The Lead RRT is responsible for coordinating and providing advanced respiratory care while serving as the on-tour lead or charge therapist. This includes ensuring that work is distributed among respiratory staff in accordance with established workflow, patient acuity, and job specialization; assuring timely accomplishment of the assigned workload; assessing the status, quality, and progress of work; and making day-to-day adjustments in accordance with established priorities. Serves as the on-tour lead or charge respiratory therapist, coordinating real-time operations of respiratory care services across inpatient areas and functioning as the primary point of contact for respiratory therapy during the shift. Distributes and balances workload among respiratory therapists based on patient acuity, staff competency, and service priorities. Reviews inpatient census, acuity, consults, and emergency department/ICU activity; develops and communicates staff assignments, coverage for rapid response/code events, transports, and breaks, and makes necessary reassignments to meet dynamic acute care Acts as the responsible on-tour lead in the absence of supervisory personnel, resolving routine clinical and operational issues, facilitating problem solving among staff, and escalating complex or emergent concerns through the established chain of command. Provides advanced respiratory care to complex and critically ill patients, including comprehensive cardiopulmonary assessment, invasive and non-invasive ventilator management, interpretation of diagnostic data (e.g., arterial blood gases), and adjustment of therapy within established protocols and provider orders. Functions as an active member of emergency and rapid response teams, providing advanced airway management, manual and mechanical ventilation support, and other emergent respiratory interventions in the ICU, emergency department, and inpatient units. Serves as a clinical resource and consultant to respiratory therapists, nursing, physicians, and other interprofessional team members regarding complex acute cases, escalation of therapy, and evidence-based respiratory care practices. Collaborates with providers to recommend and implement uncommon or atypical respiratory interventions when standard therapies are insufficient, ensuring that such interventions align with clinical standards and VHA guidelines. Provides day-to-day clinical guidance, mentoring, and just-in-time education to respiratory staff on assigned tours, reinforcing adherence to policies, procedures, and protocols, and supporting consistent practice across all shifts and inpatient units. Assists with orientation, training, and competency validation for new and existing staff and students, particularly in high-acuity ICU and ED environments. Provides input to supervisory staff regarding observed strengths, performance issues, and developmental needs. Promotes effective, respectful communication and teamwork by facilitating collaboration among respiratory therapists and with other disciplines; addresses conflicts or concerns at the lowest appropriate level and refers unresolved issues to supervisory staff as needed. Ensures timely and accurate hand-off communication between outgoing and incoming tours, including patient status, ventilator and high-flow support parameters, pending diagnostics or interventions, equipment needs, and unresolved operational issues that may impact continuity of acute inpatient care. Monitors adherence to safety practices, infection-prevention standards, and equipment-use guidelines in critical and acute care areas; identifies trends or issues related to quality and safety and collaborates with leadership on corrective actions or process improvements. Oversees proper set-up, operation, troubleshooting, and basic maintenance of respiratory equipment such as ventilators, high-flow systems, and non-invasive devices during the shift; initiates work orders and coordinates with Biomedical Engineering and other services to ensure availability of safe, functional equipment. Performs and/or coordinates limited outpatient and bedside diagnostic testing (such as basic pulmonary function or spirometry and blood gas sampling/analysis), ensuring accurate performance, documentation, and communication of results. Participates in service and facility quality-improvement and performance-measurement activities , including data collection, audits, emergency response reviews, and implementation of practice changes to support consistent, 24/7 acute respiratory care. Provides Veteran and family education related to acute and chronic respiratory conditions, therapies, and equipment use (e.g., oxygen, inhaled medications, non-invasive ventilation), using communication methods tailored to individual needs and health literacy levels. Work Schedule: Rotating days or nights Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 614580 Relocation/Recruitment Incentives: No Permanent Change of Station (PCS): Not Available 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. 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.

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