{"id":3480,"date":"2021-08-16T14:39:54","date_gmt":"2021-08-16T14:39:54","guid":{"rendered":"https:\/\/interpretation.crto.on.ca\/controlled-acts-authorized-to-respiratory-therapists\/"},"modified":"2024-05-09T00:23:21","modified_gmt":"2024-05-09T00:23:21","slug":"controlled-acts-authorized-to-respiratory-therapists","status":"publish","type":"page","link":"https:\/\/interpretation.crto.on.ca\/fr\/controlled-acts-authorized-to-respiratory-therapists\/","title":{"rendered":"Actes contr\u00f4l\u00e9s autoris\u00e9s aux th\u00e9rapeutes respiratoires"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb270deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(255,255,255,0.21) 0%|#ffffff 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(255,255,255,0.21)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bb#ffffff\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/interpretation.crto.on.ca\/wp-content\/uploads\/sites\/12\/2021\/11\/CRTO-controlled-acts-rt.jpg\u00a0\u00bb custom_margin=\u00a0\u00bb||-6px|||\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb100px||100px||true|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbSTANDARD TITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font=\u00a0\u00bb|||on|||||\u00a0\u00bb width=\u00a0\u00bb55%\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Actes contr\u00f4l\u00e9s autoris\u00e9s aux th\u00e9rapeutes respiratoires<\/strong><\/h1>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/interpretation.crto.on.ca\/wp-content\/uploads\/sites\/12\/2021\/08\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb border_width_top=\u00a0\u00bb3px\u00a0\u00bb border_color_top=\u00a0\u00bb#696bae\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbcontrolled\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Actes contr\u00f4l\u00e9s autoris\u00e9s aux th\u00e9rapeutes respiratoires<\/strong><\/h2>\n

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La Loi sur les th\u00e9rapeutes respiratoires<\/a> (LTR) est la loi propre \u00e0 la profession qui \u00e9num\u00e8re les cinq actes contr\u00f4l\u00e9s que les th\u00e9rapeutes respiratoires de l\u2019Ontario (RT)* sont autoris\u00e9s \u00e0 ex\u00e9cuter. Ces cinq actes contr\u00f4l\u00e9s sont d\u00e9sign\u00e9s comme les actes autoris\u00e9s** de la profession et sont \u00e9num\u00e9r\u00e9s comme suit<\/em><\/p>\n

[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

1. Ex\u00e9cution d\u2019une proc\u00e9dure prescrite sous le derme.<\/p>\n

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2. Pratiquer des intubations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx.<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

3. Pratiquer des aspirations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx.<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

4. Administration d\u2019une substance par injection ou inhalation.<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

5. Administration d\u2019une substance prescrite par inhalation.<\/p>\n

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*<\/strong> Dans les pr\u00e9sentes lignes directrices, \u00ab th\u00e9rapeute respiratoire (RT) \u00bb d\u00e9signe les membres de l\u2019OTRO qui d\u00e9tiennent un certificat d\u2019inscription de membre g\u00e9n\u00e9ral sans modalit\u00e9s ni restrictions les emp\u00eachant d\u2019ex\u00e9cuter des actes autoris\u00e9s. Les th\u00e9rapeutes respiratoires dipl\u00f4m\u00e9s (GRT) et auxiliaires ou limit\u00e9s (PRT) ont des modalit\u00e9s et restrictions, lesquelles figurent ci-dessous.<\/span><\/p>\n

** Les cinq actes autoris\u00e9s peuvent \u00eatre accomplis sur des adultes, des enfants ou des nouveau-n\u00e9s.<\/span><\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbPlease Note\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.24.2″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb text_line_height=\u00a0\u00bb1em\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

L\u2019acte<\/strong> autoris\u00e9<\/strong> 4<\/strong> permet aux RRT,<\/strong> RT(E),<\/strong> PRT<\/strong> et<\/strong> GRT<\/strong> d\u2019ex\u00e9cuter toutes les interventions appartenant \u00e0<\/p>\n

l\u2019acte contr\u00f4l\u00e9 Administration d\u2019une substance par injection ou inhalation, \u00e0<\/strong> condition<\/strong> d\u2019avoir<\/strong> une<\/strong> ordonnance<\/strong><\/p>\n

valide <\/strong>(et en conformit\u00e9 aux MCR impos\u00e9es \u00e0 leur certificat d\u2019inscription).<\/p>\n

