Clarification from the agency

Open to current VA Employees and prior/current HPTs. Submission of your most recent non-award SF50 is required (must be within one year of the open date of the announcement for current employees and HPTs). NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.

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The Registered Respiratory Therapist (RRT) position in Medicine Specialty Service at VA Saint Louis Health Care System provides respiratory care in both inpatient and outpatient settings. At the full-performance level, RRT's use data and patient assessment to establish an appropriate plan of care and determine if outcomes are being met. They consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty. They manage and maintain the airway and ventilation of the patient using appropriate mechanical means. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation. They monitor critical systems. They use advanced modes of ventilation and outpatient services, such as home ventilators and COPD case management. RRTs suggest alternate modes of treatment where indicated based on assessment and analysis of patient response to treatment. They serve as a preceptor to lower graded staff. They may lead projects developing new policies, procedures or protocols. They manage and maintain the airway and ventilation of the patient using appropriate mechanical means. RRTs determine and implement complex respiratory care such as protocols, respiratory modalities, bronchoscopy, medications or supplemental oxygen and intubation.

At the full-performance level, duties include but are not limited to:

1. Reviews, collects, and evaluates relevant clinical data, to include chart review, patient assessment, obtaining and interpreting vital signs as indicated. Formulates an appropriate respiratory therapy plan based upon patient assessment.
2. Communicates orally and in writing, changes, adjustments, and recommendations with other healthcare team members, including multidisciplinary rounds.
3. Provides effective education and training to patients, students, and co-workers as appropriate.
4. Performs both fundamental and advanced diagnostic and therapeutic procedures for adult and geriatric patients. Examples include but are not limited to: Arterial puncture, blood gas analysis, pulmonary function testing, bronchoscopy assistance, positive airway pressure troubleshooting, endotracheal intubation, endotracheal extubation, spontaneaous breathing trials, six-minute walk assessment, capnography, invasive and noninvasive ventilator management, oxygen administration, bedside pulmonary mechanics, airway clearance aerosol and MDI therapy, etc
5. Performs emergency and acute respiratory therapy procedures in accordance with hospital and respiratory department guidelines.
6. Responds to all emergency responses such as Code Blue, Rapid Response, Code Sepsis, etc.
7. Performs equipment troubleshooting, mask fittings, equipment cleaning, calibration and maintenance as required.
8. Actively participates in departmental quality assurance and hospital-wide organizational performance improvement activities.
9. Maintains clinical and professional competency based upon established standards of practice.
10. Assembles, checks, and corrects malfunctions and performs quality controls on respiratory therapy equipment and technology-based equipment.
11. Promotes a customer-centered environment, taking personal responsibility for problem solving and effective courteous communication with patients, their families, medical staff, students, and co-workers.
12. Provides patient care, which is appropriate to the cultural, cognitive, emotional, and chronological maturation needs of the adult and/or geriatric patient.
13. A Respiratory Therapist will demonstrate the ability to utilize computer-based technologies, software, and programs.

Work Schedule: Day shift compressed schedule 6:00 a.m. - 6:30 p.m. including weekends and holidays. Schedule is subject to change based on the needs of the health care system.
Compressed/Flexible: Compressed schedule authorized.
Telework: Not available.
Virtual: This is not a virtual position.
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.
• 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-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.
    • (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.
  • (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.
• 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).

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: In addition to the basic requirements for employment in paragraph 3 above, all individuals referred and assigned to this occupation must meet all the qualification requirements and KSAs defined in the specific assignment as follows:

(1) 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.

(2) 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 8 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.

(3) 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.

(4) 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: Critical care experience, bronchoscopy experience

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

The full performance level of this vacancy is 11. The actual grade at which an applicant may be selected for this vacancy is in the range of 5 to 11.

Physical Requirements: This work requires some physical exertion. It includes walking, reaching, bending, and stretching to set up and take apart equipment, positioning patients and performing daily patient care tasks. Lifting, carrying, pushing and pulling light to moderately heavy objects, including the occasional pushing of patients in a wheelchair may be required (up to 45 pounds). Involves regular and recurring exposure to infectious and contagious diseases, odors, exposure to air, mucus, and blood-borne pathogens, and needle exposure. Required to use personal protective equipment such as gloves, masks, goggles, gown, and/or respirator (as applicable) at times to prevent diseases and the spread of infection.

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.