SECTION.0400 - CONTINUING EDUCATION REQUIREMENTS FOR LICENSE HOLDERS

Draft SECTION.0400 - CONTINUING EDUCATION REQUIREMENTS FOR LICENSE HOLDERS 21 NCAC 61.0401 CONTINUING EDUCATION REQUIREMENTS (a) Upn applicatin fr license renewal, a licensee shall attest t having cmpleted ne r mre f the fllwing learning activity ptins during the preceding renewal cycle and be prepared t submit evidence f cmpletin if requested by the Bard: (1) Cmpletin f a minimum f 12 hurs f Categry I Cntinuing Educatin (CE) activities directly related t the licensee's practice f respiratry care and currently apprved by the Bard, the American Assciatin fr Respiratry Care (AARC) r the Accreditatin Cuncil fr Cntinuing Medical Educatin (ACCME). All curses and prgrams shall: 1) Cntribute t the advancement, extensin and enhancement f prfessinal clinical skills and scientific knwledge in the practice f respiratry care; 2) Prvide experiences which cntain scientific integrity, relevant subject matter and curse materials; and 3) Be develped and presented by persns with educatin and/r experience in the subject matter f the prgram. At least six cntact hurs shall be btained each reprting year frm wrkshps, panel, seminars, lectures, r sympsiums that prvide fr direct interactin between the speakers and the participants. "Categry I" Cntinuing Educatin may include any ne f the fllwing: (A) Lecture a discurse given fr instructin befre an audience r thrugh telecnference; (B) Panel a presentatin f a number f views by several prfessinals n a given subject with nne f the views cnsidered a final slutin; (C) Wrkshp a series f meetings fr intensive, hands-n study, r discussin in a specific area f interest; (D) Seminar a directed advanced study r discussin in a specific field f interest; (E) Sympsium a cnference f mre than a single sessin rganized fr the purpse f (F) discussing a specific subject frm varius viewpints and by varius presenters; and Distance Educatin includes such enduring materials as text, Internet r CD, prvided the prpnent has included an independently scred test as part f the learning package; Educatinal prgrams may be prvided by any print medium r presented thrugh the internet r ther electrnic medium. The licensee shall submit prf f successful cmpletin f a test administered as part f the nntraditinal r alternative educatinal prgram. A maximum f six cntact hurs each reprting year may be btained frm nntraditinal r alternative educatinal prgrams. (G) Clinical instructin. Clinical instructin shall mean the educatin and evaluatin f a respiratry therapy student in the clinical setting. A maximum f three cntact hurs may be given fr clinical instructin. (2) Retake the Certified Respiratry Therapist Examinatin (CRT) Therapist Multiple-Chice Exam, administered by the Natinal Bard fr Respiratry Care (NBRC), and achieve a passing scre as determined by the NBRC fr the CRT credential r take any f the fllwing examinatins and achieve a passing scre as determined by the spnsr f the examinatin: the Therapist Multiple- Chice Exam Registry Examinatin fr Advanced Respiratry Therapists (RRT), administered by the NBRC; the Nenatal/Pediatric Respiratry Care Specialty Examinatin (NPS), administered by the NBRC; the Certificatin Examinatin fr Entry Level Pulmnary Functin Technlgists (CPFT), administered by the NBRC; the Registry Examinatin fr Advanced Pulmnary Functin Technlgist (RPFT), administered by the NBRC; the Sleep Disrders Specialty (SDS) exam, administered by the NBRC; Adult Critical Care Specialty (ACCS) exam, administered by the NBRC, the Registry Examinatin fr Plysmngraphic Technlgist (RPSGT), administered by the Bard f Registered Plysmngraphic Technlgists (BRPT); r the Asthma Educatrs Certificatin Examinatin (AE-C), administered by the Natinal Asthma Educatr Certificatin Bard (NAECB); (3) Cmpletin f a Respiratry Care refresher curse ffered thrugh a Respiratry Care Educatin prgram accredited by the Cmmissin fr the Accreditatin f Allied Health Educatinal Prgrams; (4) Cmpletin f a minimum f three semester hurs f pst-licensure respiratry care academic educatin leading t a baccalaureate r masters degree in Respiratry Care; (5) Presentatin f a Respiratry Care Research study at a cntinuing educatin cnference; and

