To help, we created this study guide with practice questions that are designed to make the learning process easier. So if you’re ready, let’s get started.
What Does it Mean to Deliver Evidence-Based Respiratory Care?
In order to provide high-quality Respiratory Care, it needs to be backed by studies and evidence that support the most relevant underlying goals.
Evidence-based studies have shown that there are certain systems that are better than others when it comes to delivering high-quality Respiratory Care to patients. It takes into consideration the following:
- Medical Direction
- Technical Direction
Respiratory Care protocols and systems help improve patient outcomes while ensuring that the highest quality of care is delivered to the patient.
To learn more about this topic, you can read through the practice questions that are listed out for you below. Also, you can consider reading the chapter inside of the Egan’s Textbook on this topic.
Delivering Evidence-Based Respiratory Care Practice Questions:
1. What are Respiratory Care Protocols?
They are guidelines for delivering appropriate respiratory care treatments and services.
2. What are skills needed to implement protocols?
(1) Assess patients for indications of therapy and the most appropriate method, (2) Be cognizant of age-related issues and how they affect the patient, (3) Adapt hospital policies and procedures to other care sites, (4) Conduct and participate in research activities, and (5) Communicate effectively with all members of the healthcare team and contribute to the body of literature concerning the field of respiratory care.
3. What are the nine steps for a Quality Assurance Plan?
(1) Identify the problem, (2) Determine the cause of the problem, (3) Rank the problem, (4) Develop a strategy for solving the problem, (5) Develop appropriate measurement techniques, (6) Implement strategies, (7) Analyze and compile results, (8) Report to appropriate personnel, and (9) Evaluate the outcome.
4. What are the professional characteristics of a Respiratory Therapist?
They must complete an accredited respiratory therapy program. They must obtain Professional Credentials. They must participate in continuing education activities. They must adhere to the code of ethics put forth by the state or institution. They must join professional organizations.
5. What does CQI stand for?
Continuous Quality Improvement
6. What is Evidence-Based Medicine?
It is an approach that relies on the following practices: A rigorous and systematic review of evidence, Critical analysis of available evidence, and A disciplined approach to incorporating the literature with personal experience and practice.
7. What is quality?
Reflects a high degree of excellence, fineness, or grade.
8. Who is usually professionally responsible for the clinical function of the respiratory department?
A Medical Director who is usually a Pulmonologist or an Anesthesiologist.
9. What are the 3 elements of quality care?
Personnel, Equipment, and the Method/manner in which care is provided.
10. What are the 4 essential components of disease management?
(1) An integrated health care system that can provide coordinated care across the full range of patients’ needs, (2) A comprehensive knowledge base regarding the prevention, diagnosis, and treatment of disease that guides the plan of care, (3) Sophisticated clinical and administrative information systems that can help assess patterns of clinical practice; and (4) a commitment to continuous quality improvement.
11. What is the CoARC responsible for?
It is responsible for the quality of schools’ programs.
12. What are Cohort studies?
They compare the clinical outcomes in two compared groups. They generally have greater scientific rigor than case studies or case series and consist of two broad types of study designs: (1) observational cohort studies and (2) randomized controlled trials.
13. What are competencies?
Having a suitable or sufficient skill, knowledge, and experience for the purposes of a specific task.
14. The crucial elements for quality respiratory care include what?
(1) Energetic and competent medical direction, (2) Methods for providing indicated and appropriate respiratory care, (3) Educated, competent respiratory care personnel, (4) Adequate, well-maintained equipment, and (5) Intelligent system for monitoring performance improvement.
15. What is disease management?
An organized strategy of delivering care to a large group of individuals with chronic disease to improve outcomes and reduce cost.
16. What are protocols?
Guidelines for delivering appropriate respiratory care services that can improve the allocation of respiratory care services.
17. What is evidence-based medicine?
It uses meta-analyses to find the best care.
18. What is the “licensing” process for Respiratory Therapists?
After completion of an approved respiratory care educational program, a graduate may become credentialed by taking the TMC examination and passing with the high-cut score to obtain the CRT credential. A CRT may be eligible to sit for the CSE examination to become a credentialed RRT.
