quality & professional development and ethics Flashcards
Joseph Priestley
discovered oxygen
Antoine Laviosier
named oxygen
John Emerson
- “iron lung” volume ventilator
- started with polio epidemic
- moved thoracic cage to create negative pressure
Forrest Bird
created Bird Mark 7 positive pressure ventilator
Thomas Petty
worked with ARDS and PEEP
Clark electrode
way to measure blood oxygen levels
Drinker
helped with iron lung
Emerson
commercialized iron lung
Drager
created early positive pressure ventilator
Bennett
- Bennett March Piston Ventilator
- PR-2
- MA-1
- Bennett 7200
Jackson
one of the first to use laryngoscopes
Haight
one of the first to use suctioning
Murphy
one of the first to use ET tube with Murphy eyes/double-lumen ET
low pressure cuffs
used to reduce damage to trachea by the tube cut off
PFT
pulmonary function testing –> wide range of diagnostic procedures to measure and evaluate lung function
Inhalation Therapy Association
- ITA
- founded in 1947
- 59 charter members
- professional advancement
- foster cooperation with physicians
- advance knowledge of IT via education
- forum to discuss the clinical application of O2, patient care and art/science of IT
American Association for Inhalation Therapists
ITA became this organization in 1954 (AAIT)
Michigan Society for Respiratory Care
- MSRC
- chartered affiliate of AARC
- Sputum Bowl
- State meetings
National Board for Respiratory Care
- NBRC
- credentialing exams
Commission on Accreditation for Respiratory Care
- CoARC
- accreditation agency for schools
- 10 year accreditation process
- outcome based
- self-study/site visits
- surveys
The American Association for Respiratory Care
- AARC
- serves as an advocate for the profession to legislative and regulatory bodies, insurance industry, and general public
- pushed for state licensure
- continuing education
American Respiratory Care Foundation
- ARCF
- not-for-profit charitable foundation helps promote and further mission of AARC
- grants and scholarships
The AARC Times
monthly news magazine
Respiratory Care Journal
monthly science journal
The National Board for Respiratory Care
- NBRC
- credentialing exams: certification (entry level), written registry, clinical simulation, neonatal/pediatric specialist, PFT, New Critical Care Specialty exam
- computerized in 2000
Publications
- Advance: advenceweb.com
- Focus: focus.com
- RT Magazine- rtmagazine.com
Chicago- education
- started as hospital programs
- went on to colleges/universities
- Joint Review Committee for Inhalation Therapy Education (JRCITE)
Accreditation of schools
- physician support- AMA
- JRCITE- 60s formed by the AMA
- CoARC- 90s
licensure
- purpose: to provide public safety
- 49 states including MI
- Requires: CRT, CEU’s, $$
- scope of practice AARC
Diagnosis-related Group (DRG)
- Diagnosis-based pay: regardless of care rendered
- -> staff cuts
- -> patients sent home sooner
- -> RTs no longer able to charge per procedure
Decentralization
- departments merged
- patient-focused care: combined care/cross-training
quality assurance
- competencies
- QA plan
- hospital accreditation
- customer service training
clinical pathways
disease-based guidelines
clinical practice guidelines
procedure-based
evidence-based medicine
- approach to therapeutic treatment based upon proven methods:
- -> review of the evidence
- -> analysis of the evidence
- -> disciplined approach
respiratory care departments consist of
- medical director
- technical manager –> director
- clinical coordinators –> unit specific
- therapists –> charge therapist
HIPAA- 1996
- patient confidentiality
- Health Insurance Portability and Accountability Act
AARC Statement of Ethics and Professional Conduct
the RT is bound by ethical and professional principles
patient rights vs professional duty
two components of professional practice –> principles of autonomy, beneficence, and justice must be exercised. In every duty is a reciprocal patient right
–> right to autonomous choice, not to harmed, and fair and equitable treatment
scope of practice
the extent to which the group is willing to direct its own development and regulate its own activities
–> Good Samaritan law
discipline
causes for discipline:
- substance abuse
- domestic abuse
- sexual abuse
- gross incompetence
advanced directives
the right of competent adults to exercise choices concerning their health care
