Clinical Monitoring, Director of Nursing (DON), Documentation, Documentation Standards, External Audit, Identify Issues, Internal Audit, Leadership, Long-Term Care, Nursing, Quality Assurance, Respiratory Therapy, Risk
LOCATION
Cincinnati, Ohio
POSTED
30+ days ago
Foundations Health Solutions, Ohio's premier long term care provider, is looking for a full-time Respiratory Therapist to join our team! This role is for NIV compliance checks in the Cincinnati/Dayton area.
Daily/Shift Responsibilities
Review NIV usage hours, refusal documentation, and adherence to prescribed settings.
Validate that nurses are completing the NIV Progress Note UDA once per shift or each time NIV is offered or encouraged.
Confirm documentation reflects actual usage, refusals, education, mask issues, and symptom changes.
Update the compliance tracker, PCC notes, Vent Calendars
Verify trial notes and initiation notes for new NIV residents.
Device & Equipment Oversight
Inspect Trilogy devices to ensure correct settings, alarms, humidity, and circuit setup.
Assess mask fit, tolerance, and risk of skin breakdown.
Troubleshoot leaks, pressure intolerance, alarms, and comfort issues.
Notify clinical staff if adjustments or new orders are required.
Resident Assessment & Clinical Monitoring
Assess work of breathing, respiratory rate, accessory muscle use, SpOâ trends, and comfort on NIV.
Identify barriers to NIV usage and provide re-education.
Monitor for decline or decompensation requiring provider notification.
Review ABG/VBG lab dates and confirm eligibility requirements are met.
Compliance Tracking & Reporting
Update the Excel compliance tracker, facility NIV calendar, and daily usage logs.
Ensure consistency between documentation in PCC and compliance tools.
Prepare summaries of compliance issues, refusal patterns, and residents needing follow-up.
Communication & Coordination
Collaborate with nursing, DON, therapy, and administration to address compliance gaps.
Coordinate with Central Intake and leadership for qualifying residents or updated orders.
Escalate clinical concerns or abnormalities to the NP/MD promptly.
Ensure standardized documentation processes across all facilities.
Education & Resident Engagement
Educate residents on the benefits of NIV and reinforce adherence.
Train nursing staff on mask application, troubleshooting, and encouraging resident usage.
Provide family education when appropriate.
Quality Assurance & Program Integrity
Validate all eligibility documents, usage hours, and labs meet CMS/Ohio Medicaid requirements.
Ensure documentation is consistent, accurate, and audit-ready.
Assist leadership with internal or external audit preparation.
We are an Equal Opportunity Employer and promote a drug-free workplace. We also offer a number of benefits to full-time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, tuition reimbursement and a voluntary 401(k) retirement savings plan.