Texas Jurisprudence Exam – RCP Respiratory Care JP Exam

Texas Jurisprudence Exam – RCP Respiratory Care JP Exam for Texas State License Maintaining your Certificate - ✔Every two years (biennially) available 60-90 days prior to your expiration date Expired certificate - ✔You cannot practice as a respiratory therapist until you receive your renewal approval form from TMB Inactive Status - ✔applied through the advisory board - must renew inactive certificate each year for up to five years - if not active after 5years certificate will be cancelled.

Return to active by applying to the board, paying app fee, verification forms (same as initial list).

Continuing Education - ✔must complete 24 total CE hours over the 2-year renewal period; 12 must be in traditional CE courses (live lecture, courses, seminars, workshops, review sessions, or distance learning) approved by TSRC, NBRC, or AARC the board performs randomized audits CE incomplete or cannot provide proof / false reporting - ✔You could be subject to discipline by the board contact information - ✔must be updated within 30 days of change via TMB website Provide the following with renewing - ✔Information about any arrests not previously reported to the board; the number of CE credits completed in the last 2 years; and updated practice location and contact information (if not already updated) A certificate to practice respiratory care must be renewed every ______ year(s). a) 1 b) 5 c) 2 d) 3 - ✔c) 2 years A respiratory care practitioner certificate which has been on inactive status for ____ year(s) will be canceled. a) 1 b) 5 c) 2 d) 10 - ✔b) 5 years

Which of the following is true if you fail to renew your certificate prior to expiration? a) You must re-apply for your license if it has expired for 30 days or longer b) You cannot practice respiratory care until you receive your renewal certificate c) There is no penalty for this - ✔b) You cannot proactive respiratory care until you receive your renewal certificate Public Profile - ✔Available to the public, must be updated 30 days after change.

Disciplinary actions will be posted to profile after 10 days - arrests will not be posted Information Reported to the Board - ✔Change of home or business address; incarceration in a state or federal penitentiary; an initial conviction/final/placement on deferred adjudication/community supervision/or deferred disposition; Initial finding guilt of felony; legal name change Which of the following are you required to report to the Board? a) Any change of home or business address b) A renewal of your ACLS certification c) A speeding ticket d) A written counseling from your employer - ✔a) Any change of home or business address Upon obtaining your certificate, you are required to include contact information (email, phone, facsimile). If your contact information changes, you must update the information no later than _____ days after the date of the change. a) 10 b) 30 c) 45 d) Annually - ✔b) 30 days Which of the following must you report to the Board within 30 days? a) Incarceration in a state or federal penitentiary b) Conviction or deferred adjudication for a felony c) Conviction or deferred adjudication for a misdemeanor related to assault d) Conviction or deferred adjudication for a misdemeanor related to a crime that would require registration as a sex offender e) All of the above - ✔e) All of the above True/False: Your marital status must be disclosed to the board - ✔False RCP are not delegated to the authority to - ✔diagnose, prescribe drugs or controlled substances (only doctors, PA, or NP)

True/False: Respiratory care practitioners can prescribe medication in Texas if a Texas physician delegates to them the authority to do so - ✔False Medical Recordkeeping - ✔Must be complete, accurate, and legible - containing: reason for encounter; physical exam findings; relevant history; prior diagnostic test results; records from prior providers; patient assessment & treatment plan; date of visit; legible identity of treatment providers; and any written consents for treatment If requested by patient, must be provided within 15 business days If a patient requests a copy of their medical record, the information must be provided within ____ a) 10 business days b) 15 business days c) 30 days d) 45 days - ✔b) 15 business days True/False: A certificate holder is required to maintain an adequate medical record for each patient that is complete, contemporaneous and legible - ✔True Disciplinary Action by the Board categories - ✔investigations related to patient care; investigations related to unprofessional conduct; and violations of other statutes and rules Violations of Board Requirements - ✔pay a penalty; complete additional CE hours; obtain additional training; obtain counseling; refrain from practicing a certain type of medicine or seeing a certain type of patient may suspend or revoke your certificate Unprofessional Conduct - ✔engaging in sexual activities with a patient; providing false information to the board; behaving in an abusive or assaultive manner towards a patient/family/representatives that interferes with patient care or could impact the quality of care rendered to a patient; behaving in a disruptive manner towards physicians, hospital personnel, other medical personnel, patients/family that interferes with patient career or could be reasonably expected to adversely impact the quality of care rendered to a patient; failing to report an arrest on the bi-annual form;

failing to report within 30 days a conviction, deferred adjudication, or other resolution of a felony-level criminal action/crime of mortal turpitude Disciplinary Action - ✔For failing to comply with Board statutes and rules.

