RSPT 1090 Mid-Term

  1. Define Respiratory Therapy
    The health care discipline that specializes in the promotion of optimum cardiopulmonary function and health.
  2. Define Respiratory Therapists
    Health care professionals trained to apply scientific principles to prevent, identify and treat acute or chronic dysfunction of the cardiopulmonary system
  3. A respiratory therapist must have the minimum of an associates degree to take what kind of exam?
    Credentialing Exam
  4. Professional roles of RTs include:
    • *Patient assessment
    • *Outcome evaluation
    • *Problem-Sloving
    • *Analysis & dicision making
    • *Use of protocol-base care & care plan development
    • *Disease management
    • *Rehabilitation
    • *Patient education
    • *Research
  5. Who are the people who make up a Respiratory Therapy Department?
    • Medical Director
    • Technical Director
    • Educators
    • Staff Therapists
  6. Medical Director
    A physician who is professionally responsible for the "clinical" function of a respiratory therapy department

    Physicians must be available 24 hours a day for consultation with & to give advice to both other physicians and respiratory therapy staff
  7. Technical Director
    Usually a registered respiratory therapist with additional training

    they make sure staff, equipment and the associated protocols and procedures have suffcient quality to ensure safety, health, and welfare to the patient using the equipment and medications
  8. They provide written procedures as Guidelines for staff

    C. Technical Director
  9. They maintain equipment safety checks and maintenance

    B. Technical Director
  10. They must ensure procedures and equipment is up to date as well as cost effective

    A. Technical Director
  11. They train new & existine employees & students

    B. Educators
  12. They develop policies and protocols

    B. Educators
  13. They assist both medical & technical directors

    B. Educators
  14. Respiratory Therapists must...
    Give quality care that is indicated, and is delivered compentently and sppropriately

    Participate in continuing education to keep their skills up-to-date

    Keep their license current
  15. Who is the professional that is responsible for the "clinical" function of the respiratory therapy department 24/7?

    C. Medical Director
  16. What's AARC stand for and what is their mission?
    American Association for Respiratory Care

    Mission: To encourage and promote professional excellence, advance the science and practice of respiratory care, and serve as an advocate for patients, their families, the public and the profession of respiratory care
  17. Whats's MSRC stand for and what is their mission?
    Michigan Society for Respiratory Care

    Mission: Strives to continue to be the leading state proessional association for respiratory care. Promote professional excellence, advance te science and practice of respiratory care and serve as advocate and resource for patients, families, public and respiratory practitoner
  18. ARCF (American Respiratory Care Foundation)
    Non-for-profit organization formed for the purpose of supporting research, education, and charitable activities
  19. NBRC (National Board for Respiratory Care)
    • Provides 2 levels of voluntary testing in the US:
    • Certified Respiratory Therapist (CRT)
    • Registered Respiratory Therapist (RRT)
  20. BRC ( Board of Respiratory Care)
    Manges the licensure process for the resporatory therapists in the state of Michigan
  21. CoARC ( Commission on Accreditation for Respiratory Care
    Ensures that educational programs adhere to standards
  22. TJC (The Joint Commission)
    Identify areas of strength and areas of improvment
  23. Profession
    A vocation or occupation requiring special, usuall advanced education, knowledge and skill
  24. Professional
    One engaged in one of the learned professions or in an occupation requiring a high level of training and proficiency
  25. In the day of a respiratory Therapist
    • Arrivial
    • Get Assignment
    • Report
    • Organize work
    • Prepare supplies
    • Care for Patients
    • Extra Work
    • Documentation
    • Clean-up
    • Report
    • Billing
    • Other responsibilities
    • Departure
  26. When getting patients report you must get all of the following...
    • Name & room #
    • Order changes
    •  Frequency & Last Therapy
    • Patient response to therapy
    • Priority
    • Plan
  27. When organizing workload what 3 things do you need to factor in?
    • Time of last therapy
    • Priority
    • Location
  28. Answer Pages, Start new therapy, Discontinue therapy,Codes & emergencies,Transports and Special Procesures are known as:

    B. Extra work
  29. Physician order sheets, respiratory Therapy sheets, Progress notes and department records are known as:
  30. Clean  up patient area, clean pff equipment carts,clean up department and process equipment is known as...

    D. Part of Clean-Up
  31. Geting Patients name, order changes, frequency of last Therapy, patient response, priority and plan are known as:

    E. Part of giving report
  32. E. Part of BillingGeting credit for what you have done, capture hospital revenue and document department productivity is known as:
    A.Extra work
    C.Part of Clean-Up
    D.Part of giving report
    E. Part of Billing
  33. "Office ready " means...
    1.walking in the door close to the starting time (+/-5Mins)
    2. arriving at work early enough so you can start geting report as the shift begins
    3. Always arriving 30 min early
    4. walking in the door as the shift begins
    2.arriving at work early enough so you can start geting report as the shift begins
  34. What is the proper abbreviation for "every day"
    2. Q.D
    3. QD
    4. QOD
    5. Do not abbreviate
    5. Do not abbreviate
  35. What is the proper abbreviation for "four times a day"?

