Lead Registered Respiratory Therapist

Clarification from the agency

NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This job is open to current permanent Department of Veteran Affairs employees, current permanent Federal employees of other agencies, and all US Citizens.

Services are rendered in collaboration with the ordering provider, either by specific orders, policy, or established protocol. These functions and responsibilities are supported by education and administrative oversight. Periodically, specific functions may change. The primary services include, but are not limited to:
-Make recommendations in the absence of the Chief or Assistant Chief and will have full responsibility to modify the workload to accomplish the assigned duties.
-Responsible for selecting and adapting equipment and techniques to individual patients to comply with the physician's instructions.
-Works independently and is expected to resolve staffing problems using appropriate guidelines for staffing.
-Reviews work performed on the units by conducting daily rounds to ensure compliance with established policies and procedures and to ensure technical accuracy and compliance with physician's instructions.
-Monitor Leave and Attendance for assigned team, taking special note of excessive leave and/or tardiness of team members and will report these to supervisor for review.
-Ensure work is distributed among employees in accordance with established workflow or job specialization.-Prepare work assignments for oncoming shift.
-Collect, review, and evaluate relevant clinical data from the medical records, care team, patient, and patient's family to ensure appropriate care when indicated, reporting to the supervisor any discrepancies noted.
-Capable of performing both basic and complex therapeutic procedures for adults and geriatric patients. May assist with bronchoscopy and percutaneous tracheotomies.
-Apply clinical expertise in such a manner as to upgrade patient care were indicated and assist the provider in formulating an appropriate respiratory care plan based upon patient assessment, history, lung auscultation, chest x-ray, pulse oximetry, etc.
-Communicate changes in the respiratory therapy plan and/or patient status to other health care team members as appropriate.
-Provide effective and relevant education to the patient, family, students, and facility staff when appropriate.
-Perform both fundamental and advanced diagnostic procedures.
-Perform emergency and acute respiratory therapy procedures in accordance with departmental guidelines and industry standards.
-Actively participate in departmental quality assurance and hospital organizational performance improvement.
-Maintain clinical and professional competencies based upon established standards of practice.
-Assembles, checks, and corrects malfunctions and performs quality controls on all respiratory care equipment.
-Participate with the in-service education pertaining to respiratory therapy; maintaining a close relationship with other disciplines and students who may rotate through the health care facility.
-Responsible to perform chart audits and monthly documentation submission, to include monthly encounters for assigned team.
-Attend and represent Respiratory Therapy at meetings, such as, Critical Care Committee, Patient Safety, and other meetings where presence and expertise of Respiratory Therapy is expected, or when supervisor is unable to attend.
-May assist in transport of patients on mechanical ventilation for procedures.

Work Schedule: Rotating Schedule 6:30p.m. to 7:00a.m., may include weekends and holidays
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 53067-F
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Complete all application requirements detailed in the "Required Documents" section of this announcement.
• Pre-Employment/Post-Employment Physical Examination: May be required, depending on the needs of the organization

As a condition of employment for accepting this position, you will be required to serve a 1 or 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the agency;
• whether your continued employment would advance organizational goals of the agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Qualifications

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.
• 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.
• Credential. 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.
• Physical Standards. See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.
• English Language Proficiency. RTs/RRTs appointed to direct patient-care positions must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f).
• 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).

Grade Determinations:
Lead Registered Respiratory Therapist, GS-12.
Experience, Licensure and Credential. Candidates must:
i. Have one year of creditable experience equivalent to the GS-11 grade level demonstrating the clinical competencies described at that level. RRTs at this grade level in this assignment have experience demonstrating advanced practice skills and clinical judgment across many areas of respiratory care both inpatient and outpatient.
ii. Hold an active license and RRT credential.
Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
i. Ability to assign personnel and tasks to be accomplished in a manner that assures completion of theworkload.
ii. Ability to oversee and direct clinical guidance in a manner that assures completion of the workload.
iii. Ability to communicate with individuals of varying backgrounds to solve problems and provide conflict resolution.
iv. Ability to recommend uncommon or atypical interventions.
v. Ability to recommend ways to improve patient care and operations through independent research and evaluation of new equipment and therapies

Preferred Experience:
-Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS) certification
-Basic understanding and application of computer use to include Word, Excel, and medical charting software.
-Minimum 5 Years of clinical experience in application of all oxygen modalities including low flow and high flow systems, aerosol and nebulizer delivery systems, airway clearance modalities and proficiency in collection and interpretation of arterial blood gases.
-Registered Respiratory Therapist-Adult Critical Care Specialty (RRT-ACCS) credential
-Minimum 3 Years clinical experience in intensive care units. Able to safely and competently initiate and monitor various mechanical ventilators, portable transport ventilators, and must possess knowledge and experience in delivery of inhaled nitric oxide. Able to initiate application of CPAP and Noninvasive Positive Pressure Ventilation (NPPV) devices.
-Crew member in ground or critical care transport team or team member of hospital acute care rapid response team.
-Previous experience in team leader capacity with ability to lead and provide resolution to clinical issues from assigned staff. Able to distribute workload assignments appropriately and can work with minimal supervision.
-3 Years of emergency department clinical experience
-5 Years of clinical experience in care and management of artificial airways to include ability to perform complete tracheostomy care as well as knowledge with application of speaking valve on tracheostomy tube.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.

The full performance level of this vacancy is GS-12.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Area of Consideration- Eligible applications will be reviewed and referred in the following order:
1. Current permanent VA employees of the facility.
2. All other VA employees.
3. Current permanent Federal employees of other agencies.
4. All other applicants.
Note: Veterans' Preference is not applicable to VA employees or employees of other Federal agencies.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

To apply for this position, you must provide a complete Application Package which includes:

• Resume

Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.

Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc.

• Cover Letter
• DD-214/ Statement of Service
• Disability Letter (Schedule A)
• Disability Letter (VA)
• License
• Other (1)
• Other (2)
• Other (3)
• PCS Orders
• Performance Appraisal
• Professional Certification
• Proof of Enrollment
• Proof of Marriage Status
• Resume
• Separation Notice (RIF)
• SF-15
• SF-50/ Notification of Personnel Action
• Transcript

Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

Veterans' preference does not apply for internal or other current permanent Federal agency employees.

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