Hamilton Health Sciences
Respiratory Therapy

Role of Respiratory Therapy

Critical Care (Adult Patients)

  • Mechanical Ventilation - Invasive & Non-invasive - SERVOi, Evita 4, Dura 2, LTV 100/1200, Vision, V60, various CPAP devices
  • RRT - Radial Arterial Line Insertion & Arterial Line Sampling
  • Blood Gas Puncture & POCT Analysis
  • Assisting with Percutaneous Tracheostomy
  • Assisting with Bronchoscopy
  • High Frequency Oscillatory Ventilation
  • Inhaled Nitric Oxide & Nitric Challenges (HIU @ HGH site)
  • Intubations and Extubations
  • Lung Recruitment Maneuvers & Open Lung Tool
  • Member of Code Blue Team, Trauma Team, & Critical Care Response Team (RACE, @ HGH site)
  • Participation in Research
  • Neurally Adjusted Ventilatory Assist (NAVA) ( Juravinski site)
  • Intrahospital & Interhospital Transports
  • Mechanical Ventilation and Weaning Medical Directive
  • Emergency Department RRT Medical Directive
  • Interprofessional Education & Training

Critical Care (Paediatric Patients)

  • Mechanical Ventilation - Invasive & Non-invasive - SERVOi, LTV 1000/1200, Trilogy, Vision
  • Intubation and Extubation
  • Capillary, Venous, Arterial Blood Gases & POCT Analysis
  • Assisting with Bronchoscopy
  • High Frequency Oscillatory Ventilation
  • Inhaled Nitric Oxide
  • Tracheostomy Tube Care and Changes
  • Member of Code Blue Team, Pediatric Trauma Care Team & Pediatric Critical Care Response Team (PACE)
  • Participation in Research
  • Intrahospital & Interhospital Transport
  • Respiratory Care & Mechanical Ventilation Medical Directive

Neonatal Intensive Care

  • Mechanical Ventilation - Invasive & Non-invasive - SERVOi, Babylog, Leoni, Infant Flow, SiPAP 
  • Airway Management
  • Nasal CPAP, NIPPV, nHFOV
  • Invasive High Frequency Oscillatory Ventilation
  • Inhaled Nitric Oxide
  • Attending High Risk Deliveries & Infant Stablization using Gentle-R Approaches
  • Participating in Research
  • Surfactant Administration
  • Capillary blood gases
  • Blood Gas/ POCT blood analysis
  • Transcutaneous Monitoring- Philips, SenTec
  • Tracheostomy Tube Care and Changes
  • Intrahospital & Interhospital Transport
  • Electrocardiography
  • Respiratory Care Medical Directive
  • Hospital-to-Home Transition support- education, training 

General Wards

  • Arterial Blood Gas Punctures
  • Bedside Spirometries
  • Inhaled Medications
  • Respiratory Assessments & Interventions 
  • Overnight Oximetries, AutoCPAP Studies 
  • Tracheostomy Tube Care and Changes
  • Oxygen Therapy
  • Member of Code Blue Team
  • Member of Trauma Team
  • Member of Critical Care Response Teams (RACE, PACE) 
  • Intubation and LMA insertion
  • Invasive Mechanical Ventilation outside the ICU
  • Non-Invasive Ventilation (Bilevel and CPAP)
  • Patient Transport
  • Lung Volume Augmentation Techniques and Cough Assist
  • Education and Training 

Rapid Assessment of Critical Events (RACE) Team

  • Assessment, Treatment and Care of Airway, Breathing and Circulation (ABC) complications outside the ICU setting.
  • Proactive Multisystem Patient Care Delivery and Treatment
  • Promotion and education of ward staff Nursing on early indicators of ABC issues

Hyperbaric Oxygen Therapy

  • Responsible for all emergent and elective treatments
  • Treatment protocols include Carbon Monoxide poisoning, wound healing and decompression syndrome

Medical Diagnostics Unit (MDU)

  • Full Pulmonary Function Testing
  • Methacholine Challenge Testing / meta Bisulfite Challenge Testing
  • Exercise Stress Testing
  • Arterial/Capillary Blood Gas Punctures and POCT Analysis

Home Care

  • Providing education, training and ongoing support to mechanically ventilated and tracheostomy patients, families and community ie: Schools
  • Respiratory Assessments
  • Lung Recruitment Therapy
  • Perform home visits for technology dependent patients
  • Complete ADP and HOP applications
  • Liaise with ADP, VEP, CCAC and home care companies
  • Long Term Ventilation (non-invasive and invasive)
  • Classroom teaching for community healthcare professionals
  • Manage home ventilator and tracheostomy clinic

Perioperative Services

  • Daily maintenance of anaesthetic gas machines and related equipment
  • Assist the anaesthesia staff as required, with difficult airways, line insertion, regional blocks, nitric oxide challenges
  • Provide a learning environment for students during their rotation in the O.R.
  • Provide Aerosol Therapy, ABGs, and spirometries for the Pre-Op Clinic and Recovery Room
  • Provide Ventilatory management to the Recovery Room and the Hearth Investigation Unit

Rehabilitation Services

  • Patient populations include spinal cord injuries, acquired brain injuries and those requiring complex continuing care
  • Respiratory Assessments
  • Long Term Ventilation (Invasive and Non-Invasive)
  • Tracheostomy Management
  • Lung Volume Augmentation
  • Provide education, training and support to patients, families, other Health Care Professionals & students 
Hamilton Health Sciences • Hamilton, Ontario • 905.521.2100

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