Midterm Review Flashcards
What is the difference between an occupation and a profession?
- An occupation is a broad term, activity that takes up a large portion of your time that earns you money
- A profession is more specialized and requires formal qualification and training
Upon graduating, completing the CAMRT exam, and receiving certification to work in Ontario, what titles can you add after your name? What is the difference between these titles?
- RTR (registered technologist: radiological technology), RTNM (registered technologist: nuclear medicine), RTT (registered technologist: radiation therapy) and RTMR (registered technologist: magnetic resonance imaging)
what are the 8 criteria of a profession?
`1. Vital human service provided to society
2. Specialized body of knowledge that is continuously enhanced
3. Professional responsibility and accountability
4. Education takes place in institutions for higher education
5. Practitioners have an independent function and control their own practice
6. Professionals are committed to their work and are motivated by doing well
7. A code of ethics guides professional decisions and conduct
8. A professional organization oversees and supports standards of practice
How long do you have to write the CAMRT exam, how many questions are there, and what is the method for deciding on a passing score for the exam?
- You have 4 hours to write the exam, it is 185 multiple choice questions and uses the modified angoff method to determine the passing score for the exam each year.
How many best practice guidelines are specific to radiologic technology?
49
What kinds of machines does HARP have jurisdiction over? who can prescribe operation of them? who can operate them?
- Machines that produce ionizing radiation such as x-ray, CT, mammography, fluoroscopy and dental x-ray machines
- Physicians, dentist, chiropractors, chiropodist and nurse practitioners can prescribe operation
- MRTs, physicians, dentists, chiropodists, chiropractors and dental hygenists can operate them
What two pieces of legislation guide the CMRITO policies and regulations?
- The health profession act and the regulated health professions act
What are some exceptions to the RHPA risk of harm clause?
- In the case of an emergency, training under supervision, treating a person by means of religion, treating a member of the person’s household and assisting a person with their routine activities of living
What additional requirements are there to performing an authorized act once you are a certified MRT?
- A member shall not perform a controlled act without a proper order from a person qualified to order them
What are the 7 CMRITO Committees and what is a brief overview of their functions?
- Executive committee – acts as the council between council meetings
- Registration committee – reviews applications from international applicants or applicants who may not meet the requirements
- Inquiries, complaints and reports committee – creates a panel for any complaint, reviews and investigates complaints
- Discipline committee – holds hearings for members’ professional misconduct, make a decision based on evidence
- Fitness to practise committee – conduct incapacity proceedings, investigate whether member can work
- Quality assurance committee – administers the QA program, may impose limits on registration if knowledge, skills and/or judgement are lacking
- Patient relations committee – oversee therapy and support for patients alleging sexual abuse
What are some examples of professional misconduct, and what are some ways you can protect yourself from complaints of professional misconduct?
- Breach of confidentiality, sexual abuse or harassment
- Follow best practice guidelines, document everything, maintain clear and respectful communication
What are the standards of practice of the CMRITO?
- Legislation, standards and ethics
- Equipment and materials
- Diagnostic and therapeutic procedures
- Safe practice
- Relationship with patients
- Professional relationships
- Records and reporting
- Continuing competence
What are 3 qualities that MRT’s are expected to be by the standards?
- Competent, accountable and collaborative
What are the principles of the CMRITO Code of Ethics and why does it exist?
To guide professional decisions and conduct
1. Responsibility to the public
2. Responsibility to patients
3. Responsibility to the profession
4. Responsibility to the colleagues and other health professionals
5. Personal responsibility
What is the primary goal of the CMRITO?
to regulate the profession and protect the public interest
what organization certifies MRTs in Canada?
CAMRT
How often must MRTs complete continuing professional development, and in what quantity?
every year - 25 hours
which act governs healthcare professionals in Ontario?
regulated health professionals act (RHPA)
What is a controlled act?
a procedure that requires specialized training and authorization
what is the primary role of the quality assurance program?
to ensure MRTs maintain competence and improve skills
What does ALARA stand for?
as low as reasonably achievable
Name the controlled acts MRTs are authorized to preform?
- administering substances by injection or inhalation
- tracheal suctioning of a tracheostomy
- administering contrast media, or putting an instrument, hand or finger - beyond the urethra, the labia majora, the anal verge and into an artificial opening of the body
- performing a procedure on tissue below the dermis
- applying a prescribed form of energy
What is a direct order?
must be from a regulated health professional with authority to prescribe
what is a verbal order?
a direct order communicated over the phone or electronically transmitted
designate to accept verbal orders
what must a direct order contain?
must be in writing, dated and authenticated by the ordering professional
what must a verbal order contain?
name of health care professional ordering it, date and time it was ordered and be signed by the individual accepting it
what are medical directives or protocols?
“standing orders”, always written
standardized procedures based on evidence for specific medical situations or conditions
I.e. DNR
What must medical directives/protocols contain?
- a standardized reference number
- what the treatment or range of treatments are
- who may preform this procedure
- require patients conditions
- any circumstances that must be met to preform this procedure
- contraindications
- documentation requirements
- quality monitoring requirements
- name of health professional authorizing this order
- signature of approving personnel and date approved
what is delegation?
the transfer of authority to preform a controlled act
- given by someone who is authorized
- can be given to a regulated health professional or an unregulated individual
MRTs may accept delegation provided….
- the delegator is authorized
- delegator has not been restricted from performing this act
- delegator has knowledge, skills and judgement to perform and delegate the task
- the CMRITO member has the knowledge, skills and judgment to perform the task
- a written record of the transfer and certification of the CMRITO members competence is maintained
- CMRITO member complies with conditions laid by delegator
What are the communication principles developed for CMRITO members?
- talk before you touch
- treat each patient as an individual
- never assume
- reserve judgement
- speak directly to the patient
- maintain confidentiality
create a safe environment
What are the touching principles for CMRITO members?
- assume nothing
- maintain the patients dignity
- show respect for the patient
- do not hurt the patient
- touch only when necessary
- respect cultural diversity
- get patients consent
what must reports of suspected sexual abuse include?
name of person filing report, name of professional alleged to commit the abuse
what are x-ray signs of child abuse?
- posterior rib fractures
- metaphyseal corner fractures (bucket handle fractures)
- diaphyseal fractures in children under 3
- skull fractures
- multiple injuries at different healing stages
what are physical signs of child abuse?
- cigarette burns
- bruises
- behavious
- improbable explanations
what are the steps for obtaining consent?
- determine patients capacity
- if incapable and not an emergency, follow guidelines to substitute decision makerw
what does PHIPA stand for?
personal health information protection act
what does PIPEDA stand for?
personal information protection and electronic documents act