    5.All of the above
    5.All of the above
  36. respiratory Therapists perform all of the followinf except?
    A.Patient Assessment
    C.Diagnostic Tests
    C.Diagnosing Disease
    D.Treatment & Managment
    E.Patient education
    C.Diagnosing Disease
  37. Most medical terms are built from word parts of the following components:

    Word root
    Combining form
    If the parts are present and how they are combined determines the definition
  38. The word part that contains the primary meaning
    Word root
  39. A word part attached to the end of the word root to modify its meaning
  40. Each medical term contains one or more what?
    Word root
  41. What does a suffix usually describe?
    • pathology
    • symptom
    • surgical procedure
    • diagnostic procudure
    • part of speech
  42. A word part attached to the beginning of a word root to modify its meaning
  43. what does a Prefix usually indicate?
    • Number
    • Time
    • Position
    • Direction
    • Negation
  44. Combing Form
    Is the word part where a word root is attached to a combining vowel, separated by a verrtical slash
  45. When connecting a word root and a suffix, a combining vowel is usually not used id the suffix begins with a vowel

    True or False
  46. When connecting two word roots a combining vowel is usually used if vowels are present at the junction

    True or False
  47. Steps to define medical terms
    1 Start at the end and define the suffix

    2.move to the beginning of the term and define the prefix, word root or combining form

    3.Define the miffle word root or combining form
  48. Arthr/o - joint
    Hepat/o - liver
    ven/o - vein
    Oste/o - bone
    are examples of:
    Combining Forms
  49. Inra= Within

    Sub= Under

    Examples of:
  50. itis - inflammation

    ic - pertaining to

    ous - pertaining to

    pathy - disease

    are examples of:
  51. what kind of medical term has its source from a famous persons name?

  52. which of the following is not a word part?
    word root
    combining form
  53. a combining vowel can be used...

    1.between two word roots
    2.between a prefix and a word root
    3.between a word root and a suffix
    4.1 and 3
    4.1 and 3
  54. Most common combining vowel is...

  55. DRG (Diagnosis Realated Group)
    Based on admission, duagnosis, age, sex and comorbidities & other things

    Hospitals receive a lump sum amount of money based on DRG not necessarily for the care given
  56. CMS ( Center for Medicare Services)
    Developed to prevent unnecessary readmissions

    If patient is dicharged and has readmission within 30 days "dont expect to get paid"
  57. 30% of all hospital readmissions come from 7 DRGs

    Who is being readmitted?
    • Heart failure
    • COPD
    • Pneumonia

  58. how can respiratory care help reduce costs and readmissions?
    Develop disease management programs for COPD & Asthma patients

    Protocols for aggressive care

    Patient education

    develop action plans for patient

    discharge planning

    Pulmonary rehabilitation

    home care

    follow up counseling support
  59. Education for COPD
    Decrease risk factors- smoking

    Encourage imminization

    Decrease symptoms-use medications and devices at home

    rest & sleep to manage O2 saturations
  60. Over-ordering therapy that is not indicated

    Ordering inappropriate therapy

    Ordering therapy to be delivered by an inappropriate method

    Failing to order therapy that is indicated

    Are forms of...
  61. Protocols
    Guidelines for administering appropriate respiratory care services for the proper patients, by the correct method until no longer indicated.
  62. What forms do protocols come in?
    • Outline
    • Narrative
    • Algorithm-yes/no Questions
  63. How are protocols developed?
    Based on "evidence-based medicine" & the AARC
  64. Safe & ready RCP has skills in...
    • Pathology
    • Assessment
    • Modalities
    • Critical thinking
    • Communication
  65. Protocols-
    Key elements of the program:
    • Strong medical direction
    • Knowledgeable RCPs
    • Supportive administration
    • Supportive nursing staff
  66. Resp. Therapy consult services (RTCS)
    A process where protocols are incorporated into a larger "assess and treat" program

    using one or more protocols
  67. Guideline for administering appropriate resiratory care services foe the proper patient, by the correct method until no longer indicated is the definition for...