 <\/p>\n

L\u2019acte<\/strong> autoris\u00e9<\/strong> 4<\/strong> permet aux RRT,<\/strong> RT(E),<\/strong> PRT<\/strong> et<\/strong> GRT<\/strong> d\u2019ex\u00e9cuter toutes les interventions appartenant \u00e0<\/p>\n

l\u2019acte contr\u00f4l\u00e9 Administration d\u2019une substance par injection ou inhalation, \u00e0<\/strong> condition<\/strong> d\u2019avoir<\/strong> une<\/strong> ordonnance<\/strong><\/p>\n

valide <\/strong>(et en conformit\u00e9 aux MCR impos\u00e9es \u00e0 leur certificat d\u2019inscription).<\/p>\n

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Acte autoris\u00e9 1<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Ex\u00e9cution d\u2019une proc\u00e9dure prescrite sous le derme<\/em><\/h3>\n

Dans ce premier acte autoris\u00e9, \u00ab prescrit \u00bb signifie pr\u00e9vu dans un r\u00e8glement. La r\u00e9glementation sur les proc\u00e9dures prescrites<\/em><\/a> r\u00e9glementation sur les proc\u00e9dures prescrites pr\u00e9voit les proc\u00e9dures faisant partie de l\u2019acte contr\u00f4l\u00e9 \u00ab ex\u00e9cution d\u2019une proc\u00e9dure prescrite sous le derme \u00bb et les classe en deux cat\u00e9gories : de base et avanc\u00e9es. Le tableau 1 pr\u00e9cise quelles proc\u00e9dures sont contenues dans la r\u00e9glementation, et donne des exemples de diff\u00e9rentes proc\u00e9dures pr\u00e9cises. Veuillez prendre note que cette liste n’est pas exhaustive, et qu\u2019elle est seulement offerte \u00e0 titre indicatif.<\/p>\n

 <\/p>\n

Tableau 1 : Proc\u00e9dures prescrites sous le derme<\/h4>\n

[\/et_pb_text][et_pb_code _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
PROC\u00c9DURE<\/strong><\/th>EXEMPLES<\/strong><\/th>\n<\/tr>\n<\/thead>\n
De base<\/strong><\/td>\n<\/tr>\n
i. Ponction art\u00e9rielle, veineuse et capillaire.<\/td>\u25cf Analyse de gaz art\u00e9riel<\/td>\n<\/tr>\n
ii. Insertion, suture, aspiration, repositionnement, manipulation et retrait d\u2019une canule art\u00e9rielle.<\/td>\u25cf Cath\u00e9ter art\u00e9riel<\/td>\n<\/tr>\n
iii. Insertion, suture, aspiration, repositionnement, manipulation et retrait d\u2019une canule veineuse.<\/td>\u25cf Intraveineuse p\u00e9riph\u00e9rique
\n\u25cf Canulation de veine jugulaire interne<\/td>\n<\/tr>\n
AVANC\u00c9<\/strong><\/td>\n<\/tr>\n
i. Manipulation ou repositionnement d\u2019une canule \u00e0 ballonnet.<\/td>\u25cf Pression pulmonaire capillaire
\n\u25cf Pompe \u00e0 ballonnet intra-aortique (PBIA)<\/td>\n<\/tr>\n
ii. Insertion, aspiration, repositionnement et retrait d\u2019une aiguille thoracique.<\/td><\/td>\n<\/tr>\n
iii. Insertion, aspiration, repositionnement et retrait d\u2019un drain thoracique.<\/td><\/td>\n<\/tr>\n
iv. Pr\u00e9l\u00e8vement d\u2019\u00e9chantillon de tissu bronchoscopique aux fins de lavage broncho-alv\u00e9olaire et de brossage endobronchique.*<\/td><\/td>\n<\/tr>\n
v. Insertion d\u2019aiguille intraosseuse.<\/td><\/td>\n<\/tr>\n
vi. Placement d\u2019\u00e9lectrode sous-cutan\u00e9e aux fins de suivi interop\u00e9ratoire et foetal p\u00e9rinatal.<\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n* Les biopsies des tissus ne font pas partie de cette proc\u00e9dure, car l\u2019\u00e9chantillon doit \u00eatre pr\u00e9lev\u00e9 sous les muqueuses, ce qui n'est pas un acte autoris\u00e9 aux th\u00e9rapeutes respiratoires. Pour effectuer une biopsie des tissus, il faut une d\u00e9l\u00e9gation.<\/span>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ _builder_version=\u00a0\u00bb4.16″ collapsed=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Exigences particuli\u00e8res li\u00e9es \u00e0 l\u2019ex\u00e9cution de proc\u00e9dures prescrites sous le derme<\/em><\/h3>\n

