Golf Terminology

I have recently begun playing golf.  A sport I thought I would hate because I get very bored very easily.   This blog is a perfect example. :-)  I promise to start posting more often, but until then, check out some terminology!

It is also very important for Respiratory Practitioners to be able to at least accept invitations from executives to golf outings!  So here ya go!


Abnormal Ground Conditions: An abnormal ground condition refers to any casual water, ground under repair or hole, cast or runway on the golf course which has been made by a burrowing animal, reptile or bird.

Ace: You are said to make an 'ace' when you sink your ball in one shot on a par 3 hole.

Address: The way that a golfer positions his or her body immediately before hitting the ball. Every golfer has his or her own unique address.

Alignment: The way that you position the clubface and line up your body at the address.

Amateur: Golf players who play competitive golf but who do not play for prize money. In order to earn prize money from golf tournaments, a player has to compete as a professional.

Approach Shot: A shot which aims to place your ball on the green area.

Away: You are said to be 'away' when you are the farthest distance from the hole.

Baby Shot: A shot which is much shorter and softer than would normally be expected from a club which is ordinarily used for that shot.

Back Nine: The second half, or last 9 nines holes, of an 18-hole course.

Backspin: A reverse spin on a golf ball which has been hit towards a target.

Backswing: The initial part of the golf swing which finishes as the club stops moving above your head in preparation for the downswing.

Balata: A type of tree sap which was formerly used the manufacture of golf ball covers.

Ball In Play: A ball is in play as soon as a player makes a stroke on the teeing ground and remains in play until it is holed, except when it is lost, out of bounds or lifted, or another ball has been substituted, whether or not the substitution is permissible. A ball which is substituted becomes the ball in play.

Ball Marker: Any small flat object which is used to mark the position of your ball when it is on the green.

Ball Mark Repair Tool: A fork-shaped tool which is used to fix marks made when your ball lands on the green.

Baseball Grip: A specific grip used to hold the club in which all 10 of your fingers remain in contact with the club grip.

Best Ball: A golf game in which the better score from a 2-person team is counted.

Birdie: You are said to make a 'birdie' when you sink your ball in one less shot than the par for a specific hole. For instance, if the hole is a par 4 and you sink your ball in only 3 shots then you have made a birdie.

Blade: A term which can be used as both a noun and a verb. As a noun it is used to describe the club head of an iron. As a verb it refers to hitting the ball on its equator with the bottom of the blade.

Blocked Shot: A blocked shot occurs when a ball is hit straight ahead by a right handed golfer but then sweeps to the right of the intended target.

Bogey: You are said to make a 'bogey' when you sink your ball in one more shot than the par for a specific hole. For instance, if the hole is a par 4 and you sink your ball in 5 shots then you have made a bogey.

Break: When you are putting on the green and your ball begins to turn, the term break is used to refer to the amount of turn which occurs.

Breaking Down: The term breaking down refers to the movement of your wrists as you bend them while putting.

Bump & Run: As the name suggests a bump and run describes a ball which is hit into the air flies towards the target and then 'bumps' into the ground and 'rolls' the rest of the way towards its target.
Bunker: A bunker is a hazard area which is filled with sand in his usually sited near the green or on the fairway.

Caddie: Caddies are individuals who are paid to carry your golf clubs around the course for you and who are also able offer advice on how to play the course.

Carry: The carry is a term which refers to how far your golf ball flies through the air.

Cart: A golf carts can either be a small vehicle which players use to drive around the course or a small dolly which travels on 2 wheels and is pulled manually.

Casual Water: Casual water refers to puddles of water which have accumulated on a course as a result of rain, as distinct from designed water hazards on a course.

Cavity Back Iron: A cavity back iron is a particular type of iron which has the majority of the club head's weight distributed around its perimeter. The back of the club head is basically just a large cavity and this helps to reduce the mass in both the center and the back of the head, thereby creating a bigger head and a larger 'sweet spot' on the face.

Certified PGA Professional: A certified PGA professional golf player is any individual who has attained or exceeded the golf teaching standards of the Professional Golfer's Association of America.

Check: A check refers to the action of the golf ball as it stops rolling as a result of the amount of backspin on it.

Chip: The chip is a shot that is normally played from just off the green.

Closed Face: A club face is described as being 'closed' when it points to the left of the target (This term is normally applied to right handed golfers).

Closed Stance: A closed stance refers to a stance in which your body alignment is facing to the right of your intended target (This term is normally applied to right handed golfers).

Club Face: The club face is the bottom part of the golf club which makes contact with the ball.

Clubhouse: A clubhouse is normally an indoor area located on a golf course which provides services such as the golf pro shops, restaurants, restrooms and sometimes conference rooms.

Collar: The collar, which is similar to a fringe, is the strip of grass which runs around the green and which is usually longer in length than the grass on the putting surface.

Coming Over The Top: Coming over the top is a phrase used to describe the movement of the club as it travels through the downswing and into a right-to-left pathway across the ball (for right handed golfers). Another term sometimes for this movement is the out-to-in blow.

