instruments or sends to central supply for sterilization; cleans patient rooms, wards, examination rooms, and laboratories by mopping floors, scrubbing counters, sinks, and examination tables with disinfectant; changes linen and makes beds; troubleshoots equipment for malfunctions; makes minor repairs or refers to repairperson; takes inventory of supplies, equipment, and instruments; orders supplies or requisitions them through unit superior; prepares for emergency or special treatments by assembling surgical trays, draping rooms for isolation procedures or setting up room with equipment such as oxygen tanks or cardiac defibrillator.   Miscellaneous. Answers phones and responds to non-medical questions; files and retrieves patient's records; runs errands such as delivering specimens to labs, picking up x-rays or lab reports, or picking up medication at pharmacy; transports equipment such as oxygen tanks to other locations within facility; assists in postmortem care by bathing and dressing deceased patients and occasionally transports body to morgue; engraves unit identification on instruments; assists security personnel in restraining combative patients; trains new aides.

The Certified Nursing Assistant assists care providers in the care of patients at a medical facility by performing simple procedures and treatments and maintaining a safe, clean, efficiently stocked environment. Work is performed in various locations throughout a medical facility such as examination rooms, emergency rooms, patient rooms and wards, and treatment rooms.   This is the first classification of a two level series. The Certified Nursing Assistant is differentiated from the second level by years of experience or CNA 2 licensure.   Patient Care. - Assists in admission process by recording patient's name, address, phone number, age, and other personal information - Takes and records vital signs such as blood pressure, pulse rate, respiration rate, and temperature - Makes appointment for patient or refers patient to medical staff for immediate examination or treatment - Records a list of patient's personal property and secures property if appropriate - Transports patient to examination or treatment room with use of wheelchair or gurney or assists patient to walk; assists patient in undressing - Assists physician or nurse with treatment or examination by passing instruments, applying or removing bandages and dressings, holding patient in proper position for x-rays or electrocardiograph, or collecting specimens - Provides basic care such as feeding, grooming, bathing, and ambulating patients who are confined to bed; checks food trays for proper diet; records food and liquid intake and output; gives enemas; administers non-injectable medication under close supervision of physician or nurse; observes and reports changes in patient's conditions - Assists physician and nurse in emergency procedures such as cardiopulmonary resuscitation   Facility Maintenance. - Unlocks doors at start of day - Removes used and un-sterile supplies and instruments from examination or treatment rooms; stocks rooms with sterile supplies and instruments - Washes and sterilizes instruments or sends to central supply for sterilization - Cleans patient rooms, wards, examination rooms, and laboratories by mopping floors, scrubbing counters, sinks, and examination tables with disinfectant; changes linen and makes beds - Troubleshoots equipment for malfunctions; makes minor repairs or refers to repairperson - Takes inventory of supplies, equipment, and instruments; orders supplies or requisitions them through unit superior - Prepares for emergency or special treatments by assembling surgical trays, draping rooms for isolation procedures or setting up room with equipment such as oxygen tanks or cardiac defibrillator   Miscellaneous. - Answers phones and responds to non-medical questions - Files and retrieves patient's records - Runs errands such as delivering specimens to labs, picking up x-rays or lab reports, or picking up medication at pharmacy - Transports equipment such as oxygen tanks to other locations within facility - Assists in postmortem care by bathing and dressing deceased patients and occasionally transports body to morgue - Engraves unit identification on instruments - Assists security personnel in restraining combative patients - Trains new aides

