System Administrator

System, Network, and Database Administrator Our Company MCL Systems Limited (MCL), is a Software development firm in the arena of telecom Billing and Operational Support Software (OSS) solutions, Cadebill and Ganges. These solutions are used by telecommunication companies of all sizes around the world. Job Overview Good Skills and passion in System, Network and Database administration areas. Multiple positions are available in various levels depending on the experience and skills. Roles and Responsibilities Manage the network, system, database infrastructure. Our infrastructure is a multi-site network cluster of Windows, Linux servers, SQL Server databases, and other supporting network hardware and software. The position requires knowledge and experience in many of the following technologies. - Microsoft Systems Center (SCCM, SCVMM, SCOM) - PowerShell Programming - Windows Servers, Virtual Desktops Linux servers, Microsoft SQL Server - Dell Network Switches - WatchGuard Network Security involving multi-site global networks - Veaam Backups - Dell Hardware Servers - Azure and Amazon Cloud Essential Skills Expert knowledge architecting and administering High Availability clustering application based servers solutions Manage and ensure effectiveness of security solutions, including firewalls, anti-virus solutions, and intrusion detection systems. SQL Server database administration and knowledge with SQL Server mirroring, replication, backups and restores. Administer daily operations of servers managing users, permissions, and ensure optimal operation of the entire network infrastructure. Exposure and skills in managing network switches, routers, VoIP phones. PowerShell Programming skills. Ability to handle technical support calls, interact with company users and customers and provide technical solutions Good written and oral communication in English, organizational and time management skills Ability to self-manage and prioritize opportunities and tasks Passionate in their craft, maintaining strong work ethics, and the ability to work as a team player Education Bachelor’s degree preferred. Alternatively, 5 years’ experience with certifications in System and Networking areas. Experience Junior levels: 2 year experience Senior levels: 5 years’ experience Location This is a full-time position onsite at our office in Manassas, Virginia. Benefits This position has attractive salary, benefits, and bonus packages based on your skills and experience.

Siemens MES & MOM Platform Engineer / Specialist

InESS is hiring for both onsite and offshore locations (US & India) for the below role: Experience: 3–8 Years Duration: 6 Months to a year (in US) & Full time with InESS India (For Offshore hiring) Job Summary We are seeking a Siemens MES & Manufacturing Operations Management (MOM) Specialist to design, implement, and support Siemens Opcenter solutions. This role supports digital manufacturing initiatives by connecting IT, Engineering, Quality, and Shop Floor Operations to enable efficient production execution, traceability, and regulatory compliance. Key Responsibilities Lead end-to-end design, configuration, deployment, and rollout of Siemens Opcenter Execution solutions. Implement digital workflows for production execution, material traceability, genealogy, and electronic work instructions (eWI). Integrate MES/MOM with ERP (SAP), PLM, SCADA, and PLC systems. Create and maintain URS, FRS, DS, IQ/OQ/PQ documentation supporting GxP and ISO compliance. Collaborate with Lean, Quality, and Operations teams to standardize manufacturing processes. Provide Level 2/3 application support, troubleshooting production issues and system performance. Required Skills & Qualifications 3 years of hands-on experience with Siemens Opcenter Execution (Discrete, Process, or Medical Device). Experience with Opcenter Quality, Intelligence, or APS is preferred. Strong understanding of OPC UA, MQTT, and shop-floor connectivity. Proficiency in SQL Server, database design, and stored procedures. Solid understanding of ISA-95 and ISA-88 manufacturing standards. Bachelor’s degree in Engineering or Computer Science. Preferred Skills Siemens Opcenter certification. Experience working in regulated manufacturing environments (Pharmaceuticals, Automotive, Electronics). Knowledge of Mendix or C#/.NET for MES customization and extensions. Exposure to global or multi-site MES deployments. How to Apply Email your updated resume to [email protected] and [email protected] Subject: Siemens MES Specialist – [Your Name] Please include the following details in your email or resume: Visa type Work authorization / validity Current location Availability to start

