{"id":3548,"date":"2021-09-15T02:43:35","date_gmt":"2021-09-15T02:43:35","guid":{"rendered":"https:\/\/interpretation.crto.on.ca\/?page_id=3548"},"modified":"2023-06-30T10:20:15","modified_gmt":"2023-06-30T10:20:15","slug":"ultrason-diagnostique","status":"publish","type":"page","link":"https:\/\/interpretation.crto.on.ca\/fr\/ultrason-diagnostique\/","title":{"rendered":"Application d\u2019une forme d\u2019\u00e9nergie"},"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\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 0%|rgba(255,255,255,0) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/interpretation.crto.on.ca\/wp-content\/uploads\/sites\/12\/2021\/11\/CRTO-Applying-energy.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 module_alignment=\u00a0\u00bbleft\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n

Application d\u2019une forme d\u2019\u00e9nergie
<\/strong><\/h1>\n

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Application d\u2019une forme d\u2019\u00e9nergie<\/strong><\/h2>\n

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L\u2019application d\u2019une forme d\u2019\u00e9nergie, qui constitue un acte contr\u00f4l\u00e9 conform\u00e9ment \u00e0 la LPSR<\/em>, n\u2019est pas autoris\u00e9e aux th\u00e9rapeutes respiratoires en vertu de la Loi de 1991 sur la th\u00e9rapie<\/em> respiratoire<\/em>. L’une de ces proc\u00e9dures d\u00e9crites sous cet acte contr\u00f4l\u00e9 peuvent s\u2019appliquer \u00e0 la pratique de la th\u00e9rapie respiratoire et peuvent \u00eatre ex\u00e9cut\u00e9es dans des circonstances pr\u00e9cises<\/span>, si l\u2019on poss\u00e8de les connaissances et les comp\u00e9tences requises. Voici ces proc\u00e9dures :<\/p>\n

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utilisation d\u2019un d\u00e9fibrillateur externe automatis\u00e9 (DEA)<\/p>\n

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DEA<\/strong><\/h2>\n

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Par cons\u00e9quent, l\u2019utilisation d\u2019un DEA n\u00e9cessite obligatoirement :<\/p>\n

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Une ordonnance et<\/span> une d\u00e9l\u00e9gation; ou<\/strong><\/p>\n

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Le recours \u00e0 l\u2019exon\u00e9ration en cas d\u2019urgence, telle que pr\u00e9vue dans la LPSR<\/em>.<\/p>\n

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Ultrason diagnostique<\/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\u00bb4.20.0″ custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

Un ultrason diagnostique est un ultrason qui produit une image ou des donn\u00e9es, Il sert \u00e0 visualiser les structures pendant une intervention (guide d\u2019intervention) et n\u00e9cessite des fr\u00e9quences variant entre 2 et 20 MHz.<\/p>\n

Le minist\u00e8re de la Sant\u00e9 de l\u2019Ontario a modifi\u00e9 la Loi sur les professions de la sant\u00e9 r\u00e9glement\u00e9es<\/a> (art. 7.1 (1) \u2013 R\u00e8gl. de l\u2019Ont. 107\/96 ) afin de permettre aux musicoth\u00e9rapeutes d\u2019appliquer des ondes sonores pour r\u00e9aliser une ultrasonoscopie si l\u2019application est ordonn\u00e9e par un m\u00e9decin, une infirmi\u00e8re praticienne ou un infirmier praticien. La d\u00e9l\u00e9gation n\u2019est plus exig\u00e9e.<\/strong> Les th\u00e9rapeutes respiratoires qui souhaitent utiliser l\u2019ultrasonoscopie dans le cadre de leur pratique (p. ex., canulation de l\u2019art\u00e8re radiale, \u00e9chographie pulmonaire) ne sont plus tenus d\u2019obtenir une d\u00e9l\u00e9gation, mais seulement une ordonnance valide<\/strong> (ordre direct ou directive m\u00e9dicale). On peut obtenir de plus amples renseignements sur la d\u00e9l\u00e9gation dans les Lignes directrices de pratique professionnelle D\u00e9l\u00e9gation de l\u2019ex\u00e9cution des actes contr\u00f4l\u00e9s<\/a> de l\u2019OTRO. On peut obtenir de plus amples renseignements sur les ordonnances dans les Lignes directrices de pratique professionnelle Ordonnances de soins m\u00e9dicaux<\/a> de l\u2019OTRO.<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3″ module_id=\u00a0\u00bbAuthorizeAED\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

Comment authoriser l’utilisation d’un DEA
<\/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_blurb title=\u00a0\u00bbOrdonnance et d\u00e9l\u00e9gation\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