[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pour ex\u00e9cuter une proc\u00e9dure donn\u00e9e class\u00e9e comme avanc\u00e9e, un th\u00e9rapeute respiratoire inscrit (RRT) doit avoir r\u00e9ussi un programme d\u2019agr\u00e9ment ou de renouvellement de l\u2019agr\u00e9ment approuv\u00e9 par l\u2019OTRO au cours des deux ann\u00e9es pr\u00e9c\u00e9dentes. De plus amples renseignements \u00e0 ce sujet sont fournis dans les Lignes directrices de pratique professionnelle Programmes d\u2019agr\u00e9ment des
\nproc\u00e9dures prescrites avanc\u00e9es sous le derme<\/a> de l\u2019OTRO.<\/p>\n

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Les th\u00e9rapeutes respiratoires dipl\u00f4m\u00e9s (GRT) et les th\u00e9rapeutes respiratoires auxiliaires (PRT) ne peuvent ex\u00e9cuter aucune proc\u00e9dure prescrite sous le derme, m\u00eame s\u2019ils ont r\u00e9ussi un programme d\u2019agr\u00e9ment approuv\u00e9.<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Les PRT ne doivent pas ex\u00e9cuter de proc\u00e9dure de base, \u00e0 moins d\u2019avoir re\u00e7u l\u2019autorisation de le faire par le Comit\u00e9 d\u2019inscription (c.-\u00e0-d. que les modalit\u00e9s contenues sur leur certificat d\u2019inscription le leur permettent).<\/p>\n

[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Tableau 2 : Proc\u00e9dures sous le derme et changements de tube de trach\u00e9otomie<\/h4>\n

[\/et_pb_text][et_pb_code _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\n\n\n\n\t\n\n\t\n\t
PROC\u00c9DURE<\/strong><\/th>RRT<\/strong><\/th>GRT*<\/strong><\/th>PRT<\/strong><\/th>\n<\/tr>\n<\/thead>\n
Proc\u00e9dures prescrites de base.<\/td>\u2713<\/td>\u2713<\/td>**<\/td>\n<\/tr>\n
Proc\u00e9dures prescrites avanc\u00e9es.<\/td>\u2713<\/td><\/td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n* Les GRT doivent ex\u00e9cuter un acte contr\u00f4l\u00e9 sous surveillance, et ils ne peuvent d\u00e9l\u00e9guer aucun acte contr\u00f4l\u00e9.
\n
\n** Les PRT peuvent uniquement ex\u00e9cuter les changements de tube de trach\u00e9otomie d\u2019un stomate de plus de 24 heures si les modalit\u00e9s de leur certificat d\u2019inscription le permettent de fa\u00e7on explicite, afin d\u2019acqu\u00e9rir les comp\u00e9tences d\u2019ex\u00e9cution de cette proc\u00e9dure, et seulement si c\u2019est sous la surveillance directe d\u2019un professionnel de la sant\u00e9 r\u00e9glement\u00e9 autoris\u00e9 \u00e0 ex\u00e9cuter la proc\u00e9dure en question.<\/span>\n[\/et_pb_code][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bbSub Topic Highlight\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bbrgba(105,107,174,0.1) 0%|rgba(105,107,174,0) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(105,107,174,0.1)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(105,107,174,0)\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/interpretation.crto.on.ca\/wp-content\/uploads\/sites\/12\/2021\/08\/crto-purplepattern-crop-2.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n
Anesth\u00e9sie r\u00e9gionale<\/strong><\/h5>\n