The Certified Nursing Assistant (CNA) assists care providers in the care of patients at a medical facility by performing simple procedures and treatments and maintaining a safe, clean, efficiently stocked environment. Work is performed in various locations throughout a medical facility such as examination rooms, emergency rooms, patient rooms and wards, and treatment rooms. This is the first classification of a two level series. The CNA is differentiated from the second level by years of experience or CNA 2 licensure.   Patient Care. - Assists in admission process by recording patient's name, address, phone number, age, and other personal information - Takes and records vital signs such as blood pressure, pulse rate, respiration rate, and temperature - Makes appointment for patient or refers patient to medical staff for immediate examination or treatment - Records a list of patient's personal property and secures property if appropriate - Transports patient to examination or treatment room with use of wheelchair or gurney or assists patient to walk; assists patient in undressing - Assists physician or nurse with treatment or examination by passing instruments, applying or removing bandages and dressings, holding patient in proper position for x-rays or electrocardiograph, or collecting specimens - Provides basic care such as feeding, grooming, bathing, and ambulating patients who are confined to bed; checks food trays for proper diet; records food and liquid intake and output; gives enemas; administers non-injectable medication under close supervision of physician or nurse; observes and reports changes in patient's conditions - Assists physician and nurse in emergency procedures such as cardiopulmonary resuscitation   Facility Maintenance. - Unlocks doors at start of day - Removes used and un-sterile supplies and instruments from examination or treatment rooms; stocks rooms with sterile supplies and instruments - Washes and sterilizes instruments or sends to central supply for sterilization - Cleans patient rooms, wards, examination rooms, and laboratories by mopping floors, scrubbing counters, sinks, and examination tables with disinfectant; changes linen and makes beds - Troubleshoots equipment for malfunctions; makes minor repairs or refers to repairperson - Takes inventory of supplies, equipment, and instruments; orders supplies or requisitions them through unit superior - Prepares for emergency or special treatments by assembling surgical trays, draping rooms for isolation procedures or setting up room with equipment such as oxygen tanks or cardiac defibrillator   Miscellaneous. - Answers phones and responds to non-medical questions - Files and retrieves patient's records - Runs errands such as delivering specimens to labs, picking up x-rays or lab reports, or picking up medication at pharmacy - Transports equipment such as oxygen tanks to other locations within facility - Assists in postmortem care by bathing and dressing deceased patients and occasionally transports body to morgue - Engraves unit identification on instruments - Assists security personnel in restraining combative patients - Trains new aides

  The Certified Nursing Assistant (CNA) assists care providers in the care of patients at a medical facility by performing simple procedures and treatments and maintaining a safe, clean, efficiently stocked environment. Work is performed in various locations throughout a medical facility such as examination rooms, emergency rooms, patient rooms and wards, and treatment rooms.   This is the first classification of a two level series. The CNA is differentiated from the second level by years of experience or CNA 2 licensure.   Patient Care. - Assists in admission process by recording patient's name, address, phone number, age, and other personal information - Takes and records vital signs such as blood pressure, pulse rate, respiration rate, and temperature - Makes appointment for patient or refers patient to medical staff for immediate examination or treatment - Records a list of patient's personal property and secures property if appropriate - Transports patient to examination or treatment room with use of wheelchair or gurney or assists patient to walk; assists patient in undressing - Assists physician or nurse with treatment or examination by passing instruments, applying or removing bandages and dressings, holding patient in proper position for x-rays or electrocardiograph, or collecting specimens - Provides basic care such as feeding, grooming, bathing, and ambulating patients who are confined to bed; checks food trays for proper diet; records food and liquid intake and output; gives enemas; administers non-injectable medication under close supervision of physician or nurse; observes and reports changes in patient's conditions - Assists physician and nurse in emergency procedures such as cardiopulmonary resuscitation   Facility Maintenance. - Unlocks doors at start of day - Removes used and un-sterile supplies and instruments from examination or treatment rooms; stocks rooms with sterile supplies and instruments - Washes and sterilizes instruments or sends to central supply for sterilization - Cleans patient rooms, wards, examination rooms, and laboratories by mopping floors, scrubbing counters, sinks, and examination tables with disinfectant; changes linen and makes beds - Troubleshoots equipment for malfunctions; makes minor repairs or refers to repairperson - Takes inventory of supplies, equipment, and instruments; orders supplies or requisitions them through unit superior - Prepares for emergency or special treatments by assembling surgical trays, draping rooms for isolation procedures or setting up room with equipment such as oxygen tanks or cardiac defibrillator   Miscellaneous. - Answers phones and responds to non-medical questions - Files and retrieves patient's records - Runs errands such as delivering specimens to labs, picking up x-rays or lab reports, or picking up medication at pharmacy - Transports equipment such as oxygen tanks to other locations within facility - Assists in postmortem care by bathing and dressing deceased patients and occasionally transports body to morgue - Engraves unit identification on instruments - Assists security personnel in restraining combative patients - Trains new aides

