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Respiratory Therapist/the law on respiratory therapist

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Rey wrote at 2013-09-16 17:47:21
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:





 SECTION 1.  Section 1276.45 is added to the Health and Safety Code,

to read:

  1276.45.  (a) A health facility licensed pursuant to subdivision

(a), (b), or (f) of Section 1250 shall allocate sufficient numbers of

respiratory therapists so as to provide a respiratory

therapist-to-patient ratio as follows:

  (1) In critical care units, burn units, labor and delivery,

postanesthesia units, and any other specialty units, one respiratory

therapist per four patients who are receiving respiratory care as

ordered by a physician.

  (2) For patients in emergency departments requiring care in an

intensive care or critical care setting, one respiratory therapist

per four patients who are receiving respiratory care as ordered by a

physician.

  (3) For patients in emergency departments who are being held

temporarily and who do not require care in an intensive care or

critical care setting, one respiratory therapist per two critical

care patients receiving respiratory care as ordered by a physician in

addition to the regularly scheduled emergency room staff.

  (4) In step down units and telemetry units, one respiratory

therapist per six patients receiving respiratory care as ordered by a

physician.

  (5) In newborn intensive care units, one respiratory therapist

specially trained in the respiratory care of the newborn per two

patients receiving respiratory care as ordered by a physician.

  (6) In medical-surgical units, one respiratory therapist per 10

patients receiving respiratory care as ordered by a physician.

  (7) There shall be a minimum of one respiratory therapist for

every 50 patients or fraction thereof in the hospital at all times.

  (b) The ratios specified in subdivision (a) shall constitute the

minimum number of respiratory therapists that shall be allocated.

Additional staff shall be assigned in accordance with a documented

patient classification system for determining respiratory care

requirements, including, but not limited to, the severity of the

illness, the need for specialized equipment and technology, the

complexity of clinical judgment needed to design, implement, and

evaluate the patient care plan and the ability for self-care, and the

licensure of the personnel required for care.

  (c) Direct care respiratory therapists responsible for

implementing care on the basis of the patient classification system

and administrators responsible for assigning patient care based on

the system shall demonstrate knowledge and competency in the use of

the particular system used by the specific facility.

  (d) All health facilities licensed under subdivision (a), (b), or

(f), of Section 1250 shall adopt written policies and procedures for

training and orientation of respiratory therapist staff.

  (e) (1) No respiratory therapist shall be assigned to a hospital

unit or clinical area unless that respiratory therapist has first

received orientation in that clinical area sufficient to provide

competent care to patients in that area and has demonstrated current

competence in providing care in that area.

  (2) The written policies and procedures for orientation of

respiratory therapist staff shall require that all temporary

personnel receive the same amount and type of orientation as is

required for permanent staff.

  (f) Requests for waivers to this section that do not jeopardize

the health, safety, and well-being of patients affected and that are

needed for increased operational efficiency may be granted by the

department to rural general acute care hospitals meeting the criteria

set forth in paragraph (2) of subdivision (a) of Section 1250.

 SEC. 2.  No reimbursement is required by this act pursuant to

Section 6 of Article XIIIB of the California Constitution because the

only costs that may be incurred by a local agency or school district

will be incurred because this act creates a new crime or infraction,

eliminates a crime or infraction, or changes the penalty for a crime

or infraction, within the meaning of Section 17556 of the Government

Code, or changes the definition of a crime within the meaning of

Section 6 of Article XIIIB of the California Constitution.  


Respiratory Therapist

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Larry W. Wical, BA-RRT

Expertise

I CAN answer: ALL questions and queries related to the following topics... - Oxygen - Asthma - COPD - Bronchitis - Emphysema - Pneumonia (Viral/Bacterial) - Tuberculosis (TB) - SARS - Influenza (Flu) - Vaccines - Pulmonary Embolism - Pleural Effusion - Atelectasis - Inhalation injuries (burns, chemicals, etc.) - PFTs - Cardiovascular health - Sleep Apnea - BiPap/CPAP - Ventilators (Respirators) - Aspiration injuries - Thoracic injuries - Lung contusions - Tracheal injuries - Artificial Tracheostomy - Secretions - Prolotherapy/Regenerative Injection Therapy (RIT): A patient's experience/perspective - General health and fitness - Prolotherapy (from a patient's perspective) I CANNOT answer: Questions that vary too far from my primary scope of pulmonary and cardiovascular care and fitness. I promise to be open and honest about my knowledge of submitted topics, and will always openly provide my personal as well as professional feedback as it relates.

Experience

Registered Respiratory Therapist (RRT, RCP) since 2005. I have worked primarily in the acute care, critical care, burn care and home care settings.

Organizations
NBRC - National Board of Respiratory Care AARC - American Association of Respiratory Care

Publications
-All About Kids Magazine -The Clermont Sun -Cincy Sports & Fitness Magazine -Many online Fitness and Health blogs and "webazines"

Education/Credentials
- B.A. in Communication (1997) - A.A.S. in Respiratory Science (2005) - RRT license (state of OH, KY and IN) - Basic Life Saving (BLS) - Advanced Cardiovascular Life Support (ACLS) - Advanced Burn Life Support (ABLS)

Awards and Honors
N/A

Past/Present Clients
Currently work in the city's largest academic/research hospital.

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