A respiratory therapist is a specialized health practitioner trained in pulmonary medicine to work therapeutically with people suffering from pulmonary disease. Respiratory therapist graduated from college or university with certification in the field of respiratory therapy and has passed the national board certification exam. The NBRC (National Agency for Respiratory Care) is a nonprofit organization that is responsible for credentionaling seven areas of Respiratory Therapy.
The seven areas of the Respiratory Therapy include, as of December 2017: Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT), CPFT and RPFT (Registered or Registered Pulmonary Technologist), ACCS (Adult Critical Specialist), NPS (Neonatal)/Specialist Pediatric), and SDS (Sleep Disorder Specialist).
Respiratory therapists work in hospitals in the intensive care unit (Adult, Pediatric, and Neonatal), on the hospital floor, in the Emergency Department, in the Pulmonay Functioning laboratory (PFT), can intubate patients, work in sleep laboratories (polysomnograpy) (PSG ) laboratories, and home care specialties DME (Older Medical Equipment) and home oxygen.
Respiratory therapists are specialists and educators in many areas including cardiology, pulmonology, and sleep therapy. Respiratory therapists are doctors trained in advanced airway management; building and maintaining airway during trauma management, and intensive care.
Respiratory therapists start and manage life support for people in the intensive care unit and emergency department, stabilize, care and manage the transportation of pre-hospital patients and hospitals to hospitals through air or ground ambulances.
In outpatient settings, respiratory therapists work as educators at asthma clinics, additional clinical staff in pediatric clinics, and sleep-disorder diagnoses in sleep clinics, they also function as clinical providers in cardiology and cath-laboratories, and work in the lungs rehabilitation.
Video Respiratory therapist
Clinical practice
- Intensive care and surgery
Respiratory therapists educate, diagnose, and treat people suffering from heart and lung problems. Particularly in heart and pulmonary care, Respiratory Therapists often collaborate with specialists in pulmonology and anesthesia in various aspects of patient clinical care. Respiratory therapists provide an important role in treatment and nursing. An important role in ICU is the initiation and maintenance of mechanical ventilation and the maintenance of artificial airways.
- Outpatient clinical practice
The respiratory therapist is also the main doctor in performing tests to measure lung function and teach people to manage asthma, chronic obstructive pulmonary disorder among other heart and lung functions.
Internationally, Respiratory Therapists who provide lung function tests are called respiratory scientists, but in North America, they may be a Respiratory Therapist or perhaps also a certified lung function technician in the United States.
- Home-health care
Outside clinics and hospitals, Respiratory Therapists often manage the oxygen needs of the patient's home and their families, providing around hours of support for home ventilators and other equipment for conditions such as sleep apnea.
In clinics or outpatients, Respiratory Therapists help diagnose and serve as educators for patients suffering from heart and respiratory illness. In the United States, Respiratory Therapists with certification as Registered Respiratory Therapists evaluate and treat patients with much autonomy under the direction of the pulmonologist. In facilities that maintain a critical care transport team, Respiratory Therapists are a preferred addition to any type of surface or air transport.
- Public education
In other settings the Respiratory Therapist is found in school as an asthma educator, working with teachers and trainers about asthma symptoms in childhood and how to recognize emergencies. In the United States, legislation has been introduced several times to enable Certified Respiratory Therapists as an asthma specialist with a registered respiratory therapist certification to prescribe and manage respiratory patients who were previously diagnosed in a doctor's clinic. At the sleeping clinic, Respiratory Therapists works with doctors in the diagnosis of sleep related illness. Respiratory Therapists in the United States migrate to roles with autonomy similar to nurse practitioners, or as an extension of physicians such as physician assistants. Respiratory Therapists are often used as complete cardiovascular specialists used to locate and manage arterial access along with centrally mounted central catheters.