- Monitoring/Instrumentation: Polysomnographic Technologists are able to perform PSG, MSLT and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards. Highly proficient in testing equipment, data acquisition parameters and therapeutic modalities from information obtained from the electronic medical record and laboratory testing orders. Ability to evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures. Can perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing. Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards. - Electrode Application: High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy. Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures. Performs impedance tests and corrects issues with electrode applications prior to starting each study. Able to prepare and start patient studies by a reasonable time according to departmental policies. - Clinical: Strong technical/clinical skills related to creating and modify PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities. Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to: parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs. Must possess the ability to monitor and change patients’position or environment as needed to obtain required sleep/wake data. Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram. Highly proficient in performing procedures within scope of practice and ordered by physician or nurse practitioner. - Artifact Recognition: Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact. Documents, eliminates and/or takes proper measures to monitor various patient and or environmental artifact; devise, document, and execute plan to troubleshoot. - Polysomnographic Record Scoring: Responsible to score at least one (1) of the acquired sleep studies during their shift. Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%. Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards. Strong clinical skills with the ability to distinguish sleep disordered breathing as well as clinical recognition of age-specific EEG, EEG arousals and alpha- intrusion to customize the sleep scoring rules to each clinical scenario. Compiles scored data into a report for physician interpretation per laboratory standards. Polysomnographic Data Management includes managing data for all sleep studies, ensures proper transfer of PSG data to server and archive, and maintains patient tracking spreadsheet with the responsibility of no data loss. Responsible to assign priority scoring for PSG records per Laboratory standards. Provides supportive training and oversight for PSG Technician 1 and technician trainees. Able to perform other duties deemed appropriate by Program Administration, Sleep Clinic/Laboratory Mangers and Medical Directors. - Emergent Situations: Ability to differentiate between lethal and non-lethal ECG dysrhythmias. Clinical skills in assessing emergent situations and initiating emergency protocols based on clinical scenario. - Equipment Maintenance: Properly disinfect and sterilize appropriate sensors, probes, transducers and other equipment as outlined in laboratory policies and procedures. Ensure proper inventory of equipment needed to perform PSG. Contacts proper technical support personnel regarding non-functioning equipment as well as assists in arranging for repair or replacement of non-functional equipment. - Supply Maintenance: Responsible for maintaining sleep laboratory supplies by maintaining inventory of stock items and notifying staff of needed repair or replacement. Is responsible for maintaining adequate PSG supplies to perform high quality data collection.

- Monitoring/Instrumentation: Polysomnographic Technologists are able to perform PSG, MSLT and MWT recordings on patients ensuring high recording quality with appropriate instrument adjustments and verifications according to laboratory standards. Highly proficient in testing equipment, data acquisition parameters and therapeutic modalities from information obtained from the electronic medical record and laboratory testing orders. Ability to evaluate the clinical presentation associated with sleep and arousal disorders in determining the appropriate protocol to meet patient’s special requirements and determine final testing parameters/procedures. Can perform all calibrations, equipment checks, montage adjustments, and ensure proper function of PSG equipment prior to testing. Documents all encounters accurately within EPIC and other systems according to departmental and OHSU standards. - Electrode Application: High level of proficiency related to electrode placement and application via laboratory