SOFTWARE DEVELOPER (C++, C#, .NET)

POSITION IS 100% ONSITE DAILY IN NORCO, CA Job Summary We are seeking a Software Developer to join our team supporting the development of analysis applications for the U.S. Navy. The ideal candidate will work within an Agile SAFe environment, contributing to the development and maintenance of desktop applications using C#, Unity, and other technologies. While mid-level experience is preferred, we are open to candidates with strong foundational skills and a willingness to learn. As with any position, additional expectations exist. Some of these include, but are not limited to, adhering to normal working hours, meeting deadlines, following company policies as outlined by the Employee Handbook, communicating regularly with assigned supervisor(s), staying focused on the assigned tasks, and completing other tasks as assigned. Responsibilities Collaborate within an Agile Scrum team to design, develop, and maintain desktop analysis applications Work with technologies including C++, C#, .NET (strong emphasis on desktop application development), Unity, and legacy Delphi systems Apply object-oriented programming principles, multi-threading, concurrency, and task-based asynchronous programming (TPL) Contribute to the modernization of legacy systems and the development of new features Participate in team meetings, sprint planning, and retrospectives Basic Qualifications Proficiency in C# and .NET, with a focus on desktop application development Strong understanding of object-oriented programming principles Experience with multi-threading, concurrency, and task-based asynchronous programming (TPL) U.S. citizenship required Active or Current DoD Security Clearance required If applicable: If you are or have been recently employed by the U.S. government, a post-employment ethics letter will be required if employment with VSolvit is offered Preferred Qualifications Familiarity with Unity development Experience with Agile methodologies, particularly Scrum and SAFe Knowledge of Atlassian tools, such as Jira Experience with desktop application development Familiarity with government or regulated environments (not required but a plus) Soft Skills Strong teamwork and adaptability Willingness to learn and take initiative Problem-solving mindset and self-starter attitude Education and Certifications Bachelor’s degree in Computer Science or a related field, or equivalent experience Ability to obtain required certifications as part of the Cyber Security Workforce (not required at the time of hire), CompTIA Security Additional Notes While we prefer candidates with mid-level experience, we are open to hiring individuals with less experience if they exhibit the right traits, such as a willingness to learn, problem-solving skills, and a self-starter attitude. Company Summary Join the VSolvit Team! Founded in 2006, VSolvit (pronounced 'We Solve It') is a technology services provider that specializes in cybersecurity, cloud computing, geographic information systems (GIS), business intelligence (BI) systems, data warehousing, engineering services, and custom database and application development. VSolvit is an award winning WOSB, CA CDB, MBE, WBE, and CMMI Level 3 certified company. We offer a customizable health benefits program that best meets the needs of its employees. Offering may include: medical, dental, and vision insurance, life insurance, long and short-term disability and other insurance products, Health Savings Account, Flexible Spending Account, 401K Retirement Plan options, Tuition Reimbursement, and assorted voluntary benefits. Our goal is to grow together and enjoy the work that we do as a team. VSolvit LLC is an Equal Opportunity/Affirmative Action employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

Mechanical Project Engineer

Mechanical Project Engineer Overview The Project Engineer plays a key role in transitioning custom equipment projects from Sales to Engineering. Pay rate range - $45.00/hr to $50.00/hr This position defines project scope, develops initial SolidWorks models and drawings, and prepares submittal packages in collaboration with Sales, Project Managers, and Technical Writers. Once approved, the Project Engineer coordinates with Design Engineers to move the project into detailed design. Responsibilities Define scope by reviewing technical documents, specifications, site plans, and sales materials. Develop initial SolidWorks models and drawings that serve as the foundation for detailed design. Provide technical leadership as the first engineer on a project, ensuring effective communication with Design Engineers, Project Managers, and customers. Organize and prioritize tasks across multiple projects to meet deadlines. Requirements Experience: 4 years in machine design or similar environment; minimum 1 year as a Design Engineer within this company (preferred). Education: BSME required; an Associate’s degree will be considered with strong design and leadership experience. Skills: SolidWorks (extensive use of sheet metal and weldments; simulation and PDM a plus). Proficiency in hand calculations and interpreting computer-generated analyses. Proficient in Microsoft Office and related engineering software. Qualities: Strong attention to detail and adherence to standards (ISO 9001). Drug test is required Initiative, independent decision-making, and task prioritization. Excellent communication skills to collaborate across teams and with customers. It is the policy of GCR to provide equal opportunity to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. GCR is an Equal Opportunity/Affirmative Action Employer and embraces diversity in our employee population.

