Current through Register Vol. XLI, No. 36, September 6, 2024
Section 30-9-3 - Practice Limitations for the Student Temporary Permit holder3.1. The holder of the student temporary permit must work under the supervision of a licensed respiratory therapist. The licensed respiratory therapist must be present in the facility where the holder of the student temporary permit is working. The licensed respiratory therapist must be available in the event of an emergent need and act as a resource for the holder of the student temporary permit. Staffing ratios for student temporary permit holders are one licensed respiratory therapist to one student temporary permit holder per shift.3.2 Procedures may be assigned to a student temporary permit holder if the permit holder has demonstrated the completion and competence of such tasks in the documentation from the school facility and the employer. Completed competency forms from the school and the employer shall be sent to the Board for review and approval.3.3 The student temporary permit holder skills that must always be performed with and documented by a licensed respiratory therapist are as follows: 3.3.1. Initial setup and maintenance of invasive mechanical ventilation including all ventilator setting and circuit changes except for FI02.3.3.2 Initial setup of non-invasive ventilation for acute condition including all non-invasive setting and circuit changes except for FI02.3.3.3 Resecure or reposition of endotracheal or nasotracheal tube.3.3.4. Resecure or changing inner cannula of tracheostomy tube.3.3.5. Transport of patients receiving invasive mechanical ventilation.3.3.6. Transport of patients receiving non-invasive ventilation for acute condition.3.3.7. Endotracheal extubation.3.3.9. Nasotracheal suctioning.3.3.10 Delivery of inhaled nitric oxide or heliox.3.3.11 Aerosolized medications via invasive mechanical ventilation.3.3.12 High risk delivery response.3.3.13 Arterial and Capillary Blood Gas puncture or sampling.3.4. A holder of the student temporary permit may perform procedures on patients requiring mechanical ventilation, or on patients in critical care situations or environments, such as: emergency rooms, intensive care units, and post anesthesia care units. Procedures performed in these critical care areas must be performed with and documented by a licensed respiratory therapist.