GIRMC Respiratory Therapist-Advanced Practitioner
Company: Bryan Health
Location: Grand Island
Posted on: January 1, 2026
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Job Description:
Summary GENERAL SUMMARY: Responsible for the initiation of
respiratory therapy and diagnostic procedures, especially in
difficult and/or unusual situations. Performs highly complex and
non-traditional procedures and assists the physician with same.
Responsible for providing care to infant, pediatric, adult and
geriatric patients and for providing education to families and
patients regarding respiratory care modalities PRINCIPAL JOB
FUNCTIONS: 1. *Commits to the mission, vision, beliefs and
consistently demonstrates our core values. 2. *Initiates assessment
and reassessment based on pulmonary conditions including moderate
sedation. 3. *Provides basic and advanced ventilator management and
assessment to include all modes and settings on all models,
including VDR and HFOV. 4. *Develops plan for the delivery of
respiratory care as directed by physician(s) or protocols per
patient assessment. 5. *Advises physicians regarding therapy
options as patient condition warrants. 6. *Monitors and administers
respiratory care modalities to patients; identifies
contra-indications and patient response to therapy; records therapy
and outcomes in the patients medical record. 7. *Assists and
supervises in emergency resuscitation to include intubations, RSI
and airway management. 8. *Performs airway management to include
trach care, endotracheal and trach tube changes and other trach
procedures; performs protective tip tracheal aspirate. 9.
*Supervises airway maintenance during intra-facility patient
transport. 10. *Initiates hemodynamic monitoring to include
insertion of arterial line catheters and associated ongoing
maintenance of lines/sites. 11. Takes the charge pager to accept
calls and pages incoming to the department. Acts as a clinical
resource for others assigned to the shift. 12. *Performs as an
active member of the Rapid Response Team. 13. Gathers equipment and
supplies to assist physicians with fiberoptic pulmonary procedures,
to include therapeutic bronchoscopy. 14. Assigns and ensures
staffing and workload assignments meet the established requirements
for maximum and minimum productivity levels. 15. Follows current
infection control guidelines for equipment cleaning and patient
care. 16. Performs and downloads ECGs. 17. *Performs respiratory
care discharge planning. 18. Provides disease/process-specific
patient/family education. 19. Maintains professional growth and
development through seminars, workshops, and professional
affiliations to keep abreast of latest trends in field of
expertise. 20. Participates in meetings, committees and department
projects as assigned. 21. Performs other related projects and
duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1.
Maintains clinical competency as required for the unit including
but not limited to age-specific competencies relative to patients
growth and developmental needs, annual skill competency
verification and mandatory education and competencies. 2. Knowledge
of basic and advanced respiratory equipment. 3. Knowledge of
arterial punctures and ABG analysis. 4. Knowledge of computer
hardware equipment and software application relevant to work
functions. 5. Skill in the respiratory care of neonate, infant,
pediatric, adolescent, adult and geriatric patients. 6. Ability to
exercise initiative and judgment in administering therapy and/or
other techniques and skills. 7. Ability to monitor and interpret
cardiac dysrhythmias. 8. Ability to establish and maintain arterial
catheters and appropriate monitoring equipment. 9. Ability to
establish and maintain monitoring equipment for hemodynamic
monitoring. 10. Ability to oversee the work of co-workers and
students, provide orientation and appropriate instruction in a
positive manner. 11. Ability to provide airway management in
emergent and non-emergent situations. 12. Ability to work in a
fast-paced environment related to changing patient needs including
working with patients with acute, chronic and complex disease
processes and those who are dying. 13. Ability to establish and
maintain effective professional working relationships with all
levels of personnel, medical staff, volunteer and ancillary
departments including diverse patient populations. 14. Ability to
prioritize work demands and work with minimal supervision. 15.
Ability to communicate effectively both verbally and in writing.
16. Ability to maintain confidentiality relevant to sensitive
information. 17. Ability to maintain regular and punctual
attendance. EDUCATION AND EXPERIENCE: Graduate of an AMA program of
Respiratory Care required. Must be licensed to practice respiratory
care in the state of Nebraska. Registration by the National Board
for Respiratory Care (NBRC) as a Registered Respiratory Therapist
(RRT) required. Minimum of two (2) years experience as a
Respiratory Therapist is preferred. OTHER CREDENTIALS /
CERTIFICATIONS: Basic Life Support (CPR) certification required.
Bryan Health recognizes American Heart Association (for healthcare
professionals), American Red Cross (for healthcare professionals)
and the Military Training Network. Advanced Cardiac Life Support
(ACLS), Neonatal Resuscitation Provider (NRP) and Pediatric
Advanced Life Support (PALS) certifications required.
Keywords: Bryan Health, Grand Island , GIRMC Respiratory Therapist-Advanced Practitioner, Healthcare , Grand Island, Nebraska