Should Respiratory Care get its own mid-level provider credential? - page 3

by incrediblehulk2016

6,941 Views | 51 Comments

I know this is primarily a nursing forum, but Respiratory and RRT/RN dual title holders are also very prominent in this forum, but me being an RRT/and current PA student, I have an interest in this particular question: Every... Read More


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    Thank you for the input!
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    To Respond, you clearly have misunderstood and misinterpreted everything I have said. It's ok, it happens, lots of words tossed out there, some get overlooked/ missed.

    I am NOT supporting "degree inflation" or saying that BSN's are better than ADN's or that DPT's are better than Masters educated PT's.......... but like you said it's an opinion, and if I mislead you, I apologize, .....but its my opinion that I personally believe that some changes and advancements will happen in the future to both Nursing and Respiratory Care

    To respond to another part of your post:

    *** In what way has degree inflation "advanced" those professions? What can the doctoraly prepared PTs do that the master prepared could not do? How much more are doctorate prepared PTs paid vs masters prepared PTs? Please explain how those professions who have required a doctorate have advanced."

    I said: "seems to be doing everything humanly possible" to "try" keyword is "try" to advanced their professions. And I actually was trying to say that even though professions go on movements to advance, they dont always prove "necessary" or "worth-it". I 100% completely and totally agree with you...... PT's have doctorate level education but has the respect come with it? No! Pay Increase? Hardly?

    I also must say I love... I mean really love your term of : DEGREE INFLATION!!!! if there was ever a word that summed it up better about some of these "movements" to try and mandate or require further education.

    And your also absolutely right about the profession going BSRT: It's the #1 thing that current RT's ask? Are we getting a pay increase? The answer to that will be a big N-O!


    BTW I think Nurses are paid ok for going through a two year community college program as well! At my former facility where I worked before PA School, I started out at 21.50/hr and the ceiling was 32.00 to my knowledge.....Nurses started out at 3-4 dollars more and had a higher ceiling at around 40. So i'd say they're both pretty well paid.....And I was always amazed at how much money those Radiation Therapists made

    However for RT's it all depends on your location and facility. I DO NOT know this as a fact but I have heard that anywhere that is located in the Northeast, Pacific Northwest, and Northern Midwest tend to pay better and gain more respect than RT's in the south.
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    Quote from incrediblehulk2016
    and also trying to expand the reach of the current and much lesser known cousin to the CRNA in the anesthesiologist assistant, which only has 37 states that use A.A's and only a handful of programs in the country.
    Let's be clear: the A.A. system is a Anesthesiology pushed foil to counter the growing independence of CRNAs.
    hiddencatRN, elkpark, PMFB-RN, and 1 other like this.
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    [COLOR=#000000]I wanted to respond to this in its own thread because what you said right here is the #1 reason why I posted here, not to start fights and troll as far as you seem to believe", and I should have just said this from the beginning.[/COLOR]

    [COLOR=#000000]"*** PA seems to me like a profession that has truely lost it's way from where it started and why it was created. What would be the point to a doctorate PA program? Why would anyone do a doctorate PA rather than simply go to medical school? PAs don't make very much money to require a doctorate."[/COLOR]

    [COLOR=#000000]Absoultely agree and thats my biggest concern actually. I do believe that eventually there will be a movement similar to the DNP movement to go get Doctorate of some sort. and it concerns me. I do disagree that even if the doctorate degree was the required degree for PA's, I believe that many PA's would still go to PA School, and i'd assume it's be similar to the DNP where it would likely be somewhere around 36crs beyond the Masters Cert. But People would choose the doctorate PA over medical school because Med School is still Med School and takes a over a decade of committment and sacrifices. [/COLOR]

    [COLOR=#000000]But Yes im greatly concerned that a movement like this will follow considering im already looking at 70k in debt.[/COLOR]

    [COLOR=#000000]Now Why did I make the thread about should RT's have it's own Mid Level? It was mainly based off of this concern. The Path to becoming a PA Student is already a pain in the you know what enough.
    [/COLOR]

    Many of you may completely disagree with me on this but I honestly believe its a lot harder to become a PA than an NP. Why? Because There are way more NP Schools and the NP canidates are competing with other RN's whereas PA's are competing with everyone and anyone who has the proper prereqs. RT's can become PA's but that also doesnt mean that its an easy transition, as I had to fulfill those prereqs such as org chem, and multiple Biology, Physics, and Calculus courses.
    I wasnt certain that I would get into PA School with my stats of 3.58 gpa (3.63 sciences, and 4 years experience as a Respiratory Therapist, 1 as a lead therapist, and certified in Pulmonary Function.

    I was so skeptical i'd get in that I literally thought about applying to an accelerated BSN program and then applying to NP School. I know plenty of RT's who only want to be RN's so they can be CRNA's.

    So I thought to myself a few days ago/......how much easier would it have been if RT had its own Mid Level Provider that allowed me to make an easier transition similar to Nurses with the NP. for me to be a Cardiopulmonary PA/ Pulmonologist Assistant? And why shouldn't they? I mean RT's tackle some of the most challenging situations around and have a vast wealth of training with Cardiopulmonary, so why not make it even more vast, and expand it's scope of practice and making it more of a physican extender?