(6) Authring a published Respiratry Care bk r Respiratry Care article published in a medical peer review jurnal. (b) The cmpletin f certificatin r recertificatin in any f the fllwing: Advanced Cardiac Life Supprt (ACLS) by the American Heart Assciatin, Pediatric Advanced Life Supprt (PALS) by the American Heart Assciatin, and Nenatal Resuscitatin Prgram (NRP) by the American Academy f Pediatrics, shall cunt fr a ttal f five hurs f cntinuing educatin fr each renewal perid; but n mre than five hurs f ttal credit will be recgnized fr each renewal perid fr the cmpletin f any such certificatin r recertificatin. (c) A licensee shall retain supprting dcumentatin t prvide prf f cmpletin f the ptin chsen in Paragraph (a) f this Rule fr a perid f n less than three years. (d) A licensee shall maintain a file at his r her practice facility that cntains a cpy f the RCP license, a cpy f a current Basic Cardiac Life Supprt (BCLS) certificatin, a cpy f advanced life supprt certificatins and a cpy f all credentials issued by the Natinal Bard fr Respiratry Care. (e) A licensee is subject t randm audit fr prf f cmpliance with the Bard's requirements fr cntinuing educatin. (f) The Bard shall infrm licensees f their selectin fr audit upn ntice f license renewal r request fr reinstatement. Evidence f cmpletin f the requirements f Paragraph (a) f this Rule shall be submitted t the Bard n later than 30 days f receipt f the audit ntice. (g) Failure f a licensee t meet the requirements f this Rule shall result in disciplinary actin pursuant t G.S. 90-666. (h) The Bard shall charge twenty dllars ($20.00) per apprved hur f CE with a maximum f ne hundred and fifty dllars ($150.00) per applicatin fr prviders f cntinuing educatin wh apply fr apprval f cntinuing educatin prgrams. (i) The Bard shall grant requests fr extensins f the cntinuing educatin requirements due t persnal circumstances as fllws. The Bard shall require dcumentatin f the circumstances surrunding the licensee's request fr extensin. (1) Having served in the regular armed services f the United States at least six mnths f the 12 mnths immediately preceding the license renewal date; r (2) Having suffered a serius r disabling illness r physical disability that prevented cmpletin f the required number f cntinuing educatin hurs during the 12 mnths immediately preceding the licensee renewal date. Histry Nte: Authrity G.S. 90-652(2)(13); 90-658; 90-660(b)(9); Temprary Adptin Eff. Octber 15, 2001; Eff. August 1, 2002; Amended Eff. September 1, 2010; July 1, 2007; April 1, 2004.

Respiratry Care Practitiner Refresher Curse 3 Accrding t the rules f the Nrth Carlina Respiratry Care Bard (NCRCB) and in accrdance with the NC Respiratry Care Practice Act, individuals wh have nt held an active license fr 5 r mre years are required t successfully cmplete Bard apprved cntinuing educatin and retake and pass the CRT exam administered by the NBRC. In additin, thse having an inactive license fr a perid f 1-4 years are als required t take cntinuing educatin. The refresher curse utlined in this dcument des meet the cntinuing educatin requirements fr individuals wh have been ut f practice fr 5 years r greater and may be utilized fr all individuals wh have been ut f the practice fr any perid f time. The labratry prtin f the refresher curse is nly fr thse individuals applying fr a NC RCP license. If yu desire licensure in a state ther than Nrth Carlina please cntact that Bard regarding their requirements. Prgram Descriptin This curse prvides preparatin fr re-entry int emplyment int the field f respiratry care as well as satisfies the licensing requirements set frth by the NC Respiratry Care Bard. Emphasis in this curse is placed n review / evaluatin and testing f the prcedural skills required fr entry-level status by the Natinal Bard fr Respiratry Care (NBRC). Upn cmpletin, students shuld be able t successfully cmplete the apprpriate examinatins and meet the licensing requirements fr emplyment. The Respiratry Care Practitiner Refresher Prgram cnsists f a NC Respiratry Care Bard (NCRCB) apprved respiratry review curse, a labratry skill review/evaluatin, and NBRC Therapist Multiple-Chice Examinatin. This curse addresses a full range f respiratry cncepts including emergency care, intensive care and general care fr the adult, nenatal, and pediatric ppulatins. The review curse prtin will cnsist f either f a hme-study r nsite cmprehensive review prgram which includes the CRT and RRT review. The labratry and testing prtin must be cmpleted at ne f the identified NC cmmunity clleges.

