Egan’s fundemenat of respiratory care – Flashcards
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medical director
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The physician who helps manage your department
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JCAHO
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body that reviews health care companies such as hospitals
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credential
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recognition
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quality
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Characteristic reflecting excellence
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NBRC
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Credentializing organization for respiratory care
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egan
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original author of your textbook
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License
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permission to pracice
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poor
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someone like you
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OJT
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Informal training in the work place
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FDA
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Agency that regulates drugs
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driven
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Therapist driven protocols
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CQI
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Improvement that is ongoing in nature
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Accp
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The collegen of chest doctors
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providing quality care to patient;name three elements are part of quality respiratory care
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personnel, equipment, method or manner in which care is provided
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Quality must be monitored;name two monitoring strategies
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Hospital-based quality,programs as mandated by TJC
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How can protocols enhance the quality of RT care
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by reducing misallocations,such as overordering,reduce costs,
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Four essential components of disease management programs
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1.integrated health care that can cross full range of patient needs
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Evidence-based medicine have methods for analyzing data and making decisions.
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1. rigorous and systematic review of available evidence 2.Analysis of evidence to determine guidelines for clinical practice 3.incorporate literature into practice
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Who are responsible for the clinical funtion of the respiratory care department
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medical derector
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Ordering too many respiratory care servicesis called
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Missallocation and it hinders delivery of quality care
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guidelines foe delivering appropriate respiratory care services called
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protocol
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What is highest credential in the profession of RC
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registered ( RRT)
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Respiratory care credentialing examination are administered by the
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National Board for respiratory care NBRC
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What is personnel cross-training
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is the method most freqquently cited as the optimal strategy for decreasing redundancy of patient care activities
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Continuous quality improvement
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an ongoing form of quality assurance that puts emphasis on quality and cost-effectiveness
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what is two major forms credentialing in health fields
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LIcensure and voluntary credentialing
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What are the clinical signs of hypoix/hypoxemia Name at least three?
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SOB, Tachycardia, diaphoresis confusion etc.
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when using the oxgyen therpy protocol, how do determ if the oxygen therapy is appropriate for this patient
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The pulse oximeter shows a good saturation. The patients has no clinical signs of hypoxemia and no history that suggest heart or lung disease.The RR and heart rate are normal. than oxygen therpy is not indicated
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notWhat action would you recommend with the above question at this time
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place the patient on room air and recheck the saturation. Thehistory of abdominal surgery suggests starting the patient on postoperative protocol like a incentive spiromey. Discontinue the O2 if room air saturations are good
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Use the algoorithm in Figuure 2-1, P23
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The patient has a history of smoking and lung disease and has had surgery. His radiograph shows atelectasis. He is wheezing so he needs a bronchodilator. Step 1. patient is alert Step 2.Can take a deep breath Step 3.Does not meet MDI perform criteria breath hold Step 4.SElect SVN
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NBRC questions:18. Apatient with chronic obstruc tive pulmonary disease complains difficuly breathing when he is ambulating. His Spo2 is 88% at rest. Which of the following would you recommend
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A. oxygen therapy B. PEEP THERAP C.antibiotic therapy D.aerosolized brochodilator therapy
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19. An alert 18-year-old patient is admitted with difficuly breathing. A diagnosis of asthma is determined,and you areed to instruct the patient in the use of an MDI. An MDI is a device used for
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A. oxygen therapy B. peep therapy C. antibiotic therapy D. aerosolized bronchodilator therapy
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20. A patient with pneumonia is receving oxygen via nasal cannula at 2l/min. The Spo2 is is 89%, heart rate 110,and respiratory rate 24. Which of the follow would you recommend?
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A. Increase the lter-per-minute flow to the cannula
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21. Incentive breathing device are primarily used in the treatment of
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B. postoperative patient