Compression: Compression refers to the squeezing in of a golf ball when it is impacted by the head of a golf club.

Course Rating: Every golf course is given a rating which refers to the degree of difficultly of the course. The higher the course rating, the more difficult the golf course is to play.

Crossed Over: Crossed over is the term which describes the shaft of a golf club when it is at the top of the backswing and facing towards the right of the target (for right handed golfers).

Cross Handed: A 'cross handed' grip is a specific putting grip in which the left hand is positioned below the right hand (for right handed golfers).

Cup: The cup is simply another word the hole in the green which is the ultimate target for the golf ball.

Cupped Lead Wrist: A cupped lead wrist refers to a backward bend in your lead hand when you strike the ball. The lead hand is the hand which is nearest to the hole once you are set up for your swing. (For a right handed golfer the lead hand is the left hand)

Cut: A cut is another term for a shot which bends towards the right (for right handed golfers).

Deloft: 'Delofting' a club is simply decreasing the amount of loft on the club face by tilting your club shaft in the direction of your target.

Dimple: Dimples are small indentations which cover the surface of a golf ball.

Divot: A divot is a small piece of turf which is removed by your golf club when you hit a ball. Divots should be repaired (replaced) as a matter of basic golf course etiquette.

Dogleg: A 'dogleg' refers to the curved pathway (right or left) from the tee to the cup.

Double Bogey: You are said to make a 'double bogey' when you sink your ball in two more shots than the par for a specific hole. For instance, if the hole is a par 4 and you sink your ball in 6 shots then you have made a double bogey.

Double Eagle: The double eagle describes the completion of a hole in 3 shots under par.

Downhill Lie: A downhill lie refers to a stance in which your front foot is below your back foot when you are addressing the ball.

Draw: A draw describes a shot which bends to the left (for right handed golfers).

Drive: The drive is the initial shot on each hole which is taken from the tee.

Driver: The driver is the longest club in your golf bag and is the club which gives you greater distance than any other golf club.

Driving Range: A driving range is an off-course facility which is designed to allow golfers to practice their swing. Driving ranges has individual 'booth-like' areas from which you can practice hitting balls as long and as far as you want. In some cases driving ranges also have areas for you to practice your short game.

Drop: A drop is the practice of returning your ball to the course by dropping it onto the playing surface after it has been hit out of bounds or into an area from which it is unplayable.

Duff: To duff is simply to miss or totally mess up a shot.

Eagle: You are said to make an 'eagle' when you sink your ball in two less shots than the par for a specific hole. For instance, if the hole is a par 5 and you sink your ball in only 3 shots then you have made an eagle. You can also 'eagle' a par 3 hole but, in this case, you are said to have made an 'ace'.

Executive Course: An executive course is a small 9-hole par 3 course that can be played in under 2 hours.

Explosion Shot: An explosion shot is a bunker shot which sends an 'explosion' of sand flying through the air.

Fade: A fade is a shot which sends the ball veering slightly to the right (for right-handed golfers).

Fairway: The fairway is the entire in-bounds distance which runs from the tee to the green and which is kept neatly trimmed.

Fat: A 'fat' occurs whenever your clubface strikes the ground before hitting the ball.

Flagstick: The flagstick is the flagged pole that rests inside the cup to mark the position of the hole on each green.

Flex: Flex refers to the amount of bend within the shaft of a golf club.

Flier Lie: A flier lie is the lie that you have after you take a swing and too much grass comes between the ball and your clubface. This also has a tendency to reduce the amount of backspin on the ball.

Flop Shot: This is a form of pitch shot which shoots the ball high up into the air after which it falls short and lands softly.

Follow Through: Having taken your swing and made contact with the ball, the 'follow through' refers to the subsequent movement of your club and your body.

Forecaddie: A forecaddie is an individual employed by the Committee to indicate the position of balls to players during play and is an outside agency.

Fore: The word 'fore' is shouted loudly as a warning signal when a ball is hit and heading in the direction of another player.

Forms of Match Play:
  • Single. A match where one player plays against another player.
  • Threesome. A match where one player plays against two other players and where each side plays one ball.
  • Foursome. A match where two players play against two other players and where each side plays one ball.
  • Three-Ball. Three players play a match against one another with each playing his own ball. In effect, each player is playing two distinct matches.
  • Best-Ball. A match where one player plays against the better ball of two other players or the best ball of three other players.
  • Four-Ball. A match where two players play their better ball against the better ball of two other players.
Forms of Stroke Play:
  • Individual. A competition where every competitor plays as an individual.
  • Foursome. A competition where two competitors play as partners and play one ball.
  • Four-Ball. A competition where two competitors play as partners with each playing his own ball. The lower score of the partners is taken as the score for the hole. If one partner does not complete the play on a hole then there is no penalty.
Fringe: The fringe is a collar of grass which surrounds the green in which the length of this grass is typically shorter than that of the fairway but longer than the green itself.

Front Nine: The first half, or first 9 nines holes, of an 18-hole course

Gimme: A 'gimme' occurs when your ball lies on the green so close to the hole that your playing partner does not require you to actually hit the ball in.

