Scope of Practice

ECMO ManagementScope of Practice

For information on employment opportunities at Duke Hospital, please review the online postings at Duke Human Resources.
Duke is licensed for 1000 + inpatient beds. The Respiratory Care Services Department provides service 24/7/365 throughout the hospital to:
  • all intermediate care areas
  • seven adult intensive care units
  • the emergency department
  • the operating rooms
  • the hyperbaric chambers
  • neonatal and pediatric intensive care units
  • infant stabilization
  • labor and delivery
In addition to traditional therapies, our advanced practice includes:
  • Extra Corporeal Life Support (ECLS)
  • Airway Intubation
  • Nitric oxide delivery
  • Heliox delivery
  • Arterial- line Insertion
  • High Frequency Oscillatory Ventilation (HFOV)
  • Hyperbaric Medicine
  • Bronchoscopy
  • Mechanical Ventilation Management
  • Pulmonary Rehabilitation

Duke Hyperbaric ChambersHigh Quality Patient Care

This starts by hiring the best respirtory therapists and providing them with the education and training they need to be successful in a fast-paced, acute-care clinical environment. Specific attention is paid to fostering the relationship between the therapist and the physician. Critical care core teams provide a good example of how this relationship is established.
Core Teams of respiratory therapists are designated to assignment in each intensive care area as well as the emergency department. The core team RTs participate in daily patient care rounds with the multidisciplinary team. The RTs, with expertiese in areas such as mechaical ventilation strategy, airway management, and medicated aerosol delivery, serve as a valuable resouce in helping the medical team formulate the patient's plan of care. Mechanical ventilation stragegy employed for most patients is guided by protocol. The RT initiates mechanical ventilation and makes subsequent adjustments to the level of support based upon the theraputic objectives established by the protocol. 


Opportunities are available for all therapists interested in the research process: organize the study; collect the data; and write-up the results. Duke therapists have presented abstracts at professional meetings of the American Association for Respiratory Care National Congress, the American College of Chest Physicians, the American Thoracic Society, the Society for Critical Care Medicine and the North Carolina for Society for Respiratory Care.
The RCS department participates in development and clinical investigation for the National Institutes of Health (NIH), pharmaceutical companies, foundations and equipment manufacturers.

High Frequency Oscillatory VentilatorEducation

Active participation in department educational activities is an expectation of all respiratory care practitioners. The department provides continuing education opportunities for its staff members in the form of in-service presentations, skill workshops, and monthly grand rounds.
Therapists new to Duke Hospital have an opportunity to expand their knowledge, acquire new skills, and expand their scope of clinical practice by participating in the department's certification programs.
Motivated therapists who demonstrate the requisite knowledge, skills, and clinical leadership behaviors are afforded an opportunity to climb the department's "clinical ladder."
For therapists who enjoy teaching, opportunities exist to participate in department educational programs as well as programs provided to physicians, nurses, and other allied health providers both at Duke Hospital and at international meetings.

This article comes from Department of Respiratory Care Services
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