Professor Rafaei
ENGL 2089
Literature Review
July 22, 2015
“Optimizing Utilization of the Respiratory Therapist”
Traditionally the role of the respiratory therapist has been heavily dictated and rather limited by the physician’s orders. For seemingly as long a respiratory therapy has been a recognized medical discipline, therapist have had to endure working under this physician-directed approach, until recent developments prompted an in-depth look into the overall efficiency of such physician-driven protocols. These developments were an over-utilization of respiratory care and misallocations. It was felt that respiratory procedures could be greatly reduced without increased adverse effects on patient outcomes. (Hess, D. …show more content…
W., et al (1999). Large-scale implementation of a respiratory therapist-driven protocol for ventilator weaning. Vol 159 American Journal of Respiratory Critical Care Medicine
Harbrecht, B. G., et al (2009). Improved outcomes with routine respiratory therapist evaluation of non-intensive care unit surgery patients. Vol 54 # 7, Respiratory Care: Daedalus Enterprises. Retrieved on November 23, 2012 from …show more content…
R.(1998). Professionalism, respiratory care practice and physician acceptance of a respiratory consult service. Vol 43 # 7, Respiratory Care: American Association of Respiratory Care. Retrieved on November 23, 2012 from http://aarc.org/daz/rcjournal/rcjournal/x.RCJOURNAL.COM02.21.07/content
Kollef, M. H., et al (2000). The effect of respiratory therapist-initiative treatment protocols on patient outcomes and resource utilization. Vol 117, Chest: Clinical Investigations in Critical Care. Retrieved on November 23, 2012 from http://journal.publication.chestnet.org
Marelich, G. P., et al (2000). Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses. Vol 118, Chest: Clinical Investigations on Critical Care.
Restrepo, R. D, et al (2004). Protocol-driven ventilator management in children: comparison to non-protocol care. Journal of Intensive Care Medicine: Sage Publications
Stoller, J. K., et al (1999). Randomized controlled trial of physician-directed versus respiratory therapy consult service-directed respiratory care to adult non-ICU inpatients. Vol 158, American Journal of Respiratory Critical Care