[PageRespiratory!]

Originally Posted by Tweety

..........because as you point out our education seems to be lacking........

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Not lacking, just different. I guess thats the point I was trying to make. A human being can only spread themselves so thin, teamwork is the key.

[morte]

Originally Posted by PageRespiratory!

>
HA! And I work with several nurses that don't know the difference between a Venti mask and a NRB. And perhaps most ridiculously, I've never met a nurse that knew the ONLY clinical indication for Albuterol. Hint: we don't give a bronchodialator to "loosen secretions"! FTR: "Dr. Jones" is just as responsible for her Pt's as you are. You probably don't want to believe it, but my RT licencse allows me to perform absolutely any intervention that an RN is able to. GASP! OMG! We're equals! Now before you go judging an entire proffession by the actions of a few individuals, read this:
http://www.aarc.org/advocacy/resourc...ana_study.html
>
Mod's, please kill this thread.

would you be so kind as to explain "but my RT license allows me o perform absoluely any intervention that an RN is able to"
TIA

[Silverdragon102]

I think also we have to remember that not all countries use RT in fact I think for the most it is the US that uses them. I know when I nursed in the UK apart from the physiotherapist helping with really poorly chests the majority of the work was done by the RN. Obviously the op had problems and felt the need to vent but remember not all places will have great RT the same as not all places with have bad RN's

[Ruby Vee]

Originally Posted by PageRespiratory!

>
HA! And I work with several nurses that don't know the difference between a Venti mask and a NRB. And perhaps most ridiculously, I've never met a nurse that knew the ONLY clinical indication for Albuterol. Hint: we don't give a bronchodialator to "loosen secretions"! FTR: "Dr. Jones" is just as responsible for her Pt's as you are. You probably don't want to believe it, but my RT licencse allows me to perform absolutely any intervention that an RN is able to. GASP! OMG! We're equals! Now before you go judging an entire proffession by the actions of a few individuals, read this:
http://www.aarc.org/advocacy/resourc...ana_study.html
>
Mod's, please kill this thread.

This is a vent thread. I never meant to trigger so much animosity.

However, I'm fairly sure your RT license doesn't allow you to time a balloon pump, take "verbal" orders for blood transfusions or insert a PICC line. Two of which "Dr. Jones" attempted and the third of which she insisted she COULD do better than the two RNs attempting it.

RTs and RNs are different, and while I admit that I couldn't (nor would I WANT to) do many of the things RTs do every day, I'm also sure that you couldn't (and probably wouldn't want to) do some of the things I do every day.

And for the record, I work with some FABULOUS RTs.

[Tweety]

Originally Posted by PageRespiratory!

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Not negative, I am quick to point out differences in our jobs however. I don't think I've ever posted anything blatanly negative about nurses, but I am guilty of having an overbearing sense of sarcasm. Doesn't one incendiary post deserve another? I think we all could rattle off a list of dumb people we work with in many different positions! LOL! OK, so technically speaking bronchospasm is the only indication for a brochodialator, typically indicated by wheezing upon auscultation. Obviously decreased WOB and facilitation of secretion mobilization have its benefits as well. And oddly enough, albuterol can treat hyperkalemia, but I havent seen that since pharmacology class. Never is a strong word, maybe I should've said; I don't recall meeting a nurse who understood albuterol does'nt "loosen secretions".

Underand and fair enough.

I only know albuterol as a bronchodialtor and that's all I've ever seen it used for, maybe that's just me.

Carry on.

[PageRespiratory!]

Originally Posted by Ruby Vee

.......However, I'm fairly sure your RT license doesn't allow you to time a balloon pump, take "verbal" orders for blood transfusions or insert a PICC line. ........................

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It most certainly does. I'm licencsed in several different states, and they are all worded almost identicaly. I've posted on this subject before, and a member, wtbcrna, posted a great link from the NYS liscensure FAQ website. I can't post the link, beleive it or not it's blocked here at work. But when I find it I'll post it. It also states that proper training and competency testing is nesseccary, as I'm sure an RN's liscence would as well.
I hope you read my follow up post, because I was being extremely sarcastic, so much so that I assumed (there's my problem!) it would be evident. FTR: I whole heartedly agree with the rest of your previous post.
It just grates on me when I hear something like "you can't do that, only an RN can.....take verbal/phone orders, administer IV meds, hang drips, ect. In fact there was a thread a while ago here from a nurse that does ECMO. Her hospital was training RT's to run ECMO as well, she was concerned because "since she's the RN, she's responsible for the RT's" GGrr.......I mean where does this myth perpetuate from?
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OK, found some links:
http://www.aarc.org/resources/positi...ments/dop.html
http://www.op.nysed.gov/rtpifaq.htm
Here's some info on new legislation for RT's as recognized medicare part B providers, and the AARC's initiative. (more autonomy in the home care and office setting):
http://www.arksrc.org/news/medicarescopeprac0407.pdf
http://www.aarc.org/headlines/medica...iative_faq.cfm