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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

RTs:
9

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.

9

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.

9
Recognize how a power imbalance can impact therapeutic and professional relationships, and demonstrate integrity in all interactions, including abstaining from entering into personal relationships where professional boundaries could be compromised.
9
Must not make comments, enter into situations, and/or demonstrate behaviour that could be interpreted as abusive, harassing, discriminatory, disrespectful or of a sexual nature (e.g., suggestive/provocative gestures) and must take action to prevent similar behaviour in others by reporting to the appropriate authority.
9
Refrain from maligning the reputation of any colleague.
9
Communicate clearly with patients/clients to explain assessment and therapeutic procedures that could be interpreted as compromising professional boundaries (e.g., touching, positioning) and obtain ongoing voluntary informed consent.
9
Communicate electronically and through social media in a manner that respects therapeutic and professional relationships.
9
Understand the effect and impact of abuse on patients/clients and integrates principles of sensitive practice into their care.
9

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
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

  1. 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
  2. Adapted from Dictionary.Com. (2017). Online Dictionary. Available at: http://www.dictionary.com/browse/communicated
  3. College of Respiratory Therapists of Ontario. (2010). A Commitment to Ethical Practice. Available at: http://www.crto.on.ca/pdf/Ethics.pdf
  4. 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
  5. Adapted from College of Respiratory Therapists of Ontario. (2010). A Commitment to Ethical Practice. Available at: http://www.crto.on.ca/pdf/Ethics.pdf
  6. 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
  7. 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
  8. 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