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Based on Entry Level CRT and Therapist Written RRT Examination Detailed Content Outlines
©National Board for Respiratory Care, Olathe, KS.

III. Initiation and Modification of Therapeutic Procedures

  1. Initiate and Conduct Pulmonary Rehabilitation and Home Care

    1. Initiate and adjust apnea monitors

      Apnea, Sudden Infant Death Syndrome, and Home Monitoring American Academy of Pediatrics

      Apnea Monitoring  RTBoardReview.com

    2. Monitor and maintain home respiratory care equipment

      Home O2 Therapy

      Home Oxygen Options National Lung Health Education Program

      Long Term Oxygen Therapy (LTOT) National Lung Health Education Program 

      The Clinical Impact of New Long-Term Oxygen Therapy Technology, Patrick Dunne, RRT Respiratory Care 

      Clinical Practice Guideline: Oxygen Therapy in the Home or Alternate Site Health Care Facility —2007 Revision & Update American Association for Respiratory Care 

      Assembly and Troubleshooting of Oxygen Concentrators  RTBoardReview.com

      Assembly and Troubleshooting of Liquid O2 Systems  RTBoardReview.com

      Home Mechanical Ventilation

      Home Ventilation 101 American College of Chest Physicians 

      Home Ventilator Directory American College of Chest Physicians

      Clinical Practice Guideline: Long-Term Invasive Mechanical Ventilation in the Home—2007 Revision & Update American Association for Respiratory Care 

      Home Mechanical Ventilation Scenarios (American College of Chest Physicians )

      Noninvasive Volume-Ventilator Supported Nonvented Mask Ventilation (NIV)

      Volume-Cycled Ventilator Supported Pediatric Tracheostomy Ventilation

      Volume-Cycled Ventilator Supported Adult Tracheostomy Ventilation

      Bilevel Pressure Ventilator Supported Tracheostomy Ventilation

      Noninvasive Open Circuit Mouthpiece Ventilation

      Noninvasive Bilevel Pressure Mask Ventilation

      Airway Management

      Clinical Practice Guideline: Suctioning of the Patient in the Home American Association for Respiratory Care 

    3. Explain planned therapy and goals to a patient in understandable terms to achieve optimal therapeutic outcome

      See: Wyka, K.A., & Heuer, A.J. (2009). Initiate and conduct pulmonary rehabilitation and home care (Chapter 19) in Scanlan, C.L., Heuer, A.J., & Sinopoli, L., Eds. Certified Respiratory Therapist Exam Review Guide. Sudbury, MA: Jones and Bartlett Publishers http://www.jbpub.com/catalog/9780763755119/.

    4. Educate a patient and family in health management

      Maintenance Management of Symptomatic COPD National Lung Health Education Program

      Chronic Obstructive Pulmonary Disease: Developing Comprehensive Management Barry Make, MD, Respiratory Care 

      Asthma Disease Management and the Respiratory Therapist Thomas Kallstrom, RRT & Timothy Myers, RRT, Respiratory Care 

      Asthma Self-Management Patient Education Maridee Jones, MSN, RRT, Respiratory Care 

      Clinical Practice Guideline: Providing Patient and Caregiver Training American Association for Respiratory Care

    5. Interact with a case manager

      Clinical Practice Guideline: Discharge Planning for the Respiratory Care Patient American Association for Respiratory Care

    6. Counsel a patient and family concerning smoking cessation

      Treating Tobacco Use and Dependence. Quick Reference Guide for Clinicians U.S. Department of Health and Human Services 

      Methods of Smoking Cessation National Lung Health Education Program

      Smoking Cessation Education LSU Health Sciences Center - Shreveport 

    7. Instruct patient and family to assure safety and infection control

      Respiratory Home Health Care YourLungHealth.org (AARC)

      Home Healthcare Medical Devices: A Checklist Food and Drug Administration

      Infection Control in Home Care Emily Rhinehart, Emerging Infectious Diseases

      Clinical Practice Guideline Providing Patient and Caregiver Training

    8. Modify respiratory care procedures for use in home

      Clinical Practice Guideline. Oxygen Therapy in the Home or Alternate Site Health Care Facility —2007 Revision & Update American Association for Respiratory Care 

      AARC Clinical Practice. Guideline Suctioning of the Patient in the Home American Association for Respiratory Care

      Clinical Practice Guideline Long-Term Invasive Mechanical Ventilation in the Home —2007 Revision & Update American Association for Respiratory Care 

    9. Initiate treatment for sleep disorders e.g., CPAP

      Health Care Guideline. Diagnosis and Treatment of Obstructive Sleep Apnea Institute for Clinical Systems Improvement 

      Practice Parameters for the Use of Continuous and Bilevel Positive Airway Pressure Devices to Treat Adult Patients With Sleep-Related Breathing Disorders American Academy of Sleep Medicine 

General Resources on Home Care and Rehabilitation