STANDARD 13.
Professional Responsibilities
Respiratory Therapists (RTs) must ensure their professional practice complies with all applicable regulatory requirements.
Performance Requirements
RTs:
Maintain current registration status with the CRTO.
Self-report to the CRTO any necessary information within 30 days of the effective date of the change. This includes notifying the CRTO of any updates to the information provided on their previous registration renewal form or application for registration, including changes to personal contact information, employment, and/or professional registration and conduct information.
Self-report to the CRTO, in accordance with regulatory requirements, the following:
- If charged with or found guilty of an offence.
- Findings/proceedings of professional negligence or malpractice and information regarding professional registration and conduct.
- any event, circumstance, condition or matter not disclosed by the above criteria that are relevant to the Member’s competence, conduct or physical or mental capacity that may affect the Member’s ability or suitability to practice as a Respiratory Therapist.
Those who function as an employer must report to the CRTO, in accordance with regulatory requirements, the following:
- Whenever they terminate, suspend or impose restrictions on the employment of a Member for reasons of professional misconduct, incompetence or incapacity; and
- Where they have reason to suspect a Member is incompetent, incapacitated, has sexually abused a patient/client or committed an act of professional misconduct.
Ensure that they have adequate personal and professional liability insurance coverage in accordance with CRTO by-laws.
Must not contravene, or fail to maintain, a standard of practice of the profession or a published standard of the CRTO.
Must not contravene, by act or omission, a term, condition or limitation imposed on the member’s certificate of registration.
Ensure that all documents or records used in a professional capacity (e.g., patient/client records, business cards) include at a minimum, their name and professional designation (e.g. RRT).
Strictly comply with the terms and requirements of any order imposed by the CRTO or any agreement that they enter into with the CRTO.
Must provide information about, or facilitate access to, the CRTO when requested.
RTs:
Report to the appropriate authority the following:
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- sexual abuse of a patient/client, student, other healthcare team member and/or
- verbal, emotional, psychological, or physical abuse of a patient/client, student, other members of the healthcare team, or:
- taking advantage of a patient/client or student as a result of the Member’s position in the relationship.
Must provide their CRTO certificate of registration number, upon request in the course of practising the profession.
Are responsible for educating other healthcare team members, including students regarding respiratory health and the role of RTs.
Report to relevant authorities of any unsafe practice, unprofessional conduct, unethical conduct, or incapacity by other healthcare team members.
Must refrain from discontinuing, without reasonable cause, professional services that are needed unless,
- the patient/client requests the discontinuation,
- alternative services are arranged, or
- the patient/client is given a reasonable opportunity to arrange alternative services.
- there are restrictions in the length of the type of service imposed by an agency,
- there are discharge criteria imposed by an agency, or
- the Member reasonably believes that they may be verbally, emotionally, psychologically, electronically, physically, or sexually abused by the patient/client and reasonable attempts have been made to arrange alternative services.
Patient / Client Expected Outcome
Patients/clients can expect that their care is delivered by registered RTs who are in compliance with all applicable legislative, regulatory, and employer requirements and that RTs engage in activities to improve the quality of care delivered.
RELATED RESOURCES
- College of Respiratory Therapists of Ontario. (2021). A Commitment to Ethical Practice. Available at: https://ethics.crto.on.ca.
- College of Respiratory Therapists of Ontario. (2024). Bylaw 3: Membership – Professional Liability Available at: https://bylaws.crto.on.ca/membership/#ProfessionalLiabilityInsurance.
- College of Respiratory Therapists of Ontario. (2022). Professional Liability Insurance Fact Sheet. Available at https://www.crto.on.ca/pdf/FactSheets/PLI.FS-340.pdf.
- College of Respiratory Therapists of Ontario. (2023). Terms Conditions and Limitations Fact Sheet. Available at: https://www.crto.on.ca/pdf/FactSheets/TCL.FS-315.pdf.
- College of Respiratory Therapists of Ontario. (2024). Mandatory Reporting Obligations by Member Fact Sheets. Available at: https://www.crto.on.ca/pdf/FactSheets/MemberReports.FS-215.pdf
- 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: https://nartrb.ca/download/ncf-part-i-entry-to-practice-2016.National Alliance of Respiratory Therapy Regulatory Bodies. (2024). National Competency Framework. Available at: https://nartrb.ca/national-competency-profileframework.
GLOSSARY
Appropriate refers to in accordance with ethical, legal, technical and/or clinical requirements of professional practice.
Healthcare team refers to “peers, colleagues, and other healthcare professionals (regulated and non-regulated).”[1]
Offence refers to a violation of statute or law (e.g., Criminal Code of Canada) as determined by a court. Members are required to report any charges or findings of guilt for offences that are relevant to their suitability to practice.[2]
Patient/client refer to individuals and their families requiring care or services. This may also include their substitute decision-maker or guardian.[3]
Professional /Professionalism to refers to the conduct, behaviours, and attitudes expected of individuals in the healthcare field that ar4e essential for maintaining trust between healthcare providers and patients, ensuring high-quality care, and upholding the integrity of the profession.[4]
Professional attire refers to a dress code and personal hygiene that is suitable/acceptable in the workplace and not offensive to patients/clients.
Quality improvement refers to “a systematic approach to making changes that lead to better patient outcomes (health), stronger system performance (care), and enhanced professional development. It draws on the combined and continuous efforts of all stakeholders — health care professionals, patients and their families, researchers, planners, and educators — to make better and sustained improvements.”[5]
Related Standards
FOOTNOTES
- 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. (2016). Bylaw 24-2016 35.01.m. Available at: http://www.crto.on.ca/pdf/Bylaws/bylaws.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
- Adapted from College of Respiratory Therapists of Ontario. (2017). Conduct Counts! Available at: http://www.crto.on.ca/pdf/Conduct/Conduct_Counts_02-2017.pdf
- Health Quality Ontario. (2015). What is Quality Improvement? Available at: http://www.hqontario.ca/Quality-Improvement