Critical thinking scenario Respiratory Therapy Students
Transcript of Critical thinking scenario Respiratory Therapy Students
![Page 1: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/1.jpg)
Clinical Scenario Problem Solving Skills
for the Respiratory Therapy Student
Donna Oliver-Freeman MS RRTAssociate Professor
Northern Virginia Community College
![Page 2: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/2.jpg)
ScenarioYou are working the dayshift in a 300-bed suburban hospital.
![Page 3: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/3.jpg)
AssignmentYou are assigned to the
Medical Intensive Care Unit and it is BUSY.
![Page 4: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/4.jpg)
AdmissionEarly in your shift you get an unstable admission
from the Emergency Room.
![Page 5: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/5.jpg)
ReportYou got very little information
in report because she just rolled in the door.
![Page 6: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/6.jpg)
The Patient
The only information you have is that the patient is an unstable 29-year-old well nourished female found unconscious on the subway. She is going for a CT Scan on Oxygen and she will need a tank for transport and during the procedure.
![Page 7: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/7.jpg)
TransportThe patient is very unstable and you have been
asked to assist with the transport.
![Page 8: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/8.jpg)
Information?What items of information will you need
to ensure a successful transport?
![Page 9: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/9.jpg)
DataGather clinical information
(assess patient and review patient chart)
![Page 10: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/10.jpg)
AnalysisInterpret and analyze the available clinical data
![Page 11: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/11.jpg)
AnticipateAnticipate problems with the patient and equipment
![Page 12: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/12.jpg)
PlanDevelop a plan
![Page 13: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/13.jpg)
Decision MakingMake decision about what you will need
![Page 14: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/14.jpg)
EquipmentGather the appropriate equipment
![Page 15: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/15.jpg)
PrioritizePrioritize
![Page 16: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/16.jpg)
Communicate Communicate and collaborate with nurses and
other RT’s
![Page 17: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/17.jpg)
Transport
![Page 18: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/18.jpg)
Summary of SkillsThese are the necessary skills for a strong clinician:
1. Prioritize and plan for the expected and the unexpected2. Anticipate problems and their solutions3. Troubleshoot technical problems as they occur4. Communicate effectively according to the therapists’ styles and the demands of the situation5. Negotiate responsibilities with your co–workers and medical orders with the medical staff6. Make individual, shared, and consultative decisions7. Reflect on the patients and decisions you have made8. Re-evaluate as needed
![Page 19: Critical thinking scenario Respiratory Therapy Students](https://reader036.fdocuments.us/reader036/viewer/2022081505/5560b142d8b42af93b8b4611/html5/thumbnails/19.jpg)
Resources
Shelledy, D.C. (2012). Methods of Incorporating Critical Thinking into the Curriculum. Retrieved from www.coarc.com/uploaded/.../2012%20AARC%20IC%20Shelledy.pd... Mishoe, S.C. (2003). Critical Thinking in Respiratory Care Practice: A Qualitative Research Study. Respir Care 2003;48(5):500 –516. Retrieved from http://services.aarc.org/source/DownloadDocument/Downloaddocs/05.03.0500.pdf French, W. A. (2000) Case Profiles in Respiratory Care. Canada: Delmar Thomas Learning. Mishoe, S.C. & Welch M. A. (2002). Critical Thinking in Respiratory Care. McGraw- Hill.