2015 Respiratory Care Competencies

1. Evidence-Based Medicine & RC Protocol Competencies

  • Critique published research
  • Explain the meaning of general statistical tests
  • Apply evidence-based medicine to clinical practice
  • Explain the use of evidence-based medicine in the development and application of hospital-based RC protocols
  • Treat patients in a variety of settings , using the appropriate RC protocol

2. Leadership Competencies

  • Contribute to organizational teams as related to planning, collaborative decision making, and other team functions
  • Describe fundamental/basic organizational implications of regulatory requirements on the healthcare system
  • Demonstrate effective written and verbal communications with various members of the healthcare team, patients, families, and others
  • Describe healthcare financial reimbursement systems and the need to reduce the cost of delivering RC
  • Lead groups in care planning, bedside decision making, and collaboration with other healthcare professionals

3. Diagnostic Competencies

  • Perform basic spirometry
  • Explain indications and contraindications for advance PFT testing
  • Explain indications and contraindications for sleep studies
  • Relate results of sleep studies to types of sleep disorders
  • Explain indications and contraindications, general hazards, and complications of bronchoscopy
  • Describe the bronchoscopy procedure and the RT’s role in assisting the physician
  • Evaluate monitoring of the patient’s clinical condition with pulse oximetry, ECG, exhaled-gas analysis, and other related devices
  • Perform arterial puncture and sampling, and ABG analysis

4. Chronic and Acute Disease-Management Competencies

  • Explain the etiology, anatomy, pathophysiology, diagnosis, and treatment of cardiopulmonary diseases (eg, asthma, COPD) and comorbidities
  • Engage patients through communication, education, and empowerment
  • Develop, administer, and reevaluate the care plan for chronic disease management
  • Manage RC plans in the acute-care setting, using evidence-based medicine, protocols, and clinical practice guidelines

5. Emergency Care Competencies

  • Perform basic life support
  • Perform advanced cardiovascular life support
  • Perform pediatric advanced life support
  • Perform neonatal resuscitation program
  • Perform endotracheal intubation
  • Maintain current AHA certifications in BLS and ACLS
  • Perform as a member of the rapid response team
  • Participate in mass-casualty staffing to provide airway management, manual/mechanical ventilatory life support, Medical gas administration, aerosol delivery of bronchodilators and other agents in the resuscitation of respiratory and cardiovascular failure
  • Provide intra-hospital transport of critically and chronically ill patients, provide cardiopulmonary life support and airway control during transport
  • Recommend pharmacotherapy in clinical settings, including emergencies

6. Critical Care Competencies

  • Apply invasive and noninvasive mechanical ventilation
  • Apply all ventilation modes currently available on all invasive & noninvasive vents, as well as adjunct to mechanical ventilation
  • Interpret ventilator data and hemodynamic monitoring data & calibrate monitoring devices
  • Manage airway devices and sophisticated monitoring systems
  • Make recommendations for treatment based on waveform graphics, pulmonary mechanics, and related imaging studies
  • Use therapeutic medical gases to treat critically ill patients
  • Apply circulatory gas-exchange systems in RC practice (eg, ECMO)
  • Participate in collaborative care management based on evidence-based protocols
  • Deliver therapeutic interventions based on protocol
  • Integrate the delivery of basic and/or advanced therapeutics in conjunction with or without the mechanical ventilator in the care of critically ill patients
  • Make recommendations and provide treatment to critically ill patients based on pathophysiology
  • Recommend cardiovascular drugs based on knowledge and understanding of pharmacologic action
  • Use electronic data systems in RC practice

7. Patient Assessment Competencies

  • Complete a patient assessment through physical examination, chart review, and other means, and interact with healthcare team members about assessment results
  • Obtain medical, surgical, and family history
  • Obtain social, behavioral, occupational, and other historical information about the current complaint
  • Interpret PFT (spirometry)
  • Interpret lung volumes and diffusion studies
  • Interpret ABG, electrolytes, CBC, and related laboratory tests
  • Inspect the chest and extremities to detect deformation, cyanosis, edema, clubbing, and other anomalies
  • Measure vital signs (BP, HR, RR)
  • Evaluate patient breathing effort, ventilatory pattern, and use of accessory muscles
  • Document SpO2 measurements under all appropriate conditions (with/without O2, at rest, during sleep, ambulation, and exercise)

8. Therapeutic Competencies

  • Assess therapy
  • Assess a patient prior to therapy
  • Administer therapy
  • Evaluate therapy

9. Therapeutic Applications Competencies

  • Medical gas therapy
  • Humidity therapy
  • Aerosol therapy
  • Hyperinflation therapy
  • Bronchial hygiene therapy
  • Airway management
  • Mechanical ventilation