Professional Practice

Jennifer Harrison RRT, Professional Practice Advisor, CRTO

Agenda

• Role of Colleges (objects and duties)

• RTA and Authorized Acts

• Scope of Practice

• Standards of Practice

• Self-regulation and Accountability

Objects of Colleges

• Do you know what they are?

• Hint. . . there are 11!

Objects

• To regulate the practice of the profession and to govern the members in accordance with the RHPA, Code Regulations and Bylaws

• To develop, establish and maintain standards of qualification for persons to be issued certificates of registration.

• To develop, establish and maintain programs and standards of practice to assure the quality of the practice of the profession.

Objects

• To develop, establish and maintain standards of knowledge and skill and programs to promote continuing evaluation, competence and improvement among the members.

• To develop, in collaboration and consultation with other Colleges, standards of knowledge, skill and judgment relating to the performance of controlled acts common among health professions to enhance interprofessional collaboration, while respecting the unique character of individual health professions and their members.

• To develop, establish and maintain standards of professional ethics for the members.

Objects

• To develop, establish and maintain programs to assist individuals to exercise their rights under this Code and the RHPA.

• To administer the health profession Act, this Code and the Regulated Health Professions Act, 1991 as it relates to the profession and to perform the other duties and exercise the other powers that are imposed or conferred on the College.

• To promote and enhance relations between the College and its members, other health profession colleges, key stakeholders, and the public.

Objects

• To promote inter-professional collaboration with other health profession colleges.

• To develop, establish, and maintain standards and programs to promote the ability of members to respond to changes in practice environments, advances in technology and other emerging issues.

• Any other objects relating to human health care that the Council considers desirable.

Duties

In carrying out its objects, the College has a duty to serve and protect the public interest.

Questions…

• Can an RT perform a bronchoscopy for the purpose of bronchial hygiene?

• Can an RT obtain a bronchial biopsy during a bronchoscopy?

What Information do you need?

CRTO Website

www.crto.on.ca

Federation of Health Regulatory Colleges of Ontario

• FHRCO

• Guide to Orders, Medical Directives and Delegation

• IPC eTool

Scope of Practice RTA

The practice of respiratory therapy is the providing of oxygen therapy, cardio-respiratory equipment monitoring and the assessment and treatment of cardio-respiratory and associated disorders to maintain or restore ventilation.

Respiratory Therapists

Legislated Scope Statement

• Broad or Narrow?

• What is your scope and role?

• Can you articulate it to others?

Authorized Acts

• Can an RT administer anesthesia by inhalation or injection?

• What about narcotics?

Can I? Could I? Should I?

• Is it clinically appropriate? • In the best interest of the patient? • Is it within the scope of practice of Respiratory Therapy? • Is it within my individual scope of practice? • Do I have the requisite competencies (knowledge, skills &

judgement) to undertake the activity? • What about controlled acts? authorized acts? authorizing

mechanisms?

Authorized Acts

• Position Statement Scope of Practice and Maintenance of Competency

• Administer by inhalation or injection

Controlled Acts

• Defibrillation?

• Allergy Testing?

• Intraosseous cannulation?

Scope and Delegation

• Connected to scope?

• PPG Interpretation of Authorized Acts

• PPG Delegation of Controlled Acts

Scopes and Roles

• Entry to practice, scope of the profession

• Scope of the individual

• Established practice – where you work

• Evolving practice – optimizing scopes

Competency- ksj

• National Competency Profile – core competencies, approved educational programs

• Beyond Core competencies – individual scope

• Responsibility of the RT to make a determination of their own competency

• CRTO Certifications and Employers Policies and Certifications

• Having means to verify competency –record keeping and documenting (broad sense)

Questions…

• Do we really work to full scope?

• How do we ‘prove’ we are acting within our scope and competent to do so?

Self-Regulation = Self-Governance

Plan

Implement Evaluate

Assess

Standards of Practice

• Registration – entry, qualifications

• Standards of Practice

• Quality Assurance

• Rights

Accountability

• Expectations

• Accountability

Assumptions

• possess a specialized body of knowledge

• are committed to maintaining a high standard of professional practice through self-governance

• are committed to lifelong learning and the development of knowledge, skills and abilities throughout their career

Assumptions

• are committed to on-going professional development

• are committed to the principle of accountability in their professional practice

• are committed to practicing in an ethical manner

Standards of Practice

The CRTO uses the phrase "standards of practice" to refer to legislation, regulations, standards, position statements, policies and practice guidelines. Collectively, these pieces establish a framework for the practice of Respiratory Therapy in Ontario.

‘standards of practice’

• Professional Practice Guidelines

• Clinical Best Practice Guidelines

• Position Statement

• Policies

• Publications – FAQs

‘standards of practice’

Professional Misconduct

• Contravening a standard of practice of the profession or a published standard of the College, or failing to maintain the standard of practice of the profession.

Self-Regulation

• Accountability versus Responsibility – What do you think?

• Restrictive or Empowering?

• What do you think about the need for QA program?

Professional Practice at the CRTO

• Professional Practice Committee

• Development of standards of practice

• Professional Practice Advisor –resource and guidance

Thank You!

Jennifer Harrison, RRT

Professional Practice Advisor

416-591-7800 x 30

Harrison@crto.on.ca