Respiratory care science (test 1)
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Created by:
Kholloway1119 on September 17, 2011
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88 terms
Terms | Definitions |
|---|---|
 increased _________ & ___________ have contributed to an increase in the number of smokers, an increase in the amount smoked per person, and an increase in lung disease | stressful living and great advertising |
| research in the areas of ______, ______, and ________ of lung disease has meant patients live longer but may be sicker for a longer period of time | cause, diagnosis, and treatment |
| the description of duties of non-nurse workers | cleaning and processing equipment, manipulation of machine controls, oxygen delivery, and ensuring safe conditions |
| during WWII there was a major _______ in the development of equipment | increase |
| _________ created a breathing valve used by pilots to prevent hypoxia at high altitudes | Bennett |
| purpose was for education of fellow therapist and the public about lung disease | inhalation therapy association (ITA) |
| fight for us on every level to make sure standards are there and we get reimbursed | american association of respiratory care (AARC) |
| responsible for board exams and credentials | national board for respiratory care (NBRC) |
| every __ years the NBRC surveys everyone in every field of respiratory care | 5 |
| exam matrix changes every __ years | 5 |
| credentials last for __ years. After 5 years you have to turn in CEU's (continuing education units) | 5 |
| 2 parts of clinical simulation | information gathering and decision making |
| have to pass ___ before you can take RRT | CRT |
| committee on accreditation for respiratory care | CoARC |
| CRT | certified respiratory therapist |
| RRT | registered respiratory therapist |
| 2 parts for your RRT | written (120 questions, graded on 100) and clinical simulation |
| CPFT | certified pulmonary function technician |
| RPFT | registered pulmonary function technologist |
| NPS | neonatal pediatric specialty |
| works with people who have sleep apnea | registered polysomnography technician |
| important because if it's not written, it didn't happen | record keeping |
| there's a set reimbursement and a mean (average) length of stay | DRG (dianosis related group) |
| as a respiratory therapist you can | assess your patient well, discontinue therapy thats not needed, cut waste, and make sure every diagnosis is listed |
| high expectations of consumers, increased technology leads to greater expectations in cases that may not be successful, increasing interdependence of healthcare teams, and increased recognition that the respiratory therapist has knowledge, skill, and responsibility | reasons for increasing litigation |
| clinicians in practice for less than 3 years or more than 15 years | high risk clinician |
| lack experience, independent judgement, and they have limited knowledge of the standards of care, limited assertiveness, unsure of chain of command | new clinicians |
| may be resistant to new techniques and equipment, rely on established time honored practice, they may be protective of incompetent colleagues | seasoned clinician |
| may not practice according to department standards, may accept an assigment that they're not capable of, lack knowledge of the scope of practice | new graduate |
| your _____ and ______ determines your scope of care | license and hospital |
| clinicians that do not chart accurately, or in a timely manner | absence or evidence of follow-up actions and patient status after a side effect, altered or falsified entries |
| white out, erasable pens and pencils are not acceptable to chart with; the only way to change an entry in the chart is to... | draw a line through it and initial |
| sudden, unexpected deterioration in the patient's condition, patient injuries, equipemtn failures: because of human error, unresolved disagreement in patient management, failure of staff to respond in a timely manner, gossip | situations resulting in litigation |
| unforeseen event that occurs without the will or design of the person whose act caused it | accident |
| natural happening that occurs without human action (something we can't predict) | act of God |
| the threat of force to injure another person | assault |
| the use of force to injure another person | battery |
| failure to complete an assignment that is legal and agreed upon | breach of duty |
| expected level of care that would be rendered under similar circumstances | standard of care |
| concurrence of wills or an act of reason. It is a voluntary agreement by a person in the possession of sufficient mentality to make an intelligent choice to do something proposed by another | consent |
| consent by signs, actions, inactions, or silence that raises the presumption that consent has been given | implied consent |
| ______ procedures have to have written consent | invasive |
| negligence when set up as a defense shows the plaintiff was guilty of contributing to their own injury | contributory negligence |