Automatically suspended for failing to pay tier court-ordered child support or state/federal student loans; Physician/delegate must report a child with blood lead level of concern, communicable disease/STD, or any OD under Penalty Group 1 (opioids, heroin, cocaine, fentanyl, meth), failure is unprofessional conduct & misdemeanor punishable with up to 6mo in jail; Report any healthcare practitioners who pose a continuing threat to public welfarefailure to do so is a violation of Board rules Medical care to Minors - ✔A minors parent or guardian must consent to all medical treatment for the minor; A minor may consent to psychological exams & treatment for drug or chemical addiction, dependency, or any other condition related; An unmarried pregnant minor can consent to hospital/medical/surgical treatment (other than abortion) as long as care is related to pregnancy; Must report suspected case of abuse concerning chidden and the elderly to local or state law enforcement agencies Elders - ✔Medical practitioners have a duty to report elder abuse without exception if the practitioner has knowledge concerning the possible abuse, neglect, or exploitation Impairment - ✔Must be disclosed to the medical board: drug or alcohol addiction/abuse/treatment within the last 5 years; certain health diagnoses (psychotic/delusional/mood/personality disorder, major depression); enrollment in PHP; any physical or mental impairments that impact behavior, judgment, or ability to function in work or school; if hospitalized for mental health or addiction issues within the last 5 years; Protection from Liability for Medical Care - ✔"Good Samaritan" law may protect a certificate holder from liability for civil damages when a certificate holder is providing emergency care without accepting payment.

Protection from Liability - Volunteer - ✔Will be protected if: volunteer commits the act or omission in the coarse of providing health care services to a patient at the charitable organization; the services provided are also within the scope of the certificate of the volunteer DNR & Advanced Directives - ✔Must verify that:

There are written responses in the places designated on the for form the names, signatures, other information ; there is a date in the place designated on the form; DNR ordered is signed in pen or digitally by the declarant or persons executing/issuing the order The Board may take Disciplinary actions against a certificate holder for: - ✔violations fo statutes & board rules; violations related to improper care; unprofessional or dishonorable conduct; any other statutes & rules related to practice of respiratory care Improper Patient Care: - ✔negligence in performing medical services; failing to timely respond in person when on-call or when requested by ED or hospital staff; failure to disclose reasonably foreseeable side effects of a procedure or treatment; Improper billing practices Unprofessional or Dishonorable Conduct: - ✔Engaging in sexual activities with a patient; providing false information to the board; behaving in an abusive/assaultive manner towards a patient/family/representatives; behaving in a disruptive manner toward physicians, hospital personnel, other medical personnel, patients/family; becoming financially or personally involved with a patient; referring a patient to a facility in which the certificate holder has an ownership interest without disclosing that interest tot the patient; failing to report an arrest on the bi-annual renewal form; failing to report within 30 days of conviction/deferred adjudication/felony-level criminal action or moral turpitude In the event a certificate holder has an impairment that affects their ability to practice respiratory care safely, he/she/they should self-refer to which of the following: a) Texas Medical Board b) Texas Board of Respiratory Care c) Texas Medical Association d) Texas Physicians Health Program - ✔d) Texas Physicians Health Program True/False: A certificate holder who provides false information to the board has violated board rules - ✔True True/False: A medical professional may rely on a properly witnessed non-written advanced directive or properly executed advanced directive when a patient is incapacitated and/or unable to provide informed consent - ✔True

True/False: A patient who has executed a valid written Out-of-Hospital Do-NotResuscitate (DNR) order may not revoke without the assent of the treating physician ✔False Board disciplinary actions may include all of the following EXCEPT: a) Requiring additional CE hours b) Revoking a certificate c) Requiring a certificate holder to obtain education or counseling d) Requiring a certificate holder to relocate to a different community - ✔d) Requiring a certificate holder to relocate to a different community True/False: A certificate holder may be disciplined for failing to timely respond to a person when requested by an emergency room or hospital staff - ✔True Yes/No: May a certificate holder be disciplined for entering into a business venture with a patient? - ✔Yes Dangerous drugs or devices - ✔Those that are not listed in the Texas Controlled Substance Act or FDA regulations as a "controlled substance" but are still unsafe for self-medication. Requires a prescription from a physician/midlevel; Antibiotics are classified as dangerous drugs Controlled Substances - ✔Drugs categorized as schedules which range from Schedule 1-5 and are generally the same as the FDA; Drugs that contain opium or opiates, used for pain control Chronic Pain Management - ✔"a state in which pain persists beyond the usual course of an acute disease or healing of an injury. Chronic pain may be associated with a chronic pathological process that causes continuous or intermittent pain over months or years" Treating Friends/Family w/ Controlled Substances - ✔does not prohibit practitioners from treating themselves, their spouse, or another close family member or close personal acquaintances.

Not on a long-term basis, only an immediate need which means no more than 72 hours.

A controlled substance is defined as: a) Over the counter drugs b) Scheduled drugs, including narcotics c) Any prescription drug d) All of the above - ✔b) Scheduled drugs, including narcotics True/False: The definition of "dangerous drugs" includes scheduled narcotics - ✔False

True/False: A physician or midlevel practitioner may legally pre-sign blank controlled substance prescription forms for use by a person to whom that physician has delegated prescription authority - ✔False