JANIE NIPPER
Registered Respiratory Therapist
Troy,Texas
Summary
Seasoned Respiratory Therapist with 16years of experience in a level 1 trauma healthcare settings to include Team Lead, general floor care, Emergency room, Medical ICU, Neuro ICU, Cardiac ICU, PACU, OR, Surgical Trauma ICU, Patient transports, Bronchoscopy, Tracheostomy procedure assist. Highly skilled inpatient assessments, blood gas analysis and interpretation, therapy administration and airway management. Successful at implementing best practices to continuously advance respiratory therapy outcomes.
Overview
16
16
years of professional experience
2
2
Certification
1
1
Language
Work History
Respiratory Therapist
St. David's Medical Center
08.2023 - Current
- Managed ventilator support for critically ill patients in intensive care units, ensuring proper adjustments according to physician orders and clinical guidelines.
- Administered oxygen therapy, aerosol therapy and inhalation therapy to improve patients' breathing and lung function.
- Provided emergency response assistance in cases of respiratory distress or failure as part of a rapid response team.
- Assessed, diagnosed, and treated breathing issues.
- Educated patients and families on disease management, breathing techniques, and medication administration, promoting self-care and adherence to treatment plans.
- Performed bronchial hygiene techniques to remove mucus and secretions from patient lungs and improve lung function.
- Collaborated closely with interdisciplinary teams to develop comprehensive care plans addressing patient needs and goals.
- Provided antibiotics, bronchodilators, and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
- Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
- Maintained accurate patient records to track patients' medical history and treatment plans.
- Developed strong relationships with referring physicians by providing timely communication regarding patient progress and updates on therapy effectiveness.
- Enhanced patient outcomes by effectively administering respiratory therapy treatments and interventions.
- Optimized airway management by skillfully performing endotracheal intubations under challenging circumstances.
- Monitored patient reactions to drugs and carefully documented findings.
- Performed arterial blood gas analysis and assisted in bronchoscopies.
- Responded to emergency codes and calls during off-hours and immediately initiated treatment.
- Conducted tests such as EKGs and drainages.
Registered Respiratory Therapist
University Of Wisconsin Hospital
10.2022 - 05.2024
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Organized and detail-oriented with a strong work ethic.
- Adjusted ventilator settings based on continuous assessment of blood gas analysis results improving overall ventilation efficacy for critically ill patients.
- Managed and operated mechanical ventilators to deliver airway management.
- Mentored new employees, providing guidance on best practices in respiratory therapy treatments and techniques.
- Provided emergency response during cardiac arrests or other life-threatening situations utilizing advanced life support measures when required.
- Contributed to successful weaning from mechanical ventilation by optimizing oxygenation strategies tailored to each individual''s needs.
- Worked with patients to administer aerosolized respiratory medications and chest percussion treatments to improve breathing.
- Documented therapies and diagnostic tests in patient electronic records for use by care team.
- Evaluated patient response to respiratory treatments and revised care plans accordingly.
- Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
- Verified proper set-up of ventilators for both adult and pediatric patients.
- Consistently responded within time limits to requests for respiratory assessments.
- Performed airway clearance therapies effectively reducing complications related to mucus buildup within the lungs.
- Maintained proper oxygen titration levels of patients receiving ventilator support.
- Managed complex cases involving multiple comorbidities while maintaining high-quality patient care.
- Collaborated with interdisciplinary teams for optimal patient care and treatment planning.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Developed and maintained courteous and effective working relationships.
- Completed continued education units annually to stay current with respiratory therapy advancements and maintain compliance with administrative regulations.
- Performed arterial blood gas analysis and assisted in bronchoscopies.
- Responded to emergency codes and calls during off-hours and immediately initiated treatment.
Registered Respiratory Therapist
UTSW: William P. Clement Jr. Hospital
04.2022 - 10.2022
- Adjusted ventilator settings based on continuous assessment of blood gas analysis results improving overall ventilation efficacy for critically ill patients.
- Managed and operated mechanical ventilators to deliver airway management.
- Provided emergency response during cardiac arrests or other life-threatening situations utilizing advanced life support measures when required.
- Contributed to successful weaning from mechanical ventilation by optimizing oxygenation strategies tailored to each individual''s needs.
- Worked with patients to administer aerosolized respiratory medications and chest percussion treatments to improve breathing.
- Evaluated patient response to respiratory treatments and revised care plans accordingly.
- Verified proper set-up of ventilators for both adult and pediatric patients.
