Transforming and Supporting Patient Care - Health Professions ...

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378Chapter 16 - Profession of Respiratory Therapy• Analysis of the body's response to stress (exercise), cardiac electricalactivity electrocardiogram (ECG); sleep studies (polysomnography);• Transporting patients to the hospital and between hospitals; andCardiopulmonary resuscitation (CPR); controlling and supplyingmedical gases; patient, family and caregiver education; and healthpromotion. 2RTs work collaboratively with other health professionals in both hospitaland community-based settings, including public hospitals, asthma centres,community health centres, long-term care homes and rehabilitationfacilities. People with conditions such as asthma, chronic bronchitis,emphysema, occupational lung disease and cystic fibrosis, may use oxygentherapy at home, with routine assessments provided by RTs who areemployed by oxygen suppliers.CRTO reports a 2007/2008 total membership of 2,516 regulated RTs (including179 inactive members). 3 This is an increase of 129 new general members over2006/2007. 4Legislative and Regulatory Framework for thePractice of Respiratory TherapyThe scope of practice for respiratory therapy is defined in the RespiratoryTherapy Act, 1991 as follows:The practice of respiratory therapy is the providing of oxygen therapy,cardio-respiratory equipment monitoring and the assessment andtreatment of cardio-respiratory and associated disorders to maintainor restore ventilation. 5The Respiratory Therapy Act, 1991 defines the controlled acts authorizedto RTs as follows:In the course of engaging in the practice of respiratory therapy,a member is authorized, subject to the terms, conditions andlimitations imposed on his or her certificate of registration,to perform the following:1. Performing a prescribed procedure below the dermis.2. Intubation beyond the point in the nasal passages where theynormally narrow or beyond the larynx.3. Suctioning beyond the point in the nasal passages where theynormally narrow or beyond the larynx.4. Administering a substance by injection or inhalation. 62College of Respiratory Therapists of Ontario. www.crto.on.ca.3College of Respiratory Therapists of Ontario. Annual Report 2007/2008:13.4Ibid.5Respiratory Therapy Act, 1991, S.O. 1991, c. 39, s.3.6Ibid: s.4.HPRAC Critical Links January 2009
379Chapter 16 - Profession of Respiratory TherapyAdditional Requirements for Authorized ActsTo perform these authorized acts, a member must receive an order for theprocedure from a member of the College of Physicians and Surgeons ofOntario, the College of Midwives of Ontario or the Royal College of DentalSurgeons of Ontario, an extended class nurse (Nurse Practitioner) or amember of a health profession that is prescribed by regulation. 7 Undercurrent authorities, a member of the CRTO cannot order oxygen or adjustoxygen concentration for a patient.How the College Regulates its MembersA respiratory therapist is a self-regulated professional in Ontario whoperforms a variety of roles including diagnostic, therapeutic, research,health promotion and education in a variety of settings. CRTO regulates thepractice of respiratory therapy in the public interest. All respiratorytherapists practise in accordance with the profession’s scope of practice:the provision of oxygen therapy, cardio-respiratory equipment monitoringand the assessment and treatment of cardio-respiratory and associateddisorders to maintain or restore ventilation. 8Education and Continuing CompetencyRTs in Ontario complete a three-year diploma program at a communitycollege in the province or an approved program outside of the province.The CRTO approves schools accredited by the Council on Accreditationfor Respiratory Therapy Education (CoARTE). Graduates from approvedprograms are eligible to register in the Graduate Class of Registration,and are eligible to write the Canadian Board for Respiratory Care (CBRC)National Certification Examination. Upon successful completion of theexamination, candidates receive the General Certificate of Registration,provided they meet all eligibility requirements.Entry to practise clinical competencies include: anatomy and physiology(cardiorespiratory system, central nervous system, renal system and otherbody systems); pathophysiology; pharmacology; wellness and safety;basic sciences related to respiratory therapy; medical gases; infectioncontrol; diagnostic and therapeutic modalities and equipment (includingairway management; anaesthesia; blood, cardiac, hemodynamic, physicaland pulmonary assessment); bronchial hygiene and chest care; medical gastherapy; suction and drainage; humidity and aerosol therapy; patienttransport; imaging; and patient education and ventilator support.7Ibid, s.5.1.8Ibid: s.3.9College of Respiratory Therapists of Ontario. Entry to Practice Competencies.January 1999: 3 – 23.HPRAC Critical Links January 2009
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