| license or other document stating competence | credential |
| legal obligation to perform a service or to act in a particular way | duty |
| general agreement of expert opinion as to how one should conduct professional standards | ethics |
| bound or obliged in law, responsible, chargeable | liability |
| any professional misconduct or unreasonable lack of skill | medical malpractice |
| any manifestations by words or other conduct by one person to another that is an assertion that's not in accordance to the facts | misrepresentation |
| omission of doing something that a reasonable person would do (failure to take correct action, failing to take any action, doing the wrong thing all together, or doing the correct thing at the wrong time) | negligence |
| intentional failure to perform according to a standard in disregard to the result of those actions | gross negligence |
| neglect or failure to do an act as a person should do. This term is usually used in reference to a failure to perform a duty to the public and someone sustains injury | nonfeasance |
| wrongful confinement or conduct that limits the freedom of another | false imprisonment |
| written | liable |
| oral | slandar |
| the patient has a right to expect all information will be kept private | invasion of privacy |
| set of general principles and rules developed to bring about a desire or ideal result | code of ethics |
| patient's right to decide on their own course and follow through with that plan | autonomy |
| patient can exercise free will without coercion, duress, or deceit | informed consent |
| binds both the healthcare worker and the patient to tell the truth | veracity |
| exception to veracity | benevolent deception |
| benevolent deception | when the truth would harm |
| obligation not to harm the patient and to protect them from harm. Does not include secondary side effects from medication | nonmaleficence |
| goes beyond not harming the patient but actively contributes to their well-being (quality of life issues are included in this/ a living will is the best case scenario) | beneficence |
| you cannot reveal confidences entrusted to you in the course of medical attendance or any observations made about the character of a patient unless required by law (if you know the patient is intending to harm someone) or to protect the welfare of another person in the community (person with HIV intending to infect as many people as they can) | confidentiality |
| social trading of patient information is ______ | gossip |
| social trading is ______, _______, and ________ | illegal, immoral, and unethical |
| like cases should be treated alike | justice |
| taking care of patients in order of age (youngest to oldest) | socialized medicine |
| 3 classifications of malpractice | criminal, civil, and ethical |
| includes assault, euthanasia | criminal malpractice |
| negligence that falls below a standard or care | civil malpractice |
| violations of professional ethics (results in board hearing and loss of license) | ethical malpractice |
| nurse sleeping and not checking on patient/ charting that you gave medicine but not really giving it is an example of | civil malpractice |
| working without a license, working with someone that doesn't have a license and not reporting it, or drugs is an example of | ethical malpractice |
| when something happens that should have been foreseen | negligence |
| you owe a legal duty to the patient, standard of care falls below what is owed to the patient, there is a time frame that they have to file the lawsuit | 3 elements for a malpractice lawsuit to be valid |
| means injury happened regardless of care (this is usually used for manufactures) | strict liability |
| is more serious than negligence because the defendant intended to do something wrong (deceit, duress, invasion of privacy, infliction of mental distress, assault and battery, this includes slander and liable) | intentional tort |
| if you force a patient to take a treatment that they have refused it is _________ | battery |
| if a third person hears your conversation it can be considered ________ | slander |
| the doctor orders the wrong dosage of medicine, you give the medicine, and the patient dies (doctor, therapist, nurse, and pharmacist are in trouble) | civil lawsuit |
| how to avoid a civil lawsuit | document well, if not sure of an order call the doctor, if you're not satisfied with the answer call your supervisor, medical director, and don't give medicine |
| both the plaintiff and the defendant lawyers will be there | deposition |
| your license gives you a general guideline for practice | scope of practice |
| applies to situations outside the hospital if you're practicing under your scope of care | Good Samaritan Act |
| when you can stop giving CPR | someone of equal or higher education comes along, unsafe scene, you're exhausted |
| if you don't have malpractice insurance you won't be sued | myth |
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