Glove: Golfers typically wear a glove on their lead hand to help their grip.

Grain: The grain refers to the direction in which the grass on the green is growing.

Green: The green area is a closely mowed area on which the hole is situated. It is also referred to as the putting surface.

Green In Regulation: This is a term used for getting your ball onto the green in one shot on a par 3 hole, in two shots on a par 4 hole, or in three shots on a par 5 hole.

Greens Fee: This is the sum of money charged for playing a round of golf.

Grip: The grip refers to either the manner in which you hold your club or the rubber covering on the shaft of a club where you place your hands.

Grooves: Grooves are the etched lines on the face of the club which are designed to help you to put the desired backspin on the ball.

Ground Under Repair: Ground under repair refers to any part of the course marked as such by order of the Committee. All of the ground (and any tree, bush, grass or other growing thing) within the ground under repair are deemed to be part of the ground under repair. Ground under repair includes such things as material piled for removal or a hole made by a greenkeeper. Grass cuttings and other similar material left on the course which have been abandoned and which it is not intended to remove are not considered to be ground under repair unless so marked.

Handicap: A handicap is a system of adjustment to the score system so that golfers of different skill levels can compete with one another without the better players dominating the game.

Hard Pan: Hard pan refers to areas of ground on the golf course that are extremely hard-packed.

Hazard: Hazards are area of the golf course (typically sand and water) which are designed to make life difficult for players.

Hole: The hole (or cup) is the ultimate target for the golf ball on each hole.

Holed Out: A player is said to 'hole out' when his ball enters the hole.

Honor: To be 'given the honor' is to be granted the privilege of playing first within your group.

Hook: A hook shot is a shot which bends to the left (for right-handed golfers).

Hosel: The hosel is the part of the clubhead which attaches it to the shaft of the club.

Impact: Impact refers to the moment at which that you hit the ball and the clubface 'impacts' the ball.

Impediment: An impediment is loose debris around the ball which is obstructing your shot and which can be moved away from your ball.

Interlocking Grip: This is a form of grip in which the index finger of one hand is 'interlocked' with the small (pinky) finger of the other hand.

Iron: An iron is a club which uses a metallic blade for the clubhead. Most golfers carry in the region of 8-10 irons which range from a number 2 iron to a sand wedge. Each club is designed to provide a different degree of loft on the ball.

Lag Putt: A lag putt is a long putt the goal of which is to have the ball stop within a short distance (typically 2 feet or less) of the hole.

Laid Off: This occurs when the club shaft is pointing to the left of the target at the top of the backswing (for right-handed golfers).

Lateral Water Hazard: A lateral water hazard is a water hazard or that portion of a water hazard which is situated so that it is impossible, or impracticable, to drop a ball behind the water hazard. All of the ground and water within the margin of a lateral water hazard are considered to be part of the lateral water hazard.

Lay Up: This term refers to a shot which is deliberately intended to fall short of the green in order to avoid getting into trouble.

Lie: The lie is the position of your ball following a shot and, in particular, refers to the condition of the ground in the area in which the ball has landed.

Line of Play: The line of play is the direction which a player wants his ball to take after playing a stroke, together with a reasonable distance on either side of the intended direction. The line of play is considered to extend vertically upwards from the ground, but does not however extend beyond the hole.

Line of Putt: The line of putt is the line that a player wants his ball to take following a stroke on the putting green. The line of putt includes a reasonable distance on either side of the intended line but does not extend beyond the hole.

Lip Out: A lip out occurs when the golf ball travel right up to the hole and teeters on the edge of the cup but, instead of dropping into the hole, rolls back from the hole.

Loft: Loft can refer to the angle that the head of a golf club with the ground and to the relative height to which a particular club will hit the ball.

Loose Impediments: Loose impediments are natural objects including leaves, twigs, branches, stones, dung, worms and insects (and the casts and heaps made by them) which are not growing or fixed, solidly embedded or ahering to the ball.

Lost Ball: A ball is said to be lost if:
  • It is not found (or identified as his) by the player within five minutes after the player, his partner(s) or caddies(s) have begun to search for it.
  • The player has hit a provisional ball from the spot where the original ball is likely to be or from a point nearer the hole than that place.
  • The player has put another ball into play under the penalty of stroke and distance.
  • The player has put another ball into play because it is known or almost certain that the ball has been moved by an outside agency, is in an obstruction, is in an abnormal ground condition or is in a water hazard.
  • The player has made a stroke at a substituted ball.


Marker: A marker is an individual who is appointed by the Committee to record a competitor's score in stroke play. A marker may be a fellow competitor. The role of the marker is solely to record the competitor's score and he is not a referee.

Matchplay: This term refers to the original manner in which golf was played, which was on a hole-to-hole basis. The player with the lowest score on the first hole is the winner of that hole and goes 'one up'. If that player is then the winner on the second hole then he goes 'two up' and this scoring pattern continues for each hole thereafter. Should you lose a hole then you go 'down one' and if a hole is tied you then 'halve' the hole. The outcome of the matchplay is decided by how many holes you are either up or down by in relation to the number of holes left. For instance, if you are 4 up with only 3 holes left in the game then you are the winner of the match.

