TABLE 1.

Shared practices that impact the role of the respiratory therapist

Adopt	De-adopt
Long-term disease prevention initiatives [9]	High dose sedatives for ventilated patients [16]
IV & Central line Insertion [9] Ventilator management (early lung protective strategies, weaning, airway management, respiratory culture procurement, pneumonia prevention, high frequency oscillation) [9,10,12] Complex/chronic respiratory disease management, especially COPD [9,10] Intubation [10] Bronchoscopy & BAL [10] NIV: (Pulmonary Edema, post-extubation, postop abdominal surgery when hypoxemic, COPDA/E) [10, 12] Prone positioning [13]	ARDS [12] High PEEP Inhaled nitric oxide Intrapulmonary surfactant
	Secretion management strategies that include Incentive Spirometry [9], Antitussives [16] and Acetylcysteine [16]
	Withholding bronchodilator use in COPD because FEV1 does not change [16]
	IV Corticosteriod administration for COPD/Asthma acute exacerbations [16]
	Applying oxygen to MI patients [16]

Note: ARDS = Adult Respiratory Distress Syndrome; PEEP = Positive End Expiratory Pressure; COPD = Chronic Obstructive Pulmonary Disease; BAL = Bronchial Alveolar Lavage; FEV1 = Forced Expiratory Volume at 1 second; NIV = Non-Invasive Ventilation; COPDA/E = Acute Exacerbation of COPD; MI = Myocardial Infarction.