    And Lastly, is there a need? You dont think there is? I STRONGLY Disagree. I think there is a strong shortage on the horizion looming for PULMONOLOGISTS among many other physician types and actually could be one of the most heavily affected specialties. A Mid Level Provider could help bridge the gap and who'd be better to bridge that gap then Respiratory Care?

    We're all on the same team here, so im apologize if you thought i was a troll, but this is really just a matter of speculation, idea sharing and discussion. Nurses, Resp Care, PA's, MD's, PT's, Rad Tech, Radiation Therapy....no matter who you are or what you do, we are all going to play a role in healthcare in the future. Nurses play a huge role in healthcare, I just think to address these upcoming physician shortages, that Respiratory Care is equipped to handle more responsibility and it should.
  5. 1
    Quote from nurserobyn89
    I live in Dallas, TX and several hospitals have gone to/are going to BSN only for new grad applicants and for experienced RN positions it states BSN preferred.
    There's a world of difference between a facility or regional preference for BSN, and a global statement that BSN is REQUIRED. OP made a number of assertions that are incorrect.
    Altra likes this.
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    Quote from roser13
    There's a world of difference between a facility or regional preference for BSN, and a global statement that BSN is REQUIRED. OP made a number of assertions that are incorrect.
    I did not intend to make assertions that something is true but more the less predictions of what I believe my opinion is of what may happen.......I apologize for that.

    I do believe that a BSN will someday become the norm in Nursing.
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    Quote from "incrediblehulk2016
    Many
    of you may completely disagree with me on this but I honestly believe its a lot harder to become a PA than an NP. Why? Because There are way more NP Schools and the NP canidates are competing with other RN's whereas PA's are competing with everyone and anyone who has the proper prereqs. RT's can become PA's but that also doesnt mean that its an easy transition, as I had to fulfill those prereqs such as org chem, and multiple Biology, Physics, and Calculus courses.
    BSN has prereq's, including Stats to prepare you for research and evidenced based courses in the BSN program. Our requirements provide the "Art" in the Art and Science that describes our profession. Most bachelor prepared programs regardless of profession want to prepare a base of inquisitive thinking, oration, diction, and logic-based perspectives. There are nurses who end up going the PA school route...I personally think that stating that "it is difficult to get in" applies to nursing schools, as well as graduate schools in general. Your perspective is different in terms if not going through the process of nursing school, so yes, most are inclined to disagree because you have never went into a nursing theory path. You have no idea of "nursing thought" and the many people who are successful, and are not successful can attest how difficult nursing education is.


    Quote from "incrediblehulk2016
    I think there is a strong shortage on the horizion looming for PULMONOLOGISTS among many other physician types and actually could be one of the most heavily affected specialties. A Mid Level Provider could help bridge the gap and who'd be better to bridge that gap then Respiratory Care?

    We're all on the same team here, so im apologize if you thought i was a troll, but this is really just a matter of speculation, idea sharing and discussion. Nurses, Resp Care, PA's, MD's, PT's, Rad Tech, Radiation Therapy....no matter who you are or what you do, we are all going to play a role in healthcare in the future. Nurses play a huge role in healthcare, I just think to address these upcoming physician shortages, that Respiratory Care is equipped to handle more responsibility and it should.
    The Pulmonologist aspect can be a great horizon that can be fulfilled at the Practitioner level already in place, such as an NP. Again, I stated Respiratory care was born out of the fact that bedside nursing hours related to nursing care for units was not adding up to the load that nurses had to manage. I worked at several facilities where if there is no RT, there is a respiratory nurse, because, in theory and history, respiratory care was (and still is) a portion of nursing care.

    That's my two cents on those points.
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    No I do understand, I've known people who have done it, and worked with many who fell at the feet of Nursing Theory is incredibly hard, in fact, the Nursing Model was the reason why I stayed clear of Nursing, people definetly know this.

    A lot of people dont get that when youre a nurse, you're not just simply treating the patient and getting the heck out of there, you're responsible for every single thing with that patient as a nurse from psychosocially to physically as well as being responsible for everyone else's jobs as well....RN's need to know how to question other people's jobs....plus RN's can be called upon to do the PT, OT, RT, and even support/ Counseling. Those ADN and BSN programs are a physical and mental grind....you will be pushed to your limit for sure.

    I know some people who aspire to want to go to med school, and think....hmm maybe I should go to Nursing School instead so it would look great on my Application....like its gonna be a peice of cake or something....HA .....ive seen those students at clinicals...I feel for them.

    This is another topic for another thread, but I always preferred the medical model myself.


    It's difficult to get into an NP as well as a PA program, but personally I feel PA school is tougher to get into because there are fewer PA Schools and just way more canidates from many different backgrounds including Nursing as well. Plus many of these programs also reserve 50 to 75% of spots for freshman as well. PA School is just a tighter window, but there is NO DOUBT NP is HARD
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    Well this was a great discussion from two diffferent viewpoints...

    Thank you all for you're responses !!! Keep on posting if you have something to add
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    Quote from incrediblehulk2016
    CRNA's do not practice independently in every states. Most states still require Physician direction. Anesthesiologist
    *** Only partly true. No state requires CRNAs to be supervised by an anesthesiologist. Since the suregon in the room literaly has absolutly no idea what the anesthesia provider is doing up at the head of the bed they in effect practice independentaly. Sure the may be a physician in the room but they are in no position to supervise a CRNA.
    Last edit by PMFB-RN on Feb 17, '13
    hiddencatRN and SummitRN like this.


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