Mulligan: A mulligan is an illegal second attempt at a shot which went wrong.

Municipal Course: This is a golf course which is both owned and operated by the local authority and is also often referred to as a 'muni'.

Nuked Shot: A nuked shot is a shot which is hit far harder and longer than you would normally hit the ball with a particular club.

Nearest Point Of Relief: The nearest point of relief is the reference point used for taking relief without a penalty from interference by an immovable obstruction, an abnormal ground condition or a wrong putting green.

Neutral Grip: This grip is one in which a right-handed golfer is able to see 2 knuckles of the left hand when looking down at the grip during address.

Neutral Stance: This stance is one in which both feet are in line and parallel to the target line.

Observer: An observer is an individual who is appointed by the Committee to assist a referee in deciding questions of fact. An observer is also responsible for reporting any breach of a Rule.

Obstruction: An obstruction is anything which is artificial (including the artificial surfaces and sides of roads and paths and manufactured ice) except:
  • Objects defining out of bounds areas, such as walls, fences, stakes and railings.
  • Any portion of an immovable artificial object which is out of bounds.
  • Any construction which is declared by the Committee to be an integral part of the course.

An obstruction is said to be a movable obstruction if it can be moved without undue effort, without overly delaying play and without causing damage.

Open Face: The club is said to have an 'open' face when it is aligned to the right of the target line (for right-handed golfers).

Open Stance: This stance in one in which your body alignment points towards the left of the target when set up (for right-handed golfers).

Out-of-Bounds: This is the area which is outside of the course and which is often marked with white stakes.

Out-to-in Blow: This term is simply another way of saying 'Coming Over The Top' which describes the movement of the club as it travels through the downswing and into a right-to-left pathway across the ball (for right handed golfers).

Outside Agency: In match play, an outside agency is any agency other than either the player's or opponent's side, any caddie of either side, any ball played by either side at the hole being played or any equipment of either side. In stroke play, an outside agency is any agency other than the competitor's side, any caddie of the side, any ball played by the side at the hole being played or any equipment of the side.
An outside agency includes a referee, a marker, an observer and a forecaddie. Wind nor water are not considered to be outside agencies.

RDP: Bronchiolitis

Respiratory Driven Protocols are something that should be really pushed. I honestly don't see ventilator settings being a RDP type thing, since Respiratory Practitioners are quite capable of completely managing a patient on a ventilator. Doctors being able to modify the settings, sure, but only by order. It should be a very unified standard of care that an RP is completely responsible for the safety and outcomes related to ventilator care. However, there are some things, like Asthma or Bronchiolitis that I will not argue should be under a protocol guidance.

Bronchiolitis
"Respiratory eval & treat"
Evaluate for a complex Respiratory Distress Score tailored to Bronchiolitis.
Automatic: Respiratory eval for Bronchiolitis RDS Q4H
Automatic: Suction at bedside PRN
Automatic: 3% NaCl Q4H with suctioning 20 minutes after NaCl delivery
Automatic: Corticosteroid of preference Q6H

During assessments:
If wheeze of any kind: Nebulized epinephrine (racemic is okay) Q4H PRN

This bronchiolitis protocol requires a ton of clinical judgment on the behalf of the respiratory practitioner. That is fine, respiratory practitioners are fully capable of managing this kind of thing. To help maintain competence: in-services about bronchiolitis are definitely recommended too.

What do you think? Do you have a Bronchiolitis RDP?

15 Famous people with HIV

Magic Johnson

Most people over the age of 30 won't soon forget the emotional public disclosure on Nov. 7, 1991 from one of basketball's all-time greats. Magic's HIV diagnosis essentially ended a phenomenal NBA career, though he did make a few brief comebacks.

His disclosure spurred a re-evaluation of safety in sports and was a watershed moment in HIV awareness. He has thrived since, leading some to believe he was somehow cured. To combat this type of misinformation, Magic has dedicated himself to HIV education and helping those living with HIV through theMagic Johnson Foundation and several other efforts.

Rock Hudson

One of the most beloved movie stars of the '50s and '60s, Rock Hudson's AIDS-related death in late 1985 was a shock to the world. In a move that is truly emblematic of the unparalleled stigma of HIV, his publicity team had covered up his illness by saying he had liver cancer.

Hudson's HIV disclosure just prior to his death brought forth the fact that this matinee idol, a leading man in numerous romantic comedies, was gay. For better or for worse, his death sparked a landslide of conversation in mainstream media about homosexuality and HIV.

Freddie Mercury

As the lead singer of Queen, one of the top-selling rock bands of all time, Freddie Mercury was among the most recognizable faces of the '70s. He tested positive in 1987 and died of AIDS-related pneumonia four years later, one day after publicly acknowledging for the first time that he had AIDS.

