1. Describe a scenario that you either experienced or observed where there was some question or controversy regarding a proper action taken during your clinical experience, as a Respiratory Care that had an impact on safe patient care or professional interactions with physicians or colleagues in other departments.??.2. Use specific guidelines or standards from your profession?s Practice Standards ForRespiratory Care professionals these can be found on the AARC website under AARC Clinical Practice Guidelines http://www.rcjournal.com/cpgs/index.cfm to either support or condemn the action observed.3. Be sure to cite these appropriately (state the practice standard # and what it says in your discussion) and include all resources in your references section.??.4-Examples might include scenarios like actions taken during emergency situations, performing (or not performing) procedures ordered incorrectly by a physician, disagreement with a diagnosis by a physician, performing procedures usually performed by another professional, disagreement with a nurse on a treatment plan, etc.Scenario#1scenario: Arterial cannulationThis a very sad experience I hope other therapists learn from my mistake. One day while I was in the Intensive care unit,??.one night nurse told me that the doctor needs to place an arterial line in one of the patients that I was taking care. I asked her if she had an order, she replied don?t worry I will put the order since she was the charge nurse that day, I went ahead and placed the arterial line in the patient. As I exited the patient?s room, the doctor showed up, and I asked him to put the order for me. Sadly, he asked me who had given me the order to put an art line in???.He informed me that the patient didn?t need an aline because she was just admitted for GI bleed. The Charge nurse was standing next to me but didn?t say anything, then she just left. I was left alone. My supervisor was called, an incident report was filled out because it was an invasive procedure that was performed without a doctor?s order. In that case if anything had happened to that patient I would have been responsible. It was a lesson that I had learned the hard way??.Scenario#2ase scenario: Venus GasI am a respiratory therapist, one night I was working in the ICU, I was called by a nurse to draw an ABG and a venus gas. First I checked my order, the orders were placed by the intensive care doctor working the unit that night. I took two a-line kits since the patient had an a-line and went to the patient?s chart and pulled two patient?s label. I drew my ABG and since the nurse was already in the room,??.I asked her to draw the venus blood for me because I was not checked off on competency to draw venus gas. The nurse looked at me in aw, she told me that the other therapists always drew the blood and never asked the nurse to do it. She told me that it was easy to do and she will teach me how to do it so next time that I will know how to do it. I explained to her that I knew how to do it but it?s just that I was not check off on the competentcy to do it because.??.She got mad and told me to call my supervisor. My supervisor came, he told her that I was right, he pulled out the policy and showed to her, that respiratory therapists are not covered to do this procedure under the hospital protocol. For if any thing goes wrong and it is traced back that a respiratory therapist completed the task, the hospital would not cover this therapist because the therapist in question performed a task out of his scope of practice and therefore, risk to loose his license in the court of law. I was glad that I didn?t do it under her pressure.??.
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