Le m\u00e9canisme d\u2019autorisation \u00e0 utiliser de pr\u00e9f\u00e9rence est la combinaison ordonnance et d\u00e9l\u00e9gation. Dans le cadre de cette approche, l\u2019ordonnance<\/strong> sert \u00e0 autoriser l\u2019utilisation du DEA (application d\u2019\u00e9nergie) et la d\u00e9l\u00e9gation<\/strong> permet de transf\u00e9rer<\/em> cette autorisation au th\u00e9rapeute respiratoire. Id\u00e9alement, cela est effectu\u00e9 \u00ab sur le moment \u00bb, de fa\u00e7on individuelle, mais ce n\u2019est pas toujours possible \u00e9tant donn\u00e9 l\u2019urgence associ\u00e9e \u00e0 la gestion d\u2019un arr\u00eat cardiaque. On peut alors avoir recours \u00e0 une ordonnance m\u00e9dicale permanente et \u00e0 une d\u00e9l\u00e9gation s\u2019appliquant \u00e0 ces sc\u00e9narios (c.-\u00e0-d. une directive m\u00e9dicale et une d\u00e9l\u00e9gation \u00e0 la grandeur d\u2019une organisation permettant \u00e0 tout th\u00e9rapeute respiratoire ayant re\u00e7u la formation quant \u00e0 l\u2019utilisation des DEA de les utiliser dans des situations bien pr\u00e9cises, comme un arr\u00eat cardiaque).<\/p>\n

[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbExemption en cas d\u2019urgence\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

La LPSR<\/em> pr\u00e9voit une exon\u00e9ration en cas d\u2019urgence permettant la d\u00e9rogation \u00e0 la restriction des actes contr\u00f4l\u00e9s. Cette exon\u00e9ration pr\u00e9sume que l\u2019ex\u00e9cution d\u2019un acte contr\u00f4l\u00e9 ne se produit pas fr\u00e9quemment et qu\u2019il s\u2019agit v\u00e9ritablement d\u2019une urgence. De plus, il est important de faire la distinction entre une urgence impr\u00e9vue et une urgence \u00ab courante \u00bb. Cette distinction est d\u00e9crite dans la Loi de 1991 sur le bon samaritain<\/em> qui pr\u00e9voit l\u2019immunit\u00e9 contre les poursuites pour n\u00e9gligence des professionnels qui fournissent des services de sant\u00e9 d\u2019urgence ou des premiers soins dans<\/span> un lieu autre qu\u2019un h\u00f4pital ou un \u00e9tablissement de sant\u00e9, ce qui implique qu\u2019il s\u2019agit d\u2019urgences impr\u00e9vues alors que le travail r\u00e9alis\u00e9 dans les h\u00f4pitaux et \u00e9tablissements de sant\u00e9 sont des urgences \u00ab courantes \u00bb. La combinaison ordonnance et d\u00e9l\u00e9gation est la fa\u00e7on la mieux appropri\u00e9e pour g\u00e9rer les urgences \u00ab courantes \u00bb, m\u00eame s\u2019il est certain que les arr\u00eats cardiaques ne sont pas tous pr\u00e9visibles. Par cons\u00e9quent, il est acceptable qu\u2019un th\u00e9rapeute respiratoire applique un DEA en vertu de l\u2019exon\u00e9ration en cas d\u2019urgence, mais seulement<\/strong><\/em> lorsqu\u2019il est impossible<\/span> d\u2019obtenir une ordonnance et d\u00e9l\u00e9gation.<\/p>\n

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Application d\u2019une forme d\u2019\u00e9nergieApplication d\u2019une forme d\u2019\u00e9nergieL\u2019application d\u2019une forme d\u2019\u00e9nergie, qui constitue un acte contr\u00f4l\u00e9 conform\u00e9ment \u00e0 la LPSR, n\u2019est pas autoris\u00e9e aux th\u00e9rapeutes respiratoires en vertu de la Loi de 1991 sur la th\u00e9rapie respiratoire. L’une de ces proc\u00e9dures d\u00e9crites sous cet acte contr\u00f4l\u00e9 peuvent s\u2019appliquer \u00e0 la pratique de la th\u00e9rapie respiratoire et […]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-3548","page","type-page","status-publish","hentry"],"yoast_head":"\nApplication d\u2019une forme d\u2019\u00e9nergie - Interpretation of Authorized Acts<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/interpretation.crto.on.ca\/fr\/ultrason-diagnostique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Application d\u2019une forme d\u2019\u00e9nergie - Interpretation of Authorized Acts\" \/>\n<meta property=\"og:description\" content=\"Application d\u2019une forme d\u2019\u00e9nergieApplication d\u2019une forme d\u2019\u00e9nergieL\u2019application d\u2019une forme d\u2019\u00e9nergie, qui constitue un acte contr\u00f4l\u00e9 conform\u00e9ment \u00e0 la LPSR, n\u2019est pas autoris\u00e9e aux th\u00e9rapeutes respiratoires en vertu de la Loi de 1991 sur la th\u00e9rapie respiratoire. 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