Had Mercury lived in a different era, perhaps people would be thinking about eradicating HIV every time they heard "We Will Rock You" or "We Are the Champions" booming over the stadium loudspeaker. Instead, it simply became a footnote on his life.

Keith Haring

Keith Haring was an iconic artist who rose to prominence during the '80s. He was best known for his street murals and cartoonish figures. He was diagnosed with AIDS in 1988 and died just two years later.

Unlike many public figures, Haring did not shy away from his AIDS diagnosis. During those last few years of his life, he dedicated himself to raising HIV awareness through his artwork and afoundation he established that still benefits HIV causes to this day.

Eric "Eazy-E" Wright

Eazy-E was a rap legend and co-founder of the influential group N.W.A., along with Dr. Dre and Ice Cube. Their album, Straight Outta Compton, went double platinum in 1988 and cemented Eazy-E's legacy in gangsta rap history.

His lyrics jolted many, but nothing shocked people more than when he fell ill in 1995 and publicly acknowledged that he had AIDS. He died just one month after his diagnosis at the age of 31. His death was another key moment in public awareness of HIV/AIDS, particularly within the African-American

Elizabeth Glaser

Though she was not a celebrity in the traditional sense, Elizabeth Glaser gained fame and notoriety through her tremendous efforts to fight this disease. She contracted HIV in 1981 but did not find out until 1985. As a result, she unwittingly passed on the virus to both of her children. Her daughter Ariel lost her life in 1988, but her son, Jake, is alive and well today.

Following Ariel's death, Glazer co-founded what is now known as the Elizabeth Glaser Pediatric AIDS Foundation, one of the leading AIDS charities in the world. The Foundation is dedicated to preventing and eliminating HIV/AIDS in children. Elizabeth died in 1994, but her legacy lives on through her foundation. community.

Isaac Asimov

Isaac Asimov was one of the most prolific authors of all time, best known for his science fiction novels and short stories. He died of AIDS-related complications in 1992, but his HIV status was only revealed by his widow 10 years after his death.

Because of the tremendous stigma associated with HIV, particularly prevalent in the early '80s, Asimov's family had been advised to keep his true cause of death a secret.

Arthur Ashe

As the first African-American man to win a Grand Slam title, Arthur Ashe broke down the color barrier in tennis. An accomplished champion and Hall of Famer, he is perhaps best known for his humanitarian and civil right efforts.

He was diagnosed with HIV in 1988, but didn't go public until 1992. He died a year later from AIDS-related pneumonia. During his final year of life, he was instrumental in raising HIV awareness through various efforts, including a speech at the U.N. on World AIDS Day and the creation of an AIDS foundation.

Liberace

Liberace was a pianist and entertainer who became a worldwide icon in the '50s. He appeared in films and television shows, and released numerous albums. He was the highest paid entertainer in the world for over a decade and was known for his opulent lifestyle.

He died of AIDS-related complications in 1987, but the cause of his illness during his final years was kept secret from the public until after his death.

Anthony Perkins

Anthony Perkins was a film and stage actor who will always be remembered for his unforgettable turn as Norman Bates in Alfred Hitchcock's Psycho. He had a productive career that spanned nearly 40 years.

Oddly, Perkins only discovered he was HIV positive in 1990 after a National Enquirer article exposed that he had AIDS, leading him to get tested. He had suspected that he might be HIV positive, but chose to ignore it for fear of what it might do to his career. He died two years later from AIDS-related complications.

Robert Reed

Robert Reed portrayed perhaps the most beloved father in the history of U.S. television. As Mike Brady on The Brady Bunch, he was the head of a highly traditional household. It was hard for some to believe that the man who played this almost puritanical character was in fact a gay man who tested HIV positive before his death in 1992. Like a number of others on this list, the word about his HIV status only spread after he died.

Greg Louganis

Greg Louganis is an Olympic diver who won multiple gold medals in the '80s. He was one of the most recognizable faces in American sports during that decade. He tested positive in 1988, the same year he won two gold medals at the Seoul Olympics.

Louganis went public with his HIV status seven years later in his autobiography, Breaking the Surface. Having now lived with HIV for more than 20 years, he has been a champion for numerous HIV causes.

Alvin Ailey

Alvin Ailey was a renowned choreographer and a major force in modern dance beginning in the 1950s. He formed the Alvin Ailey American Dance Theater in 1958, a groundbreaking dance company still popular today. Though based in New York City, the group has performed all over the world.

Ailey died of AIDS-related causes in 1989 at the age of 58. Like a number of others on this list, Ailey had his doctor hide his true cause of death to protect his family from the stigma of the disease.

Gia Carangi

Gia was a world-famous fashion model in the '70s and '80s. She was among the most sought-after models of her time and graced the cover of such magazines as Vogue andCosmopolitan. Her career was cut short in the early '80s after she developed a debilitating heroin addiction.

She was later diagnosed with AIDS and died of a related illness in 1986 at the age of 26. Her death was largely kept quiet; few in the fashion industry even knew of her passing, and her funeral service (which was held in a small funeral home) was modest.

Her story was eventually told in Gia, the aptly titled HBO biographical film starring Angelina Jolie.

