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: To qualify for appointment as an RRT, all applicants must possess the following:
- Citizenship. Citizen of the United States (U.S.). Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with chapter 3, section A, paragraph 3g, of this part. See 38 U.S.C. § 7407(a) for more information.
- 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. Incumbent must hold a RPSGT.
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 REQUIREMENTS. All individuals assigned to this occupation must meet all the basic qualification requirements above and all basic qualification requirements defined in the specific assignment. All positions must be designated in one of the approved title or parenthetical title, as described below and duties must meet the definition of the assignment:
Registered Respiratory Therapist, GS-12. The following assignments are advanced assignments. These advanced specialty assignments are limited in number and cannot be used for all or the majority of the staff/employees in the service/unit. The designated specialized areas in respiratory care include pulmonary, polysomnography and a combination of pulmonary/polysomnography. These three advanced specialized assignments are established for facilities where the structure and patient care supports the need for the assignment(s). The duties and responsibilities assigned to these positions are the full scope of the duties defined under the RRT, GS-11 full performance level assignment in conjunction with the duties defined below for the specialty. These specialized assignments are completed under the general supervision of a physician medical director who is qualified to supervise the RRT. Individuals assigned to one of these positions will use the designated title as shown below.
Registered Respiratory Therapist (Polysomnography).
Experience, Licensure and Credential. Candidates must have:
a. One year of creditable experience equivalent to the GS-11 grade level demonstrating the clinical competencies described at that level including but not limited to; work independently providing respiratory care in both inpatient and/or outpatient settings; determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation;manage and maintain the airway and ventilation of the patient using appropriate mechanical means.
b. Hold an active license and RRT credential.
c. Certification. Incumbent must hold a RPSGT
Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:
- Skill in performing polysomnographic studies to include obtaining both physiologic and diagnostic data.
- Skill in calibrating and troubleshooting polysomnographic equipment.
- Skill in monitoring both physiologic and diagnostic parameters.
- Skill in scoring data both during and post diagnostic testing.
- Skill in analyzing data both during and post diagnostic testing
- Skill in preparing output for physician interpretation of data obtained, both during and post diagnostic testing.
- Skill in the assessment of oxygenation, ventilation and adverse responses.
Assignment. For all assignments above the full performance level, the higher-level duties must consist of significant scope, complexity and range of variety and must be performed by the incumbent at least 25% of the time. RRTs at this grade level in this position compare and evaluate indications and contraindications for complex pulmonary function testing (PFT) and recognizes normal/abnormal results. They perform bronchoprovocation testing utilizing a variety of medications or methodologies. They monitor patients and recognize and initiate interventions for complications of testing. They perform an initial quality review of test results and ready them for physician interpretation and determine whether the patient meets the criteria for termination of testing. RRTs conduct quality control reviews of all tests performed and all pulmonary diagnostic equipment. They maintain lab records. They train and assess staff competencies in performing simple spirometry.
References: VA Handbook 5005 PART II APPENDIX G11The actual grade at which an applicant may be selected for this vacancy is GS-12.
Physical Requirements: See VA Handbook 5019.
The full performance level of this vacancy is GS-12.