STANDARD 12.
Professional Boundaries / Therapeutic & Professional Relationships
Respiratory Therapists (RTs) must act with honesty, integrity, and respect appropriate professional boundaries with patients/clients, healthcare team members, students, and others.
Performance Requirements
Must refrain from abusing a patient/client verbally, emotionally, psychologically, electronically, physically, or sexually, or taking advantage of a patient/ client as a result of the member’s position.
Must refrain from abusing a person, other than a patient/client, with whom the member has a professional relationship or, in relation to whom, the member is in a position of authority or trust.
Treat all patients/clients equitably without regard for age, race, religion, gender, body type, sexual orientation, gender identity, marital status, type of illness or level of physical or cognitive ability.
Patient / Client Expected Outcome
Patients/clients can expect that RTs treat them with integrity while maintaining professional boundaries.
RELATED RESOURCES
- College of Respiratory Therapists of Ontario. (2010). A Commitment to Ethical Practice. Available at: http://www.crto.on.ca/pdf/Ethics.pdf
- College of Respiratory Therapists of Ontario. (2013). CRTO Social Media Policy. Available at: http://www.crto.on.ca/pdf/Policies/PR_Social_Media_103.pdf
- College of Respiratory Therapists of Ontario. (2014). Zero Tolerance of Sexual and Other Forms of Abuse. Position Statement. Available at: http://www.crto.on.ca/pdf/Positions/sexual-abuse.pdf
- College of Respiratory Therapists of Ontario. (2014). Abuse Awareness and Prevention. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/abuse.pdf
- College of Respiratory Therapists of Ontario. (2015). Respiratory Therapists Providing Education. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/MembersAsEducators.pdf
- College of Respiratory Therapists et al. (2013). Pause Before You Post: Social Media Awareness for Regulated Healthcare Professionals E-learning Module. Available at http://www.crto.on.ca/members/professional-development/e-learning/
- National Alliance of Respiratory Therapy Regulatory Bodies. (2016). National Competency Framework for the Profession of Respiratory Therapy. Part 1. National Standards for Entry-to-Practice. Available at: http://www.csrt.com/2016-national-competency-framework/
- Public Health Agency of Canada. (2009). Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse. Available at: http://www.integration.samhsa.gov/clinical-practice/handbook-sensitivve-practices4healthcare.pdf
GLOSSARY
Abuse refers to “treating others in a harmful, injurious, or offensive way.”[1]
Communicates refers to “give or exchange thoughts, feelings, information… by writing, speaking, etc.; to exchange thoughts, feelings, or information easily or effectively.”[2] It implies a two-way communication process between the speaker and recipient involving active listening and reception.
Healthcare team refers to “peers, colleagues, and other healthcare professionals (regulated and non-regulated).”[3]
Informed consent means that the information relating to the treatment must be received and understood by the patient/client.[4]
Patients/clients refer to individuals and their families requiring care or services. This may also include his/her substitute decision-maker or guardian.[5]
Professional boundaries set the limitations around relationships between patients/clients, health care providers, students, and others to ensure the delivery of safe, ethical, patient/client-centred care. Professional boundaries are characterized by respectful, trusting, and ethical interactions with patients/clients that are free of abuse, sexual abuse, sexual assault, and sexual harassment.[6]
Professional relationships refer to “the connections/interactions of RTs with service providers, students, and others.”[6]
Sensitive practice refers to the application of the principles of respect, taking time, rapport, sharing information, sharing control, respecting boundaries, fostering mutual learning, understanding nonlinear healing and demonstrating awareness and knowledge of interpersonal violence.[7]
Therapeutic relationships refer to “the connections/interactions of RTs with their patients/clients.”[8]
FOOTNOTES
- College of Respiratory Therapists of Ontario. (2014). Abuse Awareness and Prevention. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/abuse.pdf
- Adapted from Dictionary.Com. (2017). Online Dictionary. Available at: http://www.dictionary.com/browse/communicated
- College of Respiratory Therapists of Ontario. (2010). A Commitment to Ethical Practice. Available at: http://www.crto.on.ca/pdf/Ethics.pdf
- Adapted from College of Respiratory Therapists of Ontario. (2014). Responsibilities under Consent Legislation. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/UnderConsent.pdf
- Adapted from College of Respiratory Therapists of Ontario. (2010). A Commitment to Ethical Practice. Available at: http://www.crto.on.ca/pdf/Ethics.pdf
- College of Respiratory Therapists of Ontario. (2014) Abuse Awareness and Prevention. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/abuse.pdf
- Adapted from Public Health Agency of Canada. (2009). Handbook on Sensitive Practice for Health Care Practitioners: Lessons from Adult Survivors of Childhood Sexual Abuse. Available at: http://www.integration.samhsa.gov/clinical-practice/handbook-sensitivve-practices4healthcare.pdf
- College of Respiratory Therapists of Ontario. (2014). Abuse Awareness and Prevention. Professional Practice Guideline. Available at: http://www.crto.on.ca/pdf/PPG/abuse.pdf