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Showing posts with label respiratory therapists. Show all posts
Showing posts with label respiratory therapists. Show all posts

Why are Respiratory Therapists Frustrated?

Your RT Question:  Why is it that so many respiratory therapist are upset about their jobs?

My humble answer:  I think most people are upset about their jobs because the image portrayed of this profession by the AARC isn't necessarily how the job is.  While we went to school for two years, continue to study, and have learned much from our experiences, many times our opinions don't matter.  Likewise, many RT bosses don't want to make waves and want to maintain the status quo rather than make life better for the staff.  While RTs are trained to know who needs what therapies and when, they usually end up just being neb jockeys and button pushers.  They are frustrated by this.  They want to be more than just jockeys and pushers.  They want to be able to use the wisdom they studied hard to obtain.  It's a similar frustration a doctor might feel if he were called Mister instead of doctor.  They worked to earn their title just as we RTs worked hard to earn the ability to use our skills and knowledge base to the benefit of patients, doctors and the profession as a whole.  Plus when you go to school thinking one thing, only to end up being something else, it's frustrating.  Plus many doctors have no clue what a bronchodilator is and they keep ordering them for every patient who wheezes or huffs and puffs or has a low sat.  Still, while this is all true, you can make of this job anything you want.  I actually do pretty well where I work because I'm not afraid to go out of my way to make recommendations to the doctors and nurses, even if that comes with making waves and irritating some.  Yet those who benefit are the patients we serve.  What you must remember is this is a job.  No job comes without politics.  No job is ideal. 

Still, I can understand the frustration of many RTs.  Surely some say if you hate your job you should just go get another job, yet that's not always easy, especially when you have a family to raise.  Think of it this way:
  • Contractors are hired knowing they will have to work hard
  • Road construction workers know they will have to work in the elements
  • Doctors know they will have to work with irritating patients
  • Teachers know they will have to deal with snotty kids
  • Baby sitters know they will have to deal with intractile kids
  • School bus drivers know they will have to stay awake while driving
Yet, we RTs are told the following that is not always true:
  • We will assess and recommend therapies
  • Examine patients and decide what therapies are best for that patient
  • Consult with physician to recommend a change in therapy based on your evaluation of that patient
This is a young profession.  Yet unless those three sentences in red above are adressed, many RTs will continue to be frustrated.  Sorry, yet that's just how it is when you're a respiratory therapist.

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Things RT bosses can do to keep you happy

Studies have overwhelmingly showed that the more satisfied workers are the more satisfied their customers will be.  This provides bosses with an added incentive to keep workers happy.

That in mind, here are some ways your boss may try to keep you happy:
  • Parties
  • Birthday cards
  • Bonuses
  • Good benefits
  • Annual raises
  • Involving you in tasks (writing protocols, teaching nurses, teaching BLS, writing policy, etc.)
  • Involve you in departmental decision making
  • Creating protocols
  • Listening to you
  • Giving praise
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What did you do prior to becoming an RT?

The interesting thing about the profession of RT is few enter this field right out of high school.  Usually people work hard in another career before jumping into this one.  So, that said, what were you before you became an RT? 

Usually poeple choose the profession of RT because the one they are in now is too arduous, dangerous, and doesn't pay well.  So they switch to this one.  They appreciate the ups and downs of this profession because we work in air conditioning, work with wonderful people, are guaranteed a job, and can take the job anywhere.  It's good, fair work -- if  you want to work that is.

Many of them -- expecially those who worked in construction -- contend if you hate the profession of RT you should try working on a black top on a 100 degree day during a dust storm.  Sure this profession isn't ideal, yet what job is.  Work is work; work is pay.  That's usually why people choose this profession.

Here's a list of some jobs of those I've had contact with:
  • House wife
  • House dad
  • Construction worker
  • Painter
  • Journalist
  • Hair dresser/ barber
  • Food service
  • Pilot
  • Factory worker
  • Nurse
  • Salesperson
  • Telephone/ cable company
  • Manager of small business
  • Military
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Are Respiratory Therapists rewarded for their knowledge?

Your RT question:  Are RTs rewarded for their knowledge.  I know RTs go to school for two years and learn a ton.  Plus you guys have some good experience you learn from.  Do you get rewarded for your wisdom?

My humble answer:  Wow.  You got me there.  Great question.  We do learn a lot in this profession. We learn a lot about the lungs in school.  There's no one on the planet who knows how to diagnose and treat lung diseases than we do.  Your questions is, do we get rewarded for our wisdom.  Honestly, I'd have to say no we don't.  I know many of you were hoping I'd give a positive, optimistic answer to this question, yet I can't.  We are a young profession and growing, yet we still have a ways to go.  I think there are many times I make recommendations to doctors in nurses as to whether or not a treatment is indicated more often than not I'm told to do the treatment anyway.  So based on these experiences, I'd have to say that we are not rewarded for our wisdom, or any new wisdom we acrue.  We might win some friends, save lives and may impress some of our coworkers, yet we will not be paid extra for this added wisdom.  I'm assuming that by reward you're referring to pay.  Usually we RTs get pay raises at the end of the year equal to inflation, and our raises are not due to what we know.  Most raises are across the board or performance bsed, but not based on wisdom.  If we were paid based on our knowledge and not so much on performance, I think I'd be worth twice what I'm paid just for all the time and energy I spend bloggin here at the RT Cave. 

