The health care discipline that specializes in the promotion of optimum cardiopulmonary function and health.
Define Respiratory Therapists
Health care professionals trained to apply scientific principles to prevent, identify and treat acute or chronic dysfunction of the cardiopulmonary system
A respiratory therapist must have the minimum of an associates degree to take what kind of exam?
Credentialing Exam
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
Who are the people who make up a Respiratory Therapy Department?
Medical Director
Technical Director
Educators
Staff Therapists
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
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
They provide written procedures as Guidelines for staff
C. Technical Director
They maintain equipment safety checks and maintenance
B. Technical Director
They must ensure procedures and equipment is up to date as well as cost effective
A. Technical Director
They train new & existine employees & students
B. Educators
They develop policies and protocols
B. Educators
They assist both medical & technical directors
B. Educators
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
Who is the professional that is responsible for the "clinical" function of the respiratory therapy department 24/7?
C. Medical Director
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
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
ARCF (American Respiratory Care Foundation)
Non-for-profit organization formed for the purpose of supporting research, education, and charitable activities
NBRC (National Board for Respiratory Care)
Provides 2 levels of voluntary testing in the US:
Certified Respiratory Therapist (CRT)
Registered Respiratory Therapist (RRT)
BRC ( Board of Respiratory Care)
Manges the licensure process for the resporatory therapists in the state of Michigan
CoARC ( Commission on Accreditation for Respiratory Care
Ensures that educational programs adhere to standards
TJC (The Joint Commission)
Identify areas of strength and areas of improvment
Profession
A vocation or occupation requiring special, usuall advanced education, knowledge and skill
Professional
One engaged in one of the learned professions or in an occupation requiring a high level of training and proficiency
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
When getting patients report you must get all of the following...
Name & room #
Order changes
Frequency & Last Therapy
Patient response to therapy
Priority
Plan
When organizing workload what 3 things do you need to factor in?
Time of last therapy
Priority
Location
Answer Pages, Start new therapy, Discontinue therapy,Codes & emergencies,Transports and Special Procesures are known as:
B. Extra work
Physician order sheets, respiratory Therapy sheets, Progress notes and department records are known as:
B.Documentation
Clean up patient area, clean pff equipment carts,clean up department and process equipment is known as...
D. Part of Clean-Up
Geting Patients name, order changes, frequency of last Therapy, patient response, priority and plan are known as:
E. Part of giving report
E. Part of BillingGeting credit for what you have done, capture hospital revenue and document department productivity is known as:
A.Extra work
B.Documentation
C.Part of Clean-Up
D.Part of giving report
E. Part of Billing
"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
What is the proper abbreviation for "every day"
1.q.d
2. Q.D
3. QD
4. QOD
5. Do not abbreviate
5. Do not abbreviate
What is the proper abbreviation for "four times a day"?
1.q.i.d
2.Q.I.D
3.qid
4.QID
5.All of the above
5.All of the above
respiratory Therapists perform all of the followinf except? A.Patient Assessment
B.Research
C.Diagnostic Tests
C.Diagnosing Disease
D.Treatment & Managment
E.Patient education
C.Diagnosing Disease
Most medical terms are built from word parts of the following components:
Word root
Suffixes
Prefixes
Combining form
If the parts are present and how they are combined determines the definition
The word part that contains the primary meaning
Word root
A word part attached to the end of the word root to modify its meaning
Suffix
Each medical term contains one or more what?
Word root
What does a suffix usually describe?
pathology
symptom
surgical procedure
diagnostic procudure
part of speech
A word part attached to the beginning of a word root to modify its meaning
Prefix
what does a Prefix usually indicate?
Number
Time
Position
Direction
Negation
Combing Form
Is the word part where a word root is attached to a combining vowel, separated by a verrtical slash
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
True
When connecting two word roots a combining vowel is usually used if vowels are present at the junction
True or False
True
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
Arthr/o - joint
Hepat/o - liver
ven/o - vein
Oste/o - bone
are examples of:
Combining Forms
Inra= Within
Sub= Under
Examples of:
Prefixes
itis - inflammation
ic - pertaining to
ous - pertaining to
pathy - disease
are examples of:
Suffixes
what kind of medical term has its source from a famous persons name?
Eponym
Acronym
Synonym
Homonym
Eponym
which of the following is not a word part?
suffix
acronym
prefix
word root
combining form
acronym
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
Most common combining vowel is...
A
E
I
O
U
O
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
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"
30% of all hospital readmissions come from 7 DRGs
Who is being readmitted?
Heart failure
COPD
Pneumonia
ALL CARDIOPULONARY RELATED PROBLEMS
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
Education for COPD
Decrease risk factors- smoking
Encourage imminization
Decrease symptoms-use medications and devices at home
rest & sleep to manage O2 saturations
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...
Misallocation
Protocols
Guidelines for administering appropriate respiratory care services for the proper patients, by the correct method until no longer indicated.
What forms do protocols come in?
Outline
Narrative
Algorithm-yes/no Questions
How are protocols developed?
Based on "evidence-based medicine" & the AARC
Safe & ready RCP has skills in...
Pathology
Assessment
Modalities
Critical thinking
Communication
Protocols-
Key elements of the program:
Strong medical direction
Knowledgeable RCPs
Supportive administration
Supportive nursing staff
Resp. Therapy consult services (RTCS)
A process where protocols are incorporated into a larger "assess and treat" program
using one or more protocols
Guideline for administering appropriate resiratory care services foe the proper patient, by the correct method until no longer indicated is the definition for...
1.misallocation
2.patient focused care
3.protocols
4.over ordering
5.evidence based medicine
3.protocols
Define evidence-base medicine (EBM)
The conscious, explicit and judicious use of current best evidence in making decisions aboue care of the individual patient
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
Patient care process
1.entry into the process
2.your assignment
3.gathering patient data
4.providing appropriate therapy
5.education
6.discharge & rehabilitation
7.other tasks
Geting your assignment inculdes:
Receive shift assignment
obtain report
organize workload
prepare equipment & supplies
Gathering patients data inculdes:
Initial contact
Scence survey
Primary survery
Chart review
Introduction & ID
Infection control safety
Patient interview
Patient assessment
Diagnostics & monitoring
Scene survey is performed...
when first entering the scene (hospital room)
looking for hazardous situations
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
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
subjective inforamtion
symptoms the patient's perception told to RCP
Ex: I feel short of breath
Objective Information
Signs that are seen,felt,heard,smelled
Ex:Vital signs
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)
How many patients in U.S hospitals get a healthcare-associated infection (HAI) each year?
Nearly 2 million
40% get rspt infection
Contaminate
Introduce pathogens
Nosocomial
Hospital acquired infections (HAI)
Fomite
Object that transmits infectious diseases
Static
Inhibits growth (bactericstatic)
Cidal
Destroys microorganisms (bactericidal)
Antiseptic
Inhibits growth of disease producing mircoorganisms on surface
Asepsis
Sterile, a condition free from any form of life
Sterilization
process of complete destruction of all mircoorganisms
4 ways to reduce the risks of infection control
Provide barriers
Eliminate source
Reduce host
Monitor & Evaluate
Routes Of Transmission:
Airborne (aerosol, droplet & dust)
Droplet (within 3 feet)
Contact (direct or indirect)
Vehicle (waterborne & fooodborne)
Vectorborne (ticks, mites, mosquitoes & fleas)
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
