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0
Q

AD

A

Advanced directive: mechanism enabling a mentally competent person to plan a time when he lacks the mental capacity to make medical treatment decisions

Only in effect when he becomes incompetent to speak for himself

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1
Q

Professional misconduct for failure to comply with consent legislation

A

1 revocation of the certificate of registration
2 suspension of the certificate of registration for a specified period of time
3 imposition of terms, limitations or conditions in their certificate of registration
4 appearance before the panel for anrepriman
5 a fine up to 35 000

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2
Q

Living will

A

A document in which the person makes an anticipatory refusal of life pro longing measures during a future state of mental. Incompetency

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3
Q

Instructional directive

A

Maker spells out specific directions to govern his care

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4
Q

Proxy directive

A

He appoints someone as his medical care agent to make treatment decisions on his behalf

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5
Q

The following people may not act as witnesses for the power of attorney (proxy directive)

A

The proxy
The spouse or partner of patient or proxy
A child of the patient
Anyone who him or her has a legal guardian
Anyone who is less than 18

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6
Q

DNR

A

Do not resuscitate.
Very specific type of instruction advance directive that contains wishes for only one treatment (CPR) in only one health state (current health)

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7
Q

The most important essential skills for respiratory therapists are

A

Numeracy
Oral communication
Decision making

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8
Q

Communication skills for rts

A

Explaining diagnosis, investigation and treatment
Communicating with relatives
Communicating with other health care professionals
Seeking informed consent and clarification for a procedure
Dealing with anxious patients or relatives
Giving instructions in discharge

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9
Q

Communication skills

A

Verbal and non verbal words, phrases, voice tones, facial expressions, gestures, and body language that you use in the interaction between you And another person

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10
Q

Verbal communication

A

The ability to explain and present your ideas in clear English, to diverse audiences

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11
Q

Oral communication requires the background skills of

A

Presenting
Audience awareness
Critical thinking
Body language

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12
Q

Non verbal communication

A

The ability to enhance the expression of ideas and concepts without the use of coherent labels, through the use of i love you beebee language, gestures, facial expression, and tone of voice. Also the use of pictures and icons and symbols

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13
Q

Non verbal communication requires the background skills such as

A

Audience awareness
Personal presentation
Body language

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14
Q

Communication process

A

Sender
Messenger
Receiver

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15
Q

Purpose of health records and documentation

A 
Communication
Continuity of care
Professional accountability
Research
Quality improvement
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16
Q

Principles of health records

A 
Clear, concise, comprehensive and cohesive
Accurate
Relevant
Objective
Permanent
Logical
Chronological
Timely
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17
Q

Standards of health records

A 
What happened
To whom it happened
By whom it happened
When It happened
Where it happened
Why it happened
The result of what happened
That the documentation was entered in a manner that prevents or deters alteration
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18
Q

The health record belongs to

A

The institution that compile them

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19
Q

Content of patient health record

A

A unique identifier, health number
The patients name, dob, gender, adress
The day and time for each patient contact
Information about every examination, assessment, intervention, diagnostic procedure performed
Information about a procedure or plan of care that was started and then incompleted, including the reasons why
Consent

20
Q

General charting rules

A 
Printed or handwritten in blue or black
End entry with signature and credential
Do not use ditto marks
Do not erase. Use "error"
Record after completing each task
Record exact time, effect and results
Late entries must be noted with "late entry" at the beginning
No blank lines, cross out
Use standard abbreviations
Use present tense
Spell correctly, use med term
21
Q

Medical terminology

A

A language for accurately describing the human body and associated components, conditions, processes, and process in a science-based manner

22
Q

A systemic approach to word building and term comprehension is based on the concept of

A

Word root
Prefix
Suffix

23
Q

Some challenges with the Electronic health record

A 
Security/access to information
Privacy and confidentiality 
The protection of critical information
How health info is backed up and stored
Sharing of info/transfer of electronic information
24
Q

