{"id":3469,"date":"2021-12-13T00:10:10","date_gmt":"2021-12-13T00:10:10","guid":{"rendered":"https:\/\/documentation.crto.on.ca\/?page_id=3469"},"modified":"2021-12-13T01:22:44","modified_gmt":"2021-12-13T01:22:44","slug":"documentation-standards","status":"publish","type":"page","link":"https:\/\/documentation.crto.on.ca\/fr\/documentation-standards\/","title":{"rendered":"Documentation Standards"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; inner_shadow=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bb#ffffff\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(255,255,255,0.37)\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_end_position=\u00a0\u00bb50%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/11\/CRTO-doc-standards.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb50px||50px|\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb3.25&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb120px||120px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb3.25&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbSTANDARD TITLE\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font=\u00a0\u00bb|||on|||||\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1><strong>Les normes en mati\u00e8re documentation<br \/>\n<\/strong><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbDocumentationStandards\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>Les normes en mati\u00e8re documentation<br \/>\n<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Une documentation compl\u00e8te, objective et consign\u00e9e en temps opportun est essentielle \u00e0 la continuit\u00e9 des soins ou des services et elle constitue le principal moyen de communication entre les professionnels de la sant\u00e9.<\/p>\n<p>Il y a <span style=\"text-decoration: underline;\">sept (7) normes essentielles<\/span> \u00e0 respecter en mati\u00e8re de documentation pour faire en sorte qu\u2019en prenant connaissance du dossier de sant\u00e9 personnel d\u2019un patient ou client, on puisse d\u00e9terminer pr\u00e9cis\u00e9ment :<br \/>\n[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]1. La personne vis\u00e9e par l\u2019activit\u00e9<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]2. Le moment o\u00f9 l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]3. Quelle activit\u00e9 a eu lieu<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]4. Le lieu o\u00f9 l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]5. La raison pour laquelle l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]6. Le r\u00e9sultat de l\u2019activit\u00e9 ex\u00e9cut\u00e9e<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]7. La personne qui a ex\u00e9cut\u00e9 l\u2019activit\u00e9<br \/>\n[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Sur le plan pratique, cela signifie que, quel que soit le type de dossier utilis\u00e9 dans votre \u00e9tablissement, toute personne examinant le dossier doit \u00eatre en mesure de d\u00e9terminer qu\u2019il satisfait aux normes \u00e9nonc\u00e9es ci-dessus. Les politiques et proc\u00e9dures de votre employeur concernant la tenue des documents devraient satisfaire aux sept normes \u00e9nonc\u00e9es ci-dessus.<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row module_id=\u00a0\u00bbApplyingDocumentationStandards\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>Application des normes<br \/>\n<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWhom\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>I. La personne vis\u00e9e par l\u2019activit\u00e9<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Le principe de base est que toute personne lisant le document doit \u00eatre en mesure d\u2019identifier le patient ou client qui a re\u00e7u les soins de sant\u00e9. Par cons\u00e9quent, le dossier de sant\u00e9 personnel doit comprendre <span style=\"text-decoration: underline;\">des identificateurs uniques du patient ou client<\/span>, comme :<br \/>\n[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le nom et l\u2019adresse domiciliaire du patient ou client;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]la date de naissance et le sexe du patient ou client;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le num\u00e9ro de carte Sant\u00e9 du patient ou client; et<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]son num\u00e9ro d\u2019identification.<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le dossier de sant\u00e9 personnel du patient ou client doit aussi indiquer qui est ou sont le(s) <span style=\"text-decoration: underline;\">m\u00e9decin(s) le(s) responsable(s) (MPR) ou autres professionnels de la sant\u00e9<\/span>, le cas \u00e9ch\u00e9ant. Par exemple :<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le nom du m\u00e9decin de premier recours ou professionnel des soins de sant\u00e9 primaires (p. ex., infirmi\u00e8re praticienne); et\/ou<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|92px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le nom du m\u00e9decin ou professionnel de la sant\u00e9 qui a admis, trait\u00e9 ou achemin\u00e9 le patient ou client.<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Le motif de la consultation et\/le diagnostic.<br \/>\n[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Il arrive parfois que les dossiers de sant\u00e9 soient s\u00e9par\u00e9s; il faut donc s\u2019assurer d\u2019inscrire l\u2019identification (p. ex., nom, date de naissance, num\u00e9ro OHIP) sur chaque page du ossier de sant\u00e9 personnel et du document concernant un patient donn\u00e9 (feuille de ventilation artificielle, oxym\u00e9trie nocturne).<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWhen\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>II. Le moment o\u00f9 l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]La documentation doit \u00eatre remplie en temps opportun et de fa\u00e7on chronologique. Il est logique de penser que plus la p\u00e9riode \u00e9coul\u00e9e entre l\u2019activit\u00e9 et sa consignation est longue, plus les chances d\u2019erreur sont grandes. Une documentation consign\u00e9e dans l\u2019ordre chronologique facilite sa lecture et renforce la cr\u00e9dibilit\u00e9 et la pr\u00e9cision du dossier. La date et l\u2019heure doivent figurer de mani\u00e8re non ambigu\u00eb dans tous les documents. Nous vous incitons donc \u00e0 utiliser un syst\u00e8me horaire de 24 heures.<br \/>\n[\/et_pb_text][et_pb_blurb title=\u00a0\u00bbLes notes tardives\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb module_id=\u00a0\u00bbLateEntries\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Les notes tardives doivent \u00eatre clairement identifi\u00e9es comme telles : la date de l\u2019intervention, la date de la note tardive et l\u2019identit\u00e9 de la personne concern\u00e9e doivent \u00eatre clairement inscrites. Le fait de documenter des activit\u00e9s sans suivre l\u2019ordre chronologique peut donner l\u2019impression que le dossier n\u2019est pas exact et ce n\u2019est donc pas une pratique id\u00e9ale. Si les dossiers de sant\u00e9 personnels sont en format papier, ne laissez jamais de ligne en blanc pour qu\u2019une autre personne y ins\u00e8re des notes. Si votre dossier contient des espaces non remplis, vous devez les barrer \u00e0 l\u2019aide d\u2019un trait afin que personne ne puisse modifier le document initial. Par ailleurs, tout texte qui d\u00e9borde la section r\u00e9serv\u00e9e \u00e0 la consignation peut aussi laisser entendre que les annotations ont \u00e9t\u00e9 inscrites apr\u00e8s coup ou pour camoufler des activit\u00e9s.