Credential Maintenance Program

Credential Maintenance Program

Assessment Detailed Content Outlines

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Respiratory Therapist

?

Pulmonary Function Technology

?

Adult Critical Care Specialty

?

Neonatal/Pediatric Specialty

?

Sleep Disorders Specialty

Credential Maintenance Program

Assessment Content Outline

As a credentialed practitioner, you already know maintaining and enhancing the knowledge established on initial credentialing is a crucial component to professional development and career advancement, as well as patient care. That's why maintaining your credential(s) through the Credential Maintenance Program (CMP) is necessary to ensure your continued competence as respiratory care methodologies and technologies change over time.

The CMP has three options to maintain your credential(s) 1) take quarterly assessments and/or document up to 30 continuing education credits, 2) earn another NBRC credential, or 3) pass the same credentialing examination again. If you choose to maintain your credentials through option 1, your performance on the assessments will determine whether or not you have to document CE with the NBRC.

The assessment component is key in our goal of strengthening the relationship between competencies of credential holders and expectations linked to those credentials. Content will focus on tasks that put patients at risk and have a high pace of change.

The assessment and CE option of the CMP include the following features:

? Complete quarterly assessments through year four of your certification cycle. Assessment items cover topics that put patients at risk or practice that changes most rapidly.

? Assessment progress will be kept track of automatically and displayed in your personal Credential Maintenance Dashboard along with your current CE requirement.

? Revisit learning content linked to assessment items and monitor progress from the Credential Maintenance Dashboard.

? Quarterly review of your progress and peer performance.

? Seek the continuing education (CE) you need to optimize patient care to satisfy your CE requirement.

? Document the number of CE indicated on your dashboard during the fifth year of your certification cycle, if needed. The number of CE required is based on assessment performance and categorized in three zones: Green, Yellow, and Red. Strong performance on the assessments will place you in the Green or Yellow Zones, eliminating or reducing the amount of CE required.

? Participation in the CMP is separate from licensing requirements in your state. You must continue to comply with your state's requirements.

For more information about all CMP options, visit .

Credential Maintenance Program

Assessment Detailed Content Outlines

?

Respiratory Therapist

Pulmonary Function Technology

Adult Critical Care Specialty

Neonatal/Pediatric Specialty

Sleep Disorders Specialty

Credential Maintenance Program

Respiratory Therapist Assessment Detailed Content Outline

Items are linked to open cells.

*Test takers will be asked to integrate (apply or analyze) information.

First Quarter of the Calendar

I. PATIENT DATA

A. Evaluate Data in the Patient Record 1. Patient history, for example, ? history of present illness (HPI) ? orders ? medication reconciliation ? progress notes ? DNR status / advance directives ? social, family, and medical history 2. Physical examination relative to the cardiopulmonary system 3. Lines, drains, and airways, for example, ? chest tube ? vascular lines ? artificial airway 4. Laboratory results, for example, ? CBC ? electrolytes ? coagulation studies ? sputum culture and sensitivities ? cardiac biomarkers 5. Blood gas analysis and / or hemoximetry (COoximetry) results 6. Pulmonary function testing results, for example ? spirometry ? lung volumes ? DLCO 7. 6-minute walk test results 8. Imaging study results, for example, ? chest radiograph ? CT scan ? ultrasonography and / or echocardiography ? PET scan ? ventilation / perfusion scan

? 2019. NBRC. All rights reserved. ~ 1 ~

Totals Integration*

Recall Ethics

Effective: January 2020

Items Cognitive

Level

10

4

4

8

2

2

4

Credential Maintenance Program

Respiratory Therapist Assessment Detailed Content Outline

Items are linked to open cells.

*Test takers will be asked to integrate (apply or analyze) information.

9. Maternal and perinatal / neonatal history, for example, ? APGAR scores ? gestational age ? L / S ratio

10. Sleep study results, for example, ? apnea-hypopnea index (AHI)

11. Trends in monitoring results a. fluid balance b. vital signs c. intracranial pressure d. ventilator liberation parameters e. pulmonary mechanics f. noninvasive, for example, ? pulse oximetry ? capnography ? transcutaneous g. cardiac evaluation / monitoring results, for example, ? ECG ? hemodynamic parameters

12. Determination of a patient's pathophysiological state

B. Perform Clinical Assessment 1. Interviewing a patient to assess a. level of consciousness and orientation, emotional state, and ability to cooperate b. level of pain c. shortness of breath, sputum production, and exercise tolerance d. smoking history e. environmental exposures f. activities of daily living g. learning needs, for example, ? literacy ? preferred learning style ? social / cultural

? 2019. NBRC. All rights reserved. ~ 2 ~

Totals Integration*

Recall Ethics

Effective: January 2020

Items Cognitive

Level

1

1

2

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