19. What is the Joint Commission (TJC)?
A private, not-for-profit organization that evaluates and accredits hospitals and other healthcare organizations on the basis of predefined performance standards; formerly known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
20. What are the key elements of a Respiratory Care Protocol Program?
It must have strong and committed medical direction, must have capable Respiratory Therapists, must have active quality monitoring, collaborative environment among RTs, physicians, and nurses, and responsiveness of all participants to address and correct problems.
21. What are the credentials for Respiratory Therapists?
RRT (Registered Respiratory Therapist, which is the highest credential), CRT (Certified Respiratory Therapist), NPS (Neonatal-Pediatric Specialist), SDS, ACCS, CPFT, RPFT, and AE-C (Certified Asthma Educator).
22. What are the 4 organizations that sponsor the Committee on Accreditation for Respiratory Care (CoARC)?
(1) AARC, (2) American College of Chest Physicians (ACCP), (3) American Society of Anesthesiologists (ASA), and (4) American Thoracic Society (ATS).
23. What is the Medical Director?
They are professionally responsible for the clinical function of the department and they provide oversight of the clinical care that is delivered. They are typically a pulmonary/critical care physician or an anesthesiologist.
24. What is misallocation?
Ordering therapy that is not indicated, or ordering therapy to be delivered by an inappropriate method, or failing to provide therapy that is indicated.
25. What is the NBRC responsible for?
They are responsible for the quality of credentialing exams.
26. What is the sequence of events for a Respiratory Care Consult?
(1) A physician writes an order for a respiratory care protocol or consult, (2) A physician order entry system or the nursing unit secretary notifies a Respiratory Therapist evaluator, (3) The evaluator assesses the patient using specific guidelines, (4) The evaluator writes a care plan using designated indications and algorithms and documents the care plan in the patient’s chart for review by the physician, (5) The Respiratory Therapist covering the nursing unit delivers the care, (6) The patient is assessed on a shift-by-shift basis for changes in status and indicated modifications for the care plan, which are also documented, (7) The physician is notified of any deterioration in the patient’s status, (8) When indications for respiratory care no longer exist, respiratory care treatment is discontinued, and notification is placed in the patient’s chart.
27. What are the tactics for implementing Respiratory Care Protocols?
Select a planning team with diverse membership, Conduct an audit to assess the occurrence of misallocation of therapy to justify departure from usual care, Identify sources of resistance (e.g., physicians, nurses, administrators, RTs), Design a protocol program that fits the individual hospital, Develop a training program for RTs, and Develop an evaluation and quality monitoring system.
28. What are the two levels of general practice credentialing in respiratory care?
(1) Certified Respiratory Therapists (CRTs) and (2) Registered Respiratory Therapists (RRTs).
29. What are two ways to monitor quality care?
(1) Institutional: skills check-offs, classes, and competencies, and (2) Governmental: Monitors like CMS or the Joint Commission accredits institutions based on quality monitoring standards over 9 or more areas.
30. What is the mission of the CoARC?
To promote quality respiratory therapy education through accreditation services.
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31. What is the responsibility of CoARC?
To ensure that respiratory therapy educational programs follow accrediting standards or essentials as endorsed by the American Medical Association (AMA).
32. Who sponsors the NBRC?
The AARC, ACCP, ASA, ATS, and the National Society for Pulmonary Technology.
34. What three things does quality respiratory care depend on?
Experience, Education, and professionalism.
35. What three things encompasses respiratory care?
The people who administer care, the equipment used, and the manner in which care is provided.
36. What two things determine the quality of services provided by respiratory therapists?
Intelligent efforts to establish guidelines, and a method for monitoring the care.
37. What is the responsibility of the medical director?
They are responsible for the clinical functions of the program and provides oversight of the clinical care provided.
38. What is the most essential aspect of providing high-quality respiratory care?
To ensure the care being delivered is appropriate and delivered competently.
39. What are the 4 elements one should have for delivering high-quality respiratory care?
Training, education, experience, and professionalism.
40. What has led to protocols in respiratory care?
41. Who is responsible for ensuring that Respiratory Therapy educational programs follow accrediting standards?
42. What does CoARC promote?
High-quality respiratory therapy education through accreditation services.
43. What is the process in which a government agency gives an individual permission to practice an occupation?
The licensure process.
44. What is a term that refers to recognizing individuals in a particular profession or occupation?
45. What is the primary method for ensuring quality in respiratory care?
Voluntary certification or registration.
46. Who conducts voluntary credentialing or registration?
47. Who continually monitors the quality inside hospitals and has the ability to shut them down at the same time if standards are not met?
