Neonatal NICU Registered Respiratory Therapist

St. David's Medical Center in central Austin is seeking a Registered Respiratory Therapist to join our Healthcare & Medical Services team, specializing in neonatal care. In this role, you’ll provide advanced respiratory assessments, treatments, and ventilator management for high-risk newborns in collaboration with neonatologists and the interdisciplinary care team. St. David’s offers a culture of excellence, teamwork, and compassionate, patient-centered care, along with competitive pay, comprehensive benefits, and ongoing professional development in a leading, full-service hospital environment. Perform comprehensive respiratory assessments of neonates, including evaluation of work of breathing, breath sounds, oxygenation, and ventilation status Initiate, manage, and adjust invasive and non-invasive mechanical ventilation for neonates according to physician orders and established protocols Administer aerosolized medications, oxygen therapy, and other respiratory treatments specific to neonatal patients Perform arterial, capillary, and venous blood gas sampling and analysis; interpret results and communicate significant changes to the care team Provide respiratory support during high-risk deliveries and neonatal resuscitations, including bag-mask ventilation, airway stabilization, and assistance with intubation Manage and troubleshoot respiratory equipment such as ventilators, CPAP systems, high-flow nasal cannula devices, and monitoring equipment Participate in the transport and stabilization of critically ill neonates within the hospital as needed Collaborate closely with neonatologists, NICU nurses, and other healthcare professionals to develop, implement, and adjust individualized care plans Educate and support families regarding respiratory conditions, treatments, and equipment, promoting understanding and involvement in the care process Accurately document assessments, interventions, patient responses, and equipment settings in the electronic medical record in a timely manner Adhere to infection prevention protocols, safety standards, and regulatory requirements governing respiratory care and NICU practice Participate in quality improvement projects, clinical audits, and ongoing performance evaluations related to neonatal respiratory services Maintain clinical competencies and stay current with advances in neonatal respiratory therapy through continuing education and in-service training Assist with orientation, mentoring, or precepting of new respiratory therapists and students as assigned Demonstrate professional, compassionate, and family-centered behavior in all interactions with patients, families, and colleagues Neonatal mechanical ventilation management (invasive and non-invasive) Knowledge of neonatal cardiopulmonary physiology and pathophysiology Proficiency with neonatal CPAP and high-flow nasal cannula therapy Arterial, capillary, and venous blood gas sampling and interpretation Airway management and respiratory support during neonatal resuscitation Ventilator troubleshooting and equipment management in the NICU Administration of aerosolized medications and oxygen therapy for neonates Interpretation of neonatal chest radiographs as related to respiratory care (in collaboration with providers) Familiarity with NICU protocols, standards of care, and infection prevention practices Electronic medical record documentation specific to respiratory care Effective communication and collaboration within an interdisciplinary NICU team Family education and support in a high-stress neonatal environment Time management and prioritization in a high-acuity, fast-paced setting Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Current Registered Respiratory Therapist (RRT) credential from the National Board for Respiratory Care (NBRC) Current state license or eligibility for licensure as a Respiratory Care Practitioner in the state of practice Current Basic Life Support (BLS) certification Neonatal Resuscitation Program (NRP) certification or obtained within specified timeframe after hire Pediatric Advanced Life Support (PALS) preferred or obtained within specified timeframe after hire Prior clinical experience in a Level III or Level IV NICU preferred