<br \/>\n[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Il faut remplir les documents le plus t\u00f4t possible apr\u00e8s l\u2019activit\u00e9. L\u2019activit\u00e9 doit \u00eatre consign\u00e9e <span style=\"text-decoration: underline;\">avant<\/span> la fin du quart de travail. Ne pas documenter l\u2019activit\u00e9 avant de fournir les soins au patient ou client.<\/p>\n<p style=\"text-align: center;\">Une <span style=\"text-decoration: underline;\">note tardive<\/span> est une note consign\u00e9e au dossier plus de trente (30) minutes apr\u00e8s une intervention ou quand une note documente un \u00e9v\u00e9nement en rompant l\u2019ordre chronologique.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWhat\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>III. Quelle activit\u00e9 a eu lieu<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbUne chronologie cliniquement pertinente\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb module_id=\u00a0\u00bbClinicallyRelevantHistory\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Un dossier pr\u00e9sentant une chronologie d\u00e9taill\u00e9e est une composante essentielle d\u2019une documentation bien r\u00e9dig\u00e9e. Cette chronologie doit comprendre les renseignements suivants :<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]la date et l\u2019heure de chaque contact avec le patient ou client;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]des renseignements sur chaque visite et sur chaque examen du patient ou client, sur chaque \u00e9valuation ou intervention et sur chaque proc\u00e9dure de diagnostic effectu\u00e9e par le membre;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]des renseignements sur chaque r\u00e9sultat clinique ou \u00e9valuation effectu\u00e9e par le membre de l\u2019Ordre (p. ex., gazom\u00e9trie du sang art\u00e9riel);<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]des renseignements sur tous les conseils et instructions donn\u00e9s par le membre de l\u2019Ordre au patient ou client et\/ou \u00e0 un membre de sa famille, \u00e0 un soignant ou \u00e0 un repr\u00e9sentant (en personne, par t\u00e9l\u00e9phone ou par courriel);<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]des renseignements sur tout renvoi du cas du patient ou client par le membre de l\u2019Ordre \u00e0 un autre professionnel de la sant\u00e9;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]un document financier si des frais sont factur\u00e9s au patient ou client;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]des renseignements sur toute intervention ou sur tout plan de traitement commenc\u00e9, mais non termin\u00e9, y compris les raisons de cette interruption et l\u2019original du consentement \u00e9crit; et\/ou<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]la raison fournie par le patient ou client pour annuler un rendez-vous.<br \/>\n[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbLa documentation entourant le consntement\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb module_id=\u00a0\u00bbDocumentingAboutConsent\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]En ce qui a trait au consentement et \u00e0 la documentation, trois cas de figure surviennent fr\u00e9quemment :<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<strong>1. Le patient ou client a donn\u00e9 son consentement<\/strong> \u00e0 la personne qui lui a propos\u00e9 le plan de traitement (habituellement, le m\u00e9decin le plus responsable), qui est une personne autre que le th\u00e9rapeute respiratoire. C\u2019est ce que l\u2019on appelle commun\u00e9ment le <span style=\"text-decoration: underline;\">consentement d\u2019un tiers<\/span>. Le patient ou client semble comprendre et accepter le plan. Dans cette situation, le th\u00e9rapeute respiratoire n\u2019est pas tenu de documenter le consentement, bien qu\u2019en certaines circonstances, il pourrait \u00eatre appropri\u00e9 de le faire. G\u00e9n\u00e9ralement, plus le risque associ\u00e9 \u00e0 une intervention est \u00e9lev\u00e9, plus il est pr\u00e9f\u00e9rable de documenter le consentement.<br \/>\n[\/et_pb_blurb][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bbSub Topic Highlight\u00a0\u00bb _builder_version=\u00a0\u00bb4.9.5&Prime; use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_start=\u00a0\u00bbrgba(105,107,174,0.1)\u00a0\u00bb background_color_gradient_end=\u00a0\u00bbrgba(105,107,174,0)\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-purplepattern-crop-2.jpg\u00a0\u00bb custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h5><strong>CONSENTEMENT D\u2019UN TIERS<br \/>\n<\/strong><\/h5>\n<p>La <em>Loi sur le consentement aux soins de sant\u00e9<\/em> (<em>LCSS<\/em>) pr\u00e9voit qu\u2019un plan de traitement peut aussi \u00eatre pr\u00e9sent\u00e9 \u00e0 un praticien de la sant\u00e9 au nom de tous praticiens de sant\u00e9 qui participent au plan. Cette pratique, que l\u2019on appelle le \u00ab consentement d\u2019un tiers \u00bb, est acceptable, \u00e0 condition qu\u2019un consentement \u00e9clair\u00e9 soit obtenu avant le d\u00e9but du traitement.<br \/>\n[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p class=\"p1\"><strong>PAR EXEMPLE : <\/strong>Un patient ou client consent \u00e0 un plan de traitement qui comprend une intubation et une ventilation artificielle, si n\u00e9cessaire. Or, un membre de la famille estime que ces mesures sont futiles et potentiellement n\u00e9fastes. Le patient ou client manifeste par la suite une insuffisance respiratoire et le th\u00e9rapeute respiratoire l&rsquo;intube. Dans ce sc\u00e9nario, il parait important que le th\u00e9rapeute respiratoire documente sa conversation avec le patient au sujet du consentement ant\u00e9rieur de ce dernier \u00e0 proc\u00e9dure.<\/p>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<strong>2. On n\u2019a pas la certitude que le patient a donn\u00e9 son consentement <\/strong>et c\u2019est le th\u00e9rapeute respiratoire qui ex\u00e9cute la proc\u00e9dure. Dans ce cas, c\u2019est au th\u00e9rapeute respiratoire qu\u2019incombe la responsabilit\u00e9 de s\u2019assurer que le consentement d\u2019un tiers a \u00e9t\u00e9 obtenu. Si le th\u00e9rapeute respiratoire a le moindre doute \u00e0 savoir si l\u2019on a obtenu un consentement \u00e9clair\u00e9, il a l\u2019obligation professionnelle de l\u2019obtenir et de le documenter ad\u00e9quatement.