Respiratory
Care Protocol Check-Off
Therapist:_______________________________
BASELINE
KNOWLEDGE OF PATIENT ASSESSEMENT:
Respiratory assessment- Chest physical exam; blood gas interpretation;
basic chest radiological & lab findings; pulmonary
functions; patient interview. Recording skills-clinical data
collection, organization, and ability to create a patient care
plan according to the program outline
BASELINE
KNOWLEDGE OF RESPIRATORY PATHOPHYSIOLOGY: COPD; Asthma; CF; Restrictive Diseases; Trauma; Environmental;
Infectious Pulmonary Diseases
PHARMACOLOGY:
sympathomimetics; anti-inflamatories; anticholinergics;
steroids
RESPIRATORY
MODALITIES:
HHN,
CPT, MDI, Incentive Spirometry, CPAP, Oxygen Saturation
Monitors, and other treatments needed to treat patients.
PERFORMANCE
SKILLS DEMONSTRATION:
Performs initial evaluation
Documents initial MD Request
Documents findings of evaluation
Documents Care Plan
Communicates findings to MD & team
Transcribes order
Assures care plans are appropriate
Educates patient/families
Assures transitions are appropriate
Resolves conflict without incident
Reports
to Co-workers with Appropriate detail
MD exemption of pts from PDPs
Areas
of Service:
review
patient assessment___
review
chart assessment
___
review
protocol policies and algorithms
___
review
care plan charting sheets
___
review
triage system___
completed
CEU course___
completed
25 practice patient evaluations___
completed 25 case studies___
passed
patient evaluation test___
review
the educational web sites and handouts
http://www.medinfo.ufl.edu/year1/bcs/clist/chest.html
(Florida University College of Medicine)
http://www.ceu.org/courses/98730.html
(Loyola
University Stritch School of Medicine)
Virtual
Hospital Lung Anatomy
Pulmonary
Screeningicalmed/lung.htm
http://alice.ucdavis.edu/IMD/420C/syllabus/chapter3.htm
(Xrays)
http://oac.med.jhmi.edu/res_phys/QuizMenu.html
http://alice.ucdavis.edu/IMD/420C/syllabus/hodgcopd.htm
http://www.mtsinai.org/pulmonary/books/physilogy/
(physiology)
(Pleural
effusion)
(atelectasis)
48 Total hrs____
THE
FOLLOWING AREAS REQUIRE IMPROVEMENT:
OK’d
to perform trial evaluations____
Demonstrated
competency in the application and implementation of RT
department
protocols
___
Date:
__________
Trainer:________________
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