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Registered Respiratory Therapist

Department of Veterans Affairs
Veterans Health Administration
VA Caribbean Healthcare System
This job announcement has closed

Summary

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application.

Overview

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Hiring complete
Open & closing dates
11/30/2023 to 05/31/2024
Salary
$57,118 to - $89,835 per year

2.81%

Pay scale & grade
GS 9 - 11
Location
2 vacancies in the following location:
San Juan, PR
Remote job
No
Telework eligible
No
Travel Required
Not required
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Excepted
Promotion potential
11
Job family (Series)
Supervisory status
No
Security clearance
Not Required
Drug test
Yes
Position sensitivity and risk
Non-sensitive (NS)/Low Risk
Trust determination process
Announcement number
CBTC-12209035-24-MR
Control number
763258800

This job is open to

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Clarification from the agency

Open to U.S. Citizens. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.

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Duties

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Major duties but not limited to:

  • Performs basic spirometry, including adequate coaching, recognition of improperly performed maneuvers, corrective actions, and interpretation of test results.
  • Compares and evaluates the indications and contraindications for sleep studies.
  • Identifies and distinguishes the indications, contraindications, and general hazards, complications in preparation, performance, and post core of bronchoscopy procedures.
  • Performs arterial and venous sampling for blood analysis.
  • Develops, administers, evaluates, and modifies respiratory core plans in the acute-care setting, using evidence-based medicine, protocols, and clinical practice guidelines.
  • Explains the use of evidence-based medicine in the development and application of hospital- based respiratory care protocols.
  • Evaluates and treats patients in a variety of settings, using the appropriate respiratory care protocols.
  • Completes the assessment through direct contact, chart review, and other means as appropriate and share the information with healthcare team members.
  • Reviews and interprets pulmonary function studies (spirometry) and pulse oximetry, arterial blood gases, electrolytes, complete blood cell count, and related laboratory tests.
  • Inspects the chest and extremities to detect deformation, cyanosis, edema, clubbing, and other anomalies.
  • Measures vital signs (blood pressure, heart rote, respiratory rate).
  • Evaluates patient breathing effort, ventilatory pattern, and use of accessory muscles.
  • Performs basic life support (BLS), advanced cardiovascular life support (ACLS) according to American Heart Association (AHA) guidelines, endotracheal intubation, arterial line placement and management, IV and/or midline placement and management.
  • Participates in mass-casualty staffing to provide airway management, manual and mechanical ventilator life support, medical gas administration, aerosol delivery of bronchodilators and other agents In the resuscitation of respiratory and cardiovascular failure
  • Manages monitoring system and airway devices.
  • Makes treatment recommendations based on waveform graphics, pulmonary mechanics, and imaging studies.
  • Identifies indications for circulatory gas exchange devices.
  • Collaborates with other professionals in cure management built upon evidence-based medicine and clinical protocols.
  • Delivers therapeutic interventions based on evidence-based medicine and clinical protocols.
  • Assesses the need for therapies (medical, humidity, aerosol, lung expansion, airway clearance, airway management and mechanical ventilation) in all patient settings.
  • Determines indications/contraindications for therapy.
  • interviews and conduct physical examination of patients.
  • Determines appropriateness of order and need for physician intervention.
  • Selects and assemble equipment.
  • Monitors patient's response to therapy.
  • Recognizes and rectify equipment malfunction.
  • Follows Standard Precautions for infection control.
  • Recognizes complications and respond to adverse effects.
  • Recommends therapy modifications.
  • Assess therapy effectiveness.
  • Documents therapy.
  • Evaluates compressed gas cylinders, regulators and flow meters, oxygen conserving devices, high-flow air-entrainment systems, oxygen and air-flow-meter mixing systems, air/oxygen blenders, nasal cannulas, high-flow nasal cannulas, non-reservoir masks, reservoir masks, air-entrainment masks, nitric oxide therapy, helium/oxygen therapy, unheated passive humidifiers, active and passive heat-and-moisture exchangers (HM Es), heated humidifiers for medical gas delivery systems via mask, tracheal catheter, and artificial airways, non-medicated, large-volume nebulizers, heated and unheated, delivery of medication, nebulizers for continuous nebulization, pressurized metered-dose inhalers, dry-powder inhalers, physiologic action, adverse effects and doses and peak expiratory flow meters and inspiratory flow meters.
  • Calculates and modifies drug dosing.
  • Evaluates incentive spirometers (flow-based and volume-based), continuous positive airway pressure (CPAP) devices, expiratory positive airway pressure (EPAP) devices, bi-level positive-pressure breathing, positive expiratory therapy (PEP), etc.
  • Performs the head-tilt chin-lift airway-opening maneuver and jaw lift without head extension maneuver