standards; measures and accurately applies electrodes in a timely manner, according to the International 10-20 System or laboratory policy. Applies all sensors and monitoring equipment as outlined by AASM guidelines and laboratory policies and procedures. Performs impedance tests and corrects issues with electrode applications prior to starting each study. Able to prepare and start patient studies by a reasonable time according to departmental policies. - Clinical: Strong technical/clinical skills related to creating and modify PSG recording montages to optimize recognized indications, contraindications and potential side effects of treatment modalities. Can perform various types of adult and pediatric procedures for advanced monitoring including but not limited to: parasomnias, seizures, EtCO2, tcpCO2, CPAP, Bilevel, ASV and VAPs. Must possess the ability to monitor and change patients’ position or environment as needed to obtain required sleep/wake data. Strong clinical skills related to pharmacology and understanding the effects medications can present on the polysomnogram. Highly proficient in performing procedures within scope of practice and ordered by physician or nurse practitioner. - Artifact Recognition: Strong technical troubleshooting skills in determining erroneous versus true data collected; assess artifact from physiological signals; differentiate normal variants and artifact from epileptiform or seizure activity; assess oximetry recording for normal and abnormal oxyhemoglobin saturation and differentiate from artifact. Documents, eliminates and/or takes proper measures to monitor various patient and or environmental artifact; devise, document, and execute plan to troubleshoot. - Polysomnographic Record Scoring: Responsible to score at least one (1) of the acquired sleep studies during their shift. Accurately scores pediatric and adult studies during and after data collection, determining sleep/wake stages, as well as scoring clinical events (respiratory, cardiac, limb movements, arousals etc.) within laboratory inter- reliability standards of at least 80%. Accurately scores PSG records in a timely manner per laboratory policies and procedures and meets performance standards. Strong clinical skills with the ability to distinguish sleep disordered breathing as well as clinical recognition of age-specific EEG, EEG arousals and alpha- intrusion to customize the sleep scoring rules to each clinical scenario. Compiles scored data into a report for physician interpretation per laboratory standards. Polysomnographic Data Management includes managing data for all sleep studies, ensures proper transfer of PSG data to server and archive, and maintains patient tracking spreadsheet with the responsibility of no data loss. Responsible to assign priority scoring for PSG records per Laboratory standards. Provides supportive training and oversight for PSG Technician 1 and technician trainees. Able to perform other duties deemed appropriate by Program Administration, Sleep Clinic/Laboratory Mangers and Medical Directors. - Emergent Situations: Ability to differentiate between lethal and non-lethal ECG dysrhythmias. Clinical skills in assessing emergent situations and initiating emergency protocols based on clinical scenario. - Equipment Maintenance: Properly disinfect and sterilize appropriate sensors, probes, transducers and other equipment as outlined in laboratory policies and procedures. Ensure proper inventory of equipment needed to perform PSG. Contacts proper technical support personnel regarding non-functioning equipment as well as assists in arranging for repair or replacement of non-functional equipment. - Supply Maintenance: Responsible for maintaining sleep laboratory supplies by maintaining inventory of stock items and notifying staff of needed repair or replacement. Is responsible for maintaining adequate PSG supplies to perform high-quality data collection.

The purpose of this job/position is to function as a member of the Rehabilitation Services patient care team by providing physical therapy evaluation and treatment for our neonatal population. Treatment includes therapy services such as neonatal/infant massage and manual therapy, NDT, non-pharmacological pain management, family/caregiver education, and various other physical modalities to promote gross and fine motor development, improve breathing mechanics, and assist patients in improving strength, endurance, mobility and flexibility. The physical therapist in this position would be expected to serve clients in multiple areas of Doernbecher Children’s Hospital, including the Doernbecher Neonatal Intensive Care Unit (NICU), Pediatric ICU, Pediatric Medical/Surgical wards, and outpatient follow-up services.      Therapists evaluate each patient referred, establish treatment goals/objectives, develop a treatment plan and implement the plan. Therapists are expected to supervise therapy interns and students, assist with other educational research activities conducted by the department or the hospital and meet hospital standards regarding documentation and productivity.  