Senior Software Engineer

Senior Software Engineer Job Overview A senior self-driven Database / JavaScript developer with experience in one or more JavaScript Frameworks, CSS, HTML5 and having SQL Server database programming skills. Essential Skills Working experience with UI/UX technologies, including HTML5, CSS3, and ES6/JavaScript. Working experience with in one or more JavaScript Frameworks Working experience with Telerik Kendo JavaScript UI Components. Good understanding of JSON. Extensive experience with Visual Studio .NET Framework and/or .NET core. Working knowledge in SQL programming and Microsoft SQL Server. Good written and oral communication in English, organizational and time management skills Ability to self-manage and prioritize opportunities and tasks Passionate in their craft, maintaining strong work ethics, and the ability to work as a team player. Education Bachelor’s degree preferred. Alternatively, 5 years’ experience as self-driven JavaScript developer. Experience Junior levels: 2 year experience Senior levels: 5 years’ experience Location Manassas, Virginia, USA. This is a work at office location position only. Benefits This position has high attractive salary, medical dental, vision insurance, Simple IRA retirement plans with company match, and bonus packages based on your skills and experience. Our Company MCL Systems Limited (MCL), http://www.mclsystems.com, is a Software development firm in the arena of telecom Billing and Operational Support Software (OSS) solutions, Cadebill and Ganges. These solutions are used by telecommunication companies of all sizes around the world.

Respiratory Therapist Assistant - Adult

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Respiratory Therapist Assistant - Adult Respiratory Job Description Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice. Work performed in accordance with physician orders and under supervision of a Registered Respiratory Therapist. Duties and Responsibilities -Verify physician orders for appropriateness and accuracy. -Understand pharmacological indications, dosages and response to adverse drug reactions. -Consults with providers based on patient care assessments and in accordance to accepted protocols. Provides education to patients, families, physicians, nursing and other members of the health care team. -Monitors response to all therapy. Documents in the patient medical record. Communicates all pertinent clinical information during patient rounds and handoff. -Perform diagnostic cardiopulmonary procedures; inclusive of nasotracheal and artificial airway suctioning and samples, arterial blood gas punctures, pulse oximetry and EtCO2 monitoring, pulmonary function and bedside pulmonary mechanics, and EKG's. -Recognizes life threatening situations and initiates appropriate response, perform CPR and bag- mask ventilation -Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care. -Assure adherence to all infectious disease standards in the delivery of all patient care procedures. -Participates in quality improvement activities. -Maintains all necessary safety and life support certifications per required. -Can provide the following therapy: -Oxygen Supply Systems Equipment Processing Manual Resuscitation Oxygen administration Humidity and Aerosol Therapy Small Volume Nebulizer MDI Administration Incentive Spirometry Airway Clearance Therapy Arterial Uncture ECG (if perofrmed by hiring institute) Patient reportinng Required Qualifications at this Level Education Active enrollment in a 2 year approved respiratory care program (Associates Degree or the equivalent) and is in good standing. & Completion of the first semester of the respiratory care program. Experience None required beyond clinical affiliation of the respiratory program. Degrees, Licensure, and/or Certification The student RCP must register with the Board before providing Respiratory Care procedures as a Respiratory Care Assistant and will receive an approval letter from the Board. The student RCP will provide a copy of the approval letter to the employer. Certification in Basic Life Support (BLS) and any other certifications applicable to the institution. Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient. Skills validation/certifications of competencies for the duties and responsibilities of this level. Must maintain annual skill requirements. Must maintain annual safety/compliance requirements. Must maintain North Carolina annual license requirements for CEU's Customer service and communication expertise. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of Duke University Health System, at applicable hiring location. Work may require lifting or pushing in excess of 30 pounds. Work requires walking, climbing and bending. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Clinical Team Lead/Education, Respiratory Care Services - Pediatrics

