Thomas Piraino

• Management of the day-to-day practice issues related to Respiratory Therapy at SJHH
• Creation and Implementation of policies, procedures, and Medical Directives
• Provide education related to Respiratory Therapy throughout the organization for all health care disciplines including Nursing, Medical Residents, and Critical Care Fellows
• Supporting the staff with professional goals and education

• Management of the day-to-day issues related to Respiratory Therapy practice at MUMC including: 
• Creation and Implementation of policies, procedures, and Medical Directives
• Provide education to Nursing staff and students, Residents, and Fellows.  
• Work in partnership with RT Educator to provide in-services and support for staff.  
• Supporting the staff with professional goals and education

• Adult mechanical ventilation and weaning in the ICU as per HHS medical directive,  assisting with bronchoscopy, percutaneous tracheostomy,  and in and out of hospital transport of patients. 
• High Frequency Oscillation and other open lung strategies 
• Wards, ER, and CRCU coverage.  
• Respond to all cardiac and respiratory arrests.  
• Procedures include intubations, ABG punctures, spirometry, and bronchodilator  therapy. 

• Adult mechanical ventilation and weaning in the MSICU and CVICU as per medical directive,  assisting with bronchoscopy, percutaneous tracheostomy,  and in and out of hospital transport of patients.  
• High Frequency Oscillation and High Frequency Jet Ventilation
• Wards, ER, and PACU coverage.  
• Respond to all cardiac and respiratory arrests.  
• Procedures include intubations, ABG punctures, spirometry, bronchodilator therapy, arterial line insertions, write orders and initiate treatments such as arterial blood gases, bedside spirometry, MDI/aerosolized medication treatments, Heliox therapy, and tracheostomy changes, according to respiratory therapy medical directives.