***New-hires are eligible for hiring & relocation bonuses*** - Provides therapeutic interventions including but not limited to: airway management, therapeutic gases and ventilator management, newborn resuscitation, cardiopulmonary resuscitation. - Performs diagnostic procedures including but not limited to: sampling of arterial blood, bedside spirometry, spontaneous ventilatory parameters, point of care testing. - Therapeutic modalities and communication approached with reference to age specific needs of the patient, including Doernbecher Children's Hospital Family Centered Care Program. - Demonstrates an understanding of current and all new care modalities and equipment. - Completes all competency testing, required in-services and activities. Takes personal responsibility for maintaining competency for equipment and modalities within the Respiratory Care Practitioner scope of practice. - Seeks assistance in managing workload as needed. - Recognizes the need for guidance and uses expertise of others when appropriate. - Utilizes appropriate chain-of-command and committee process to effect change. - Charts and charges all services provided per policy. Current Pediatric Positions Open: - Nights - Full Time: 8  

***New-hires are eligible for hiring & relocation bonuses*** - Provides therapeutic interventions including but not limited to: airway management, therapeutic gases and ventilator management, newborn resuscitation, cardiopulmonary resuscitation. - Performs diagnostic procedures including but not limited to: sampling of arterial blood, bedside spirometry, spontaneous ventilatory parameters, point of care testing. - Therapeutic modalities and communication approached with reference to age specific needs of the patient, including Doernbecher Children's Hospital Family Centered Care Program. - Demonstrates an understanding of current and all new care modalities and equipment. - Completes all competency testing, required in-services and activities. Takes personal responsibility for maintaining competency for equipment and modalities within the Respiratory Care Practitioner scope of practice. - Seeks assistance in managing workload as needed.  - Recognizes the need for guidance and uses expertise of others when appropriate. - Utilizes appropriate chain-of-command and committee process to effect change. - Charts and charges all services provided per policy. Current Adult Day Shift Positions Open: - Full Time: 2 Current Adult Night Shift Positions Open: - Full Time: 1 - Part Time: 1

As a Clinical Research Assistant 2, this individual is responsible for clinical, administrative, regulatory, advertisement and educational research activities related to the management of patients on clinical trials assigned. The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.Appointee will participate in the on-call schedule including intermittent evening, weekend, and holiday coverage. Position is Monday – Friday with night, weekend and holiday call coverage.  Position may require travel to off-site partnership locations around the state of Oregon. Clinical Trials Management - Management of pregnant women’s health clinical research trials at OHSU and other affiliated hospitals including maintenance and submission of patient data, evaluation of protocol activities, maintenance and preparation for quality assurance audits and management of investigational drugs.  - Also includes all data management on assigned studies. Patient Contact - Responsible for patient interactions as outlined in protocol and as delegated by supervisor. - Perform participant interviews and physical measurements, including but not limited to blood pressure, heart and respiratory rates, and specimen collection(s) and processing.  Regulatory Compliance & Administrative - eIRB and eCRIS submissions.  - Assistance with clinicaltrials.gov for OBGYN department. Data Management and Abstraction - Data entry - Maintenance and submission of patient data and preparation for quality assurance audits and monitoring. - Data abstraction for MFM databases and all assigned studies.  - Data management on assigned studies including REDCap. Outreach - Assist in maintaining social networking sites, submitting blog and newsletter content, and other marketing or advertising outreach efforts as assigned and supervised by unit manager. 

Hiring Bonus and Relocation Package Available   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   Department Specific Responsibilities   1. The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. 2. The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care Coordinators and Managed Care Coordinators to ensure that all appropriate business-related information is gathered prior to the visit, authorizations have been obtained and pre-registration has taken place. 3. The RN Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families. 4. The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. 5. The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. 6. The RN Coordinator ensures that Provider orders that result from the new patient visit are recorded and executed.  S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed.  S/he tracks the post visit flow information to ensure that plans of care are executed in a timely fashion. 7. The RN Coordinator ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period.  The RN Coordinator is expected to troubleshoot any problems that patients and their families may encounter in preparing for or during their hospital stay.   General Clinical/Patient Care   1. Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment.  Uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Incorporates assessment of pain, nutritional and functional need. 2. Triages and responds or refers inquiries appropriately.  Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to appropriate members of the health care team.  Alerts Providers to unusual observations of patients to facilitate immediate attention e.g. respiratory distress. 3. Plans as appropriate for the needs of patients and uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Collaborates with Providers and other members of the clinical support team in planning for the needs of the patients. 4. Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients. 5. Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   Refers to appropriate members of the health team indicated. 6. Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods.  Implements patient teaching utilizing all available resources.   Inpatient Clinical Care   1. RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. 2. RN Coordinator will work with the Nursing Manager and the service chief in development of protocol and pathway driven care for most common malignancies treated on the Hem/Onc service as well as key measures of quality of care for the Med Onc Service, including adherence to pathways. 3. RN Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement.   Outpatient Clinical Care 1. Assesses patient/family status and needs both actual and potential according to established standards 2.  Educates patient/family on chemotherapy and plan of treatment as established by the Physician. 3. Coordinates and implements initiation of treatment plan of care. 4. Monitors, maintains and modifies the plan of care based on patient/family response to interventions. 5. Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with communication when necessary.  Uses standing orders to manage patient care when appropriate triage. 6. Recognizes and effectively responds to emergencies.  Speaks with Providers directly in all emergency situations. 7. Assists with appropriate program placement if needed.  8. Acts as a patient advocate, preserving basic patients and family rights.  Provides support to patients and families. 9. Demonstrates knowledge of practice specific standards of care in actual performance. 10. Clarifies and accurately executes provider orders, per established protocol. 11. Recognizes ethical issues and takes appropriate action in the provision of care. 12. Maintains current knowledge of pharmacology and competency in modes of administration. 13. Collaborates with support services based on patient and family needs (genetic counseling, social worker, nutrition, etc.)