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Clinical Team Lead/Education - Pediatrics General Description of the Job Class The Clinical Lead, Respiratory Therapist (RT) is a role developed to work in coordination with the RT leadership in an assigned unit or department to ensure the work is accomplished effectively. The Clinical Lead RT is the first line of support for staff, physicians, and other related providers on concerning RT specific clinical issues and topics. They will supervise, perform, evaluate and coordinate diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice, performing work in accordance with physician orders in the neonatal, pediatric and adult patient populations in intermediate, intensive and emergency care areas. They will be responsible for supervising, coaching, and mentoring their assigned core group of staff. Duties and Responsibilities of this Level Clinical Support Perform all duties and responsibilities of the Respiratory Care Practitioner, Advanced Respiratory Care Practitioner and ECMO specialist. Demonstrates strong critical thinking skills, rapidly prioritizes both planned and unplanned events and proactively addresses actual and potential issues, exceeding patient expectations Instruct and supervise patient and therapeutic. assessments to assure optimal medical decisions. Expert in all RT technology in the assigned departments. Coordinate all emergency responses. Assist in the development/updates with clinical care protocols/policy and procedures. Evaluate patient care plans. Ability to interact with physicians/medical staff on a high level. Function as a liaison between Clinical Resource Manager, and Clinical Engineering to ensure proper operation and service of equipment Document and report any malfunctioning or broken equipment. Leadership/Managerial Develop expected job results, performance plans, and professional goals for assigned staff Provide input into applicant hiring and termination decisions Monitor and report all patient care, safety, medication, technical, and employee incidents Monitor adherence to policy, procedures and practice guidelines Monitor ventilator protocol adherence Implement any necessary corrective actions in a timely manner Conduct shift planning to include assignments and redirection of staff as needed Assure appropriate supply inventory Coordinate and monitor departmental improvement projects Communicate daily activities to RT leadership Education/Mentoring Provide orientation, education and training as needed internal and external to Duke Respiratory Care Services Assure/Assess respiratory care staff competency and safety Plan and conduct instructional sessions Communicate/educate changes in policy and procedures in an effective/consistent manner Other Coordinate the evaluation of products/equipment Provide input into departmental equipment selection and function Assist with all departmental clinical research projects Serve on department related committees Required Qualifications at this Level Education Work requires completion of a Bachelor's degree in Respiratory Care, Healthcare, Business, or a field related to the assigned clinical discipline. Note: Candidates without a Bachelor's degree will be required to complete their degree within three (3) years of appointment. Experience Five years of experience in clinical respiratory therapy, including at least three years of experience in intensive care respiratory therapy; supervisory experience preferred. Degrees, Licensure, and/or Certification Current RT licensure from the North Carolina State Board of Respiratory Care Registered Respiratory Therapist (RRT) by the National Board for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation Program (if applicable) Respiratory Specific Certifications (to be completed within 1 year of hire) Adult Clinical Lead RT Adult Critical Care Specialist (ACCS) Pediatric Clinical Lead RT Neonatal Pediatric Specialist (NPS) Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient. Skills validation/certification of competencies for the duties and responsibilities required for a Level I RT. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of the hospital. Work may require lifting or pushing in excess of 30 pounds. Required to carry emergency airway bag weighing approximately 20 pounds. Work requires walking, running, climbing and bending. Customer service and communication expertise. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Advanced Respiratory Therapist - Pediatric - Duke Life Flight

