Showing posts with label Respiratory Therapy. Show all posts
Showing posts with label Respiratory Therapy. Show all posts

Tuesday, April 22, 2014

What is the HR 2619 Bill?

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There is a bi-partisan bill in congress known as the HR 2619 bill. For those not familiar with ‘bi-partisan,’ it means that a bill has been sent to congress and it has both (bi) Democrat and Republican support. So what’s so significant about this bill? This bill will help ensure that patient’s receive competent care by competent therapists. How?

The bill is seeking to add coverage of pulmonary management education and training when done by a qualified respiratory therapist under the supervision of a practicing physician. In other words, Medicare patients will be covered when they seek education and training by qualified respiratory therapists. In other words, qualified respiratory therapists will finally be reimbursed for these services. In other words, respiratory therapists will be more marketable. Need some examples of what may be covered? Observing and teaching MDI techniques, educating the importance of proper medication use, recommending flu and pneumonia vaccines, developing action plans, education on oxygen systems, education on pulse ox monitoring, etc. These probably are things you already do, but are not reimbursed for. This is a big incentive because the bill will take the guesswork out of whether the physician will get paid for the RT services.

To qualify, the RT must hold a “registered” credential and have at a minimum a bachelor’s degree or other advanced degree in a health science field appropriate to the services RTs provide. RTs can be part-time or full-time employees of the physician practice or be contracted to provide the services. They will not, however, be able to start their own independent practice.[1]

What if you don’t have a “registered” credential or a bachelor’s degree? You are still qualified to support this bill! The bill positively impacts the entire profession. Please help in making this happen!

How can you support the bill? The AARC has made the process very easy. If you are a respiratory therapist, click on this link http://capwiz.com/aarc/issues/alert/?alertid=62340161. This will compose a message to your U.S. Senators and U.S. House Representative. The wording of the email has already been written. All you have to do is type your name, email, home address, and hit send. That’s it!

If you are a student respiratory therapist, you can click on this link http://capwiz.com/aarc/issues/alert/?alertid=62340241. This will compose a message to your U.S. Senators and U.S. House Representative. The wording of the email has already been written. All you have to do is type your name, email, home address, and hit send. That’s it!

What are you waiting for? Do it!




[1] http://www.aarc.org/advocacy/activities/FAQs_HR2619_FINAL_rev3-6-14.pdf

Friday, January 3, 2014

Coping with Myasthenia Gravis

As a respiratory therapist, it is vitally important to know more about Myasthenia Gravis. Unfortunately, most therapists know little about the disease. Most likely, they remember that the disease works its way from the “mind to the ground” – a catchphrase implemented to help remember that Myasthenia Gravis (MG) works its way down from the “M to the G.”

Myasthenia Gravis comes from the Greek and Latin words and means “grave muscular weakness.”[1]  It is an autoimmune neuromuscular disorder that weakens the body. Currently, there is no known cause or cure. Common treatments include Anticholinesterase agents (Mestinon), steroids (Prednisone), and immunosuppressant agents (Imuran). In addition, thymectomy, plasmapheresis and intravenous immunoglobulin (IVIG) have all been used to help treat patients.

As a respiratory therapist, your roll will be to monitor and care for the MG patient. Performing NIF tests and vital capacity measurements are crucial in monitoring the strength of the respiratory muscle.

Moreover, should your MG patient be intubated, stay on top of auscultating breath sounds and suctioning frequently. Do not rush the weaning process as most patients who are intubated have been intubated due to an inability to breathe adequately. Let the ventilator give the patient a break. Treat the endotracheal tube as a friend, not an enemy. Although we must wean aggressively patients who have been intubated for respiratory conditions (patients recovering from ARDS), consider slowing down a bit for a neuromuscular condition.

Lastly, provide words of encouragement and display compassion as you work with both the patient and family. It is very scary to have the ability to breathe taken away from you. Be diligent in your ventilator checks, patient assessment, and family interaction.



(This post is dedicated to Sarah G., who showed tremendous faith in Jesus Christ, while being intubated secondary to a Myasthenia Gravis crisis. At a young age (early 20's), no one could have been prepared for what she went through. But Jesus was prepared to go through it with her!)




[1] “Myasthenia Gravis,” accessed December 29, 2013. http://www.myasthenia.org/WhatisMG.aspx