<br \/>\n[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p class=\"p1\"><strong>PAR EXEMPLE :<\/strong><\/p>\n<p class=\"p1\">Un patient ou client consent \u00e0 un plan de traitement qui comprend une intubation et une ventilation artificielle, si n\u00e9cessaire. Or, un membre de la famille estime que ces mesures sont futiles et potentiellement n\u00e9fastes. Le patient ou client manifeste par la suite une insuffisance respiratoire et le th\u00e9rapeute respiratoire l\u2019intube. Dans ce sc\u00e9nario, il parait important que le th\u00e9rapeute respiratoire documente sa conversation avec le patient au sujet du consentement ant\u00e9rieur de ce dernier \u00e0 proc\u00e9dure.<\/p>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<strong>3.<\/strong> Dans chaque cas <strong>o\u00f9 un traitement est dispens\u00e9 sans obtenir un consentement<\/strong>, le th\u00e9rapeute respiratoire doit documenter son opinion en ce qui a trait \u00e0 la capacit\u00e9 du patient ou client \u00e0 donner son consentement, de m\u00eame que les mesures prises pour l\u2019obtenir.<br \/>\n[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p class=\"p1\"><strong>PAR EXEMPLE :<\/strong> Un patient ou client arrive \u00e0 l\u2019urgence avec des r\u00e9flexes \u00e9mouss\u00e9s et a besoin d\u2019une intubation. Il est incapable de consentir \u00e0 la proc\u00e9dure; toutefois, le report de cette proc\u00e9dure pourrait porter pr\u00e9judice au patient. Dans ce sc\u00e9nario, la LCSS permet de dispenser le traitement n\u00e9cessaire, mais le th\u00e9rapeute respiratoire doit tout de m\u00eame documenter ses opinions quant \u00e0 la capacit\u00e9 du patient ou client de donner son consentement et toutes les mesures prises pour obtenir le consentement aupr\u00e8s d\u2019un mandataire sp\u00e9cial, si disponible.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Lorsque la politique de l\u2019employeur exige un <strong>consentement \u00e9crit<\/strong> pour une intervention donn\u00e9e (p. ex., exploration fonctionnelle respiratoire), le th\u00e9rapeute respiratoire doit veiller \u00e0 ce qu\u2019un consentement soit sign\u00e9 avant le d\u00e9but de l\u2019intervention.<\/p>\n<p style=\"text-align: center;\">Pour obtenir plus de renseignements, veuillez vous reporter aux lignes directrices (LDP) intitul\u00e9es <span style=\"text-decoration: underline; color: #ffffff;\"><a style=\"color: #ffffff; text-decoration: underline;\" href=\"http:\/\/www.crto.on.ca\/pdf\/fr\/PPG\/UnderConsent_fr.pdf\"><em>Responsibiliti\u00e9s en vertu de la l\u00e9gislation en mati\u00e9re de consentement<\/em> <\/a><\/span>de l\u2019OTRO. (crto.on.ca)<\/p>\n<p>&nbsp;<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbNotToAccept\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbComment documenter la d\u00e9cision d\u00e8un patient qui refuse us plan de traitement ou une intervention\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Les patients ou clients ont le droit de refuser de consentir \u00e0 un traitement, \u00e0 condition qu\u2019ils soient r\u00e9put\u00e9s aptes \u00e0 le faire (voir les lignes directrices <a href=\"http:\/\/www.crto.on.ca\/pdf\/fr\/PPG\/UnderConsent_fr.pdf\"><em>Responsabilit\u00e9s en vertu de la l\u00e9gislation en mati\u00e8re de consentement<\/em><\/a>]. Si un patient ou client d\u00e9cide de refuser une intervention pr\u00e9vue, il faut  inscrire :<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]la date et l\u2019heure;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]une description et les raisons de l\u2019intervention pr\u00e9vue;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]la ou les raisons du refus;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]les renseignements donn\u00e9s en vue de cette intervention et les cons\u00e9quences possibles du refus;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]les personnes que vous avez inform\u00e9es de la d\u00e9cision du patient (p. ex., le prescripteur); et<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]les autres solutions recommand\u00e9es, s\u2019il y en a.<br \/>\n[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbLe signalement des \u00e9v\u00e9nements ind\u00e9sirables et des incidents critiques\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb module_id=\u00a0\u00bbAdverseEventsCriticalIncident\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb32px||31px|||\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]Les <span style=\"text-decoration: underline;\">\u00e9v\u00e9nements ind\u00e9sirables<\/span> ont les blessures ou complications non intentionnelles qui surviennent durant la prestation des soins de sant\u00e9. Les <span style=\"text-decoration: underline;\">incidents critiques<\/span sont des \u00e9v\u00e9nements ind\u00e9sirables suffisamment graves pour mettre la vie en danger ou entra\u00eener la perte d\u2019un membre ou d\u2019une capacit\u00e9 fonctionnelle physique. \n\nUn rapport d\u2019incident ou d\u2019\u00e9v\u00e9nement ind\u00e9sirable.  Il s\u2019agit d\u2019un dossier de sant\u00e9 assujetti \u00e0 toutes les normes concernant la documentation. En cas de r\u00e9daction d\u2019un rapport d\u2019incident, il importe de se rappeler que les renseignements sur l\u2019incident doivent \u00eatre inclus dans le dossier du patient ou client.\n[\/et_pb_blurb][et_pb_blurb title=\"Arr\u00eats cardiaques\" use_icon=\"on\" font_icon=\"%%28%%\" icon_color=\"#696bae\" icon_placement=\"left\" module_id=\"CardiacArrests\" _builder_version=\"4.11.3\" animation_style=\"zoom\" locked=\"off\" global_colors_info=\"{}\"]La plupart des h\u00f4pitaux ont \u00e9tabli des protocoles et des proc\u00e9dures pour documenter les arr\u00eats cardiaques et respiratoires. Si un tel \u00e9v\u00e9nement survient, le th\u00e9rapeute respiratoire a la responsabilit\u00e9 de documenter avec pr\u00e9cision toutes ses activit\u00e9s (p. ex., m\u00e9dicaments administr\u00e9s, tentatives de d\u00e9fibrillation, intubations endotrach\u00e9ales, etc.). La date, l\u2019heure et le r\u00e9sultat de toutes les interventions doivent \u00eatre consign\u00e9s.\n[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.8.2\" _module_preset=\"default\" background_color=\"#696BAE\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.8.2\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.8.2\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.8.2\" _module_preset=\"default\" background_layout=\"dark\" global_colors_info=\"{}\"]\n\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Il est important de comprendre qu\u2019en signant un document concernant d\u2019un arr\u00eat cardiaque, vous attestez l\u2019exactitude du document. S\u2019il convient de modifier le document concernant l\u2019arr\u00eat afin de t\u00e9moigner de votre r\u00f4le lors de la survenue de l\u2019arr\u00eat, vous devez vous assurer que le document est modifi\u00e9 de fa\u00e7on ad\u00e9quate.