Transforming and Supporting Patient Care - Health Professions ...

More documents

Recommendations

Info

390Chapter 16 - Profession of Respiratory TherapyHPRAC reviewed the Quebec alternative, which provides authority for RTsto administer and adjust prescribed medications and substances; however,in the Ontario framework, an adjustment of medication is considered aprescription; alternatively, the initial prescription would need to specificallyreference the performance of both procedures. Given the tendency byprescribers to write static orders, HPRAC does not consider the latter arealistic probability.Under the Public Hospitals Act, Regulation 965 would need to be modified inorder to authorize an RT to order a treatment. With that authority, HPRAChas concluded that a reporting relation must exist between RTs and thepatient’s most responsible physician. Requirements must also be in placefor any treatment orders to be recorded in the patient’s health record.HPRAC has also reviewed the CRTO QA program and has concluded thatadditional rigour is required to accommodate new prescribing authorities.HPRAC notes that the CRTO has indicated that it is eager to proceed in acollaborative approach with other health professions to expand itscontinuing quality improvement and assurance programs.It is HPRAC’s view that CRTO should engage in discussions with the OntarioHospital Association and the Council of Academic Hospitals of Ontario toensure that adequate protocols are in place for the implementation of a newauthority to make orders in the hospital setting. In the community, HPRACexpects that referral protocols and extensive sharing of patient careinformation between the RT and the patient’s primary health careprofessional would be a necessary part of the prescribing authority.This would be part of a collaborative development of standards of practice.RTs do not see themselves as separate and distinct from other healthprofessionals who provide care to a patient, but rather as part of a team thatcoordinates and communicates with other members of the patient’s healthteam. Nonetheless, with additional authority for RTs to prescribe oxygen, itis important that there be clear understandings about how the initiation ofor adjustments to oxygen therapy affect other aspects of patient care andwhat information must be communicated to other health professionals.HPRAC has concluded that RTs, with independent prescribing authority,will be well positioned to effect efficient, timely and competent patient carewithin interprofessional care teams, both in the hospital and thecommunity.Recommendations1: That RTs be authorized to prescribe oxygen.2: That complementary amendments be made to section 24 (1) ofregulation 965 of the Public Hospitals Act to authorize RTs to makeorders for oxygen therapy in hospitals.3: That RTs be required to advise the attending physician of the orderor prescription in a hospital, or the attending health professional inthe community, and cause the order or prescription to be recordedin the patient health record.HPRAC Critical Links January 2009
391Chapter 16 - Profession of Respiratory Therapy4: That the CRTO engage in discussions with the Home OxygenProgram of the Ministry of Health and Long-Term Care’s AssistiveDevices Program concerning applications from registered RTs onbehalf of patients who are eligible for home oxygen therapy andrespiratory equipment.Implementation proposalsTo implement these recommendations, the following changes to statutesand regulations are proposed:1. That section 4(1) of the Respiratory Therapy Act, 1991 be amended byadding the following paragraph:5. Prescribing oxygen.2. That section 5(2) of the Respiratory Therapy Act, 1991 be repealed andthe following substituted:Additional requirements for authorized acts5(2) A member shall perform a procedure under the authority ofparagraph 5 of section 4 in accordance with any requirementsprescribed in the regulations made under this Act or under theRegulated Health Professions Act, 1991.Individual scope of practice for respiratory therapists5(3) A member is responsible for identifying the limits of his or hereducational preparation and competencies, and