quality & professional development and ethics

Question 1

Joseph Priestley

Answer 1

discovered oxygen

Question 2

Antoine Laviosier

Answer 2

named oxygen

Question 3

John Emerson

Answer 3

• “iron lung” volume ventilator
• started with polio epidemic
• moved thoracic cage to create negative pressure

Question 4

Forrest Bird

Answer 4

created Bird Mark 7 positive pressure ventilator

Question 5

Thomas Petty

Answer 5

worked with ARDS and PEEP

Question 6

Clark electrode

Answer 6

way to measure blood oxygen levels

Question 7

Drinker

Answer 7

helped with iron lung

Question 8

Emerson

Answer 8

commercialized iron lung

Question 9

Drager

Answer 9

created early positive pressure ventilator

Question 10

Bennett

Answer 10

• Bennett March Piston Ventilator
• PR-2
• MA-1
• Bennett 7200

Question 11

Jackson

Answer 11

one of the first to use laryngoscopes

Question 12

Haight

Answer 12

one of the first to use suctioning

Question 13

Murphy

Answer 13

one of the first to use ET tube with Murphy eyes/double-lumen ET

Question 14

low pressure cuffs

Answer 14

used to reduce damage to trachea by the tube cut off

Question 15

PFT

Answer 15

pulmonary function testing –> wide range of diagnostic procedures to measure and evaluate lung function

Question 16

Inhalation Therapy Association

Answer 16

• 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

Question 17

American Association for Inhalation Therapists

Answer 17

ITA became this organization in 1954 (AAIT)

Question 18

Michigan Society for Respiratory Care

Answer 18

• MSRC
• chartered affiliate of AARC
• Sputum Bowl
• State meetings

Question 19

National Board for Respiratory Care

Answer 19

• NBRC

- credentialing exams

Question 20

Commission on Accreditation for Respiratory Care

Answer 20

• CoARC
• accreditation agency for schools
• 10 year accreditation process
• outcome based
• self-study/site visits
• surveys

Question 21

The American Association for Respiratory Care

Answer 21

• AARC
• serves as an advocate for the profession to legislative and regulatory bodies, insurance industry, and general public
• pushed for state licensure
• continuing education

Question 22

American Respiratory Care Foundation

Answer 22

• ARCF
• not-for-profit charitable foundation helps promote and further mission of AARC
• grants and scholarships

Question 23

The AARC Times

Answer 23

monthly news magazine

Question 24

Respiratory Care Journal

Answer 24

monthly science journal

Question 25

The National Board for Respiratory Care

Answer 25

- NBRC - credentialing exams: certification (entry level), written registry, clinical simulation, neonatal/pediatric specialist, PFT, New Critical Care Specialty exam - computerized in 2000

Question 26

Publications

Answer 26

- Advance: advenceweb.com - Focus: focus.com - RT Magazine- rtmagazine.com

Question 27

Chicago- education

Answer 27

- started as hospital programs - went on to colleges/universities - Joint Review Committee for Inhalation Therapy Education (JRCITE)

Question 28

Accreditation of schools

Answer 28

- physician support- AMA - JRCITE- 60s formed by the AMA - CoARC- 90s

Question 29

licensure

Answer 29

- purpose: to provide public safety - 49 states including MI - Requires: CRT, CEU's, $$ - scope of practice AARC

Question 30

Diagnosis-related Group (DRG)

Answer 30

- Diagnosis-based pay: regardless of care rendered - -> staff cuts - -> patients sent home sooner - -> RTs no longer able to charge per procedure

Question 31

Decentralization

Answer 31

- departments merged | - patient-focused care: combined care/cross-training

Question 32

quality assurance

Answer 32

- competencies - QA plan - hospital accreditation - customer service training

Question 33

clinical pathways

Answer 33

disease-based guidelines

Question 34

clinical practice guidelines

Answer 34

procedure-based

Question 35

evidence-based medicine

Answer 35

- approach to therapeutic treatment based upon proven methods: - -> review of the evidence - -> analysis of the evidence - -> disciplined approach

Question 36

respiratory care departments consist of

Answer 36

- medical director - technical manager --> director - clinical coordinators --> unit specific - therapists --> charge therapist

Question 37

HIPAA- 1996

Answer 37

- patient confidentiality | - Health Insurance Portability and Accountability Act

Question 38

AARC Statement of Ethics and Professional Conduct

Answer 38

the RT is bound by ethical and professional principles

Question 39

patient rights vs professional duty

Answer 39

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

Question 40

scope of practice

Answer 40

the extent to which the group is willing to direct its own development and regulate its own activities --> Good Samaritan law

Question 41

discipline

Answer 41

causes for discipline: - substance abuse - domestic abuse - sexual abuse - gross incompetence

Question 42

advanced directives

Answer 42

the right of competent adults to exercise choices concerning their health care