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. *$15,000 Commitment Bonus if eligible* *Up to $8,000 Relocation allowance if eligible* Advanced Respiratory Care Practitioner - Duke Life Flight Duke Life Flight seeks to hire an Advanced Respiratory Care Practitioner who will embrace our mission of Advancing Health Together . Duke Life Flight is a CAMTS accredited critical care and Emergency Air and Ground transport agency in Durham, NC, providing services to North Carolina and its surrounding states. We operate two state-of-the-art rotor wing aircraft and a fleet of critical care, and advanced life support ambulances. We are one of few rotor-wing aeromedical Instrument Flight Rules (IFR) capable flight programs in North Carolina. Our respiratory care practitioners with our Life Flight team transport pediatric, and neonatal patients 24 hours a day, 7 days a week. We provide rapid access to health care for patients when time, specialized skills, and/or specialized resources are critical for survival. General Description of the Job Class Perform and evaluate diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice, performing work in accordance with physician orders in the neonatal, pediatric and adult patient populations. Duties and Responsibilities of this Level Perform all duties and responsibilities required of a Respiratory Care Practitioner I. Evaluate appropriateness of medical orders. Proficient in the application of mechanical ventilator modalities. Proficient in the application of Non-Invasive Positive Pressure Ventilation (NPPV); Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP) Perform endotracheal intubation under the observation of a Supervisor or Advanced Practitioner. Perform extubations. Serve as member of the code/ emergency team. Administer medical gases. Insert nasogastric and orogastric tubes. Perform tracheotomy tube changes. Perform capnography monitoring. Transport patients requiring mechanical ventilation or airway protection. Interpret clinical data to optimize patient clinical objectives. Participate in clinical rounds with physicians, nurses and other health care providers Assist with Bronchoscopy. Assist with orientation and training of Level II RT. Assure safe operations of devices in the MRI. Qualified for certification in the hyperbaric chamber if applicable to the institution scope of practice Required Qualifications at this Level Education Completion of a two year AMA approved Respiratory Care Program - (Associates Degree or the equivalent). Must maintain annual skill maintenance and annual safety/compliance requirements Must maintain North Carolina annual license requirements for CEUs Experience A minimum of three years (preference of four years) experience in clinical respiratory therapy, including a minimum of one year in intensive care respiratory therapy within a neonatal or pediatric ICU. Advanced certification required (C-NPT) within two years of hire. If hired with critical care transport experience, C-NPT or NPS certification highly preferred. Degrees, Licensure, and/or Certification North Carolina State Licensure Registry (RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRP) Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interaction relative to the specific age of a patient. Skills validation/certification of competencies for the duties and responsibilities required for a Level I RT. Skills validation / certifications of competencies for the duties and responsibilities of this level. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of the hospital. Work may require lifting or pushing in excess of 30 pounds. Required to carry emergency airway bag weighing approximately 20 pounds. Work requires walking, running, climbing and bending. Customer service and communication expertise. Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Respiratory Therapist Assistant - Pediatrics