Charting formats

A 
Traditional
 POHR
Focus charting
SBAR
CBE
25
Q

POHR

A

Problem-oriented health record

26
Q

CBE

A

Charting by exception

27
Q

Traditional

A

Narrative document
Rt actions and patients responses are recorded in chronological order and reflect the care given during the time frame
Recorded in or gores notes and flow sheets

28
Q

SOAP note

A

Subjective, objective, assessment, plan
S-info obtained from the patient, relative or similar source
O-objective: information based on caregivers observations, assessments and tests
A- analysis of the patients problem
P- action to be take

29
Q

Focus charting

A

DAR
D- data: subjective and or objective information that supports the stated focus or describes RT observations at the time of significant event
A- action: immediate or further actions on the rts assessment of the clients condition
R- response: description of clients response to both medical and nursing care

30
Q

SBAR

A

S situation: describe what is going on now
B background: deliver a concise history
A assessment: describe your findings
R recommended: what you suggest needs to happen

31
Q

Preparing an SBAR report

A

Before calling a physician:
1. Assess the patient
2. Review the chart for the appropriate physician to call
3. Know the admitting diagnosis
4. Read the most recent progress from prior day from nurse observ.
5. Have available when speaking with the physician
Chart
Medications
Iv fluids
Allergies
Labs and results

32
Q

Charting by exception

A

Short handed documentation
Patient is evaluated captains the well defined standards, norms, outcomes and progress toward the outcomes
Based on the premise “all standards have been met with a normal or expected response unless documented otherwise”

33
Q

RTA

A

Respiratory therapy act

34
Q

RHPA

A

Regulated health professions act

35
Q

PHA

A

Public hospitals act

Requires an order for every treatment and diagnostic procedure

36
Q

IHFA

A

Independent health facilities act
Requires an order for all examinations, tests, consultations and treatments

The PHA AND IHFA may require an order for an activity that it not a controlled act

37
Q

Order

A

An order is only authority to undertake an intervention if the circumstances are appropriate and, in your professional judgement, it is appropriate to undertake the intervention

38
Q

Valid order

A 
When the order is given
Who the order is for
Who the prescriber is 
What is being ordered (detailed prescription)
When the order is to be carried out
How the order is to be carried out
39
Q

Verbal orders

A

Must be transcribed immediately

Must be countersigned by the prescriber or authenticated by another form of signed paperwork

40
Q

What’s wrong with verbal orders?

Communication difficulties:

A

Present more room for error

  1. accents, dialects and pronunciations
  2. backgorund noise
  3. unfamiliar drug name and terminology
41
Q

Common problems with verbal communication

A

Wrong drug
Wrong dose
Wrong lab results

42
Q

Who can an RRT take orders from?

A

The college of physicians and surgeons of ontario
The royal college of dental surgeon of ontario
The college of midwives in ontario
The college of nurses in ontario (only if extended class, nurse practitioner)

43
Q

Types of orders

A

Direct orders
Therapist driven protocols
Medical directive

44
Q

Direct orders

A

An order or prescription for care written by an individual prescriber for a particular patient for a specific treatment or intervention at a specified time.
Written verbal or phone

45
Q

Therapist driven protocols

A

Type of direct order to be i,plume red by an RT
RT driven protocols outline the framework and provide guidance for rts to deliver care only to the specific patient/client they are ordered for
A ventilation weaning protocol is a common example of an rt driven protocol

46
Q

Medical directive

A

A medical order for a specified range of pateints who meet specific conditions

47
Q

The essential elements of a properly constructed medical directive include:

A
  • the name and description of procedure, treatments, or intervention being offered
  • specific patient conditions that just be met before procedure can be implemented
  • circumstances which must exist before the procedure can be implemented
  • comprehensive list of contraindications to performing the procedure
  • a list of HCP’s that may implement the procedure
  • the health care provider authorizing the medical directive
  • a list of administrative approvals from the facility with dates and signatures
48
Q

Delegation

A

Transfer of legal authority to perform a controlled act to s person not authorized to perform said controlled act.
Often refers to transfer of authority to perform procedures involving controlled acts.
Delegation is a process.

Professional Issues (2 decks)

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