- Consistently responded within time limits to requests for respiratory assessments.
- Coordinated with physicians and other care team members on care and treatments.
Registered Respiratory Therapist
Adventhealth- Texas Health Huguley Hospital
01.2022 - 03.2022
- Adjusted ventilator settings based on continuous assessment of blood gas analysis results improving overall ventilation efficacy for critically ill patients.
- Managed and operated mechanical ventilators to deliver airway management.
- Provided emergency response during cardiac arrests or other life-threatening situations utilizing advanced life support measures when required.
- Contributed to successful weaning from mechanical ventilation by optimizing oxygenation strategies tailored to each individual''s needs.
- Worked with patients to administer aerosolized respiratory medications and chest percussion treatments to improve breathing.
- Evaluated patient response to respiratory treatments and revised care plans accordingly.
- Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
- Verified proper set-up of ventilators for both adult and pediatric patients.
- Consistently responded within time limits to requests for respiratory assessments.
- Provided antibiotics, bronchodilators, and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
- Performed airway clearance therapies effectively reducing complications related to mucus buildup within the lungs.
- Maintained proper oxygen titration levels of patients receiving ventilator support.
- Monitored patient's physiological responses to therapy such as vital signs, arterial blood gases, and blood chemistry changes.
- Developed innovative approaches for noninvasive ventilation use in eligible patients reducing rates of intubation.
- Collaborated with interdisciplinary teams for optimal patient care and treatment planning.
Registered Respiratory Therapist
St. Josephs Regional Medical Center
07.2021 - 12.2021
- Managed ventilator support for critically ill patients in intensive care units, ensuring proper adjustments according to physician orders and clinical guidelines.
- Provided emergency response assistance in cases of respiratory distress or failure as part of a rapid response team.
- Administered oxygen therapy, aerosol therapy and inhalation therapy to improve patients' breathing and lung function.
- Assessed, diagnosed, and treated breathing issues.
- Performed bronchial hygiene techniques to remove mucus and secretions from patient lungs and improve lung function.
- Provided antibiotics, bronchodilators, and anti-inflammatory medications with hand-held nebulizers, metered-dose inhalers and positive pressure equipment.
- Aided physicians with various procedures such as bronchoscopies, ventilator management, and intubations.
- Maintained accurate patient records to track patients' medical history and treatment plans.
- Developed strong relationships with referring physicians by providing timely communication regarding patient progress and updates on therapy effectiveness.
- Optimized airway management by skillfully performing endotracheal intubations under challenging circumstances.
- Contributed to improved patient satisfaction scores by delivering compassionate and empathetic care throughout the treatment process.
- Performed arterial blood gas analysis and assisted in bronchoscopies.
- Responded to emergency codes and calls during off-hours and immediately initiated treatment.
Registered Respiratory Therapist Team Lead (full time staff)
Baylor Scott & White Medical Center
05.2008 - 07.2021
- Performed duties in accordance with all applicable standards, policies and regulatory guidelines to promote safe working environment
- Adhered to social distancing protocols and always wore mask or face shield
- Aided physicians with various procedures, including bronchoscopies, tracheostomies, ventilator management, intubations, patient transport to CT, MRI, IR, OR, and Cath Lab, as well as Determination of brain death and Organ donation
- Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement
- Developed system of staff communication, enabling quicker implementation of treatment plans and improved comprehensive patient care
- Provided comprehensive care to improve and strengthen clients' respiratory functions
- Routinely collaborated with department managers to correct problems and improve services
- Managed and operated mechanical ventilators and delivered airway management by performing pre use checks and calibrations
- Monitored patient reactions to drugs and carefully documented findings
- Delivered treatment for patients experiencing chronic and acute respiratory illnesses by conducting assessments and providing diagnoses
- Provided antibiotics, bronchodilators and anti-inflammatory medications using hand-held nebulizers, metered-dose inhalers and positive pressure equipment
- Provided designated family members with updated information on progress and treatment of patients in critical care unit
- Coordinated with physicians and other care team members on care and treatments
- Evaluated patient response to respiratory treatments and revised care plans accordingly
- Documented therapies and diagnostic tests in patient electronic records for use by care team
- Worked with patients to administer aerosolized respiratory medications and chest percussion treatments to improve breathing.
- Provided emergency response support during critical situations, such as code blue events or rapid response activations.
- Promoted a positive work environment by fostering open communication among team members and encouraging professional growth opportunities.