- Lung rehabilitation
Pulmonary rehabilitation may begin as a treatment as a source for continuous improvement following hospital stay or as a therapeutic way to improve quality of life. Lung rehabilitation is intended to educate patients, families, and improve overall quality of life and prognosis for patients. Pulmonary rehabilitation involves therapy and evaluation by Respiratory Therapists, Occupational Therapists and Physical Therapists.
Maps Respiratory therapist
Credentials and licenses
United States and Canada
In the United States and Canada, Respiratory Therapists are health practitioners who, having received at least Associate of Science in Respiratory Services, complete the credentialing process.
Upon completion of the necessary checks and added to the registry, practitioners are then entitled to apply for licenses in the territories governed by their respective licensing bodies.
In the United States, the Respiratory Therapist Specialist is a doctor who holds the National Board for Respiratory Care special credentials, which may include neonatal/pediatric specialists (CRT-NPS or RRT-NPS), adult critical care specialist (RRT-ACCS), sleep disorder specialist ( CRT-SDS or RRT-SDS), and lung function technologist (CPFT or RPFT). RRT-ACCS Inspection The NBRC is the latest NBRC examination: introduced in 2012.
Professional credentials represented as certified Asthma Educators (AE-C) can also be obtained by passing the National Asthma Educator Certification Board (NAECB).
In some parts of Canada, one may practice as a Temporary Respiratory Therapist upon graduation, until writing and passing the CBRC exam. In Canada, similar credential and training training exists.
International respiratory care
Except for the United States and Canada, very few countries have a special professional role for respiratory health. In these countries, respiratory care is provided by physiotherapists, nurses and doctors who have chosen to specialize in this field. In many countries, this recognition is in transition; for example, in 2011, hospitals in Beijing, China began recruitment to obtain Respiratory Therapists for their intensive care unit where previously the nurse was the only doctor.
Canada
After graduating from an accredited breathing school, graduates are then eligible to write a national exam administered by the Canadian Respiratory Care Agency.
Success on this inspection will allow the Respiratory Therapist to register with a licensing agency in Canada. Alberta, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec and Saskatchewan are the Canadian provinces with provincial licensing bodies; in these provinces, it is illegal to practice the Respiratory Care profession without first being licensed as a full or temporary member with a provincial licensing body.
These provinces are called regulated provinces. In some provinces, a person can work temporarily after graduation, to write and pass the exam. In all other jurisdictions, the licensing body for the Respiratory Care profession is the Canadian Society for Respiratory Therapy.
Registration as a full member is optional for Respiratory Therapists residing in the regulated province; however, for Respiratory Therapists living in unregulated provinces, enrollment as a full member of CSRT is mandatory. Registration with provincial regulatory authorities or CSRT (in unregulated provinces) is provided to Respiratory Therapists, a Registered Respiratory Therapist (PRC) degree. Canada and the United States recognize each of their cardio-pulmonary education structures as equal, but qualifying exams must be written to practice in one country.
There is pressure for the program to become a degree, as other therapies (Physical Therapy, Occupational Therapy) now require a master's degree or greater. However, in some places like Alberta, Canada, cardio-pulmonary courses are only offered in technical schools that can not provide a formal degree.
French
Respiratory therapy is a sub-specialty of physical therapy in France. Respiratory treatment as a specialization is regulated by FÃÆ'Â © dÃÆ' Â © ration FranÃÆ'§aise des Masseurs KinÃÆ'Â © sithÃÆ'Â © rapeutes RÃÆ' Â © ÃÆ' Â ¢ ducateurs.
German
The first German Respiration Society passed a resolution to develop a special Respiratory Therapist (RT) role in 2004 as a means of improving the quality of patient care, delegating physician duties and responding to observed improvements in respiratory and disease conditions. In 2006, a one-year pilot training program was offered to established nurses and physiotherapists. The investigators report that significant additional work is needed to determine and position the role of Respiratory Therapist in the current health system.
Italy
In Italy, the degree of Respiratory Therapist can be obtained by applying a Master's degree in Respiratory Therapy. It consists of frontal lessons and various internships throughout Italian hospitals.
