Quality
What are 3 characteristics of quality measures?
SMART: specific (objective)
measurable (quantifiable)
achievable (valid)
realistic/relevant, timely
Are codes of ethics legally enforceable?
No – they are guidelines to what should be done
What is the definition of a controlled act?
Acts that may be done by authorized regulated health professionals
Self-regulation oversight (the ‘College’) prioritizes what? The public interest or the interest of the profession?
Public interest
A medical directive authorized to RT gives the RT the authority to perform a controlled act that is not authorized to them under the RHPA.
False
Define the term patient safety
Prevention of actual or potential harm
What ethical principle allows patients to make their own decisions?
Autonomy
It is always appropriate to document by exception.
False
What 2 pieces of legislation guide the direction of the CRTO?
RHPA and RTA
What is the difference between a “medical directive” and “delegation”?
Medical directives: specific orders that apply to a particular procedure or series of procedures.
Delegation confers legal authority to perform a controlled act and involves transferring that authority from one professional to another.
What is the goal of improving quality in healthcare?
Better patient outcomes
Informed consent is both an ethical and a legal requirement of practice
True
A patient holding out their arm for a blood draw is an illustration of what type of consent?
Implicit
Name 2 regulatory functions of the CRTO?
Entry to practice, standards of practice, QA, Collaborative practice
Can an RT accept an order for a controlled act from a PA?
No - Physician’s Assistants (PAs) are a non-regulated healthcare provider in Ontario and have no controlled acts authorized to them
What should always be at the centre of quality healthcare?
The patient experience
What are the 3 essential elements of informed consent?
Capacity, clear information, voluntary consent
In addition to kindness, empathy and recognition of the patients ideas and beliefs - another key element of respect is what?
Confidentiality/privacy
The CRTO Disciplinary committee has the ability to suspend or fine an RRT for professional misconduct.
True
As an RT, am I permitted to accept an order from a Nurse Practitioner?
Yes – NP’s are regulated health professionals
How do you know if quality improvement initiatives are working?
You measure outcomes
A 12 year old presents to the pulmonary function lab at NHH for testing. Does the child have the capacity to consent to the test without the presence of a parent?
Yes - if they demonstrate that they understand what the test requires, any risks and why it is being performed - parental consent is not required
What controlled acts authorized to RT require an order in a Public hospital?
All authorized acts require an order
Are SRT’s permitted to place an electrode for subcutaneous perinatal monitoring?
Yes - under supervision of a RRT
Do I need an order to teach an inpatient how to use their puffers?
Providing education/training does not require an order - it is not a controlled act