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... his, but it is very much the case. As the field continues to grow the therapists role will continually change with it. Currently the field is focusing on disease management and further diversifying into all areas related to the respiratory genre. (7) The therapist already can do arterial punctures but are beginning to perform venous punctures (which are less risky and most of the time easier anyway), sleep studies, bronchoscopy, Hemodynamic monitoring, Cardiac monitoring, protocols, and much more. All of these skills are currently being taught in the average college level respiratory degree program on various levels. The actual act of doing these new procedures rely on the insight of the hospital and the aggressiveness in get them implemented by the department directors.
The level of autonomy is directly related to this as well. The facility determines what an individual can do. Even though most of the time the practitioner knows how to manage their patients effectively many hospital policies wont allow them too. Typically the therapists still have no autonomy. Many times they can work on their own and change therapies as see fit. This is done only under pre-laid plans by physicians that have already set plans of what should be done.
The beuacracy of healthcare is a tangled one in that on one wants to let go of any control. Doctors are taught to think they are the end all and say all in healthcare and quite frankly are wrong a lot of times in the respiratory management of their patients. (4) Nurses are at times the same way. The internal workings of health care show a lot of back stabbing and fighting for respect. Every field wants to be the most highly regarded. Thus nurses many times will not concede that therapist know more than they know due to sheer ego. (4) The interpersonal skills are related to this very struggle. The therapist must temper their relations in dealing with each specific individual.
Many physicians want to think they are deities, such you approach them in a manner that isnt offensive but still will enable you to speak with them regarding concerns of a specific patient. Nurses are varying greatly in the way you deal with them as well. Most old nurses have a chip on their shoulders and remember the time when inhalation therapist knew nothing. Even though times have changed, ignorance hasnt. These nurses often time search for reasons not to work well with therapist in hopes to gain the upper hand in the hospital hierarchy. On the other hand, more recently trained nurses are taught to understand what respiratory therapy is and what it is that they do.
They respect the knowledge and opinion of the therapist and when this is accomplished the teamwork approach is at its best. The patient is taken care of by the best of all of our abilities and a better prognosis for treatment is definitely achievable. n certain other areas of respiratory therapy such as that in nursing homes quite a bit of autonomy can be expected. In this environment the respiratory practitioner will be expected to not only to deliver the treatment but also to evaluate and order the therapy as well.
Of course these individuals are not acutely sick so there isnt a huge amount of responsibility applied to treating the patient. This is a scenario actual autonomy is present but in all reality has no huge effect on that of treating the patient. In all respiratory therapy is a technical field, not professional. Professional in that autonomy is a must.
A certain amount of autonomy may be present but that is normally reserved for those who want it. For the average therapist is would be perfectly acceptable to go about day to day taking orders form physicians. These therapists typically have no initiative or drive and in my opinion have no real interest in patient care. I say this because in certain instances where the therapist only took orders without question would differ when if it were their family member. Physicians and nurses often times overlook things and it should be the therapists job to correct them. This is definitely ethically true and often times legally as well.
This often times causes interpersonal struggles as alluded to earlier. No body likes to admit theyre wrong, especially physicians. The therapist must be able to communicate concisely and clearly why something should be done. If done in the proper context and tone there shouldnt be a problem.
However, as long as a heracles system is present there will always be instances of debate and ridicule when addressing your superiors. 1) Parkman, Anna MBA, RRT. Personal interview. 2 / 28 / 00 2) Fisher, Jean MBA, MHRA, RRT. Personal interview 2 / 28 / 00 3) Wild, Jay RRT, RPFT. Personal interview 2 / 26 / 00 4) French, William, MA RRT. How to Cement Working Relationships with Nurses. 5) Coile, Russel C. Future Trends Impacting Healthcare and Respiratory Care.
AARC Times 7 / 97 pg. 34 - 36 6) Bunch, Debbie. Health Care Delivery Update: Lessons Learned in Reingeneering 101 AARC Times 7 / 97 pg. 37 - 39 7) Bunch, Debbie. RC Clinicians- and Not Just Managers- Need to Understand Managed Care. AARC Times 1 / 98 pg. 30 - 32 8) Dunne Patrick J. The Emerging Health Care Delivery System. AARC Times 1 / 98 pg. 25 - 28 9) Milligan, Shrake, et al.
Lewin report http: //aarc / org /members area / lewin report / chapter two. html pg. 1 - 30 10) Baker, Chris PHD. Lecture notes and various related teachings. 7 / 97 - 12 / 99 ' 11) Richards, Joe BS. Lecture notes and various related teachings. 7 / 97 - 12 / 99 Bibliography: Bibliography: 1) Parkman, Anna MBA, RRT.
Personal interview. 2 / 28 / 00 2) Fisher, Jean MBA, MHRA, RRT. Personal interview 2 / 28 / 00 3) Wild, Jay RRT, RPFT. Personal interview 2 / 26 / 00 4) French, William, MA RRT. How to Cement Working Relationships with Nurses. 5) Coile, Russel C. Future Trends Impacting Healthcare and Respiratory Care. AARC Times 7 / 97 pg. 34 - 36 6) Bunch, Debbie.
Health Care Delivery Update: Lessons Learned in Reingeneering 101 AARC Times 7 / 97 pg. 37 - 39 7) Bunch, Debbie. RC Clinicians- and Not Just Managers- Need to Understand Managed Care. AARC Times 1 / 98 pg. 30 - 32 8) Dunne Patrick J. The Emerging Health Care Delivery System.
AARC Times 1 / 98 pg. 25 - 28 9) Milligan, Shrake, et al. Lewin report http: //aarc / org /members area / lewin report / chapter two. html pg. 1 - 30 10) Baker, Chris PHD. Lecture notes and various related teachings. 7 / 97 - 12 / 99 ' 11) Richards, Joe BS. Lecture notes and various related teachings. 7 / 97 - 12 / 99
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