<\/p>\n<p>&nbsp;<br \/>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLa documentation des soins de fin de vie\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb module_id=\u00a0\u00bbEndofLifeDocumentation\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]\u00c0 titre de membres de l\u2019\u00e9quipe de soins de sant\u00e9 (et en collaboration avec les patients ou clients et leur famille), les th\u00e9rapeutes respiratoires sont souvent appel\u00e9s \u00e0 collaborer \u00e0 certains aspects des soins de fin de vie (p. ex., r\u00e9pondre aux questions des membres de la famille au sujet de ce qui se produira apr\u00e8s le retrait du syst\u00e8me de maintien des fonctions vitales). Quand on engage le processus d\u2019arr\u00eat des traitements dispens\u00e9s \u00e0 un patient ou client, une documentation claire et pr\u00e9cise est essentielle. Malheureusement, la recherche d\u00e9montre que ce n\u2019est souvent pas le cas. Par exemple, une \u00e9tude publi\u00e9e en 2004 dans l\u2019American Journal of Critical Care a r\u00e9v\u00e9l\u00e9 que 90 % des dossiers examin\u00e9s ne comprenaient aucune documentation indiquant si le patient \u00e9tait intub\u00e9 ou extub\u00e9 au moment de l\u2019arr\u00eat des traitements. <\/p>\n<p>Quelques-unes des questions que le th\u00e9rapeute respiratoire devrait songer \u00e0 inclure dans la documentation de sa participation aux soins de fin de vie :<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]le soutien fourni \u00e0 la famille avant et durant l\u2019arr\u00eat des traitements;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]toute participation \u00e0 la discussion entourant la fin de vie;<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]les soins palliatifs fournis au patient au moment de l\u2019arr\u00eat des traitements; et<br \/>\n[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]toute directive pr\u00e9alable ou tout souhait exprim\u00e9 par le patient ou client.<br \/>\n[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>PAR EXEMPLE : <\/strong>On demande \u00e0 un th\u00e9rapeute respiratoire qui dispense des soins \u00e0 une personne en fin de vie de d\u00e9brancher le patient de l\u2019appareil de ventilation et de retirer la canule trach\u00e9ale. Dans cette situation, la documentation consign\u00e9e par le th\u00e9rapeute respiratoire doit non seulement comprendre ces activit\u00e9s, mais \u00e9galement r\u00e9sumer les conversations qui ont eu lieu avec la famille avant, durant et apr\u00e8s le retrait du syst\u00e8me de maintien des fonctions vitales.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWhere\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h2><strong>IV. Lieu o\u00f9 l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<br \/>\n<\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Le dossier doit mentionner l\u2019endroit o\u00f9 le patient ou client a subi l\u2019intervention, \u00e0 moins que cet endroit ne soit le lieu \u00ab normal \u00bb des interventions chez ce patient ou client. Si, par exemple, un traitement a \u00e9t\u00e9 administr\u00e9 dans une salle de loisirs ou si on a fourni des conseils au patient ou client par t\u00e9l\u00e9phone, le dossier doit le mentionner.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbPointofCareTesting\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLes analyses hors laboratoire\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]Les analyses hors laboratoire devraient faire l\u2019objet d\u2019une tenue de dossiers conforme \u00e0 la l\u00e9gislation ou \u00e0 la pr\u00e9sente ligne directrice. Les renseignements d\u00e9mographiques, la date, l\u2019identit\u00e9 et les titres de comp\u00e9tences de la personne qui ex\u00e9cute la proc\u00e9dure doivent \u00eatre document\u00e9s et figurer sur les r\u00e9sultats des analyses. Les r\u00e9sultats des analyses hors laboratoire doivent \u00eatre clairement distincts des r\u00e9sultats provenant d\u2019autres sources dans le dossier de sant\u00e9. Des dossiers pr\u00e9sentant les r\u00e9sultats des contr\u00f4les de qualit\u00e9 et des \u00e9preuves de performance doivent \u00eatre tenus pour chaque appareil.<\/p>\n<p>Nous incitons les membres de l\u2019OTRO \u00e0 obtenir des pr\u00e9cisions aupr\u00e8s de leur employeur sur toute exigence concernant l\u2019utilisation de papier thermique pour l\u2019impression de r\u00e9sultats de tests (p. ex., spirom\u00e8tre ou oxym\u00e8tre de chevet et autres appareils de diagnostic). Le papier thermique se d\u00e9grade au fil du temps et sa dur\u00e9e de conservation est relativement courte. Beaucoup d\u2019\u00e9tablissements ont maintenant des politiques qui stipulent que tous les r\u00e9sultats de tests imprim\u00e9s sur papier thermique doivent \u00eatre photocopi\u00e9s afin d\u2019assurer la pr\u00e9servation du dossier jusqu\u2019\u00e0 la fin de la p\u00e9riode de conservation exig\u00e9e par la loi.[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Les th\u00e9rapeutes respiratoires sont tenus d\u2019effectuer une consignation r\u00e9pondant aux m\u00eames normes professionnelles, peu importe si cela concerne un patient interne ou externe. Peu importe si vous ex\u00e9cutez une GSA au service des soins intensifs de votre h\u00f4pital ou une exploration fonctionnelle respiratoire en clinique externe, vous devez satisfaire \u00e0 toutes les normes en mati\u00e8re de documentation.<\/p>\n<p style=\"text-align: center;\"><strong>Le travail au sein de la communaut\u00e9<\/strong> <br \/>Les th\u00e9rapeutes respiratoires travaillent dans un vaste \u00e9ventail de contextes de pratique (p. ex., cabinet de m\u00e9decin, cabinet de dentiste, clinique d\u2019\u00e9ducation des patients). Quel que soit le contexte de pratique, tous les th\u00e9rapeutes respiratoires sont tenus de s\u2019assurer de consigner tous les contacts avec les patients ou clients conform\u00e9ment aux normes professionnelles.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbPatientClientTransports\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbTransport d\u2019un patient ou client\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>En cas de transport d\u2019un patient ou client, vous devez fournir des pr\u00e9cisions concernant les interventions ou les contr\u00f4les effectu\u00e9s pendant le transport et le transfert des soins \u00e0 la fin du transport. Vous devez aussi pr\u00e9ciser le type de transport (intra\u00e9tablissement, inter\u00e9tablissement, a\u00e9rien, terrestre).<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbTelephonePractice\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLes consultations t\u00e9l\u00e9phoniques\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>Les principes et les normes reli\u00e9es \u00e0 la documentation des consultations t\u00e9l\u00e9phoniques sont les m\u00eames que ceux reli\u00e9s aux avis donn\u00e9s en personne. Les renseignements suivants doivent \u00eatre document\u00e9s :<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>l\u2019heure et la date du contact;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>l\u2019emplacement de la personne qui a t\u00e9l\u00e9phon\u00e9 (s\u2019il y a lieu);<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>le nom du patient ou client et sa date de naissance (DN);<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>le nom de la personne qui a t\u00e9l\u00e9phon\u00e9 et son lien avec le patient ou client, et le consentement ou non du patient ou client touchant l\u2019appel ou le courriel;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>la raison de l\u2019appel;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>l\u2019information fournie par le patient ou client ou par l\u2019appelant;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>les sympt\u00f4mes d\u00e9crits par le patient ou client ou par l\u2019appelant;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>l\u2019information ou l\u2019avis donn\u00e9;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>tout suivi requis; et<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>votre signature et votre titre.