RCP 703 - Respiratory Care Clinic III

1. Promote professionalism
   1. Promote the respiratory therapy profession
   2. Display professionalism through attitude, communication, appearance and dependability
   3. Develop confidence in abilities, good judgment, and composure in stressful situations
   4. Manage time effectively and develop a workflow
2. Evaluate infection control
   1. Practice infection control by properly donning and doffing personal protective equipment, using the appropriate personal protective equipment when appropriate, and washing/sanitizing hands
   2. Clean and disinfect equipment properly
3. Evaluate ethics in the healthcare setting
4. Support accurate use of the electronic medical record
   1. Document thoroughly in the patient’s medical record
   2. Navigate an electronic medical record to obtain a patient’s pertinent medical and therapeutic history
5. Maintain confidentiality
   1. Abide by all state and federal laws
   2. Abide by all policies at each clinical site
6. Evaluate patient responses to respiratory therapies and make evidence-based modifications to the treatment plan
   1. Recommend treatment based on patient diagnosis
   2. Recommend adjustments in fluid balance and electrolyte therapy
   3. Recommend changes for patient positioning, oxygen therapy, humidification, airway clearance, and hyperinflation
   4. Recommend pharmacological interventions and changes to drug, administration, frequency mode or concentration for medications
   5. Provide respiratory care in high risk situations with supervision
   6. Recommend changes for patient positioning, oxygen therapy, humidification, airway clearance, hyperinflation, and mechanical ventilation
7. Conduct family and patient education regarding safety and infection control, home care and related equipment, lifestyle changes, and disease/condition management
8. Perform routine respiratory care
   1. Perform vital signs assessment
   2. Perform oxygen therapy
   3. Perform airway clearance techniques
   4. Perform suctioning of the airway
   5. Administer aerosolized medications
   6. Provide adequate humidification
   7. Properly draw an arterial blood gas and evaluate the results
9. Assist a physician/provider in performing procedures such as intubation, bronchoscopy, thoracentesis, tracheotomy, chest tube insertion, insertion of arterial or venous catheter, conscious sedation, cardioversion, and withdrawal of life support
10. Perform adult critical care under direct supervision of a respiratory therapist
    1. Recommend insertion or change in artificial airways
    2. Demonstrate the ability to assess and manage artificial airways
    3. Identify abnormal EKG findings, determine appropriate treatments, and apply ACLS guidelines in patient care
    4. Initiate ventilatory support for patients as indicated and monitor response to ensure effective respiratory care
    5. Discontinue treatment safely when clinically appropriate based on patient response
    6. Earn ACLS certification
11. Select appropriate mechanical ventilation strategies
    1. Display competency in making ventilator changes based on oxygenation and ventilation status
    2. Troubleshoot mechanical ventilation and patient synchrony
    3. Wean appropriate patients from mechanical ventilation
    4. Extubate when appropriate
12. Reinforce appropriate use of critical care equipment
    1. Change ventilator circuits
    2. Demonstrate competence in adult care equipment
13. Determine treatment using data obtained from critically ill patients
    1. Interpret critical care data
    2. Recommend changes in the treatment plan
    3. Interpret information from physiologic monitors used in critical care settings