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I know this is a nursing board, but as healthcare professionals you all have exposure to these different fields. What are the pros and cons of these different field. which if you had to do it over would you go into or recommend going in to?
GrannyRRT
188 Posts
You are the first nurse to ever say you learned about ventilators and the care of a ventilator in a nursing program. I have seen the respiratory section in the nursing curriculums and it is not enough to prepare anyone to function independently with a home ventilator. Many ICU nurses will admit they don't get near enough training for ventilators even after they start in the unit. There are also numerous discussions in the home care section here started by nurses trying to find out about ventilators. I think the nurses who are the best at doing respiratory tasks are those who readily admit they don't know it all and are willing to learn once out of school.
No, there is no shortage of RTs. In fact, many states have an unemployment rate of over 10% for RTs. The shortage is in the reimbursement. CMS has cut it for RTs which means hospitals, LTC and Home Care services must give RT duties to nurses.
Much of my scope of practice overlaps with nurses. I can start IVS, PICCs, manage IABPs, do ECMO and give many different medications. At no time have I ever felt the need to call myself a nurse or compare myself to a nurse. I am a Respiratory Therapist working under the scope of practice of my state as allowed by the Medical Director who signs my job description. If a new RT is lucky enough to land a job in a progressive hospital, they can do a lot. But, the future for RT is not secure until we get the Bachelors as entry or at least be recognized by CMS with the higher education for those who hold a Bachelors or Masters. To be an RT today you need to be ambitious and able to move to any state which has an opening...just like some new grad RNs and Radiology Technologists. Some states are also restricting licensing to those who hold the RRT and not the CRT. California and Ohio are two examples of this.