Registered Respiratory Therapist

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

The incumbent serves as a member of the Respiratory Therapy Section at the VISN 1 VA Healthcare System. The Respiratory Therapy subsection is responsible for providing the full range of clinical procedures related to respiratory care. The incumbent demonstrates the knowledge and ability to successfully perform the following duties within the scope of Respiratory Care. Essential functions may change from time to time to reflect the current trends within the field of respiratory therapy, and to meet the cardio-pulmonary needs of the patients served.

Duties for the position include but are not limited to:

• Responsible for Mechanical Ventilation Management, CPAP/BiPAP Ventilation, Administration of Aerosolized Medication, Bronchial Hygiene, Airway Management, Oxygen Therapy, Aerosol Therapy.
• Responsible for Diagnostic Testing such as bedside Spirometry, EKGs, Pulse Oximetry. Assist Pulmonologist in Therapeutic Bronchoscopy procedures, Arterial Blood Gas sampling, and Cardiopulmonary Resuscitation.
• Responsible for performing Home Oxygen Evaluations, Pulmonary Function Testing (PFT), Bronchial Provocation Testing (Methacholine Challenge), Cardiopulmonary Exercise Testing, Home CPAP/BiP APNP AP set-ups with Compliance Checks, Mask Fitting and Dispensing, Patient Education, and basic maintenance.
• Assess patients by history, pulmonary physical assessment, and chart review before the start of therapy. Changes in these findings during therapy and results of therapy will be recorded.
• Utilize knowledge regarding the use of medications in respiratory therapy and will observe the patient for desired and adverse effects of those medications, as well as the effects of the type of therapy delivering the medications.
• Set up and monitors respiratory equipment such as invasive and noninvasive ventilators, end tidal CO2 monitors, oxygen delivery devices, and oximetry monitors.
• Performs routine respiratory therapy treatment to hospital inpatients such as administering oxygen and therapeutic aerosols, incentive spirometry, and chest physical therapy. Sputum specimens will be obtained by induction as ordered.
• Patient education will be done in all aspects of respiratory care pertaining to the individual patient and according to the patient's or his/her family's ability to assimilate the information.

Work Schedule: Monday - Friday 7:30am to 4:00pm, With every other weekend 7:00am to 7:30pm
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Functional Statement #: F02862, F02863, F02864, F02865
Relocation/Recruitment Incentives: May be Authorized
EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact Hannah.Neilson@va.gov, the EDRP Coordinator for questions/assistance. Learn more
Permanent Change of Station (PCS): Not Authorized
PCS Appraised Value Offer (AVO): Not Authorized
Pay: Competitive salary and regular salary increases. When setting pay, a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade).
Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience.
Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child.
Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66.
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Notifications:

• This position is a AFGE Bargaining Unit.
• This position is on a special salary rate.
• This position is in the Excepted Service.
• Veterans' preference does not apply for internal or other current permanent Federal agency employees.
• Current and former Federal employees must submit copies of their most recent SF-50 (Notice of Personnel Action). Not more than one year old, 52 weeks). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. No award SF-50's will be accepted.
• Narrative responses to the knowledge, skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment.

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. 5 (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).

GS 11 Registered Respiratory Therapist (RRT)

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. Clinical competencies include but are not limited to: Obtain, interpret and analyze physiological specimens and data; consult with physicians and other healthcare professionals to ensure quality of patient care within area of specialty; manage and maintain the airway and ventilation of the patient through the use of appropriate mechanical means; assess and evaluate patients to determine and recommend intervention to develop and implement a plan of care, such as, implementing protocols, intubation, monitoring critical systems and uses advanced modes of ventilation; provide outpatient services such as home ventilators, PAP therapy, oxygen therapy and COPD care; AND
• Hold an active license and RRT credential.

Demonstrated Knowledge, Skills and Abilities.

In addition to the requirements above, candidates must demonstrate all the following KSAs:

• Ability to collaboratively consult with physicians and other healthcare professionals for complex respiratory care to develop care plans to provide favorable patient outcomes.
• Skill in evaluating the efficacies of therapeutic modalities.
• Skill in performing advanced airway and ventilation management.

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

The full performance level of this vacancy is GS-11.

Assignments:

This assignment is the full performance level. RRTs at this grade level work independently providing respiratory care in both inpatient and/or outpatient settings. The specific assignments are dependent on facility structure and complexity levels. They use data and patient assessment to establish 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. RRTs at this grade level may perform invasive procedures such as arterial line placement. They serve as a preceptor to lower graded staff. They may lead projects developing new policies, procedures or protocols.

Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service for requirements.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

• 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.