Enrllment Sequence 4 Enrllment at each cllege depends n their calendar f registratin, s cntact the cllege f chice fr yur registratin infrmatin. The refresher curse cnsists f 3 phases and each phase must be registered fr separately and cmpleted in the fllwing rder: Phase 1: Review Curse Yu may chse t enrll in either a hme-study r nsite RRT/CRT r Therapist Multiple-Chice Examinatin cmprehensive review curse apprved by the AARC r the NCRCB. Once enrlled in the apprved respiratry care review curse, yu may prceed at yur wn pace using the set f materials that will be prvided t yu when yu enrll. Phase 2: Testing Please register fr the NBRC Therapist Multiple-Chice Examinatin. Yu must pass this test at the CRT threshld befre prceeding t phase three. Yu must bring the NBRC Scre Reprt when yu register fr the next phase. Yu shuld als send ne cpy t the Bard ffice. Phase 3: Labratry Review/Evaluatin/Testing The labratry prtin can begin nly after phase ne and tw has been cmpleted. The labratry prtin cnsists f 20 hurs f hands n review and evaluatin at ne f the listed clleges ffering respiratry care. The labratry review prtin f the prgram is crdinated by the respiratry care prgrams identified n the next page: Phase 4: Emplyer Evaluatin Phase Once emplyed, please have yur supervisr prvide yur yearly skill evaluatin prir t yur licensing renewal. This may be cmpleted using the hspitals evaluatin dcumentatin frmat.

5 NC Clleges Offering Labratry Review and Evaluatin Catawba Valley Cmmunity Cllege 2550 Highway 70 S.E. Hickry, NC 28602 704-327-7000, Ext. 4391 r 4462 Catherine Bitsche, MA, RRT, RCP Prgram Prgram Directr cbitsche@cvcc.edu Pitt Cmmunity Cllege P.O. Drawer 7007, Hwy. 11 Suth Greenville, NC 27835-7007 252-493-7378 Wendy Ayscue, M.A.Ed., RRT, RCP Prgram Directr wayscue@email.pittcc.edu Sandhills Cmmunity Cllege 2200 Airprt Rad Pinehurst, NC 28374 910-695-3836 William Crft, PhD, RRT-NPS, RCP, FAAIM Prgram Directr crftb@sandhills.edu The labratry experience is intended t be fr prcedural review and evaluatin as required by the NCRCB. Individuals must arrange fr the labratry review and evaluatin with the assigned RCP prgram faculty. Depending n the cllege, extra labratry time may be alltted fr additinal practice, but n additinal credit will be awarded. There may be extra cst invlved, s please check with the cllege f yur chice. Cmpletin f the phase requires that a ttal f 30 prcedures be successfully cmpleted in the labratry setting. Once phase three is cmplete, please submit the dcuments fr all three phases t the bard.

6 Infrmatin Yu Need Registratin Phase 1: (Review Curse) Yu are nly required t register with the apprved review curses. Please d nt cntact the RCP prgram at this pint. Phase 2: (Testing) Please register fr the NBRC Therapist Multiple-Chice Examinatin. Yu must pass this test at the CRT threshld befre prceeding t phase three. Yu must bring the NBRC Scre Reprt when yu register fr the next phase. Yu shuld als send ne cpy t the Bard ffice. Phase 3: (Labratry Review and Evaluatin) After successfully cmpleting phase ne and tw, register fr phase 3 at the designated cllege by cntacting the cntinuing educatin department at the abve identified clleges t register. After registering, yu shuld make an appintment with the cmmunity cllege respiratry care faculty t schedule the labratry review/evaluatin. When scheduling the labratry, yu will need t prvide a cpy f the cmpleted review curse certificate r transcript. Phase 4: (Emplyer Evaluatin Phase) Once emplyed, please have yur supervisr prvide yur yearly skill evaluatin prir t yur licensing renewal. This may be cmpleted using the hspitals evaluatin dcumentatin frmat. Enrllment Yu must register fr each phase separately. Yu must cmplete the prgram in rder: review, test, lab evaluatin, and supervisr evaluatins upn emplyment. Students may enrll based n the cllege enrllment schedule. Sme may ffer it any

7 time f the year. Fees must be paid t the cmmunity cllege in full at the time f enrllment. Fees will vary depending n the ptin selected. Yu may prceed at yur wn pace thrugh the curse, but we suggest that yu allw time fr feedback frm yur instructr. Cst f the Prgram The ttal cst f the refresher curse cst is dependent n the prviders. The apprved review curse prviders determines the cst f the review. The NBRC determines the cst f the examinatin. The cst fr the labratry phase is set by each cllege. Labratry review is the mst expensive prtin f this curse since it is a selfsupprting. It must be taught by a licensed RCP. Generally mst reviews will be n a 1 n 1 basis. Hwever, each cllege will determine their wn faculty t student rati. Regardless, the cst is based n the 20 hurs f review and evaluatin. Refunds may be given based n the institutinal plicy.