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Il est conseill\u00e9 d\u2019utiliser un registre \u00e0 cette fin et d\u2019intervenir aupr\u00e8s de votre employeur afin qu\u2019il \u00e9labore des normes touchant les avis donn\u00e9s par t\u00e9l\u00e9phone et par courriel.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWhy\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h2><strong>V. Raison pour laquelle l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e<br \/><\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La raison ou le but de l\u2019intervention doivent \u00eatre inscrits dans le dossier. S\u2019agissait-il d\u2019une visite ordinaire? Du r\u00e9sultat de tests de diagnostic? L\u2019intervention avait-elle pour but d\u2019effectuer des tests de diagnostic? Faisait-elle suite \u00e0 une am\u00e9lioration ou \u00e0 une d\u00e9t\u00e9rioration de l\u2019\u00e9tat de la personne? \u00c0 une ordonnance m\u00e9dicale ou \u00e0 un protocole de th\u00e9rapie respiratoire? Pourquoi avez-vous ex\u00e9cut\u00e9 cette intervention? Si vous administrez un plan de traitement, il est bon d\u2019expliquer la premi\u00e8re fois pourquoi ce plan est mis en \u0153uvre; par la suite, vous ne mentionnerez plus que les raisons particuli\u00e8res, le cas \u00e9ch\u00e9ant.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbObjectiveDocumentation\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbObjectivit\u00e9\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Une documentation objective est constitu\u00e9e d\u2019observations impartiales et de signes observ\u00e9s chez le patient ou client, de m\u00eame que des sympt\u00f4mes d\u00e9crits par le patient ou client. L\u2019information consign\u00e9e dans le dossier de sant\u00e9 personnel doit constituer un relev\u00e9 factuel des \u00e9v\u00e9nements survenus (objectif), plut\u00f4t qu\u2019une interpr\u00e9tation (subjective) des faits. La consignation de commentaires subjectifs peut porter pr\u00e9judice au bien-\u00eatre du patient ou client (peut nuire \u00e0 l\u2019efficacit\u00e9 des communications) et \u00e0 la r\u00e9putation professionnelle du th\u00e9rapeute respiratoire. Quelques exemples d\u2019\u00e9nonc\u00e9s objectifs et subjectifs sont pr\u00e9sent\u00e9s ci-dessous.<\/p>\n<p>[\/et_pb_blurb][et_pb_code _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb98.6%\u00a0\u00bb custom_padding=\u00a0\u00bb|||90px|false|false\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<h2 id=\"tablepress-2-name\" class=\"tablepress-table-name tablepress-table-name-id-2\">Table 1 : Exemples de documentation objective ou subjective<\/h2>\n\n<table id=\"tablepress-2\" class=\"tablepress tablepress-id-2\" aria-labelledby=\"tablepress-2-name\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><strong>Objectif<\/strong><\/th><th class=\"column-2\"><strong>Subjectif<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><strong>\u00ab le patient pleurait \u00bb<\/strong><\/td><td class=\"column-2\"><br \/>\n\u00ab le patient \u00e9tait triste \u00bb<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><strong>\u00ab le patient s\u2019est plaint essoufflement \u00e0 l\u2019effort et pr\u00e9sentait une dyspn\u00e9e d\u2019effort \u00bb<\/strong><\/td><td class=\"column-2\">\u00ab le patient semblait \u00e9prouver un inconfort \u00bb<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><strong>\u00ab le traitement n\u2019a pas \u00e9t\u00e9 effectu\u00e9 parce que... \u00bb<\/strong><\/td><td class=\"column-2\">\u00ab ce traitement n\u2019\u00e9tait pas dans l\u2019int\u00e9r\u00eat du patient \u00bb<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><strong>\u00ab j\u2019ai inform\u00e9 par t\u00e9l\u00e9phone le Dr Untel des changements \u00e0 l\u2019\u00e9tat du patient indiqu\u00e9s par le trac\u00e9 ventilatoire \u00bb<\/strong><\/td><td class=\"column-2\">\u00ab le docteur sait \u00bb<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-2 from cache -->[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Les patients ou clients et les membres de leur famille ont le droit d\u2019acc\u00e9der aux dossiers m\u00e9dicaux. C\u2019est pourquoi le th\u00e9rapeute respiratoire ne doit inclure aucune opinion ou aucun jugement personnel dans le dossier de sant\u00e9 personnel.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbResults\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>VI. R\u00e9sultat de l\u2019activit\u00e9 ex\u00e9cut\u00e9e<br \/><\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance Expectations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_padding=\u00a0\u00bb0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Il est essentiel que les r\u00e9sultats de toutes les interventions soient port\u00e9s au dossier de sant\u00e9 personnel. Cela permet \u00e0 toute l\u2019\u00e9quipe de soins de sant\u00e9 de savoir ce qui a \u00e9t\u00e9 fait et si les traitements ont produit les r\u00e9sultats escompt\u00e9s. Cette information est n\u00e9cessaire pour guider les d\u00e9cisions ult\u00e9rieures en mati\u00e8re de traitement et devrait comprendre des renseignements comme :<\/p>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>le r\u00e9sultat de l\u2019intervention;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>la r\u00e9ponse du patient ou client \u00e0 l\u2019intervention;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>le traitement a-t-il produit les r\u00e9sultats vis\u00e9s;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>plan de traitement propos\u00e9 en fonction du r\u00e9sultat de l\u2019intervention; et<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px||false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>plan de suivi du th\u00e9rapeute respiratoire, le cas \u00e9ch\u00e9ant.<\/p>\n<p>[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<strong>PAR EXEMPLE :<\/strong><\/p>\n<p>On demande \u00e0 un th\u00e9rapeute respiratoire d\u2019installer un BiPAP chez un patient en fin de maladie terminale qui pr\u00e9sente des niveaux de PaCO<span style=\"font-size: x-small;\"><sub>2<\/sub><\/span> . Le patient et le th\u00e9rapeute respiratoire consentent au plan de traitement, mais le th\u00e9rapeute respiratoire estime que les bienfaits de la th\u00e9rapie seront limit\u00e9s. Lors de la documentation, il est important de consigner non seulement l\u2019intervention, mais aussi le plan de traitement et ses objectifs (p. ex., combien de temps le patient sera-t-il trait\u00e9 \u00e0 l\u2019aide du BiPAP; quand le plan de traitement sera r\u00e9\u00e9valu\u00e9, comment et quand le th\u00e9rapeute respiratoire compte faire le suivi des progr\u00e8s du patient ou client).