Quote:
“Respiratory Care Practitioners exercise a considerable degree of independent clinical judgment in the care of patients under the direct or indirect supervision of a physician. Further, respiratory care practitioners serve as a valuable resource to the physician regarding safe and effective treatment of their patients.” –University of Missouri School of Health Professions
Definition of Profession:
At the direction of a licensed physician, a respiratory therapist evaluates and treats cardiopulmonary (lungs and heart) health. This includes teaching patients and their families about treatment and maintenance of pulmonary health problems, including the use of respiratory therapy equipment and medications. Respiratory therapy technicians perform these services under the supervision of a licensed respiratory therapist or a licensed physician.
About the Field:
Job opportunities will be very good, especially for therapists with cardiopulmonary care skills or experience working with infants. All States (except Alaska and Hawaii), the District of Columbia, and Puerto Rico require respiratory therapists to obtain a license. Hospitals will continue to employ the vast majority of respiratory therapists, but a growing number of therapists will work in other settings.
How To Get There:
Formal training is necessary for entry into this field. Training is offered at the postsecondary level by colleges and universities, medical schools, vocational-technical institutes, and the Armed Forces. An associate’s degree is required for entry into the field. Most programs award associate’s or bachelor’s degrees and prepare graduates for jobs as advanced respiratory therapists. A limited number of associate’s degree programs lead to jobs as entry-level respiratory therapists. According to the Commission on Accreditation of Allied Health Education Programs (CAAHEP), 51 entry-level and 329 advanced respiratory therapy programs were accredited in the United States, including Puerto Rico, in 2005.
Among the areas of study in respiratory therapy are human anatomy and physiology, pathophysiology, chemistry, physics, microbiology, pharmacology, and mathematics. Other courses deal with therapeutic and diagnostic procedures and tests, equipment, patient assessment, cardiopulmonary resuscitation, the application of clinical practice guidelines, patient care outside of hospitals, cardiac and pulmonary rehabilitation, respiratory health promotion and disease prevention, and medical recordkeeping and reimbursement.
High school students interested in a career in respiratory care should take courses in health, biology, mathematics, chemistry, and physics. Respiratory care involves basic mathematical problem solving and an understanding of chemical and physical principles. For example, respiratory care workers must be able to compute dosages of medication and calculate gas concentrations.
On The Job:
Respiratory therapists and respiratory therapy technicians—also known as respiratory care practitioners—evaluate, treat, and care for patients with breathing or other cardiopulmonary disorders. Practicing under the direction of a physician, respiratory therapists assume primary responsibility for all respiratory care therapeutic treatments and diagnostic procedures, including the supervision of respiratory therapy technicians. Respiratory therapy technicians follow specific, well-defined respiratory care procedures under the direction of respiratory therapists and physicians. In clinical practice, many of the daily duties of therapists and technicians overlap; furthermore, the two have the same education and training requirements. However, therapists generally have greater responsibility than technicians. For example, respiratory therapists will consult with physicians and other health care staff to help develop and modify individual patient care plans. Respiratory therapists also are more likely to provide complex therapy requiring considerable independent judgment, such as caring for patients on life support in intensive-care units of hospitals.
Respiratory therapists evaluate and treat all types of patients, ranging from premature infants whose lungs are not fully developed to elderly people whose lungs are diseased. Respiratory therapists provide temporary relief to patients with chronic asthma or emphysema, as well as emergency care to patients who are victims of a heart attack, stroke, drowning, or shock.
Respiratory therapists perform chest physiotherapy on patients to remove mucus from their lungs and make it easier for them to breathe. For example, during surgery, anesthesia depresses respiration, so chest physiotherapy may be prescribed to help get the patient’s lungs back to normal and to prevent congestion. Chest physiotherapy also helps patients suffering from lung diseases, such as cystic fibrosis, that cause mucus to collect in the lungs. Therapists place patients in positions that help drain mucus, and then vibrate the patients’ rib cages and instruct the patients to cough.
Respiratory therapists also administer aerosols—liquid medications suspended in a gas that forms a mist which is inhaled—and teach patients how to inhale the aerosol properly to ensure its effectiveness.
Salary Range:
Median annual earnings of respiratory therapists were $43,140 in May 2004. The middle 50 percent earned between $37,650 and $50,860. The lowest 10 percent earned less than $32,220, and the highest 10 percent earned more than $57,580. In general medical and surgical hospitals, median annual earnings of respiratory therapists were $43,140 in May 2004.
Tools of the Trade /Lifestyle:
Respiratory therapists generally work between 35 and 40 hours a week. Because hospitals operate around the clock, therapists may work evenings, nights, or weekends. They spend long periods standing and walking between patients’ rooms. In an emergency, therapists work under a great deal of stress. Respiratory therapists employed in home health care must travel frequently to the homes of patients.
Respiratory therapists are trained to work with hazardous gases stored under pressure. Adherence to safety precautions and regular maintenance and testing of equipment minimize the risk of injury. As in many other health occupations, respiratory therapists run the risk of catching an infectious disease, but carefully following proper procedures minimizes this risk.
You are:
Respiratory Therapists must have good communication skills and have the ability to work well with patients of all ages. The ability to work independently and solve problems creatively is also desirable, as is a strong mechanical aptitude. Therapists should be sensitive to patients’ physical and psychological needs. Respiratory care practitioners must pay attention to detail, follow instructions, and work as part of a team. In addition, operating advanced equipment requires proficiency with computers.
State of the Art:
Job opportunities are expected to be very good, especially for respiratory therapists with cardiopulmonary care skills or experience working with infants. Employment of respiratory therapists is expected to increase faster than average for all occupations through the year 2014, because of substantial growth in the numbers of the middle-aged and elderly population—a development that will heighten the incidence of cardiopulmonary disease—and because of the expanding role of respiratory therapists in the early detection of pulmonary disorders, case management, disease prevention, and emergency care.
Older Americans suffer most from respiratory ailments and cardiopulmonary diseases such as pneumonia, chronic bronchitis, emphysema, and heart disease. As their numbers increase, the need for respiratory therapists will increase as well. In addition, advances in inhalable medications and in the treatment of lung transplant patients, heart attack and accident victims, and premature infants (many of whom are dependent on a ventilator during part of their treatment) will increase the demand for the services of respiratory care practitioners.
Related Professions:
Under the supervision of a physician, respiratory therapists administer respiratory care and life support to patients with heart and lung difficulties. Other workers who care for, treat, or train people to improve their physical condition include registered nurses, occupational therapists, physical therapists, and radiation therapists.