for resolvingsituations beyond his or her expertise by consulting with orreferring patients to other health care professionals.Grounds for misconduct5(4) In addition to the grounds set out in subsection 51(1) of the HealthProfessions Procedural Code, a panel of the Discipline Committeeshall find that a member has committed an act of professionalmisconduct if the member contravenes subsection (1), (2) or (3).3. That the Respiratory Therapy Act, 1991 be amended by adding thefollowing section:Regulations12. Subject to the approval of the Lieutenant Governor in Counciland with prior review by the Minister, the Council may makeregulations,(a) prescribing procedures for the purpose of paragraph 1 ofsection 4, and(b) regulating the prescribing of oxygen by members, requiringmembers to keep prescribed records and to provide to theMinister reports containing prescribed informationrespecting the prescribing of oxygen.HPRAC Critical Links January 2009
Page 4:
Table of ContentsCritical Links:Tra
Page 9 and 10:
5Chapter 1 - An Introductionprofess
Page 11 and 12:
7Chapter 1 - An IntroductionThese r
Page 13 and 14:
9Chapter 1 - An IntroductionThrough
Page 16 and 17:
12Chapter 1 - An Introductionreport
Page 18 and 19:
14Chapter 1 - An Introductiondate.
Page 20 and 21:
16Chapter 1 - An Introductionprofes
Page 22 and 23:
18Chapter 1 - An Introductionwithin
Page 24 and 25:
20Chapter 2 - Excellence in Health
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
56Chapter 3 - A New Drug Approvals
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
88Chapter 4 - Critical Links: Propo
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
100Chapter 4 - Critical Links: Prop
Page 106 and 107:
102Chapter 5 - Scope of Practice of
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
164Chapter 7 - Professions of Chiro
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Page 188 and 189:
Page 190 and 191:
186Chapter 8 - Profession of Dental
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
Page 198 and 199:
Page 200 and 201:
Page 202 and 203:
Page 204 and 205:
Page 206 and 207:
Page 208 and 209:
Page 210 and 211:
Page 212 and 213:
Page 214 and 215:
Page 216 and 217:
Page 218 and 219:
214Chapter 9 - Profession of Dentis
Page 220 and 221:
Page 222 and 223:
Page 224 and 225:
Page 226 and 227:
Page 228 and 229:
224Chapter 10 - Profession of Midwi
Page 230 and 231:
Page 232 and 233:
Page 234 and 235:
Page 236 and 237:
Page 238 and 239:
Page 240 and 241:
Page 242 and 243:
Page 244 and 245:
Page 246 and 247:
Page 248 and 249:
Page 250 and 251:
Page 252 and 253:
Page 254 and 255:
250Chapter 11 - Profession of Natur
Page 256 and 257:
Page 258 and 259:
Page 260 and 261:
Page 262 and 263:
Page 264 and 265:
Page 266 and 267:
Page 268 and 269:
Page 270 and 271:
Page 272 and 273:
Page 274 and 275:
Page 276 and 277:
Page 278 and 279:
274Chapter 12 - Profession of Nursi
Page 280 and 281:
Page 282 and 283:
Page 284 and 285:
Page 286 and 287:
Page 288 and 289:
Page 290 and 291:
Page 292 and 293:
Page 294 and 295:
Page 296 and 297:
Page 298 and 299:
Page 300 and 301:
Page 302 and 303:
Page 304 and 305:
Page 306 and 307:
Page 308 and 309:
Page 310 and 311:
Page 312 and 313:
Page 314 and 315:
310Chapter 13 - Profession of Optom
Page 316 and 317:
Page 318 and 319:
Page 320 and 321:
Page 322 and 323:
Page 324 and 325:
Page 326 and 327:
Page 328 and 329:
Page 330 and 331:
Page 332 and 333:
Page 334 and 335:
Page 336 and 337:
Page 338 and 339:
Page 340 and 341:
Page 342 and 343:
Page 344 and 345: 340Chapter 14 - Profession of Pharm
Page 370 and 371: 366Chapter 15 - Profession of Physi
Page 382 and 383: 378Chapter 16 - Profession of Respi
Page 398 and 399: 394Chapter 17 - Conclusionscontinui
Page 400 and 401: 396Chapter 17 - Conclusionsincluded
Page 402 and 403: 398Chapter 18 - Summary of Proposal
Page 444 and 445:
440Chapter 18 - Summary of Proposal
Page 446 and 447:
Page 448 and 449:
Page 450 and 451:
Page 452 and 453:
Page 454 and 455:
Page 456 and 457:
Page 458 and 459:
Page 460 and 461:
Page 462 and 463:
show all

Transforming and Supporting Patient Care - Health Professions ...

Create successful ePaper yourself

Delete template?

Save as template?