Hiring Bonus and Relocation Package Available   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes providers, residents, fellows and other clinical support staff.  The Palliative RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Oncology services including bone marrow/stem cell transplant, cellular therapies, chemotherapy and immunotherapy treatments. S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Care Management and Coordination Manager in Ambulatory Oncology.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   DEPARTMENT SPECIFIC REQUIREMENTS - The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. - The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care Coordinators and Managed Care Coordinators to ensure that all appropriate business-related information is gathered prior to the visit, authorizations have been obtained and pre-registration has taken place. - The RN Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families (Cellular Therapy program, Intervention Radiology, Apheresis, Research etc.) - The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. - The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. - The RN Coordinator ensures that Provider orders that result from the new patient visit are recorded and executed.  S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed.  S/he tracks the post visit flow information to ensure that plans of care are executed in a timely fashion. - The RN Coordinator ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period.  The RN Coordinator is expected to troubleshoot any problems that patients and their families may encounter in preparing for or during their hospital stay. General Clinical/Patient Care - Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment.  Uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Incorporates assessment of pain, nutritional and functional need. - Triages and responds or refers inquiries appropriately.  Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to appropriate members of the health care team.  Alerts Providers to unusual observations of patients to facilitate immediate attention e.g. respiratory distress - Plans as appropriate for the needs of patients and uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Collaborates with Providers and other members of the clinical support team in planning for the needs of the patients. - Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients. - Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   Refers to appropriate members of the health team indicated. - Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods.  Implements patient teaching utilizing all available resources. Inpatient Clinical Care - RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. - RN Coordinator will work with the Nursing Manager and the service chief in development of protocol and pathway driven care for most common malignancies treated on the Hem/Onc service as well as key measures of quality of care for the Med Onc Service , including adherence to pathways. - RN Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement Outpatient Clinical Care - Assesses patient/family status and needs both actual and potential according to established standards. - Educates patient/family on chemotherapy, transplant, cellular therapy and plan of treatment as established by the Care Team. - Coordinates and implements initiation of treatment plan of care. - Monitors, maintains and modifies the plan of care based on patient/family response to interventions. - Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with communication when necessary.  Uses standing orders to manage patient care when appropriate triage. - Recognizes and effectively responds to emergencies.  Speaks with Providers directly in all emergency situations. - Assists with appropriate program placement if needed. - Acts as a patient advocate, preserving basic patients and family rights.  Provides support to patients and families - Demonstrates knowledge of practice specific standards of care in actual performance. - Clarifies and accurately executes provider orders, per established protocol. - Recognizes ethical issues and takes appropriate action in the provision of care - Maintains current knowledge of pharmacology and competency in modes of administration. - Collaborates with support services based on patient and family needs (genetic counseling, social worker, nutrition, etc.)  