Philippines
In the Philippines Respiratory Therapists are doctors who have given at least a Bachelor of Science degree in Respiratory Care. A license for respiratory care practices is regulated by the Professional Rescue Therapist Regulatory Agency and the Professional Arrangement Commission established and lawfully maintained by the Philippine Respiratory Therapy Act (Republic Act No. 10024).
United Arab Emirates
In the United Arab Emirates Respiratory Therapist must have earned a Bachelor of Science in Respiratory Services. An additional two year experience is required for foreign applicants. The license is retained and granted by the Dubai Health Authority. Dubai Health Authority limits the Respiratory Therapist to work only in physical treatment and rehabilitation centers, in hospitals, in surgical clinics with cardio-thoracic surgeons and with physicians in family/general practice or pulmonology.
Saudi Arabia
Saudi Arabia uses Respiratory Therapists in the same way as Canada and the US. Several Respiratory Therapies from North America travel to Saudi Arabia for temporary needs.
United States
In the United States, a Respiratory Therapist is a doctor who has a minimum completed Associate of Science degree in Respiratory Care along with the certification process. After satisfactorily completing the necessary checks, whether administered by the National Body of Respiratory Care or directly by an individual state licensing board (either the medical examiner board or the state-specific respiratory care council), the practitioner is then entitled to apply for a license to practice in the territory which is governed by the respective licensing bodies..
There are two recognized regulatory bodies in the United States: the State Rescue Breathing Body in the state where a respiratory therapist is licensed for practice and the National Agency for Respiratory Care (NBRC), a nonprofit organization that regulates two levels of certification along with several additional specialist certifications.
The Certified Respiratory Therapist (CRT) is a certification awarded after successfully passing the NBRC-TMC Therapist Multiple Choice exam; Certification of Registered Respiratory Therapist (RRT) is awarded after first making the cutting score of PRC on TMC exam, and passing the NBRC-CSE Clinical Simulation Exam.
Most state respiratory care boards require proof of NBRC's precise credentials and provide licensed titles, including (but not limited to) Respiratory Nurses, Licensed Respiratory Respiratory Respirators, and Certified Licensed Respiratory Therapies.
There is a substantial impulse to standardize state licenses by the American Association for Respiratory Care. NBRC credentials are updated every 5 years at an additional cost in addition to fees assessed by the state respiratory care council.
United Kingdom
Respiratory therapy in the UK is not a recognized specialty profession, but specialization routes are available for doctors, nurses, physiotherapists and occupational therapists.
Common titles include Cardio Cardio Physiotherapist, Clinical Respiratory Physiologist, Respiratory Nurse, and Cardiovascular Therapist.
All Physiotherapists trained in the UK receive advanced training in Respiratory Therapy theory and practice as a core component of their pre-enrollment Physiotherapy degree program. After qualification and rotation periods throughout the core areas of Physiotherapy practice, they can then follow a career path that specializes in Respiratory Physiotherapy. Practical areas include Critical Care, Respiratory Medicine, Cystic Fibrosis, Asthma, Hyperventilation Syndrome, general and special surgery, non-invasive ventilation, ventilation weed, cardiac and pulmonary rehabilitation, outpatient respiratory therapy and community respiratory therapy. The Associated Physiotherapist Association interested in Respiratory Care is a specialist interest group for British physiotherapists working in the field of Respiratory Therapy. All physiotherapists working in the United Kingdom must be enrolled in the Board of Health and Nursing Professionals, regardless of their clinical practice, to be allowed to work in the public and private sectors. Undergraduate and post-graduate physiotherapy programs Breathing Physiotherapy is in the UK for qualified and experienced therapists.
For Respiratory Physiologists, the Bachelor of Science in Clinical Physiology is issued with specialist options in respiratory physiology. Beyond the degree level, the Master of Science programs in Respiratory Care, Respiratory Disease Management, Advanced Cardiology, and Clinical Respiratory Physiology are available.