Pedro Zamora

Pedro Zamora gained fame as a cast member on the third season of MTV's The Real World in 1994. Having worked as an AIDS educator following his diagnosis in 1989, he viewed The Real World as a unique opportunity to educate on a mass scale. His appearance on the show had a major impact in raising social consciousness about AIDS, particularly among young people.

Zamora grew ill as the season as wore on and was hospitalized with progressive multifocal leukoencephalopathy (PML) just a few months after shooting wrapped. He died at the age of 22 in November 1994, one day after the final episode aired. His impact has lived on through numerous charities formed in his name.

This list only covers 15 of the most notable HIV-positive celebrities. There are many more famous people with HIV -- some are out, but many are not, while there are others who might have HIV (or even died from HIV), but have never been tested.


Pulmozyme (rhDNase) in neonates.

Pulmozyme is being used off-label increasingly across institution neonatal intensive care units.

It purges free-floating (extracellular) DNA by ripping it apart and cleaning it out.  Which in refractory atelectasis appears to be one of the contributions to its refractory-ness.

Some limited research[1] suggests it might be beneficial.  Respiratory Therapists may be using this more and more frequently in non-cystic-fibrosis neonates.

Previous research produced positive outcomes.[2]
  1. Mackinnon R, Wheeler KI, Sokol J. Endotracheal DNase for atelectasis in ventilated neonates. J Perinatol. 2011;31(12):799-801.
  2. Hendriks T, De hoog M, Lequin MH, Devos AS, Merkus PJ. DNase and atelectasis in non-cystic fibrosis pediatric patients. Crit Care. 2005;9(4):R351-6.

Spanish Phrases for Respiratory Therapists

Spanish Phrases for Respiratory Therapists
Quick and dirty spanish thats easy to remember

Are you in pain?
Tiene algún dolor (or just "Tiene dolor?")
Pronounced: Tee-in-ae Al-goon Doh-lor

Take a deep breath
Respira profundo
Pronounced: Res-pida pro-foondo

Take a deep breath and cough
Respira profundo y la tos
Pronounced: Res-pida pro-foondo ee la tos-ae

This medicine helps make breathing easier.
Esta medicina ayuda a respirar menos trabajo.
Pronounced: Es-tah med-icin-a ae-you-dah a res-pidar (or just say res-pida) men-ohs tra-bah-ho

Do you need anything?
Necesitas algo?
Pronounced: Ness-a-seetas al-go
If yes, and you can't understand what they want, it might be something complex, so call for a translator.

Do you have any questions? If yes, call for a translator.
Tiene preguntas?
Pronounced: Tee-in-ae pre-goon-tas

For help press this red button for help. (while pointing at the nurse call button)
Por ayuda pulsar el botón rojo.
Poor ae-you-dah pul-sar boo-tun roe-hoe

My name is _____________
Mi nombre es ____________, or mi llamo es ____________

I am a respiratory therapist
Yo soy terapeutas respiratorio.
Yo soy tera-peu-tas respir-a-torio

National Board for Respiratory Care Continuing Competency Program (is a scam)

INTRODUCTION
Individuals credentialed by the NBRC have demonstrated a level of excellence in professional achievement indicating their knowledge in respiratory therapy and pulmonary function technology. Enhancing and maintaining that level of knowledge is a key component to one’s professional development and career advancement.

The NBRC’s Continuing Competency Program has been designed to enhance and/or contribute to the continuing competence of credentialed respiratory therapists and pulmonary function technologists and demonstrate concern for patient safety. Individuals participating in the Continuing Competency Program are required to provide evidence they are continuing to meet current standards of practice and have successfully renewed their national credentials issued by the NBRC. Individuals may confirm they meet active status requirements and renew their annual dues through our website, www.nbrc.org. Through implementation of the Continuing Competency Program, the NBRC further demonstrates its compliance with the accreditation standards of the National Commission for Certifying Agencies (NCCA).

Credentials awarded by the NBRC on or after July 1, 2002 are valid for a period of five years and are subject to the Continuing Competency Program requirements. The recertification period of five years was adopted to coincide with the NBRC’s examination development policy to conduct job analyses approximately every five years to update examination content.

The five-year period is calculated from the end of the calendar month in which the credential is issued; an exact expiration date is printed on an individual’s credentialing certificate.
Participation in the Continuing Competency Program for individuals who were credentialed PRIOR to July 1, 2002 is voluntary and will have no effect on their credentials.

THREE RENEWAL OPTIONS

It is important to note that the requirement for participation in the Continuing Competency Program does not automatically mean “retesting.” Retesting is one of three options for satisfying the Continuing Competency Program requirements.

Option 1 – Provide proof of completion of a minimum of 30 hours of Category I Continuing Education (CE) acceptable to the NBRC.