This is a partial telecommute position! Some work will be in the clinic and some work will be done remotely. Hiring bonus and relocation package available.   The Registered Nurse Coordinator is a key member of a multi-disciplinary patient care team, which includes  providers, residents, fellows and other clinical support staff.  The RN Coordinator provides direct and indirect professional nursing care for patients seeking care at OHSU for Breast team for Surgical Oncology.  S/he assesses patient and family needs, assists in developing a plan of care, implements, educates, and evaluates the care delivered.  The RN Coordinator serves as a key communication link between the patient, his/her family and the care team.  The RN Coordinator is a continuous advocate for patients and their families, ensuring that clinical and business systems are customer service focused.  The RN Coordinator practices in accord with professional standards, core values and with a commitment to service excellence.  The RN Coordinator reports to the Manager of Care Management and Coordination, Ambulatory Oncology Clinics.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals’, families, communities and patient populations. The Clinical RN’s care delivery is consistent with the Oregon Nurse Practice Act, the American Nurses Association (ANA) Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, Learning Culture, and an Engaged Informed Culture.   Department Specific Responsibilities   1. The RN Coordinator works with the Providers to ensure that all baseline clinical information, both diagnostic and therapeutic, is gathered together in a systematic fashion prior to the patients visit.  S/he works to ensure that new patients are prepared for the testing, evaluation and potential outcome of the visits ahead of time. 2. The RN Coordinator collaborates with the Nurse Navigators, Team Coordinators, Care Coordinators, and Managed Care Coordinators to ensure that all appropriate business-related information is gathered prior to the visit, authorizations have been obtained and pre-registration has taken place. 3. The RN Coordinator collaborates with multiple interdisciplinary teams to ensure timely and accurate care is provided to patients and their families. 4. The RN Coordinator may be called upon to assign tasks to team members after assessing patient needs, staff skills and resources. 5. The RN Coordinator collaborates with other members of the team to ensure that patient flow is expedited during clinical practice sessions. 6. The RN Coordinator ensures that Provider orders that result from the new patient visit are recorded and executed.  S/he also works to ensure that laboratory and other diagnostic findings are available to clinicians in a timely fashion after tests are performed.  S/he tracks the post visit flow information to ensure that plans of care are executed in a timely fashion. 7. The RN Coordinator ensures that when hospitalization is required; those patients and their family members understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period.  The RN Coordinator is expected to troubleshoot any problems that patients and their families may encounter in preparing for or during their hospital stay.   General Clinical/Patient Care   1. Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment.  Uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Incorporates assessment of pain, nutritional and functional need. 2. Triages and responds or refers inquiries appropriately.  Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to appropriate members of the health care team.  Alerts Providers to unusual observations of patients to facilitate immediate attention e.g. respiratory distress. 3. Plans as appropriate for the needs of patients and uses knowledge of the cognitive, physical, emotional and chronological maturation process.  Collaborates with Providers and other members of the clinical support team in planning for the needs of the patients. 4. Provides individualized nursing care that responds to the needs of patients and demonstrates an understanding of the range of treatment required by patients. 5. Responds to the emotional needs of patients by demonstrating sensitivity to the emotional state of patients.  By developing a therapeutic relationship, the RNC will communicate to patients in an appropriate manner, utilizing assessment and professional problem solving to resolve conflict or barriers experience by the patient.   Refers to appropriate members of the health team indicated. 6. Assesses patient/family learning needs; including barriers to learning and the most effective teaching methods.  Implements patient teaching utilizing all available resources.   Inpatient Clinical Care   1. RN Coordinator will coordinator appointments and order planned admissions and communicate the plan to the inpatient staff to ensure optimal clinical outcomes. 2. RN Coordinator will work with the Nursing Manager and the service chief in development of protocol and pathway driven care for most common malignancies treated on the Hem/Onc service as well as key measures of quality of care for the Med Onc Service, including adherence to pathways. 3. RN Coordinator will work with the Nursing Manager and Clinical Director to periodically review key quality indicators.  On the basis of these reviews, RN Coordinator will assist the Nursing Manager and the Clinical Director in developing or modifying relevant processes of care to ensure continuous quality improvement.   Outpatient Clinical Care   1.  Assesses patient/family status and needs both actual and potential according to established standards 2.   Educates patient/family on chemotherapy and plan of treatment as established by the Physician. 3. Coordinates and implements initiation of treatment plan of care. 4. Monitors, maintains and modifies the plan of care based on patient/family response to interventions. 5. Collaborates with call center staff and triage nurses to triages all patient calls; triages Provider calls and assists with communication when necessary.  Uses standing orders to manage patient care when appropriate triage. 6. Recognizes and effectively responds to emergencies.  Speaks with Providers directly in all emergency situations. 7. Assists with appropriate program placement if needed.  8. Acts as a patient advocate, preserving basic patients and family rights.  Provides support to patients and families. 9. Demonstrates knowledge of practice specific standards of care in actual performance. 10. Clarifies and accurately executes provider orders, per established protocol. 11. Recognizes ethical issues and takes appropriate action in the provision of care. 12. Maintains current knowledge of pharmacology and competency in modes of administration. 13. Collaborates with support services based on patient and family needs (genetic counseling, social worker, nutrition, etc.)