Respiratory Therapist Specialist
Anesthesia Assistant
The traditional role of operating room Respiratory Therapists have included providing technical support to anesthesiologists for proper use and maintenance of anesthesia gas engines, as well as providing airway management. This role in the operating room has grown to include a more advanced and specialized role by increasing responsibility for Respiratory Therapists. The respiratory therapist is academically prepared to perform activities such as sedation with the administration of anesthetic gases and medicines, insertion and management of vascular access (arteries and veins) and anesthesia depth assessment under the guidance of the anesthetist or nurse anesthesiologist. This role is similar to that of anesthesia nurses, except that the Anesthesia Assistant must have an anesthesia that oversees both them and the anesthesiologist, no.
Asthma Specialist
Asthma specialists work with clinics, hospitals and schools as educators for teachers, parents, patients and practitioners about asthma and allergies. Respiratory Therapists in the role of Asma Educators also help diagnose and treat asthma and other respiratory diseases. In addition, Asthma Educators are resource physicians in inpatient and outpatient settings to evaluate and advise physicians on care plans and help facilitate patient understanding and adherence to plans. In the United States, Certified Asthma Educator (AE-C) is credited by National Asthma Education Certification Board (NAECB).
In Canada, the Canadian Network for Respiratory Care manages two certifications for specialization as a Respiratory Asthma Educator, Certified Asthma Educator (CAE) (preferred by pediatric focused practitioners) and Certified Respiratory Educator (CRE), comprising CAE courses with additional training in COPD.
Cystic fibrosis
Respiratory therapists work with people suffering from cystic fibrosis in clinics and hospitals by educating them about their illness and working with them on a treatment plan. When admitted to hospital, patients with cystic fibrosis have a treatment schedule modified and treated by the Respiratory Therapist. Maintaining a healthy schedule for airway surgery pharmacoketic and physical therapy is usually more frequent than home care plans because acceptance is usually due to an increased need for therapy during stay.
cardiovascular perfusion
Respiratory Therapists can fulfill the role of Perfusionist with appropriate training. Perfusionist is a highly trained member of the cardiothoracic surgery team (often an RT with additional training) consisting of cardiac surgeons, anesthesiologists, physician assistants, surgical technicians, other respiratory therapists, and nurses. The main responsibility of perfusionist is to support the physiological and metabolic needs of heart surgery patients so that cardiac surgeons can operate on a calm and firm heart. Perfusionist certification is maintained and awarded by The American Academy of Cardiovascular Perfusion.
Extra-corporeal membrane oxygen
Extracorporeal membrane oxygenation (ECMO) is a modified cardiopulmonary bypass technique used for the treatment of heart failure or life-threatening respiration. Clinical Specialist ECMO is a technical specialist trained to manage ECMO systems including blood pumps, tubing, artificial oxygenators, and related equipment.
ECMO specialists are also responsible for the clinical needs of patients on ECMO which may include oxygenated bedside management and carbon dioxide removal, maintenance of normal acid-base balance, drug administration, blood and blood products, and maintenance of appropriate anticoagulation therapy. for blood. This ECMO Clinical Specialist may be a bedside critical care nurse who is specifically trained in ECMO patients and circuit management, or ECMO systems may be primarily managed by registered Respiratory Therapists, or clinicians with training as ECMO clinical specialists.
Neonatal & amp; pediatric intensive care
Just like adult intensivists, Respiratory Therapists, neonatal and pediatric specialists deal primarily with managing life support for pediatric or neonatal patients. Pediatric Respiratory Therapist is extensively trained in antenatal and intrapartum and family patients. In the United States there are specialist certifications and are awarded by the National Agency for Respiratory Care. Available for Respiratory Therapists holding certification as a certified Respiratory Therapist or registered Respiratory Therapist but a Registered Respiratory Therapist is preferred by most institutions.