[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbByWhom\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>VII. La personne qui a ex\u00e9cut\u00e9 l\u2019activit\u00e9<br \/><\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbSignatures\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbSignatures\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Toute personne lisant la documentation doit \u00eatre en mesure d\u2019\u00e9tablir facilement qui a ex\u00e9cut\u00e9 l\u2019activit\u00e9 ou effectu\u00e9 la consignation et y voir un identificateur unique pour cette personne (signature). C\u2019est pourquoi un membre de l\u2019OTRO doit apposer sa signature \u00e0 la fin de l\u2019inscription en incluant au moins une premi\u00e8re initiale, son nom de famille et son titre professionnel (l\u2019abr\u00e9viation est acceptable).<\/p>\n<p>Une signature et\/ou des initiales attestent les renseignements inscrits et garantissent l\u2019exactitude et l\u2019exhaustivit\u00e9 de l\u2019annotation concernant l\u2019activit\u00e9, l\u2019\u00e9valuation, le comportement ou la proc\u00e9dure. Les membres de l\u2019OTRO ne doivent en aucun cas permettre \u00e0 une autre personne d\u2019apposer sa signature \u00e0 leur place au bas d\u2019un document et ne doivent pas non plus apposer la signature de quelqu\u2019un d\u2019autre \u00e0 la place de cette personne.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Si un support papier sert de <strong>registre de signature<\/strong>, les initiales et le titre professionnel suffisent. En l\u2019absence d\u2019un registre de signature, inscrivez votre nom en caract\u00e8res d\u2019imprimerie si votre signature est difficile \u00e0 lire.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbCosigningDoc\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbCosignature d\u2019un document avec une personne sous sa supervision\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Lorsqu\u2019un th\u00e9rapeute respiratoire supervise une autre personne [habituellement, un th\u00e9rapeute respiratoire \u00e9tudiant (SRT); il peut toutefois s\u2019agir d\u2019un th\u00e9rapeute respiratoire inscrit exer\u00e7ant en vertu d\u2019un certificat d\u2019inscription limit\u00e9 assorti de modalit\u00e9s et restrictions], il est essentiel que la documentation indique pr\u00e9cis\u00e9ment ce qui suit :<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]1.\tLe niveau de supervision fourni; et<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]2. La personne qui a ex\u00e9cut\u00e9 chaque t\u00e2che et la personne qui a supervis\u00e9 l\u2019ex\u00e9cution de la t\u00e2che.<br \/>\n[\/et_pb_blurb][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span style=\"text-decoration: underline;\"><\/span><\/p>\n<p><span style=\"text-decoration: underline;\">Il y a supervision directe<\/span> quand un th\u00e9rapeute respiratoire \u00e9tudiant (SRT) (ou th\u00e9rapeute respiratoire de cat\u00e9gorie PRT) ex\u00e9cute un acte contr\u00f4l\u00e9 en pr\u00e9sence d\u2019un th\u00e9rapeute respiratoire inscrit (RRT), qui observe et supervise l\u2019ex\u00e9cution de la t\u00e2che. Dans ce cas, l\u2019\u00e9tudiant (ou le membre de cat\u00e9gorie PRT) doit inscrire dans le dossier de sant\u00e9 du patient ou client qu\u2019il a effectu\u00e9 cette intervention sous \u00ab supervision directe \u00bb. Le th\u00e9rapeute respiratoire inscrit (RRT) responsable de la supervision doit apposer sa cosignature dans le dossier du patient ou du client et indiquer que l\u2019intervention s\u2019est d\u00e9roul\u00e9e sous sa \u00ab supervision directe \u00bb. Par exemple, c\u2019est le cas quand un RRT observe directement et guide l\u2019ex\u00e9cution de la collecte d\u2019un \u00e9chantillon de sang art\u00e9riel par un SRT en vue d\u2019une gazom\u00e9trie.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span style=\"text-decoration: underline;\"><\/span>La d\u00e9signation <span style=\"text-decoration: underline;\">supervision g\u00e9n\u00e9rale<\/span> s\u2019applique aux situations o\u00f9 il a \u00e9t\u00e9 d\u00e9termin\u00e9 qu\u2019un SRT (ou membre de cat\u00e9gorie PRT) peut ex\u00e9cuter un acte contr\u00f4l\u00e9 donn\u00e9 de fa\u00e7on autonome. Quand des activit\u00e9s ou proc\u00e9dures sont effectu\u00e9es sous supervision g\u00e9n\u00e9rale, le RRT responsable de la supervision <span style=\"text-decoration: underline;\">ne doit pas cosigner<\/span> la documentation. Cela tient au fait qu\u2019une cosignature signifie que le RRT atteste l\u2019exactitude de la documentation. Si ce dernier n\u2019a pas assist\u00e9 \u00e0 l\u2019ex\u00e9cution de la t\u00e2che, le RRT ne peut avoir la certitude absolue que la documentation est exacte. Seule la personne qui a ex\u00e9cut\u00e9 l\u2019activit\u00e9 ou proc\u00e9dure ou a \u00e9t\u00e9 en contact avec le patient doit document et signer l\u2019inscription. <\/p>\n<p>[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_color=\u00a0\u00bb#696bae\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><strong>PAR EXEMPLE :<\/strong><\/p>\n<p>\u00a0Un \u00e9tudiant en th\u00e9rapie respiratoire qui en est \u00e0 son dernier stage clinique effectue une gazom\u00e9trie du sang art\u00e9riel sous supervision \u00ab g\u00e9n\u00e9rale \u00bb (c.-\u00e0-d., sans que le RRT responsable de la supervision soit physiquement pr\u00e9sent pour observer l\u2019activit\u00e9). Comme, dans cette situation, l\u2019activit\u00e9 est men\u00e9e sous supervision \u00ab g\u00e9n\u00e9rale \u00bb (et non sous supervision directe), l\u2019\u00e9tudiant doit signer sa propre documentation et le RRT ne doit pas cosigner ces documents.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding=\u00a0\u00bb6px|||||\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">L\u2019Ordre est conscient du fait que la plupart des feuilles de soins utilis\u00e9es dans les unit\u00e9s de soins intensifs (USI et UNSI) ne fournissent pas toujours assez d\u2019espace pour indiquer de fa\u00e7on explicite que l\u2019activit\u00e9 a \u00e9t\u00e9 ex\u00e9cut\u00e9e sous surveillance directe. Nous vous sugg\u00e9rons d\u2019indiquer dans le dossier du client ou patient que la pr\u00e9sence de deux (2) initiales indique qu\u2019une intervention a \u00e9t\u00e9 effectu\u00e9e sous surveillance directe.