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3/19/2014
Respiratory Therapist:
Evolving Roles and Impact on Health Care
Tommy B. Piggee, PhD., CHES, RRT
Postdoctoral Fellow
Department of Geriatrics
Quillen College of Medicine
East Tennessee State University
March 24, 2014
No
Disclosures
Objectives
Present
brief history of Respiratory Therapist (RT)
various care setting in which RT’s work
Discuss evolving roles of RT
 Highlight the impact RT’s have on health care
Recognize how RT’s enhance services offered
Identify
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History of Respiratory Therapy
Over
70 years ago Respiratory Care profession
established
1943 - Edwin R. Levine, MD - primitive inhalation
training (IT) program established
1947 – Albert Andrews, MD - hospital-based IT
Department
 1960 – first Registry exam administered
1963 - School of Inhalation Technicians formed
Transitional periods of respiratory care
Respiratory Therapy History (Cont.)
Periods of Respiratory
Oxygen
Iron
therapy
lung
IPPB
Nebulizer
Specialization
Glover, 2010; Giordano, 2011
Respiratory Credentials and Licensure
CRT
RRT
CPFT
RPFT
Subspecialty
CRT/RRT- ACCS
CRT/RRT- NPS
CRT/RRT- SDS
Practitioner (RCP)
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Arkansas Respiratory Care Practitioners License
THIS IS NOT AN OFFICIAL LICENSE VERIFICATION
General Information
Name: Tommy Bernard Piggee, Sr., LRCP
Primary Specialty:
Address Information
Mailing Address: 1300 University Parkway, Unit 3
City/State/Zip: Johnson City, TN 37604
Phone: (501) 6815778; Fax:
License Information
License Number: RCP-0299
Original Issue Date: 06/24/1993
Expiration Date: 12/31/2014
Basis: Exam
License Status: Active
License Category: Unlimited
Health Care Settings Using RT’s
Hospital
Mobile Transport
Clinics
Physician's
offices
facilities
Skilled nursing facilities
Home care
Rehabilitation
Hospital Setting
Intensive
care units
departments
Operating rooms
Neonatal intensive care
General wards
Emergency
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Role of Respiratory Therapy
Intensive
Critical Care
Adult Patients (Cardiac/med/surg)
Pediatric Patients
Neonatal
Rapid Assessment
of Critical Events (RACE) Team
Diagnostics Unit (MDU)
Perioperative Services
Rehabilitation Services
Hyperbaric Oxygen Therapy
Home Care
Medical
Specialization in Respiratory Therapy
Anesthesia assistants
Asthma specialists (AE-C)
Case management
Cardiovascular perfusionist
Cystic fibrosis
Extra-corporeal membrane oxygenation (ECMO)
Neonatal & pediatric intensive care (NPS)
Pulmonary Function Technologist (RPFT)
Pulmonary research and science
Sleep disorder specialist (SDS)
Surface & air transport specialist
Clinic Setting
Manage
Disease Clinic
Asthma
COPD
Cystic Fibrosis
Patient and family education
Hospital-clinic-home visits
Diagnostic screening
Mobile ABG puncture and analysis
Oxygen challenge testing
Cardiac diagnostic clinics
Pulmonary function clinics
Sleep disorder labs
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Treatment
Initiate
physicians orders
and maintain life sustaining equipment
Administer therapeutic gases
Monitor and manage therapies that restores
Administer medications to help alleviate
breathing problems
Monitoring equipment and patient responses to therapy
Conducting smoking cessation programs
Operate
Diagnostics Procedures
Assisting
with Bronchoscopy
Function Testing
Methacholine Challenge Testing
Exercise Stress Testing
Blood Gas Punctures (ABG) and Analysis
Pulmonary
Lab
POCT analysis
Sleep
studies
Rehabilitation Services
Ventilator
dependent patients
Spinal cord injuries
Traumatic Brain Injury
Post stroke
Respiratory Assessments
Tracheostomy Management
Cardiac/Pulmonary rehabilitation
Family/patient education
Home-health care
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Education
Disease
Self-management
Asthma
COPD
Cystic Fibrosis intervention
TB
Respiratory
muscle retraining
therapy
Maintaining respiratory equipment and supplies
Vest
Home Care
Manage
home ventilator and tracheostomy patient
Monitor
Education
Training
Ongoing support
Respiratory Assessments
Home-health
Trainer
care (BiPAP)
for community healthcare professionals
How RT’s Can Enhance Services
Reduce
hospital readmissions
Patient and family education
Aerosol therapy
Exercise Stress Testing
Respiratory Management Skills
Diagnostic evaluation (POCT)
Electrocardiography
Administer tobacco cessation programs
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Thank You
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