Registration RENEWAL

Indicate your current employment status by checking the appropriate box. If you are taking a leave of absence, please provide the “to” and “from” dates as well as the reason (e.g., academic, parental).

PLACE(S) OF RT EMPLOYMENT

Review the listing of your current place(s) of employment. To update an employer, click on the 'Update/Review' link beside the employment record you wish to modify. You must Review/Update each employer as part of your annual registration renewal.

Employment Category / Status

Permanent: Status with employer is permanent with an indeterminate duration (no specified end date) of employment and guaranteed or fixed practice hours per week. Temporary: Status with employer is temporary with fixed duration of employment, based on a defined start and end date, and guaranteed or fixed practice hours per week. Self-Employed: A person who engages independently in the profession, operating his or her own economic enterprise. The individual may be the working owner of an incorporated or unincorporated business or professional practice, or an individual in a business relationship characterized by a verbal or written agreement(s) in which the self-employed individual agrees to perform specific work for a payer in return for payment. Full-Time: Official status with employer is full-time or equivalent, or usual hours of practice are equal to or greater than 30 hours per week. Part-Time: Official status with employer is part-time, or usual hours of practice are less than 30 hours per week. Casual: Status with employer is on an as-needed basis, with employment that is not characterized by a guaranteed or fixed number of hours per week. There is no arrangement between employer and employee that the employee will be called to work on a regular basis.

Position Type Indicate the type of position you hold at the specific place of employment. Only one can be selected per employer. Administrator: A person whose primary role is involved in administration, planning, organizing and managing. Anaesthesia Assistant / OR RT: A specially trained health professional who participates in the care of the stable surgical patient during general, regional, or conscious sedation anesthesia through medical directives under the supervision of the anesthesiologist. Cardiac Diagnostic RT (Cardio, Pulmonary, Neuro): A Respiratory Therapist whose main area of practice includes (but is not limited to) performing activities such as electrocardiography (ECGs), Holter monitoring and cardiac stress testing. Cardiopulmonary Function RT/Technician: Major role is in the administration of pulmonary function testing. Cardiopulmonary Rehabilitation RT: Major role is in providing cardiopulmonary rehabilitation therapy. Cardiovascular Perfusionist: Primary role is to conduct cardiopulmonary bypass using a heart- machine and other ancillary equipment. They closely monitor the patient's blood flow and other vital signs during open heart surgery and are also responsible for administering intravenous fluids, blood products and anesthetic drugs. Perfusionists are also experts of other life support equipment such as ventricular assist devices and intra-aortic balloon pumps. Case Manager/Coordinator: May assess and review requirements; determine eligibility; develop, coordinate and evaluate plans of care/plans service in the interest of the patients/clients they serve (acute care or community setting). E.g., the Case Manager works collaboratively to manage the discharge of a stable, mechanically ventilated patient/client from hospital to home. Charge Therapist/Professional Practice Leader/Senior RT: Provides clinical leadership (including supervision and clinical support) to RTs and other health care practitioners to ensure that Respiratory Therapy services are delivered in a safe, effective and efficient manner. Clinical Educator/Instructor/Coordinator (e.g., Simulation): The focus is the provision of clinical education to health care practitioners, students, patients and / or family in the clinical setting including the teaching, reinforcing and evaluation of clinical competencies. Consultant: Major role is the provision of expert guidance and consultation, without direct patient- care, to a third-party. CPAP Consultant/CPAP Therapist: Provides guidance to patients/clients who require non-invasive ventilation in a community setting. Faculty: (post-secondary education): Major role is as an educator for a particular target group. Home Care RT: Focus is the provision of Respiratory Therapy services to clients in their homes. Hyperbaric RT: Major role is in providing hyperbaric . Infection Control Practitioner: Major role is related to infection prevention and control. Interprofessional Manager / Lead / Educator: Supports interprofessional collaborative practice setting to identify, manage and evaluate the effectiveness of interprofessional education and care within a healthcare setting. Manager: Major role is in the management of a particular team/group that delivers services. Owner/Operator: An individual who is the owner of a practice site and who may or may not manage or supervise the operation at that site. Patient Educator/Patient Outreach: Focus is the provision of education to patients/clients and may occur in a variety of practice settings, including hospital, primary care and community. Patient Safety / Risk Management: Works collaboratively with the healthcare team to provide leadership and expertise in the area of risk management to identify and mitigate risk within the organization. Polysomnography RT (e.g., Sleep Consultant/Clinician): Major role is in providing diagnostic sleep testing. Quality Management Specialist: Major role is the assurance and control of the quality of procedures and/or equipment. Researcher/Research Associate: Major role is in knowledge development and dissemination of research. Sales Representative/Clinical Specialist: Major role is in the sales of health-related services/products. Simulation Technician/Educator: Provides clinical expertise in the development and implementation of simulation-based education. Staff RT: Major role in is in the delivery of respiratory services. Transport RT: Focus is the provision of Respiratory Therapy services to patients/clients during transfer from one location to another. This includes both land and air transfers.