<\/p>\n<p style=\"text-align: center;\"><strong>Une supervision g\u00e9n\u00e9rale (indirecte)<\/strong> exige que le RRT responsable de la supervision soit disponible et pr\u00eat \u00e0 intervenir \u00ab personnellement \u00bb en moins de 10 minutes si son assistance est n\u00e9cessaire. (OTRO <a href=\"http:\/\/www.crto.on.ca\/pdf\/fr\/Policies\/Supervision-pol_fr.pdf\"><em><span style=\"color: #ffffff;\">Politique de l\u2019OTRO en mati\u00e8re de supervision<\/span><\/em><\/a><span style=\"color: #ffffff;\">)<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/documentation.crto.on.ca\/wp-content\/uploads\/sites\/11\/2021\/03\/crto-patternpurple-tall.jpg\u00a0\u00bb background_position=\u00a0\u00bbbottom_left\u00a0\u00bb custom_padding=\u00a0\u00bb70px||70px||true|false\u00a0\u00bb border_width_bottom=\u00a0\u00bb3px\u00a0\u00bb border_color_bottom=\u00a0\u00bb#696bae\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbInterdisciplinaryDoc\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLa documentation interdisciplinaire\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Les th\u00e9rapeutes respiratoires \u0153uvrent souvent au sein d\u2019une \u00e9quipe multidisciplinaire qui dispense collectivement divers services de soins de sant\u00e9 qui se chevauchent. Comme dans toute dynamique de groupe, l\u2019efficacit\u00e9 des communications internes et externes de l\u2019\u00e9quipe est vitale. Afin de faciliter ces communications, plusieurs \u00e9tablissements de sant\u00e9 ont adopt\u00e9 des politiques de documentation pr\u00e9conisant une tenue de dossiers plus int\u00e9gr\u00e9e et interdisciplinaire.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbAdditionalConsiderations\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbPerformance\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; header_font_size=\u00a0\u00bb45px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px|\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2><strong>Consid\u00e9rations suppl\u00e9mentaires<br \/><\/strong><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbDocDisagreement\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbComment documenter son d\u00e9saccord avec une ordonnance ou un plan de traitement\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Si un th\u00e9rapeute respiratoire estime qu\u2019une ordonnance ou un plan de traitement n\u2019est pas dans le meilleur int\u00e9r\u00eat du patient, il a l\u2019obligation professionnelle de ne pas proc\u00e9der \u00e0 l\u2019intervention. De plus, un th\u00e9rapeute respiratoire se doit de :<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>remain objective and not involve the patient\/client in the disagreement, if at all possible;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]communiquer avec le prescripteur afin de discuter du motif de la divergence d\u2019opinion et d\u2019\u00e9ventuels plans de rechange; et[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]consigner une documentation compl\u00e8te et appropri\u00e9e, laquelle doit comprendre :[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|180px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]les raisons pour lesquelles celui-ci a refus\u00e9 d\u2019ex\u00e9cuter le traitement ou l\u2019intervention;[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|180px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>quand le prescripteur a \u00e9t\u00e9 avis\u00e9 et les d\u00e9tails de la discussion avec le prescripteur, le cas \u00e9ch\u00e9ant; et<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|180px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]les solutions de rechange propos\u00e9es, le cas \u00e9ch\u00e9ant.[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; module_id=\u00a0\u00bbWithdrawalCareServices\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbLe retrait de soins ou de services en raison d\u2019abus ou de violence\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%28%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Il est rare que l\u2019on retire ou que l\u2019on refuse des soins ou des services \u00e0 un patient on en arrive l\u00e0 qu\u2019en dernier recours, dans le cadre d\u2019un plan strat\u00e9gique visant \u00e0 \u00e9liminer l\u2019abus ou la violence. N\u00e9anmoins, cela s\u2019av\u00e8re parfois n\u00e9cessaire en cas de menace ou de risque important de blessure grave \u00e0 un membre du personnel, \u00e0 un patient ou \u00e0 un visiteur. Il est particuli\u00e8rement difficile de trouver l\u2019\u00e9quilibre entre l\u2019imp\u00e9ratif de fournir des services dans l\u2019int\u00e9r\u00eat du patient et celui de prot\u00e9ger autrui dans les situations particuli\u00e8rement difficiles o\u00f9 il est n\u00e9cessaire ou pressant de fournir des soins. Lorsqu\u2019il faut retirer ou refuser des soins ou des services, il faut fournir les renseignements suivants dans la documentation :<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>la date et l\u2019heure;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>la raison du retrait des soins ou des services;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>les circonstances qui ont men\u00e9 au retrait, y compris le retrait comme tel et le fait qu\u2019on a inform\u00e9 le patient des mesures qui seront prises si le comportement se poursuit;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>quand et de quelle fa\u00e7on on a communiqu\u00e9 au patient ou client l\u2019information concernant le retrait des soins ou des services (p. ex., verbalement, par \u00e9crit);<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>les m\u00e9thodes que vous avez utilis\u00e9es (l\u2019employeur a \u00e9tabli des lignes directrices \u00e0 suivre lorsque les patients font preuve de violence ou de comportement violent), notamment toutes vos tentatives visant \u00e0 r\u00e9soudre la situation;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p>les cons\u00e9quences possibles du retrait des soins;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>les normes que le patient devra respecter afin de recevoir \u00e0 nouveau des soins, s\u2019il y a lieu;<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||13px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>la suggestion du recours \u00e0 un autre fournisseur de soins ou de services ou les efforts d\u00e9ploy\u00e9s afin d\u2019acheminer le patient \u00e0 d\u2019autres fournisseurs (si appropri\u00e9); et<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb%%24%%\u00a0\u00bb icon_color=\u00a0\u00bb#696bae\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb _builder_version=\u00a0\u00bb4.8.2&Prime; custom_margin=\u00a0\u00bb10px||10px||true|false\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|90px|false|false\u00a0\u00bb animation_style=\u00a0\u00bbzoom\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>le nom des personnes avis\u00e9es (patient ou client, m\u00e9decin, infirmi\u00e8re ou infirmier responsable, police, service de s\u00e9curit\u00e9, etc.).<\/p>\n<p>[\/et_pb_blurb][et_pb_text _builder_version=\u00a0\u00bb4.11.3&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bbrgba(105,107,174,0.35)\u00a0\u00bb custom_padding=\u00a0\u00bb35px|35px|35px|35px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; border_width_left=\u00a0\u00bb3px\u00a0\u00bb border_color_left=\u00a0\u00bb#696BAE\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p class=\"p1\">Pour obtenir de plus amples renseignements et des sc\u00e9narios concernant le retrait ou services de th\u00e9rapie respiratoire, voyez le document de l\u2019OTRO intitul\u00e9 \u00ab <a href=\"https:\/\/ethics.crto.on.ca\/fr\/\"><strong><em><span style=\"text-decoration: underline;\"><span style=\"color: #0005ad; text-decoration: underline;\">Engagement envers un exercice professionnel<\/span><\/span><\/em><\/strong><\/a>\u00a0\u00bb.