Sleep disorder specialist
The Respiratory Therapist monitors, interprets and diagnoses findings from sleep studies, as well as medical history and physical examinations to make a diagnosis and decide on sleep-related treatments. Sleep studies can also help diagnose narcolepsy.
In the United States sleep disorder specialists can be a Registered Respiratory Therapist with sleep disorder specialist certification (RRT-SDS) who perform sleep disorder testing and therapeutic interventions along with the diagnosis of sleep-related disease such as Obstructive Sleep Apnea or Central Apnea. In Canada there are often RTs with additional training to become Registered Polysomnography Technicians (RPSGT)
Case management
Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates options and services necessary to meet the health and human services needs of clients. It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and results. Eligibility and certification are maintained by the Commission for Case Management Certification, a certification body of health care professionals in the United States.
Surface & amp; air transport specialist
Respiratory therapists work with nurses, doctors, and paramedics in emergency and ground transportation. They are vital practitioners who provide care in helicopters, air ambulances or land ambulances that work to pick up patients and move them to facilities that have what they need. In the United States, certification for transportation (C-NPT) is currently provided by The National Certification Corporation.
The University of Maryland includes Respiratory Therapists as a qualification for advanced credentialing as paramedic paramedics CCEMT-P
Research and lung science
Respiratory therapists are sometimes referred to as Respiratory Scientists who specialize in lung function. Respiratory therapists work with pulmonologists in both the clinical and general research of the respiratory system, ranging from respiratory epithelial anatomy to the most effective treatment of pulmonary hypertension in pediatrics. Scientific research is also conducted to look for causes and possible treatment in diseases such as asthma and lung cancer.
Respiratory care history
Respiratory care profession officially established in the United States c. 1930; and respiratory research has officially existed since the early 1900s. During the early years, respiratory therapists are referred to as "oxygen technicians," and most of their activities involve moving cylinders of compressed gases and oxygen delivery through nasal catheters or oxygen tents. Most oxygen technicians are trained in the workplace, although a short training program began to emerge in the late 1940s and 1950s.
Today the profession almost resembles what happened in the 1940s. Respiratory Therapists provide direct care, patient education, and care coordination. They are academically trained in respiratory and respiratory treatment. They practice in acute care facilities, long-term acute care facilities, skilled care facilities, live support centers, subacute care units, rehabilitation centers, diagnostic units, and at home. The Training of Respiratory Therapy has also changed dramatically. The current accreditation standard requires Respiratory Breathing has, at a minimum, an Associate of Science in Respiratory Degree from an accredited program. The legal requirements for practicing respiratory therapy have also changed dramatically. 49 states now legally recognize Respiratory Therapists. Limited permits or state licenses are now required in all countries except Alaska, which has no legal authority over respiratory treatment practices. Most countries that have licensing requirements also require continuing education.
In 2007 the American Association for Respiratory Care (AARC) began developing recommendations for the promotion of respiratory care in the United States in response to increased concerns about licensing and credentials issues and international recognition of those practicing in the United States. The task force decided to recommend that by 2015 the minimum education requirement for licensing and certification as a Respiratory Therapist be a bachelor of science in respiratory therapy (BSRT). The AARC task force also recommends the American Respiratory Care Foundation to change its scholarship policies and only provide grants and grants to those who work to earn a bachelor's degree. The Accreditation Committee for Respiratory Care (CoARC) is required by the AARC task force to change its accreditation standards and no longer accredit the respiratory-level respiratory care program. The CoARC responded with a press release rejecting the recommendation. In 2011 the legislation introduced by the AARC will help improve the use of Respiratory Therapists in clinical applications by enabling them to manage asthmatic patients and COPD viewing clinics for routine screening. Similar bills have been introduced before and have died on committees.
See also
- List of respiratory therapy organizations
- American Association of Respiratory Care
- Canadian Society of Respiratory Therapists
References
Source of the article : Wikipedia
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