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3 types of respiratory therapists

After 16 years of doing this I've decided there are three types of respiratory therapists. 

1.  Neb Jockeys
2.  Respiratory Therapists
3.  Yearning

A neb jockey is a person who is just a task doers:
  • Does what the nurse or doctor says just to keep the peace
  • Uses politics to smile and keep the patient happy
  • Travels room to room in the hospital setting doing tasks, such as EKGs and nebulizer treatments. 
  • Once he's finished he travels back to the RT cave and continues reading his novel or blogging, blogging on the Internet, or some other similar activity
  • He finds it easier just to do the treatment than to challenge himself or the doctor or nurse
  • They might recommend no treatment be given and be called a half hour later to do one anyway
  • They are treated as ancillary staff
A respiratory therapists is what we read about at AARC.org. They are actual therapists and not just doers
  • They work with doctors and nurses in making decisions to benefit the patient. 
  • Diagnose and make treatment decisions for breathing disorders
  • Interview and exam patients and relay our opinions to physicians and nurses
  • Analyze lung sounds and ABGs and EKGs and make recommendations to the benefit of the patient
  • Managing ventilators and other airway equipment
  • Educating patients and families about lung disease\
  • Their recommendations are respected
  • They are treated as professionals
I find that most respiratory therapists are treated as neb jockey respiratory therapists as opposed to the ideal respiratory therapist respiratory therapist (if you get my drift).

Contrary to popular belief, here at the Respiratory Cave we're neb jockeys.  I'd like to say it's not by our personal choice nor due to educational restraints on our part, yet part of me wants to say it is our fault.  Think about it:  it's easier to just do the treatment than to think; it's easier to just do it and be done than to assess, talk to the doctor, fill out paper work, and reassess after the treatment and then reassess again.  Can you see?  It's easier to just do it.

Plus there are those among us who are afraid if we move into the future it would result in protocols (more work and more thinking) and this might result in fewer treatments (the fear of layoffs).  Yet by the evidence of those who currently have protocols, that rarely ever happens.  The work will remain there.

There are a few RTs like myself who are neb jockeys respiratory therapists who try to be respiratory therapist respiratory therapist.  And this brings me to the 3rd type of respiratory therapist:

Yearning Respiratory Therapists:  These are neb jockeys not by choice but because their bosses and coworkers don't want to make waves.  They are neb jockeys who pretend to be respiratory therapists.  They tend to be among your more frustrated bunch because they expected the profession to be as the AART described, yet realize at some point the ideal world is, well, not so ideal after all.  The picture painted by the AARC is not the real world.  They are neb jockeys not by choice but because their department made them that way.  When they are young and fresh they try to change things, and when they fail (90 percent do fail -- at change I mean), they give up and decide it's easier to just do the treatment.  Then they reserve themselves to silly blogs and making RT humor .

So you have your three types of RTs:
  1. Respiratory Therapist Respiratory Therapists (ideal)
  2. Neb Jockey Respiratory Therapist (real)
  3. Yearning Respiratory Therapist (dreamers of the idea)
What kind of RT are you?  Are you that way by choice, or because your department has made you that way?  Are you a fighter for change, or have you given up? 

Also read:  The six different types of respiratory therapists

Note:  The comment section on my blog is broken, so you'll have to send me an email.

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"Hey Respiratory!" RT Rule #53

I'm sure you've heard it where you work:  "Hey respiratory!"  It's the default way to get the attention of the respiratory therapist.  "Hey respiratory guy!" 

I hear a lot of respiratory therapists who feel they are so little respected that many nurses and doctors just call them by their profession: "Respiratory!" 

Working for a small, close knit facility where I work this doesn't happen too often.  Usually the people who call me that are new nurses or new doctors in the Emergency Room.  Otherwise I'm usually referred to by my name.

That is, unless there's a page over head.  Then it's "Respiratory STAT to..."

I think most RTs that are called by their profession are generally those who come from larger facilities.  And the recommendation they give is this:

"I don't answer them if they say "hey, respiratory" or "hey, breathing guy". I just look at them and keep doing what I am doing until they call me by name. Seriously. Try calling them by saying 'hey, nurse'. See how they like it."

I really don't care what people call me.  If you want to call me respiratory that's fine by me.  Yet I understand where the frustration comes from. 

RT Cave #53:  Keep your respiratory therpast happy by calling him/ her by name.  Do not refer to your respiratory therapist as respiratory.  Do not say, "Hey, respiratory!"


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