8 RCP Refresher Curse Checklist 1. Cmplete Phase 1 a. Successfully pass all mdules b. Receive certificate 2. Cmplete the NBRC Therapist Multiple-Chice Examinatin. Yu must pass this test at the CRT threshld befre prceeding t phase three. 3. Register fr Phase 3 a. Cntact RCP prgram faculty fr an appintment b. Bring yur driver s license c. Bring riginal NBRC Scre Reprt d. Bring transcript r certificate fr the review prtin if required e. Schedule yur review and evaluatin sessins 4. Cmplete Phase 3 a. All labratry evaluatins successfully cmpleted b. Receive CE hurs frm the cntinuing educatin department 5. Phase 1-3 Cmplete a. Send a cpy f the certificate via certified mail t the bard ffice with NBRC Scre Reprt, and the review curse certificate 6. Phase 4: Emplyer Evaluatin Phase a. Once emplyed, please have yur supervisr prvide yur yearly skill evaluatin prir t licensing renewal.

RCP REFRESHER COURSE Syllabus Sample Only 9 COURSE NAME: PREREQUISITE: RCP REFRESHER COURSE (Phase Tw) Must be a graduate f a COARC Accredited Respiratry Care Prgram Cmpletin f the NC Respiratry Care Bard apprved review curse (Phase One) This curse prvides preparatin fr re-entry int emplyment int the field f respiratry care as well as satisfies the licensing requirements set frth by the NC Respiratry Care Bard. Emphasis in this curse is placed n review / evaluatin and testing f the prcedural skills required fr entry-level status by the Natinal Bard fr Respiratry Care (NBRC). Upn cmpletin, students shuld be able t successfully cmplete the apprpriate examinatins and meet the licensing requirements fr emplyment. CONTACT HOURS: 20 CLASS LOCATION: CLASS TIME: Variable PRIMARY INSTRUCTOR: ADJUNCT INSTRUCTORS: As assigned OFFICE: OFFICE HOURS: Appintment nly PHONE: REQUIRED TEXTBOOKS: : GRADING SCALE: Grading Frmat: Pass/Fail Each prcedure must be passed t earn a passing scre. The CRT SAE must meet the required NBRC passing scre t earn credit fr the entire curse.

OUTLINE OF INSTRUCTION: 10 Curse Evaluatin: Students are evaluated and graded n three dmain levels: cgnitive, psychmtr and affective. Cgnitive evaluatins are perfrmed thrugh CRT testing t ensure theretical knwledge. Psychmtr evaluatins are perfrmed t asses the skill level f each prcedure. Affective evaluatins are perfrmed t assess the students behavir related t perfrming skills in the healthcare setting. Gals and bjectives: 1. The student will successfully explain entry level and advanced level respiratry care cmpetency requirements. 2. The curse prvides pprtunities fr the students t review and be evaluated n their knwledge f the respiratry care mdalities listed. Specifically, the student shuld be able t: a. Pass all required prcedures with at least a 90% prficiency. b. Pass the NBRC Therapist Multiple-Chice Examinatin at the CRT threshld. Curse requirements: Students need required textbk, and a ntebk fr making ntes.

Cmpetency Evaluatins 11 *COMPETENCY EVALUATIONS Manual Resuscitatin Patient Assessment CXR Interpretatin Oxygen Cylinder Setup Oxygen Administratin Large Vlume Aersl Therapy Small Vlume Nebulizer Therapy Metered Dse Inhaler Chest Physitherapy Incentive Spirmetry IPPB Therapy ABG Puncture Nastracheal Suctining Electrcardigram Intubatin LAB cmpleted) (date RCP Signature **COMPETENCY EVALUATIONS Trachestmy and Stma Care Trachestmy Tube Change Arterial Line Sampling Mnitring Cuff Pressure Artificial Airway Stabilizatin Bedside Pulmnary Mechanics Extubatin Tracheal Tube Suctining Initiatin f Mechanical Ventilatin Mnitring Mechanical Ventilatin Changing a Ventilatr Circuit CPAP/BIPAP Basic Spirmetry LAB cmpleted) (date RCP Signature Participant Name (printed) SSN XXX-XX- Participant Signature Evaluatr Name (printed) RCP# Evaluatr Signature