Respiratory Therapy Professional Practice

Flashcards covering key concepts from the Respiratory Therapy Professional Practice lecture, including the RHPA, controlled acts, scope of practice, authorized acts, regulatory college, orders for medical care, delegation, and collaborative practice.

What is the Regulated Health Professions Act (RHPA)?

A legislative framework in Ontario that governs regulated health professions and establishes health regulatory colleges to regulate these professions in the public interest.

Name the controlled act relevant to RT's involving intubation.

Putting an instrument beyond the larynx.

What are the main components outlined in the Respiratory Therapy Act?

Respiratory Therapy scope of practice, authorized acts, additional requirements for regulated acts, grounds for misconduct, and the regulatory college for the profession.

What does the scope of practice in Respiratory Therapy include?

Providing oxygen therapy, cardio-respiratory equipment monitoring, and the assessment and treatment of cardio-respiratory and associated disorders to maintain or restore ventilation.

List some Authorized Acts for Respiratory Therapists

Performing a prescribed procedure below the dermis, Intubation beyond the point in the nasal passages where they normally narrow or beyond the larynx, Suctioning beyond the point in the nasal passages where they normally narrow or beyond the larynx, Administering a substance by injection or inhalation, Administering a prescribed substance by inhalation

Name some basic procedures that involve performing a prescribed procedure below the dermis.

Arterial punctures, arterial lines, intravenous catheter insertion

Name some advanced procedures that involve performing a prescribed procedure below the dermis.

Chest tube insertion/manipulation, Bronchoscopy (performing), Intraosseous insertion

What insertions are authorized related to intubation?

Endotracheal intubation, Laryngeal mask insertion, Nasogastric tube insertion, Feeding tube insertion, Nasal airway insertion

What considerations must an RT take into account when performing an authorized act?

Is it in the best interest of the patient? Do they have the competencies? Is it within the scope of practice? Does their registration permit them to perform it? Is an Authorizing Mechanism required?

What is the role of the College of Respiratory Therapists of Ontario (CRTO)?

To regulate the practice of Respiratory Therapy and govern the Members of the College in the public interest.

What are 'Standards of Practice'?

Requirements for professional practice; formally approved standards by the CRTO and unwritten expectations adopted by Ontario RTs.

From whom can Respiratory Therapists take orders?

Members of the college of physicians and surgeons of Ontario, Royal college of dental surgeons of Ontario, College of midwives of Ontario, College of nurses of Ontario with extended certificate of registration under the Nursing Act

What Responsibilities do RRT's have Regarding Orders For Medical Care

Scope of Practice of Respiratory Therapy, their own personal scope of practice (i.e., competency), their practice setting (i.e., hospital, community setting) and the policies in that practice setting, whether they are authorized to perform the ordered intervention, whether implementation of the order is in the best interest of the patient/client, other relevant legislation

What are the types of medical orders?

Direct orders, Medical directive, Verbal order

What is delegation of controlled acts?

The transfer of legal authority to perform a controlled act to a person not authorized to perform that controlled act.

Why is Collaborative practice important for RT's?

RTs participate in collaborative practice with interprofessional healthcare team members to facilitate patient/client-centered care such as setting goals, decision-making, and promoting respect.