Main Area of Practice/Other Areas of Practice Focus of your Respiratory Therapy practice at the specific place of employment. Identify the main area of practice (select only one area of practice that best addresses your day-to-day activities). Also select other key areas of practice at the specific place of employment. Acute Care: Services provided primarily to clients who have an acute medical condition or injury that is generally of short-duration. Administration/Management: Management of services or the development of policy and/or programs. Anaesthesia (e.g., Operating Room, PACU, CathLab, Dental Clinic): Includes all levels of involvement in OR setting (e.g., gas machine maintenance). Chronic Disease Prevention: Services are provided primarily to address chronic diseases early in the disease cycle to prevent disease progression and reduce potential health complications. Diseases can include diabetes, hypertension, congestive heart failure, asthma, chronic lung disease, renal failure, liver disease, rheumatoid and osteoarthritis. Chronic/Long Term Care: Includes general patient care activities that are related to the care of a patient’s chronic condition. Consulting: Expert consultation is provided on the profession related to medical and/or legal matters. Continuing Care: Services provided primarily to clients with continuing health conditions for extended periods of time. CPAP Care Coordinator: Provides guidance and coordination of services to patients/clients who require non-invasive ventilation in a community setting. Critical Care: Services provided primarily to clients dealing with serious life-threatening and/or medically complex conditions who require constant care, observation and specialized monitoring and therapies. Diagnostics (e.g., Cardiopulmonary Testing, Allergy Testing): Cardio/pulmonary diagnostic procedures (e.g., cardiopulmonary testing, PFT). Education (Clinical): Provides clinical education to a variety of healthcare professionals (both regulated and non-regulated), including students in educational programs. Education (Didactic/Post-secondary): Focus of activities is directed at providing post-secondary teaching to individuals registered in formal education programs. Education (Patient/Client Education): Provides clinical education to patients/clients and their family members. Emergency: Services provided primarily to patients/clients admitted to the emergency department of an acute care facility. Health Informatics: Develops and uses health information technology to improve health care. Home Care/Community Care/CPAP Clinic: Providing Respiratory Therapy services in client’s home, long-term care facility, etc. Hyperberics: Services provided primarily to clients requiring hyperbaric oxygen therapy for the treatment of specific approved disorders. Infection Control: Specifically, responsible for developing/implementing a health care setting’s infection prevention and control program. Palliative Care: Services provided primarily to clients with the aim of relieving suffering and improving the quality of life for persons who are living with or dying from advanced illness or who are bereaved. Patient/Client Education: Focus is the provision of education to patients/clients and may occur in a variety of practice settings, including hospital, primary care and community. Patient Transport (i.e. Air/Land): The provision of Respiratory Therapy services to patients/clients throughout the transfer process from one location to another. Polysomnography: Performing/scoring sleep studies. Primary Care (e.g. FHT, Urgent Care Clinic) - Services provided primarily to a range of clients, possibly at first-contact, to identify, prevent, diagnose and/or treat health conditions. Public Health: Services are provided primarily with the purpose of improving the health of populations through the functions of health promotion, health protection, health surveillance and population health assessment. Pulmonary Function Testing/: Performing full pulmonary function testing (e.g., lung volumes, , body plethysmography). Quality Management: Focus of activities is on the assurance of the operational integrity, based on compliance with staffing, technical and organizational requirements. Rehabilitation: Providing Respiratory Therapy services in an in-patient and out-patient rehab setting (e.g., pulmonary rehab clinic). Research: Focus of activities is in knowledge development and dissemination of research including clinical and non-clinical. Sales: Focus of activities is in the sales and/or service of health-related apparatuses or equipment. Simulation: Providing training and feedback methods that allow learners to practice tasks, develop important skills, and learn procedures in life-like settings. Telemedicine: Provides healthcare services (e.g., patient education) at a distance where the healthcare professional and the patient/client are not in same physical location. Ventilator Equipment Pool (VEP): Focus of activities is on the delivery of services through the VEP.

Main Category of Patients/Clients Select the age range that best represents the patient/client population that you most often work with. Adults: Clients between the ages of 18-64 years, inclusive Neonatal: Clients from birth to one month Paediatrics: Clients older than one month and up to the age of 17 years Seniors: Clients older than 65 years

RT ACTIVITIES

Choose all RT activities/procedures you currently perform at the specific place of employment.

Delegation The following activities are not directly authorized to Respiratory Therapists and require delegation from a regulated health care professional who has legislative authority to perform the procedure: • Allergy challenge testing • Automatic External Defibrillator (AED) • Bronchoscopic tissue sampling (performing) e.g., biopsy • Cardiac pacemaker therapy (incl. transcutaneous cardiac pacing) • Cardioversion (performing) • Communicating a diagnosis • Defibrillation (performing) • Dispensing medications • Epidural • Needle cricothyrotomy (performing) • Nerve conduction studies (e.g., train of four monitoring) • Performing a procedure on tissue below the surface of a mucous membrane • Putting an instrument, hand or finger: o Beyond anal verge o Beyond the external ear canal o Beyond the labia majora o Into artificial opening into the body • Ultrasound (e.g., Guided Arterial Line Placement)

For more information, please review the Professional Practice Guideline on Delegation.

Advanced Prescribed Procedures Below the Dermis You may not perform an advanced prescribed procedure* unless you have, within two years before the procedure is performed, successfully completed a certification or recertification program approved by the College. *Advanced Prescribed Procedures Below the Dermis: I. Manipulation or repositioning of a cannula balloon. II. Chest needle insertion, aspiration, reposition and removal. III. insertion, aspiration, reposition and removal. IV. Bronchoscopic tissue sample for the purpose of and endobronchial brushing. V. Intraosseous needle insertion. VI. Subcutaneous electrode placement for interoperative and perinatal fetal monitoring. For more information contact Carole Hamp, RRT, Deputy Registrar at [email protected] or ext. 33.

CONTACT INFORMATION

If you have any questions about the renewal process, please contact the CRTO office. • Email: [email protected] Email is the most efficient way to submit your inquiry. • Telephone: 416-591-7800 or toll-free 1-800-261-0528 • Fax: 416-591-7890 • Mailing Address College of Respiratory Therapists of Ontario 180 Dundas Street West, Suite 2103, Toronto, ON M5G 1Z8 • Website: www.crto.on.ca