Work Schedule: Rotating Shifts (7/24) 6:00 am - 2:30pm, 2:00 pm - 10:30 pm, 10:00 pm - 6:00 am, including Weekends, Holidays and On-Call as per service needs.
Compressed/Flexible:Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: 00000
Relocation/Recruitment Incentives: Not Authorized
EDRP Authorized: Contact VISN8CCOE@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized
Financial Disclosure Report: Not required

Requirements

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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.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

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 in (a) (b) (c) (d) and (e): (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. (e) Failure to Obtain Credential: In all cases, RTs must actively pursue meeting national prerequisites for the RRT credential from the first day of their appointment. Failure to become credentialed within one year from date of appointment will result in removal from the GS-0601 RT series and may result in termination of employment. The Human Resources (HR) Office staff will provide RTs, in writing, the requirement to 1) obtain their RRT credential; 2) the date by which the RRT credential must be acquired; and 3) the consequences for not becoming RRT credentialed by the deadline. The HR Office staff must provide the written notice to selectees prior to entrance on duty date and maintain a copy in the electronic Official Personnel Folder. (2) Loss of Licensure, Certification or Credentials: An employee in this occupation, who fails to maintain the required certifications, RRT credential or license must be removed from the occupation, which may also result in the termination of employment. Once credentialed, licensed or certified, RTs/RRTs must maintain a full, valid and unrestricted license, credential and certification to practice respiratory care.

Grade Determination RRT GS-9:Experience or Education, Licensure and Credential; Candidates must have: One (1) year of creditable experience equivalent to the GS-07 grade level demonstrating the clinical competencies described at that level; OR, A Master of Science degree in respiratory care AND a license AND an RRT credential.

In addition to the requirements above, candidates must demonstrate all the following KSAs:
1. Skill in performing therapeutic modalities related to respiratory care.
2. Ability to collaboratively consult with physicians and other healthcare professionals to help provide favorable patient outcomes.
3. Skill in assessing oxygenation and ventilation.4. Ability to perform airway management to include artificial airways and mechanical ventilation.


Grade Determination RRT GS-11:Experience, Licensure and Credential; Candidates must have: One year of creditable experience equivalent to the GS-09 grade level demonstrating the clinical competencies described at that level, and Hold an active license and RRT credential.

In addition to the requirements above, candidates must demonstrate all the following KSAs:
1. Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.
2. Skill in evaluating the efficacies of therapeutic modalities.
3. Skill in performing advanced airway and ventilation management.

Selective Placement Factor: Must be proficient in spoken and written Spanish language.

References: VA Handbook 5005, Part II, Appendix G11 Registered Respiratory Therapist Qualification Standard GS-0601 VHA.

The full performance level of this vacancy is GS-44. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-09 to GS-11.

Physical Requirements: : Performs respiratory therapy requiring long periods of standing and walking. Frequent bending, reaching, stooping, and lifting to implement procedures are also required. Must be able to meet the physical demands of transportation of respiratory equipment, assembling, and disassembling. The employee must have the ability to lift and reposition patients as indicated for treatment.


Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Additional information

This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until May 31, 2024. The initial cut-off date for referral of eligible applications will be December 15th, 2023, with subsequent cut-off dates on the 15th of each month. Eligible applications received after that date will be referred at regular intervals or as additional vacancies occur on an as-needed basis until positions are filled.


Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. Selected applicants may qualify for credit toward annual leave accrual, based on prior work experience or military service experience. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.

This job opportunity announcement may be used to fill additional vacancies.

This position is in the Excepted Service and does not confer competitive status.

VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

How you will be evaluated

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

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.

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