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Father of Medicine
Hippocrates
Aristotle
first person to use bellows to force people to breathe
Leonardo da Vinci
responsible for the development of oxygen tanks
Joseph Black
described properties of CO2
Joseph Priestly
discovered oxygen
Louis Pasteur
responsible for pasteurization and advancing his "germ theory"
William Roentgen
discovered x-rays
Karl von Linde
developed large-scale production of O2
NBRC (National Board for Respiratory Care)
offers certification and registry examination for RTs
The Joint Commission (TJC)
a national agency that conducts surveys of inpatient and ambulatory facilities and certifies their compliance with established quality standards
CoARC
professional organization that accredits respiratory care schools and programs
AARC (American Association for Respiratory Care)
organization that promotes professional excellence , advances science and practice of respiratory care and serves as advocate
Foralism
relies on rules and principles
Consequentialism
an ethical system that determines the level of goodness or evil from the effect or result of an act; decisions are based on consequences
Virtue Ethics
a moral theory that focuses on the development of virtuous character; asks what a "virtuous person" would do
Intuitionism
is when intuition is involved in the decision-making process
Autonomy
patients personal liberty and their right to decide their own course of treatment; informed consent
Veracity
binds health care providers and patients to be truthful
Non-maleficence
requires health care providers to avoid harming patients
Beneficence
-raises “do-no-harm” requirement to higher level
-dilemmas from this resulted in “advanced directives”
Justice
fair distribution of care
Disruptive justice
the perceived fairness of how resources and rewards are distributed
Compensatory Justice
individuals should be compensated for the cost of their injuries by the party responsible
Role Duty (Fidelity)
practice within scope
Criminal Law (Public Law)
-deals with regulation and enforcement of rights
-deals with acts against welfare and safety of public
Administrative law (Public Law)
the body of law that regulates the operation and procedures of government agencies
Civil Law
protects citizens from others who might seek to take unfair advantage
Criminal Malpractice
includes crimes such as assault and battery or euthanasia
Euthanasia
the act of painlessly killing a suffering person or animal; mercy killing
Civil Malpractice
includes negligence or practice below a reasonable standard
Ethical Malpractice
includes violations of professional ethics and may result in censure or disciplinary actions by licensure boards
Tort Law
involving an act that brings harm to a person or damage to property
Negligent Tort
occurs when the defendant fails to act in a responsible way and thereby subjects other people to an unreasonable risk of harm
Intentional Tort
a wrongful act knowingly committed
Economic Damages
awarded for economic loss
Noneconomic Damages
compensatory damages for such losses as pain and suffering, mental anguish, and loss of physical abilities
Punitive Damages
awarded to punish wrongful conduct and deter future unlawful conduct
Most frequent causes of professional discipline
•substance abuse
•domestic violence
•sexual abuse
•gross incompetence
Ethical dilemmas RTs face
•staffing issues
•dealing with conflicts with third parties
•delivery of the appropriate standard of care
•rationing of care
Qualitative Research
informal research methods, including observation, following social media sites, in-depth interviews, focus groups, and projective techniques
Quantitative Research
research that collects and reports data primarily in numerical form
R.A.C.E
rescue, alarm, contain, extinguish
P.A.S.S
Pull, Aim, Squeeze, Sweep
Nosocomial Infection (HAI)
an infection acquired during hospitalization
How are nosocomial infections transmitted?
direct contact between staff members and patients and between patients
Steralization
complete destruction of all forms of microbial life
Disinfection
process used to destroy microorganisms; destroys all pathogenic organisms except spores
Factors affecting communication
•internal factors: cultural beliefs, listening habits, feelings
•verbal expressions: language barrier, voice tone, choice of words
•nonverbal expressions: body movement, facial expressions, professionalism
•environmental factors: noise, privacy, distance
•sensory/emotional factors: fear, stress, anxiety
Purpose of health communication
for effective and accurate delivery of medical information within the hospital, thus making evaluation and treatment more effective
Contact Transmission: Direct
person to person
Contact Transmission: Indirect
involves touching of contaminated objects used by an infected person
Droplet Transmission
transfer via respiratory droplets: coughing, sneezing, talking
Airborne Transmission
•the spread of an organism in aerosol form
•requires use of a N-95 mask
Vehicle Transmission
transmission by an inanimate reservoir (food, water, air)
Vector-borne Transmission
disease transmitted from insects and rats and other vermin