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Job Description Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice. Work performed in accordance with physician orders and under supervision of a Registered Respiratory Therapist. Duties and Responsibilities -Verify physician orders for appropriateness and accuracy. -Understand pharmacological indications, dosages and response to adverse drug reactions. -Consults with providers based on patient care assessments and in accordance to accepted protocols. Provides education to patients, families, physicians, nursing and other members of the health care team. -Monitors response to all therapy. Documents in the patient medical record. Communicates all pertinent clinical information during patient rounds and handoff. -Perform diagnostic cardiopulmonary procedures; inclusive of nasotracheal and artificial airway suctioning and samples, arterial blood gas punctures, pulse oximetry and EtCO2 monitoring, pulmonary function and bedside pulmonary mechanics, and EKG's. -Recognizes life threatening situations and initiates appropriate response, perform CPR and bag- mask ventilation -Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care. -Assure adherence to all infectious disease standards in the delivery of all patient care procedures. -Participates in quality improvement activities. -Maintains all necessary safety and life support certifications per required. -Can provide the following therapy: -Oxygen Supply Systems Equipment Processing Manual Resuscitation Oxygen administration Humidity and Aerosol Therapy Small Volume Nebulizer MDI Administration Incentive Spirometry Airway Clearance Therapy Arterial Uncture ECG (if perofrmed by hiring institute) Patient reportinng Required Qualifications at this Level Education Active enrollment in a 2 year approved respiratory care program (Associates Degree or the equivalent) and is in good standing. & Completion of the first semester of the respiratory care program. Experience None required beyond clinical affiliation of the respiratory program. Degrees, Licensure, and/or Certification The student RCP must register with the Board before providing Respiratory Care procedures as a Respiratory Care Assistant and will receive an approval letter from the Board. The student RCP will provide a copy of the approval letter to the employer. Certification in Basic Life Support (BLS) and any other certifications applicable to the institution. Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient. Skills validation/certifications of competencies for the duties and responsibilities of this level. Must maintain annual skill requirements. Must maintain annual safety/compliance requirements. Must maintain North Carolina annual license requirements for CEU's Customer service and communication expertise. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of Duke University Health System, at applicable hiring location. Work may require lifting or pushing in excess of 30 pounds. Work requires walking, climbing and bending. Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Respiratory Therapist - Adult

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. $15,000 Commitment Bonus eligible if qualified, plus $5,000 Kicker Bonus Up to $8,000 Relocation Assistance eligible if qualified May apply if currently enrolled in an AMA approved Respiratory Care Program, and registry eligible (Must meet education and licensure requirements before hire date) Job Description Perform diagnostic and therapeutic clinical procedures as defined in the Respiratory Care Services scope of clinical practice. Work performed in accordance with physician orders. Defined duties are performed in neonatal and pediatric patient populations. Duties and responsibilities Administer oxygen, aerosolized medication via Intermittent Positive Pressure Breathing ( IPPB), Intermittent Aerosol Therapy (IAT) and Metered Dose Inhaler ( MDI) and incentive breathing devices. Perform nasotracheal and artificial airway suctioning, CPR and bag- mask ventilation, pulse oximetry monitoring, arterial blood gas punctures and bedside pulmonary mechanics. Diagnostic cardiopulmonary procedures, pulmonary function studies, EKGs and cardiac monitoring. Assure correct set-up, safety and function of all equipment/ supplies necessary in the provision of patient care. Assure adherence to all infectious disease standards in the delivery of all patient care procedures. Understands pharmacological indications, dosages and response to adverse drug reactions. Provides education to patients, families, physicians, nursing and other members of the health care team. Perform other related duties incidental to the work described herein. Required Qualifications at this Level Education RCP Completion of AMA 2 approved year Associates Degree, or the equivalent program. RCP Advanced Completion of a 2 year AMA approved respiratory care program (Associates Degree or the equivalent). Must maintain annual skill maintenance requirements Must maintain annual safety/compliance requirements Must maintain North Carolina annual license requirements for CEUs Experience RCP None required RCP Advanced Six months to one year of clinical experience following graduation from a respiratory care program. Degrees, Licensure, and/or Certification RCP North Carolina State Licensure or North Carolina State Provisional License, Certification by the National Board for Respiratory Care (NBRC). If CRT, must obtain RRT within 6 months of employment Certification in Basic Life Support (BLS), and any other applicable certifications applicable to the institution. RCP Advanced North Carolina State Licensure Registry ( RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRPS) if applicable to institution Knowledge, Skills, and Abilities Knowledge necessary to make appropriate clinical decisions and interactions relative to the specific age of a patient. Skills validation/certifications of competencies for the duties and responsibilities of this level. Must maintain annual skill and safety/compliance requirements Must maintain North Carolina annual license requirements for CEU's Customer service and communication expertise. Work involves contact with patients of all ages, family members, physicians, nursing, and all other members of the health care team. Work is performed in all areas of the hospital. Required to carry emergency airway bag weighing approximately 20 pounds. Work requires walking, running, climbing and bending. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.