Exam 1 - Fund. RSP Care

what are the expected roles of a RT

• promoting lung health and wellness

• providing patient ed

• assessing the patient’s cardiopulmonary health status

where is the majority of RTs empolyed?

hospitals or acute care settings

“father of medicine”

Hippocrates

1662- a chemist published a book that described the relationship between gas, volume, and pressure

Robert Boyle

who discovered oxygen in 1774 and described it as “dephlogisticated air”

Joseph Priestley

first described the law of partial pressures for a gas mixture

John Dalton

first scientist in 1865 to suggest that many diseases were caused by microorganisms

Louis Pasteur

discovered the x-ray and opened the door for the modern field of radiology

William Roentgen

when did the designation “respiratory therapist” become standard?

1974

primary duty of the first inhalation therapists

support oxygen therapy (aka just oxygen technicians)

first professional organization for the field of respiratory care

Inhalation Therapy Association (ITA)

what year did the respiratory care professional organization ITA change its name to AARC

1982 (ITA - AAIT 1954, AAIT-ARRT 1973, ARRT-AARC 1982)

what organization has developed an exam to enable RTs to become licensed?

National Board for Respiratory Care (NBRC)

respiratory care educational programs in the US are accredited by

Commission on Accreditation for Respiratory Care (CoARC)

how is the education of respiratory therapists expected to change over the next decade?

increase

quality in the practice of respiratory care encompasses

• equipment used

• level of experience of respiratory care providers

• personnel performing care

• method or manner in which care is provided

who is professionally responsible for the clinical function of the respiratory care department?

medical director

what is the chief reason that respiratory care protocols were developed and are currently being used in hospitals throughout North America

enhance proper allocation of respiratory care services

what term is used to describe the process in which a government agency gives an individual permission to practice an occupation

licensure

characteristics of respiratory care professional

• completes an accredited ed program

• adheres to a code of ethics

• obtains professional credentials

• participates in continuing ed activities

Ethics is primarily concerned with the question…

how should we act?

what ethical issue has become a significant concern for RTs and all health care providers due to a congressional act?

patient’s right to privacy

specific guidance in resolving ethical dilemmas is usually provided by

a code of ethics

which ethical principle obliges a RT to uphold a patient’s right to refuse a treatment?

autonomy

a health professional who withholds the truth from a patient, saying it is for her own good, is engaged in what practice?

benevolent deception

the debate over prolongation of life versus relief of suffering in elderly patients mainly involves differing opinions regarding what ethical principle?

beneficence

under what conditions can the principle of confidentiality be breached?

when the welfare of the community or a vulnerable individual is at stake

the moral basis for rationing health care services falls under what ethical principle

distributive justice

when a RT defers a patient’s questions about a condition to the attending physician, what ethical principle is being practiced?

role fidelity

a clinician who justifies support for withdrawing life support from a patient because “in the end, it would be best for all involved” is applying what ethical viewpoint?

consequentialism

what branch of law is concerned with the recognition and enforcement of the rights and duties of private individuals and organizations?

civil

tort

a civil wrong committed against an individual or property, for which a court provides a remedy in the form of damages

a physician who participates in active euthanasia is committing what type of malpractice?

criminal

a nurse who practices below a reasonable standard of care is committing what type of malpractice?

civil

when a practitioner performs a procedure that involves physical contact without the patient’s consent, it can result in what charge?

battery

PHI

protected health information

anyone who knowingly or willfully solicits, receives, offers, or pays directly or indirectly any remuneration in return for Medicare business is guilty of

Medicare fraud

common elements in a professional practice

1. scope of professional practice

2. requirements and qualifications for licensure

3. exemptions

4. grounds for administrative action

5. creation of examination board and processes

6. penalties and sanctions for unauthorized practice