    2.patient focused care
    4.over ordering
    5.evidence based medicine
  68. Define evidence-base medicine (EBM)
    The conscious, explicit and judicious use of current best evidence in making decisions aboue care of the individual patient
  69. evidence-based medicine practice that requires careful,examination of the evidence for diagnosis, treatment, prognosis, and in turn should lead to optimal patient care
    Review and analyze available research studies

    Determine what is most sound & applicable

    Incorporate into practice
  70. Patient care process
    • 1.entry into the process
    • 2.your assignment
    • 3.gathering patient data
    • 4.providing appropriate therapy
    • 6.discharge & rehabilitation
    • 7.other tasks
  71. Geting your assignment inculdes:
    • Receive shift assignment
    • obtain report
    • organize workload
    • prepare equipment & supplies
  72. Gathering patients data inculdes:
    • Initial contact
    •       Scence survey
    •       Primary survery
    • Chart review
    • Introduction & ID
    • Infection control safety
    • Patient interview
    • Patient assessment
    • Diagnostics & monitoring
  73. Scene survey is performed...
    when first entering the scene (hospital room)

    looking for hazardous situations
  74. Assessment of critical life functions:
    • ventilation
    •    Rate,volume,breath sounds,chest movement

    • oxygenation
    •    color,LOC,HR,rhythm

    • Circulation
    •    pulse,HR,cardiac output

    • Perfusion
    •    BP,LOC,skin temp,urine output
  75. why do you review the chart BEFORE doing the patient interview?
    to obtain the physican impression & plan

    to obtain information regarding the indication for RT

    to prevent reprtition for the patient

    so you know what your looking for

    so you know the patients risks

    to determine patients status
  76. subjective inforamtion
    symptoms the patient's perception told to RCP

    Ex: I feel short of breath
  77. Objective Information
    Signs that are seen,felt,heard,smelled

    Ex:Vital signs
  78. Introduction & identification
    Yourself: First name, department & purpose for visit

    Patient:Check name outside door,name over bed, Id band and ask verbally for confirmation(name & date Of birth)
  79. How many patients in U.S hospitals get a healthcare-associated infection (HAI) each year?
    Nearly 2 million

    40% get rspt infection
  80. Contaminate
    Introduce pathogens
  81. Nosocomial
    Hospital acquired infections (HAI)
  82. Fomite
    Object that transmits infectious diseases
  83. Static
    Inhibits growth (bactericstatic)
  84. Cidal
    Destroys microorganisms (bactericidal)
  85. Antiseptic
    Inhibits growth of disease producing mircoorganisms on surface
  86. Asepsis
    Sterile, a condition free from any form of life
  87. Sterilization
    process of complete destruction of all mircoorganisms
  88. 4 ways to reduce the risks of infection control
    Provide barriers

    Eliminate source

    Reduce host

    Monitor & Evaluate
  89. Routes Of Transmission:
    • Airborne (aerosol, droplet & dust)
    • Droplet (within 3 feet)
    • Contact (direct or indirect)
    • Vehicle (waterborne & fooodborne)
    • Vectorborne (ticks, mites, mosquitoes & fleas)
  90. Standard Precautions
    Leaves the decision regarding personal protective equipment up to the discretion of the health care worker, as to what type of protection they need from exposure to blood and body fluids
  91. Standard precautions protects you from:
    Blood borne pathogens

    bodyfluids: tears, fluids,saliva,vomit, urine
  92. Body fluid exposure procedure
    • wash affected area with soap & hot water
    • gather information
    •   name
    •   date of birth
    •   medical information
    •   location
    • contact supervisor
    • go to emergency dept for treatment
  93. Airborne Isolation Procedures
    Ex: TB, measles,chicken pox, small pox

    • Process:
    • HEPA filter
    • Use HEPA mask
    • Gloves & gown
    • Transpost patient with HEPA mask
    • Double wash
    • Double Bag
  94. Droplet Isolation Procedures
    Ex: Pertusis, Rubella, Influenza, bacterial meningitis

    • Process:
    • Surgical Mask
    • Gloves Gown
    • Transport with surgical mask
    • Double wash
    • Double bag
  95. Contact Isolation Procedures
    Ex:MRSA, c-Diff, Hepatitis

    • Process:
    • Gown & gloves
    • Limit transport
    • Clean surface daily
    • Double wash
    • Double Bag
  96. 5 moments of hand hygiene
    • 1.Before patient contact
    • 2.After body fluid exposure risk
    • 3.Before aseptic task
    • 4.After patient contact
    • 5.After contact with patient surroundings
  97. Methods for eliminating source of infection:
    • Hand Hygiene
    • Personal Hygiene
    • Dispose of infectious waste
    • Equipment handling
    • Equipment Processing
  98. Hand Hygiene
    • Hand washing: to remove debris
    • Alchol rubs: to decrease bacterial count
    • Gloves: blood and body fluid exposure
  99. Timing of Hand Washing
    Hand rub: 20-30 seconds

    Hand wash: 40-60 seconds
  100. How to hand wash...
    Apply soap & wash around wrists and forarms

    Scrub palms of hands

    Wash between fingers & back of hands

    Wash around cuticles

    Rinse from forearms to fingertips then dry with clean towels

    Use towel to turn off faucet
Card Set
RSPT 1090 Mid-Term
Module A-E