Chapter 2 Delivering Evidence-Based Respiratory Care – Flashcards
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Medical Director Responsibility? Ensure? They are usually what type of physician? Skills required?
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-responsible for clinical function of department. -Ensure that the care being provided is appropriate. - Usually pulmonologist/critical care physician or anesthesiologist. -They must possess administrative, leadership, and medical skills
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The quality of RTs depends primarily on...
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education, training, professionalism, experience
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What are the two levels of general practice credentialing in respiratory care?
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Certified Respiratory Therapists (CRT) Registered Respiratory Therapists (RRT)
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Committee on Accreditation for Respiratory Care (CoARC)
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accredits educational programs
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Credentialing
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a general term that refers to recognizing individuals in particular occupations or professions
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What is required to be eligible for credentialing
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individuals must graduate from CoARC approved education program
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Licensure
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the process in which a government agency gives an individual permission to practice an occupation.
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Certification
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a voluntary, nongovernment process whereby a private agency grants recognition to an individual who has met certain qualification.
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National Board for Respiratory Care (NBRC)
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an independent national credentialing agency for individuals who work in respiratory care and related services.
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Who provide credentialing for CRT, RRT, CPFT, RPFT, NPT
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NBRC
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CPFT
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certified pulmonary function technologist
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RPFT
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registered pulmonary function technologist
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NPS
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neonatal pediatric specialist
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Technical Direction Role? Responsibility?
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-the manager of a respiratory care department. - oversees policies, procedures, and equipment used to provide safe and effective patient care.
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Respiratory care protocols is also known as
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therapist-driven protocols
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Define respiratory care protocols
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are guidelines for delivering appropriate respiratory care treatments and services.
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What is required for a successful respiratory care protocol program
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active and committed medical direction capable RTs collaboration with physicians and nurses careful monitoring responsive hospital environment
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Who approves the respiratory care protocol
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American College of Chest Physician (ACCP)
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Elements of an acceptable respiratory care protocol
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clearly stated objectives outline that includes an algorithm description of alternative choices at decision and action points description of potential complications and corrections description of endpoints and decision points at which the physician must be contacted protocol program
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Respiratory Therapy Consult Service
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a comprehensive approach for using protocols combines with specific protocols
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Evidence-based medice
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an approach to determine optimal clinical management based on several practices: 1. a rigorous and systematic review of available evidence 2. a critical analysis of available evidence to determine what conclusions are most sound and applicable 3. a disciplines approach to incorporating the literature with personal practice and experience
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Single case studies
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simples, least rigorous
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Case series
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collection of patients with similar clinical features
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cohort studies
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comparing two groups, greater scientific rigor
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randomized controlled trials
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ideal, most rigorous evidence
