Respiratory Therapist (RRT) - Neuro Diagnostics
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Respiratory Therapist (RRT) – Travel/Contract Position

Location: Roanoke, Virginia
Specialty: Respiratory / Neuro Diagnostics
Employment Type: Travel/Contract
Contract Length: Up to 26 weeks

Job Overview

• Adult Respiratory Therapist (RRT) role requiring critical care experience to work in a high-volume Emergency Room at a Level 1 Trauma Center.
• Night shift primarily: 3x12-hour shifts (7 PM – 7 AM), with 4x12-hour shifts available upon request.
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block.
• Must work at least one holiday during the 13-week contract period.
• Floating within skillset required.

Required Qualifications

• Valid Respiratory Therapist license in Virginia.
• Minimum of 1 year of Respiratory Therapist experience, with experience within the last year required.
• BLS (Basic Life Support) certification.
• ACLS (Advanced Cardiac Life Support) certification.
• Experience with EPIC charting system.

Clinical Skills & Competencies

• Proficient in aerosol and medication delivery systems (mask, trach, MDI, Medihaler). Skilled in administering medications such as Albuterol, Atrovent, Combivent, Flovent, Pulmicort, Mucomyst, racemic epinephrine, inhaled Flolan, inhaled steroids, bicarbonate, and lidocaine.
• Competent in arterial blood gas (ABG) interpretation and ventilator management including BiPAP, CPAP, HFNC, flow-by, troubleshooting high-pressure alarms, and weaning from mechanical ventilation.
• Airway management skills including extubation, oral/nasal airway placement, suctioning, sputum collection, and tracheostomy care.
• Proficient in oxygen therapy and nebulizer setups (handheld, T-piece, trach collar, ultrasonic).

Unit & Patient Population

• Patient ratio approximately 1:25.
• Serves adolescents, adults, and geriatrics.
• Robust Assess and Treat protocols with ventilator management and liberation policies in place.
• Equipment used includes Servo I, Servo U, V-60 BiPAP, Optiflow heated high flow, iNO with iNOvent, and LTV1200.

Scheduling & Charting

• Charting experience with EPIC required.
• Time off requests must be submitted with application.
• Facility allows calling off 1 shift per 2-week period.

Required Documentation & Compliance

• Valid Driver’s License/State ID with an address more than 100 miles from the facility is required (radius rule applies).
• Background check covering 7 years of history required within 1 year of start date.
• E-Verify or attestation required.
• Education verification of highest earned degree required; transcript or diploma required for RRTs.
• Physical exam within 1 year of start confirming freedom from communicable diseases.
• Fit test within 1 year of start, updated annually.
• Negative TB test or chest X-ray within 1 year, updated annually.
• Required immunizations or positive titers: Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella.
• Negative 10-panel drug screen within 30 days of start.
• Photo for badge required (professional, plain background).
• Completion of facility-specific compliance and confidentiality agreements within 48 hours of signing.
• New hire paperwork and orientation manual review required prior to start.
• Two clinical references required.
• Skills checklist updated annually.

Additional Notes

• Locals are not accepted due to radius restrictions.
• First-time travelers are accepted.
• Holiday and weekend work requirements are mandatory.
• Must be prepared to float within the respiratory therapy skillset.

This position is ideal for experienced Respiratory Therapists with strong critical care skills seeking a travel contract in a high-acuity, Level 1 Trauma Center environment.