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#696BAE\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.8.2&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_layout=\u00a0\u00bbdark\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h3 style=\"text-align: center;\"><strong>VEUILLEZ PRENDRE NOTE&#8230;<\/strong><\/h3>\n<p style=\"text-align: center;\">Il est important de NE PAS documenter pour une autre personne. Il peut y avoir des circonstances o\u00f9 il s\u2019av\u00e8re n\u00e9cessaire de documenter son observation de soins dispens\u00e9s par une autre personne (p. ex., un membre de la famille est t\u00e9moin de la chute d\u2019un patient ou client). Dans ce cas, il faut absolument indiquer clairement qui a eu directement connaissance de l\u2019\u00e9v\u00e9nement, qui a effectu\u00e9 l\u2019activit\u00e9 ou l\u2019intervention et qui l\u2019a document\u00e9.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.8.2&Prime; saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb animation_style=\u00a0\u00bbflip\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb3.25&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_toggle title=\u00a0\u00bbGlossary\u00a0\u00bb admin_label=\u00a0\u00bbGLOSSARY\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; title_font=\u00a0\u00bb|||on|||||\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<p><strong>Mandataires (des d\u00e9positaires des renseignements sur la sant\u00e9)<\/strong> d\u00e9finis par la <em>Loi sur le <\/em><em>consentement aux soins de sant\u00e9<\/em> (<em>LCSS<\/em>) par rapport au d\u00e9positaire de renseignements sur la sant\u00e9 comme suit : <em>\u00ab &#8230;une personne qui, avec l\u2019autorisation du d\u00e9positaire, agit pour le d\u00e9positaire ou en<\/em> <em>son nom en ce qui a trait aux renseignements de sant\u00e9 personnels aux fins du d\u00e9positaire&#8230; \u00bb<\/em><\/p>\n<p><strong>Membre de l\u2019OTRO<\/strong> Un th\u00e9rapeute respiratoire inscrit aupr\u00e8s de l\u2019OTRO ; les cat\u00e9gories d\u2019inscription sont th\u00e9rapeute respiratoire dipl\u00f4m\u00e9 (GRT), th\u00e9rapeute respiratoire auxiliaire (PRT) et th\u00e9rapeute respiratoire inscrit (RRT).<\/p>\n<p><strong>Dossier fond\u00e9 sur les exceptions<\/strong> M\u00e9thode de tenue de dossiers de sant\u00e9 des patients ou clients. Ce dossier n\u00e9cessite un plan d\u00e9taill\u00e9 sur les exceptions des soins ou un plan de soins standard et comprend des feuilles de soins, des dossiers graphiques et des notes sur les progr\u00e8s et peut prendre la forme d\u2019un plan d\u2019\u00e9valuation subjective\/objective (SOAP ou SOAPIE(R : donn\u00e9es Subjectives, Objectives, Appr\u00e9ciation, Plan, Intervention, \u00c9valuation, R\u00e9vision).<\/p>\n<p><strong>Syst\u00e8me de consignation au dossier par probl\u00e8me<\/strong> Syst\u00e8me de consignation au dossier de sant\u00e9 comprenant des feuilles de soins, des listes de contr\u00f4le et des notes sur les progr\u00e8s prenant le format DARP (Donn\u00e9es, Action\/Analyse, R\u00e9ponse et Plan).<\/p>\n<p><strong>D\u00e9positaire des renseignements sur la sant\u00e9 (DRS)<\/strong> D\u00e9fini dans dans la LPRPS comme s\u2019entendant <em>\u00ab <\/em><em>\u2026 d\u2019une personne ou d\u2019une organisation vis\u00e9e \u00e0 l\u2019une des dispositions suivantes qui a la garde ou le <\/em><em>contr\u00f4le de renseignements personnels sur la sant\u00e9\u2026 \u00bb<\/em>.<\/p>\n<p><strong>Directive m\u00e9dicale<\/strong> Ordonnance m\u00e9dicale touchant une gamme de patients ou clients qui r\u00e9pondent \u00e0 certaines conditions. La directive m\u00e9dicale est une ordonnance et doit donc r\u00e9pondre aux crit\u00e8res des ordonnances m\u00e9dicales valides.<\/p>\n<p><strong>Note narrative<\/strong> Donn\u00e9es consign\u00e9es sous la forme de notes sur les progr\u00e8s compl\u00e9t\u00e9es par les feuilles de soins correspondant au plan de traitement.<\/p>\n<p><strong>Dossier de sant\u00e9 personnel (DSP)<\/strong> Dossier tenu par les DRS qui dispensent des soins de sant\u00e9; sur support papier ou en format \u00e9lectronique.<\/p>\n<p><strong>Soins primaires<\/strong> Comprennent, sans toutefois s\u2019y limiter, les \u00e9quipes de sant\u00e9 familiale, les centres de sant\u00e9 communautaire et divers organismes comme L\u2019Association canadienne pour la sant\u00e9 mentale.<\/p>\n<p><strong>Dossier de sant\u00e9 bas\u00e9 sur l\u2019identification des probl\u00e8mes (en anglais, PoHR)<\/strong> Syst\u00e8me de dossier de sant\u00e9 comprenant un plan de traitement, une liste des probl\u00e8mes et des notes bas\u00e9es sur les progr\u00e8s, de m\u00eame qu\u2019une planification des cong\u00e9s pouvant prendre le format SOAP ou SOAPIE (donn\u00e9es Subjectives, Objectives, Appr\u00e9ciation, Plan, Intervention, \u00c9valuation).<\/p>\n<p>[\/et_pb_toggle][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.6.6&Prime; background_enable_color=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_toggle title=\u00a0\u00bbREFERENCES\u00a0\u00bb admin_label=\u00a0\u00bbREFERENCES\u00a0\u00bb _builder_version=\u00a0\u00bb4.11.3&Prime; hover_enabled=\u00a0\u00bb0&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;]<\/p>\n<ol>\n<li>Cavoukian, A. (2009). Le Bureau du commissaire \u00e0 l\u2019information et \u00e0 la protection de la vie priv\u00e9e de l\u2019Ontario (2009). <em>Circle of care: Sharing personal health information for healthcare purposes<\/em>. Extrait de : <a href=\"https:\/\/www.ipc.on.ca\/images\/Resources\/circle-care.pdf\">https:\/\/www.ipc.on.ca\/images\/Resources\/circle-care.pdf<\/a><\/li>\n<li>Ordre des infirmi\u00e8res et infirmiers de l\u2019Ontario. (2008). <em>Norme d\u2019exercice : La tenue de dossiers<\/em>. Extrait de : <a href=\"http:\/\/www.cno.org\/Global\/docs\/prac\/41001_documentation.pdf\">http:\/\/www.cno.org\/Global\/docs\/prac\/41001_documentation.pdf<\/a><\/li>\n<li>Ordre des m\u00e9decins et chirurgiens de l\u2019Ontario (2012). Dossiers m\u00e9dicaux. <em>\u00c9nonc\u00e9 de politique<\/em> (no 4 \u00e0 12). Extrait de : <a href=\"http:\/\/www.cpso.on.ca\/CPSO\/media\/uploadedfiles\/policies\/policies\/policyitems\/medical_records.pdf?ext=.pdf\">http:\/\/www.cpso.on.ca\/CPSO\/media\/uploadedfiles\/policies\/policies\/policyitems\/medical_records.pdf?ext=.pdf<\/a><\/li>\n<li>Ordre des physioth\u00e9rapeutes de l\u2019Ontario. (2017). <em>Norme sur la tenue de dossiers<\/em>. Extrait de : <a href=\"https:\/\/www.collegept.org\/rules-and-resources\/record-keeping\">https:\/\/www.collegept.org\/rules-and-resources\/record-keeping<\/a><\/li>\n<li>Cox, K., Moghaddam, N., Almack, K. et al. Is it recorded in the notes? Documentation of end-of-life care and preferred place to die discussions in the final weeks of life. <em>BMC Palliat Care<\/em> 10, 18 (2011). <a href=\"https:\/\/doi.org\/10.1186\/1472-684X-10-18\">https:\/\/doi.org\/10.1186\/1472-684X-10-18<\/a><\/li>\n<li>Paterson, A. M. (2013). Medical Record as a Legal Document Part 2: Meeting the Standards. <em>Journal of Legal Nurse Consulting, 24(1), 4-10<\/em>. 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