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| The Respiratory Care
Department is to perform an evaluation on all patients
specifically ordered on respiratory therapy. Current physician
orders will be performed for the first 24 hrs. A Respiratory
Therapist Assessor will do an evaluation after the initial day
of therapy. A respiratory therapist will evaluate
and assess patient indications and outcomes per department
guidelines. Therapists will create a patient care plan using
the indications and algorithms for decision making. (Care
Plans will include the physician orders for specific
medications) The care plan will be placed on top of the
physicians order sheet to be read and initialed by the MD. The
respiratory therapist will write any changes per the protocol
as a standing order. (i.e. Q4 HHN with DuoNeb per RT protocol)
The assessment form will be placed in the RT progress notes
for your review. During the course of therapy, the
physician will be called if the patient’s clinical status
deteriorates, or if an adverse event occurs. If therapy is
discontinued a 24-48 hr. follow up re-evaluation will be
completed to assure that an acute change has not occurred in
their condition. Interaction between therapists and physicians
concerning rationale for therapy is encouraged to better serve
the patient’s outcome. If the physician has a patient,
that for specific reasons may not fit into the respiratory
protocols the physician may write the therapy wanted, and
state as “no RT protocol” with order. Short–term orders
< 24 hrs for a single modality will be followed without
generating a Respiratory Care Evaluation. |
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