- Shift Coordinator Coordinates shift assignments, patient transports between units or procedural areas, provides/coordinate breaks and meal periods for staff. Determine staffing requirements and workload assignments for respiratory therapists. Recruits staffing for upcoming short shifts. Coordinates staffing incentives with leadership, coordinates delivery and pickup of supplies and equipment. Coordinate requests from internal/external customers for Respiratory Care Services, prioritizes response to requests, and assigns appropriate therapists to requests (transports, evals, emergency responses, etc.) - Auditor. Reviews patient medical records to ensure Respiratory Care Services were adequately billed, makes corrections if necessary, records data on charting inaccuracies, reports findings to supervisors. - Perform chart audits and charge reconciliations. Adjusts orders to match prescribed therapy, and discontinues unnecessary orders according to policy.  - Patient Transport.  Assures safety of patients on ventilators who must be transported from intensive care unit to other locations within hospital for testing by accompanying patient to and from intensive care unit and remaining with patient during testing procedure; may function as part of team transporting critically ill infants, children and adults from the hospitals by functioning as primary resource to determine the most effective method of respiratory support and by setting up appropriate equipment and administering respiratory care during transport. - Charting.  Records on patient chart the type of therapy provided, medication, respiratory and heart rate, breath sounds and patients’ coughing ability; charts results of ongoing assessment of patients on ventilators; records on department’s permanent record the number and type of therapies administered for each patient. - Respiratory Therapy  Administers ventilatory assistance by means of endotracheal tube using volume or pressure mechanical ventilators; administers aerosolized medications by checking provider’s prescription for type of medication and gas to be used, adding medication to nebulizer, adjusting oxygen or airflow, and instructing patient on proper breathing techniques; performs therapeutic functions such as chest physiotherapy and tracheobronchial aspirations designed to prevent pulmonary complications and improve lung functions in patients with acute and chronic pulmonary disease; administers continuous and intermittent aerosol and humidification therapy using a variety of techniques and equipment; instructs patients in the use of incentive spirometry devices and alternate breathing maneuvers to assist them in deep breathing; administers oxygen therapy using flow-meter and appropriate mask or nasal cannula and instructing patients in proper breathing techniques. - Patient Monitoring/Testing.  Performs advanced life support diagnostic procedures such as measuring exhaled carbon dioxide, performing arterial blood gas analysis, and measuring mean airway pressure on patients in intensive care unit; provides technical input to aid medical staff in interpreting the results of these diagnostic procedures; assesses the side effects of patients receiving aerosolized medications by measuring heart rate, listening to breath sounds and checking for signs of respiratory distress; discontinues therapy when distress noted and contacts health care provider for further orders; performs complete assessment on a regular basis of patients on volume or pressure ventilators; monitors patients receiving oxygen therapy and consults with physician, if side effects observed; monitors the effectiveness of the respiratory therapy treatment on the patients and recommends improved therapies to physician when appropriate; patient assessment for the purpose of protocol-driven care for bronchodilation and bronchial hygiene; determination of optimal mode, dose, frequency and discontinuance of therapy; perform bedside pulmonary function studies; perform airway care on natural and artificial airways. - Miscellaneous.  Performs cardiopulmonary resuscitation in the event of patient cardiac arrest or assisting with procedures already started by maintaining adequate airway and ventilation; teaches the theory and application of respiratory therapy procedures and equipment to physicians, nurses, other hospital staff, and respiratory care students; attends departmental staff meetings and in-services; decontaminates or discards all respiratory care equipment and supplies used in treating patients in isolation.