- Reduced readmission rates for patients with chronic lung diseases through targeted education programs and follow-up care coordination.
- Maximized staff productivity by effectively delegating tasks and monitoring progress toward goals.
- Contributed to hospital-wide quality improvement initiatives by serving on committees and participating in process improvement projects.
- Demonstrated expertise in various respiratory therapies, including aerosol treatments, airway clearance techniques, and mechanical ventilation.
- Served as a resource for clinical staff regarding best practices in respiratory therapy interventions and equipment usage.
- Performed bronchial hygiene techniques to remove mucus and secretions from patient lungs and improve lung function.
- Completed continued education units annually to stay current with respiratory therapy advancements and maintain compliance with administrative regulations.
- Treated patients after conducting assessments and laboratory testing.
- Responded to emergency codes and calls during off-hours and immediately initiated treatment.
- Maintained patient charts and information, strictly adhering to HIPAA laws and privacy guidelines.
Education
Associate of Science - Respiratory Therapy
Temple College
Temple, TX05.2009
Skills
- Physical assessments
- Patient and family advocacy
- Professional bedside manner
- Strong clinical judgment
- Tracheostomy Care
- Planning and Coordination
- Troubleshooting
- Cultural awareness
- Self-motivated professional
- First Aid/CPR, ACLS
- General Floor care, Emergency Room, Medical ICU, Surgical Trauma, Neuro ICU, and Cardiac ICU experience with adult population
- Airway Management
- Arterial blood gas analysis
- Respiratory equipment setup
- Patient Education
- Cardiopulmonary Resuscitation
- Medication Administration
- Bronchial Hygiene Techniques
- Continuous Positive Airway Pressure
- Patient care documentation
- End of life care
- Emergency medical care
- Infection Control
- Team Collaboration
- Heavy Lifting
- Certified in CPR/AED
- Patient Care
Equipmentfamiliarity
- Servo I
- Servo S
- Servo U ventilators -modes V/C, SIMV/VC/PS, PRVC, PC, PS/CPAP and APRV
- Evita Drager4
- Evita Infinity 500 ventilators- modes V/C, AC, SIMV/VC/PS, PC, PRVC, and Bi-vent mode
- Puritan Bennett 840 Nellcor ventilator
- Puritan Bennett 980 Covidien ventilator
- Carescape R860 ventilator
- Nitric Oxide - INO-max delivery system via ventilator or nasal cannula
- Phillips Respironics V-60 Bipap/ Cpap/AVAPS
- Vision Bipap/Cpap
- ST- Bipap/Cpap
- Transport ventilators including the above mentioned
- LTV 1200
- Re-vel transport vent
- Pneupac - parapac plus 310 travel transport ventilator
- Airvo- High flow
- Vapotherm
- Optiflow
- Respironics Cough Assist
- Metaneb - via ventilated or non-ventilated patients
- IPPB
- Trach collars, T piece for tracheostomies
- NC, Venturi mask, Non-rebreather, simple mask
- Delivery of EPO via ventilator and with Nitric Oxide as well
- Cuff fills, manometers
- Istat units
- Arterial lines for blood gases
- End tidal monitors, for use during intubations, Codes, awake sedation therapies
- Incentive spirometers, Ezpap, Acapella, peak flow
- Spontaneous parameters
Chartingsystems
- EPIC
- MEDITECH
- Cerner
Affiliations
- NBRC
- ARRC
- American Heart Association
Certification
- RRT - Registered Respiratory Therapist
Karaoke
I can not carry a tune to save my life!! I just really enjoy pretending I can sing and make up words as I go along at times. This is just all for fun.
Languages
Spanish
Limited Working
Work Preference
Work Type
Contract WorkWork Location
RemoteOn-SiteImportant To Me
Work from home optionFlexible work hoursWork-life balanceCompany CultureTimeline
Respiratory Therapist
St. David's Medical Center
08.2023 - Current
Registered Respiratory Therapist
University Of Wisconsin Hospital
10.2022 - 05.2024
Registered Respiratory Therapist
UTSW: William P. Clement Jr. Hospital
04.2022 - 10.2022
Registered Respiratory Therapist
Adventhealth- Texas Health Huguley Hospital
01.2022 - 03.2022
Registered Respiratory Therapist
St. Josephs Regional Medical Center
07.2021 - 12.2021
Registered Respiratory Therapist Team Lead (full time staff)
Baylor Scott & White Medical Center
05.2008 - 07.2021
Associate of Science - Respiratory Therapy
Temple College
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