Category I Continuing Education is defined as participation in an educational activity directly related to respiratory therapy or pulmonary function technology, which includes any one of
the following:

  • a. Lecture – a discourse given for instruction before an audience or through teleconference.
  • b. Panel – a presentation of a number of views by several professionals on a given subject with none of the views considered a final solution.
  • c. Workshop – a series of meetings for intensive, hands on study or discussion in a specific area of interest.
  • d. Seminar – a directed advanced study or discussion in a specific field of interest.
  • e. Symposium – a conference of more than a single session organized for discussing a specific subject from various viewpoints and by various presenters.
  • f. Distance Education – includes such enduring materials as text, Internet or CD, provided the proponent has included an independently scored test as part of the learning package.
The NBRC intends for the completion of continuing education credit to coordinate with the requirements of state licensure agencies.

Individuals can use the same continuing education hours to satisfy state requirements as well as NBRC Continuing Competency Program requirements. Individuals may also use AARCCRCE credit to fulfill the NBRC Continuing Competency Program requirements.

Option 2 – Retake and pass the respective examination for the highest credential held that is subject to the CCP. Individuals may retake the examination anytime during the fiveyear period. The new five-year credential period will begin on the date of successfully passing the examination. Individuals holding multiple NBRC credentials, who elect to renew their credentials through the examination option, must do so by successfully completing the examination for the highest-level credential held that is subject to the CCP.

Option 3 – Pass an NBRC credentialing examination not previously completed. Passing an NBRC credentialing examination not previously completed automatically extends the renewal period of all of the other credentials held by the certificant for an additional five years, calculated from the date of the successful examination. Therefore, all credentials held by an
individual will expire on the same date, allowing future recertification for all credentials held to occur simultaneously.

The Continuing Competency Program is not retroactive; therefore, this program does not affect credentials achieved before July 1, 2002. For example, individuals who hold NBRC credentials completed before July 1, 2002, and then who pass an NBRC credentialing examination not previously completed after the effective date of the Continuing Competency Program, are required to participate in the Continuing Competency Program only for the credential achieved on or after July 1, 2002. However, individuals may elect to voluntarily participate for all other credentials held.

CONTINUING EDUCATION DOCUMENTATION
Practitioners completing the Continuing Competency Program requirement by Continuing Education (CE) are required to submit the Continuing Competency Program information online prior to their credential expiration date. Individuals may complete the application process and pay fees online at www.nbrc.org. Failure to comply by the deadline may result in the expiration of an individual’s credential.

Contact hours may be obtained from accredited providers on continuing education in respiratory care approved by the American Association for Respiratory Care (AARC). All AARC-approved providers and those accepted by state agencies regulating the respiratory care profession will be accepted by the NBRC.

Individuals who meet the requirements will receive confirmation of their recertification through receipt of a new certificate and wallet card issued on the last day of the month after the month recertification is due. Certificants whose information is incomplete will receive instructions for correcting the deficiencies and completing the recertification process. Specific CE subject matter requirements for each credential held, or for multiple credentials held, are listed in the following table.

Credential(s) Held That Have Composition of An Expiration Date - CEUs Required
CRT only
30 hours general
respiratory care subjects

RRT (including CRT)
30 hours general
respiratory care subjects

CPFT only
30 hours pulmonary function or
pulmonary diagnostic technology subjects

RPFT (including CPFT)
30 hours pulmonary function
or pulmonary diagnostic technology subjects

CRT-NPS or RRT-NPS
15 hours general
respiratory care subjects and
15 hours neonatal/pediatric subjects

CRT-SDS or RRT-SDS
15 hours general
respiratory care subjects and
15 hours sleep disorders testing
and therapeutic intervention subjects

CRT or RRT and CPFT or RPFT
15 hours general
respiratory care subjects and
15 hours pulmonary function or
pulmonary diagnostic technology subjects

CRT-NPS or RRT-NPS and CPFT or RPFT
10 hours general respiratory care subjects,
10 hours neonatal/pediatric subjects,
and 10 hours pulmonary function or
pulmonary diagnostic technology subjects

CRT-SDS or RRT-SDS and CPFT or RPFT
10 hours general respiratory care subjects,
10 hours sleep disorders testing and therapeutic
intervention subjects, and 10 hours pulmonary
function or pulmonary diagnostic technology subjects

CRT-NPS or RRT-NPS and CRT-SDS or RRT-SDS
10 hours general respiratory care subjects,
10 hours neonatal/pediatric subjects,
and 10 hours sleep disorders testing and
therapeutic intervention subjects

CRT-NPS or RRT-NPS and CRT-SDS or RRT-SDS and CPFT or RPFT
15 hours general respiratory care subjects,
5 hours neonatal/pediatric subjects, 5 hours of
sleep disorders testing and therapeutic intervention
subjects, and 5 hours pulmonary function or
pulmonary diagnostic technology subjects

PROGRAM FEES
Individuals who renew their credential(s) by taking the examination for the highest level credential held or taking another NBRC credentialing examination not previously completed (Options 2 and 3) will NOT be required to submit Continuing Competency Program compliance information and need only pay the examination fee. The examination application and fee serve as the required documentation for credential renewal.

