Clarification from the agency

This job is open to current permanent VA Nationwide employees, and Federal employees of other Agencies. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

If you are not a current, permanent VA employee or Federal employee from another agency, you should apply CBST-12918229-26-TM.

The Registered Respiratory Therapist serves as a member of the Medical Intensive Care Unit (MICU) of Specialty Care at Overton Brooks VA Medical Center. This position is responsible for providing a full range of clinical procedures related to respiratory care.

Major duties for the position include (but are not limited to):

• Registered Respiratory Therapists (RRT) are responsible for independently administering treatment to ambulatory, non-ambulatory and critically ill and/or poor risk patients in MICU and Step-Down units.
• Administer oxygen, aerosol, humidity, and positive pressure breathing therapy.
• Position patient and perform chest physiotherapy and drainage, noting the effectiveness of therapy.
• Implement adult artificial ventilation upon physician's orders.
• Maintain and monitor ventilator patients as required and make adjustments based on blood gas analysis with the physician's approval.
• Administer prescribed medications that pertain to the field, note contraindications and/or adverse reactions, and notify the physician and recommend corrective therapy as indicated.
• Perform arterial blood gas analysis from arterial puncture or arterial line.
• Analyze blood with the mechanical analyzer, interpret the results of the analysis, consult with the physician on the results, and make
  recommendations.
• Provide emergency respiratory therapy treatments to critically ill patients.
• Monitor patient reactions to therapy with the use of pulse oximetry.
• Perform pulmonary function tests including spirometry, lung volumes, and exercise testing.
• Document in the progress notes and other areas all pertinent information regarding patient response and tolerance to all forms of therapy and test procedures performed.
• Participate in research projects under the direction of the Medical Director of Respiratory Therapy.
• Duties as a Representative of the Veterans Administration: Communicate the philosophy, aims and policies of hospital administration to patients and their families, team members, and other hospital personnel.
• Maintain rapport with other departments to improve the quality of patient care. Assume responsibility for professional growth through continuing education and participation in professional organizations.
• Promote and participate in patient education and rehabilitation by explaining procedures and therapies to the patients and their families.
• The incumbent provides emergent out of OR airway management and is trained and competent to perform airway management.
• This airway management includes the insertion of artificial airways, i.e., endotracheal tubes, LMS tubes, in emergent situations, and is under the direct supervision of the Chief of Emergency Care.

Work Schedule: Full range of shifts, depending on needs of the facility (days, evenings, nights), subject to changed based on the needs of the facility.
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00321F, 0032F, 00323F, 00324F
Relocation Incentives: Not Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive.Contact Robert Knudsen, Robert.Knudsen@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): 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 dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
• Must pass pre-employment physical evaluation.
• 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.

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

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.
• 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.

(1) Exception. RT positions will be designated only to individuals who are in the process of obtaining credentials to become an RRT. These individuals will only be hired on a temporary appointment as provided below.

• (a) VHA may waive the RRT credential requirement for persons who are otherwise qualified and pending completion of prerequisites for RRT credential. Individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, are fully licensed by their state and are working toward completion of their RRT credential may be given a temporary appointment as an RT. The temporary appointment is made under the authority of 38 U.S.C. § 7401(a)(1)(B) for a period not to exceed one year from date of employment. Candidates must hold an active, current, full and unrestricted RRT credential and be licensed to hold a position at or above the GS-07 level.
• (b) RTs may only be temporarily appointed at the GS-05 level and may not be promoted/converted to a higher-level position as an RRT until the RRT credential is received.
• (c) RTs must provide care only under the close supervision of an RRT.
• (d) Temporary RT appointments may not be extended beyond one year or converted to a new temporary appointment.
• 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).

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:
Respiratory Therapist, GS-05.
(a) Experience. None beyond the basic requirements.
(b) Education and Licensure. This level assignment is designated as temporary under paragraph 4d(1) above for individuals who have successfully completed a respiratory care program accredited by the CoARC or its successor, acquired the CRT credential, licensed by their state and are working towards obtaining RRT credential.

Registered Respiratory Therapist, GS-07.
(a) Experience, Education, Licensure and Registration. In addition to the basic requirements, candidates must possess their RRT credential.
(b) Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:

i. Ability to perform therapeutic modalities related to respiratory care.
ii. Skill in analyzing physiological specimens obtained to include arterial blood gases, pulse oximetry, End tidal Co2 (ETCo2) monitoring, basic spirometry and other basic diagnostic procedures.
iii. Ability to collaboratively consult with physicians and other healthcare professionals for respiratory care to help provide favorable patient outcomes.
iv. Skill in assessing oxygenation and ventilation.
v. Ability to perform basic airway management to include artificial airways and mechanical ventilation.

Registered Respiratory Therapist, GS-09.
(a) Experience or Education, Licensure and Credential. Candidates must have:

i. One year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level;
OR
ii. A Master of Science degree in respiratory care AND a license AND an RRT credential.

(b) Demonstrated Knowledge, Skills and Abilities. In addition to the requirements above, candidates must demonstrate all the following KSAs:

i. Skill in performing therapeutic modalities related to respiratory care.
ii. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
iii. Skill in assessing oxygenation and ventilation.
iv. Ability to perform airway management to include artificial airways and mechanical ventilation.

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.

(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.

Preferred Experience: Experience in caring for adult patients in the ICU, floor or ward.

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

The full performance level of this vacancy is GS11. The actual grade at which an applicant may be selected for this vacancy is in the range of GS05 to GS11.

Physical Requirements: Physical aspects associated with work required of this assignment are typical for the occupation, see Duties section for essential job duties of the position. May require standing, lifting, carrying, sitting, stooping, bending, puling, and pushing. May be required to wear personal protective equipment and undergo annual TB screening or testing as conditions of employment.
Work Environment: Work is performed in an office/clinic setting with minimal risks that requires normal safety precautions; the area is adequately lighted, heated, and ventilated. However, the work environment requires someone with the ability to handle several tasks at once in sometimes stressful situations.

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:

Current permanent VA employees of the Overton Brooks VA Medical Center
All other VA employees
Current Permanent Federal employees of other 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:

• License
• Resume
• SF-50/ Notification of Personnel Action
• Transcript

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.

Resume Requirement: Your resume must include the following information: Job title, description of duties, beginning and ending date (month/year) of employment, and average hours worked per week.

SF-50, Notification of Personnel Action (if applicable for Eligibility):

• Most recent SF-50 if you are a current or former Federal employee

Examples of appropriate SF-50's include:

• Within grade increases at the highest grade held; or
• Promotions with an effective date more than one year old; or
• SF-50's at the highest grade held with an effective date more than one year old.

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
• License
• Resume/C.V.
• Performance Appraisal
• Professional Certification
• Resume
• 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.

Next steps