Ala. Admin. Code r. 798-X-4-.01 - Scope Of Practice
The Scope of Practice for a
(1) Direct and indirect pulmonary care
services that are safe, aseptic, preventive, or restorative to the
patient.
(2) Direct and indirect
respiratory therapy or care , including, but not limited to, the administration
of pharmacologic, diagnostic, and therapeutic agents related to respiratory
therapy procedures necessary to implement a treatment, disease prevention,
pulmonary rehabilitative, or diagnostic regimen prescribed by a
physician .
(3) Observation and
monitoring of signs and symptoms, general behavior, and general physical
response to respiratory therapy treatment and diagnostic testing and
determination of whether such signs, symptoms, reactions, behavior, or general
responses exhibit abnormal characteristics and implementation, based on
observed abnormalities, of appropriate reporting or referral practices or
prescribed and medically approved respiratory therapy protocols or appropriate
changes in a treatment regimen, pursuant to a prescription by a physician , or
the initiation of emergency procedures.
(4) The diagnostic and therapeutic use of any
of the following, in accordance with the prescription of a physician :
(a) Administration of medical gases,
excluding for purposes of anesthesia.
(b) Aerosols.
(c) Humidification.
(d) Environmental control systems and
hyperbaric therapy.
(e)
Pharmacologic agents related to respiratory therapy procedures, excluding
administration of intravenous medications except those necessary for
maintenance of patency of intravenous and intra-arterial lines.
(f) Mechanical or physiological ventilatory
support.
(g) Bronchopulmonary
hygiene.
(h) Cardiopulmonary
resuscitation
(i) Maintenance of
natural airways.
(j) Insertion
without cutting tissues and maintenance of artificial airways.
(k) Diagnostic and testing techniques
required for implementation of respiratory therapy protocols.
(l) Invasive or noninvasive collections of
specimens of blood and other body fluids including specimens from the
respiratory tract.
(m) Collections
of inspired and expired gas samples.
(n) Analysis of blood, and gases, and
respiratory secretions.
(o)
Measurements of ventilatory volumes, pressures, and flows.
(p) Pulmonary function testing.
(q) Hemodynamic monitoring and other related
physiologic measurements of the cardiopulmonary system.
(r) Respiratory telecommunications.
(s) Cardiopulmonary disease
management
(t) Tobacco
cessation
(5) The
transcription and implementation of the written and verbal orders of a
physician pertaining to the practice of respiratory therapy .
(6) Institution of known and medically
approved protocols relating to respiratory therapy in emergency situations in
the absence of immediate direction by a physician and institution of specific
procedures and diagnostic testing related to respiratory therapy as ordered by
a physician to assist in diagnosis, monitoring, treatment and medical
research.
(7) Delivery of
respiratory therapy procedures, instruction, and education of patients in the
proper methods of self-care and prevention of cardiopulmonary diseases and
other conditions requiring the use of respiratory therapy equipment or
techniques.
Author: The Alabama State
Notes
Statutory Authority: Code of Ala. 1975, ยงยง 34-27B-1 thru 34-27B-17.
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