The Joint Commission
48. How do Respiratory Therapists demonstrate their professionalism?
By maintaining high practice standards, engaging in ongoing learning, conducting research to advance the quality of respiratory care, and participating in organized activities or events.
49. What does the P in HIPAA stand for?
50. Who ensures that the equipment and the associated protocols and procedures have sufficient quality in the department?
The technical director.
51. What are the guidelines for delivering appropriate respiratory care treatments and services?
Respiratory Care Protocols
52. What do protocols reduce?
The over ordering of respiratory services.
53. What are the two things that are essential for a comprehensive protocol program?
An assessment tool and care plan.
54. How is competency tested?
By the use of simulations.
55. What is an approach to determining optimal clinical management based on aspects of care?
56. What three things make up evidence-based medicine?
(1) Systematic review of available evidence, (2) critical analysis of available evidence, and (3) a disciplined approach to incorporating literature.
57. What compares the clinical outcomes of two groups?
58. What is the most rigorous type of study designed to prove the efficiency of a treatment?
A randomized control trial.
59. What is the job of the medical director?
They are responsible for the clinical function of the department.
60. What does the quality of a Respiratory Therapist depend on?
Their training, experience, education, and professionalism.
61. What are the 2 levels of general practice in Respiratory care?
Certified respiratory therapist and registered respiratory therapist.
62. How can people be eligible for credentialing?
They must have graduated from a CoARC approved education program.
63. What are the 2 forms of credentialing?
State licensure and voluntary certification.
64. What are the professional characteristics of a Respiratory Therapist?
They must complete an accredited respiratory therapy program, obtain professional credentials, participate in continuing education activities, adheres to the code of ethics put forth by his or her institution and/or state licensing board, and joins professional organizations
65. What does technical direction depend on?
66. What does the manager of the department usually do?
They oversee policies, procedures, and equipment used to provide safe and efficient patient care.
67. Why are Respiratory Care protocols put in place?
They are put in place to enhance the appropriate allocation of respiratory care services.
68. What are the 4 types of studies that evidence comes from?
Single case studies, case series, cohort studies, and randomized controlled trials.
69. What are single case studies?
The simplest and least rigorous.
70. What are case series?
A collection of patients with similar clinical features.
71. What are cohort studies?
They work by comparing 2 groups of people and provide greater scientific rigor.
72. What are randomized controlled trials?
They provide the most rigorous evidence and are the ideal choice of study.
73. What can come from the different types of studies?
New treatments, medications, and new modes of ventilation.
74. What is evidence-based medicine?
It is an approach to determining the best possible patient management based on critically assessing the available evidence.
75. What is the crisis?
The turning point in a disease and it can either worsen or improve.
76. What is a prognosis?
It is the predicted outcome of a patient’s disease.
77. What is Misallocation?
It is the process of prescribing diagnostic or treatment services when not indicated, consisting both of over-ordering and under-ordering services.
78. What is a diagnosis?
It is the source of a patient’s disease.
79. Who is responsible for preparing the budget for the Respiratory department?
The medical director.
80. What is the most rigorous type of study to prove the efficacy of a treatment?
Randomized controlled clinical trial.
So there you have it. That wraps up our study guide on delivering evidence-based Respiratory Care. Hopefully, use can use this material to develop a better understanding of this topic.
We also have a guide that covers Quality, Patient Safety, Communication, and Recordkeeping that I think you will find useful. Thank you so much for reading and as always, breathe easy my friend.
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The following are the sources that were used while doing research for this article:
- Faarc, Kacmarek Robert PhD Rrt, et al. Egan’s Fundamentals of Respiratory Care. 12th ed., Mosby, 2020. [Link]
- “An Evidence-Based Approach to Acute Respiratory Distress Syndrome.” National Center for Biotechnology Information, 2001, www.ncbi.nlm.nih.gov/books/NBK68565.
- “Making a Difference: More than Just Respiratory Care.” PubMed Central (PMC), 1 Sept. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC6073514.
- “Evidence Based Medicine – New Approaches and Challenges.” PubMed Central (PMC), 25 Sept. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC3789163.
- “EVIDENCE BASED MEDICINE: AN OVERVIEW.” PubMed Central (PMC), May 2003, www.ncbi.nlm.nih.gov/pmc/articles/PMC3425762.
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