L\u2019insertion de blocages nerveux p\u00e9riph\u00e9riques, rachidiens et p\u00e9riduraux n\u2019est pas autoris\u00e9e en vertu de la r\u00e9glementation actuelle sur les proc\u00e9dures prescrites<\/em>; par cons\u00e9quent, la d\u00e9l\u00e9gation est requise. L\u2019injection d\u2019un m\u00e9dicament par ces voies, toutefois, fait partie de l\u2019\u00ab administration d\u2019une substance par injection ou inhalation \u00bb<\/em>, acte autoris\u00e9 aux th\u00e9rapeutes respiratoires.<\/p>\n

[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbAA2″ _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Acte autoris\u00e9 2<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pratiquer des intubations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx<\/em><\/h3>\n

Le deuxi\u00e8me acte contr\u00f4l\u00e9 autoris\u00e9 aux th\u00e9rapeutes respiratoires est pratiquer des intubations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx<\/em>. L\u2019OTRO interpr\u00e8te \u00ab au-del\u00e0 du larynx \u00bb comme signifiant au niveau du larynx ou plus bas, qu’on parle des voies a\u00e9riennes ou de l’oesophage, y compris l’acc\u00e8s par la bouche, le nez ou des voies artificielles.<\/p>\n

Par exemple, en vertu de cet acte autoris\u00e9, les th\u00e9rapeutes respiratoires peuvent
accomplir les t\u00e2ches suivantes :<\/p>\n

[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Tubage endotrach\u00e9al, notamment nasal, oral et aid\u00e9 par bronchoscopie<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Insertion de masque laryng\u00e9<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Insertion de drain nasogastrique et insertion de drains nasogastriques sp\u00e9cialement con\u00e7us avec \u00e9lectrodes \u00c9MG qui traversent le diaphragme aux fins de neuro-asservissement de la ventilation assist\u00e9e (NAVA)<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Insertion dans les voies respiratoires nasales<\/p>\n

[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Insertion de tube d\u2019alimentation.<\/p>\n

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Acte autoris\u00e9 3<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Pratiquer des aspirations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx<\/em><\/h3>\n

Le troisi\u00e8me acte contr\u00f4l\u00e9 autoris\u00e9 aux th\u00e9rapeutes respiratoires est pratiquer des aspirations au-del\u00e0 du point de r\u00e9tr\u00e9cissement normal des fosses nasales ou au-del\u00e0 du larynx.<\/em> \u00ab Au-del\u00e0 du larynx \u00bb est interpr\u00e9t\u00e9 comme signifiant au niveau du larynx ou plus bas, qu’on parle des voies a\u00e9riennes ou de l’oesophage, y compris l’acc\u00e8s par la bouche, le nez ou des voies artificielles.<\/p>\n

Les th\u00e9rapeutes respiratoires peuvent effectuer des aspirations, notamment nasopharyg\u00e9es, trach\u00e9ales, nasogastriques et bronchoscopiques. La LTR n’exige pas d\u2019ordonnance pour accomplir cet acte autoris\u00e9, mais d’autres lois pourraient d\u00e9terminer si ce devrait \u00eatre le cas (p. ex., la Loi sur les h\u00f4pitaux publics, R\u00e9glementation sur la gestion hospitali\u00e8re). De plus, les th\u00e9rapeutes respiratoires doivent se conformer aux politiques et proc\u00e9dures de leur employeur concernant l\u2019aspiration.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbAA4″ _builder_version=\u00a0\u00bb4.16″ collapsed=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Acte autoris\u00e9 4<\/strong><\/h2>\n

[\/et_pb_text][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb disabled_on=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_margin=\u00a0\u00bb||15px|||\u00a0\u00bb custom_css_before=\u00a0\u00bbwidth: 130px; margin: auto;\u00a0\u00bb hide_on_mobile=\u00a0\u00bboff\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Administration d\u2019une substance par injection ou inhalation<\/em><\/h3>\n

Le quatri\u00e8me acte contr\u00f4l\u00e9 autoris\u00e9 aux th\u00e9rapeutes respiratoires est l\u2019administration <\/em>d\u2019une substance par voie d\u2019injection ou d\u2019inhalation<\/em>.<\/p>\n

[\/et_pb_text][et_pb_blurb title=\u00a0\u00bb1. En vertu de cet acte, un th\u00e9rapeute respiratoire peut administrer une substance par inhalation sous les formes suivantes :\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb9||divi||400″ icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n