Pima - Communications

Front 1

The patient self determination act of 1990

Back 1

At the time of admission information re: the patient’s right to refuse care or create an advance directive must be dispensed

Front 2

Autonomy

Back 2

Freedom to influence course of life/treatment

Requires the patient to be competent in decision making capacity

patient has the right to choose their own path of medical treatment

Front 3

Preservation of Autonomy

Back 3

Living will

Takes effect when terminally ill, and lacking decision making capacity

Surrogate Decision Makers (power of attorney)

Represents patient’s interests

The primary responsibility of the physician and the RT is to serve the patients best interest.

Front 4

Informed Consent

Back 4

Patient is presented all alternatives so they can make a decision. Patient must be competent

Requirements

Decision making capacity

Voluntariness

Reasonable person standard (act reasonable)

Present all alternatives f/b recommendation

Respect patient refusal of treatment

All surgical and experimental procedures are to be presented

Front 5

What do Respiratory Therapists Do?

Back 5

Apply scientific principles to promote lung health and wellness
Provide patient education
Utilize acquired skills in assessing patient's cardiopulmonary health status

Front 6

What percent of all RT's are employed in the hospitals or other acute care settings?

Back 6

75%

Front 7

The primary duty of the first RT's was to

Back 7

support oxygen therapies

Front 8

The first professional organization for the field of respiratory care was the?

Back 8

Inhalation Therapy Association.

The name was changed to AARC in 1982 (American Association for Respiratory Care)

Front 9

The organization responsible for testing (examination ) in order to be license is the

Back 9

NBRC (National Board for Respiratory Care)

Front 10

Growing trends for respiratory future are

Back 10

Increased use of Respiratory Protocols

Greater demand for patient assessment skills

Increased involvement in smoking cessation programs

Front 11

Educational programs in the US for respiratory are accredited by

Back 11

CoARC - Commission on Accreditation for Respiratory Care

Front 12

Education of respiratory therapist is expected to change over the next decade, to include the requirement for

Back 12

a BS

Front 13

The person considered to be the "father of medicine"

Back 13

is Hippocrates

Front 14

1662 Robert Boyle, a chemist, published a book that described the relationship between

Back 14

gas, Volume, and pressure

Front 15

In 1774, Joseph Priestley described his discovery of oxygen, which he described as

Back 15

"dephlogisticated air."

Front 16

John Dalton described his law of

Back 16

partial pressures in 1801

Front 17

Louis Pasteur

Back 17

advanced his "germ theory" of disease and suggested that some diseases were the result of microorganisms.

Front 18

Wilhelm Roentgen

Back 18

discovered the x-ray

Front 19

Large-scale production of O2 was developed in

Back 19

1907 by Karl von Linde.

Front 20

The Venti mask to deliver a specific FIO2

Back 20

was introduced in 1960

Front 21

Aerosolized steroids first used in

Back 21

in the 1970s to treat acute asthma

Front 22

Aerosolized medication classes

Back 22

Bronchodilators, Mucolytics, Antibiotics

Front 23

Ivan McGill

Back 23

introduced the first "soft" rubber ETT making nasal intubation possible

Front 24

In 1913, the laryngoscope was introduced by

Back 24

Chevalier Jackson

Front 25

PEEP was introduced for ARDS patients

Back 25

In 1967

Front 26

New ventilator mode SIMV

Back 26

(synchronized intermittent mechanical ventilation) was introduced in 1975. It was a friendlier brother to IMV

Front 27

What do medical directors do?

Back 27

Responsible for the clinical function of the department

Front 28

Department Manager Responsibilities

Back 28

Staffing personnel for department
Technical direction of the department
Regulate medications delivered by the RT staff
Check that medical devices function at an appropriate and safe level
Maintain knowledge of changes in medications and delivery devices
Evaluate new devices and methods for effectiveness commensurate with cost
Oversees the policies, procedures, and equipment used to provide safe and effective patient care

Front 29

Completing the required credentialing will allow practice of your profession through

Back 29

government licensure

Front 30

Respiratory Care Protocols

Back 30

Put in place to enhance appropriate allocation of respiratory care services.

This in turn decreases over ordering of respiratory services.

Front 31

Hospital Restructuring and Redesign

Back 31

An attempt to do more patient care with less overhead
Common approaches include
Cross training employees
using unlicensed assistive staff
Downsizing and decentralizing high budget labor intensive services (patient-focused care)
Training multi-skilled personnel to perform basic patient care

Front 32

Patient Focused Care Model

Back 32

Limited by expense of relocating radiology, pharmacy, and laboratory services to nursing units

Front 33

Disease Management

Back 33

Refer to an organized strategy of delivering care to a large group of individuals with chronic disease to improve outcomes and reduce costs

Front 34

Meta-Analysis

Back 34

Researchers carefully review of available studies/literature on a single topic then gives more weight to the more rigorous ones, then makes recommendations

Front 35

Safety key areas of risk

Back 35

Key areas of risk include
Patient movement and ambulation
Electrical hazards
Fire hazards

Front 36

The power potential behind the electrical energy

Back 36

voltage

Front 37

What is the primary factor and greatest danger when electrical shorts occur?

Back 37

Current

Front 38

Current is reported in

Back 38

Ampheres

Front 39

What is the most sensitive organ to shock?

Back 39

The heart

Front 40

What keeps dangerous voltage levels from building up in the equipment?

Back 40

A ground - A low resistance pathway to the point of zero voltage

Front 41

Low resistance in patient care can include

Back 41

External pacemaker wires
Saline IV lines
Moist skin (febrile)

Front 42

Three conditions must exist for fire to start:

Back 42

Fuel (something to burn)
Oxygen
Heat

Front 43

RACE - the core fire plan

Back 43

R - Rescue patients in the immediate area of the fire
A - Alert other personnel to the fire
C - Contain the fire; shut doors to prevent spreading of the fire.
E - Evacuate other patients and personnel

Front 44

Improving Effective Communication

Back 44

Share information rather than telling it
Seek to relate to people rather than to control them
Value disagreement as much as agreement
Use effective nonverbal communication techniques

Front 45

The practitioner as an Active Listener

Back 45

The practitioner as an Active Listener
Work at being a good listener.
Stop talking. Avoid interrupting the speaker.
Resist distractions. Tune them out.
Keep your mind open; be objective
Hear the speaker out before making an evaluation
Maintain composure; control emotions