Only individuals who renew their credential(s) through the CE route (Option 1) will be required to submit complete Continuing Competency Program information online, the required ocumentation as needed and fee. However, no fee will be required if the individual has maintained active status with the NBRC in each of the four consecutive years following their initial credentialing and one-year “exempt” period. The Continuing Competency Program fees for the CE route are listed in the following table.

(Active) $0 - Active Individuals who renew their active status in each year of the five-year credential term
(Inactive) $25 per year inactive - Inactive Individuals who do NOT renew their active status.

(Lapsed) $150+Examination fee - Lapsed Individuals who fail to apply for the program or who fail the examination and do not complete one of the other options for renewal

NOTIFICATION PROCEDURES
The NBRC will provide general information about the Continuing Competency Program to credentialed practitioners each year through the annual renewal process.• One year before the expiration date of the individual’s credential, a reminder notice will be sent directly to the individual at the last known address, including information on documenting requirements for the CE option of the Continuing Competency Program.

• Six months before the expiration date, a follow-up notice will be sent.
• A final reminder notice will be sent 90 days before the expiration date.

The NBRC will consider individual requests for extensions of the recertification period due to personal emergencies and other extenuating circumstances on a case-by-case basis. If a person attempts an examination but receives a failing score, the individual may attempt the examination as many times as desired, provided the individual’s credentials have not expired. Examinations must be scheduled and completed by the deadline to comply with the program. The individual may also elect to satisfy the Continuing Competency Program requirements by completing any of the other options (CE, another examination not previously taken) as long as this is accomplished
before the credential expires.

Individuals who fail the examination and do not complete one of the other renewal options will have two years following the expiration of their credential to reapply for testing. Individuals successfully completing the examination will have their credential reinstated without being required to meet the then-current admission requirements.

VERIFICATION OF COMPLIANCE
The NBRC will audit a random sample of Continuing Competency Program compliance documentation and will confirm the validity of all submitted information with the appropriate parties. Cases in which it appears false information may have been provided will be referred to the NBRC’s Judicial and Ethics Committee for investigation and possible disciplinary action according to the committee’s Operating Policies and Procedures.


What to do if your credential expires:
• If you are within 6 months of credential expiration, you have the option of entering your CEUs online and paying a $250
reinstatement fee. Please note: this is a completely online process and CEUs must have been earned during the 5-year credential term.

• If the grace period option is not utilized, you have two years following expiration to apply for testing and to reinstate your credential. You will be required to pay the new application fee and a $150 expired credential fee. If you successfully complete the examination, your credential will be reinstated without having to meet the then-current admission requirements.

However, if two years lapse and you have not successfully passed the examination, you are required to apply as a new applicant and meet all admission policies in effect at that time. Please note: if you have more than one expired credential, you must apply for and pass all examinations to reinstate all expired credentials

WHY DO I NEED TO COMPLY?
In order to maintain each credential you have earned subject to the CCP, you must follow one of the three methods for compliance. Once credentials expire, they can no longer be used because they are federally registered trademarks that are reserved for the use by those individuals who successfully complete the examination(s) and participate in the mandatory Continuing Competency Program. This means that any use of this credential designation, whether using it to sign a patient chart or medical document, applying for a state license as an individual holding the credential, or seeking employment as a therapist with the credential, violates the NBRC’s Judicial and Ethics Policies and can result in disciplinary action by the Board.

The status of your credential may also affect your state-issued license to practice respiratory care. Many states require that you hold an active credential in order to maintain your license. By allowing your credential(s) to expire, you may be putting your license to practice and your livelihood at risk. If you believe your credential is at risk for expiration, you are encouraged to check with your state licensure agency to confirm the requirements of maintaining your license. A directory of all state licensure agencies can be found on our website.

American Association for Respiratory Care

The websites for the AARC and NBRC and CoARC are all terrible, *terrible*; but the websites for the individual state societies are *way* worse.

Alabama - http://www.alsrc.org/
Alaska - no-website
Arizona
Arkansas
California
Colorado - http://colosrc.org/
Connecticut
Delaware
District of Columbia
Florida - http://www.fsrc.org/
Georgia - http://www.gasrc.org/
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas - http://www.krcs.org/
Kentucky
Louisiana
Maine
Maryland
Massachusetts - http://www.msrcol.org/
Michigan - http://www.michiganrc.org/
Minnesota - http://www.msrcnet.com/
Mississippi
Missouri
Montana
Nebraska - http://www.nsrc-online.org/joomla/
Nevada
New Hampshire
New Jersey
New Mexico
New York - http://www.nyssrc.org (and another? http://www.nyssrc.com/ )
North Carolina - http://www.ncsrc.org/
North Dakota
Ohio - http://www.osrc.org/
Oklahoma
Oregon - http://osrcnw.org/
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah - http://www.utahsrc.org/
Vermont
Virginia
Virgin Islands
Washington - http://www.rcsw.org/
West Virginia
Wisconsin
Wyoming - http://www.wysrc.org/

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Canada on the other hand, has some really nice websites.
Manitoba - http://www.marrt.org/
British Columbia - http://www.bcsrt.ca/