Wednesday, May 25, 2011

Respiratory Therapist - What I Expect

Today I had the opportunity to sit in on an advisory board meeting for the respiratory care practice of Carrington college. The basic goal of this meeting was to make sure that the students Carrington college was putting into the field were as prepared as they could possibly be to perform their job at a high level. There were representatives from the college as well as various hospitals and medical institutions around the Phoenix area. I was invited to sit in as a “public member” and speak to those in attendance about my involvement in the CF community. There wasn't much at this meeting I could actually contribute to other than that, but it was still interesting to be a part of the process.

Being part of this meeting did get me thinking about my experience with respiratory therapists over the years. I then started to think about my answers to various questions that they would ask somebody like me (Believe me, I had to bite my tongue not to just speak out of turn at the meeting, but I wanted to make sure I'd be invited back). As a result of my daydreaming I figured I would share with you guys three of the basic things I expect out of respiratory therapists (RT).

Effort. I can say without a doubt that the number one thing I expect out of every single RT is effort. It literally makes my skin crawl when someone walks into my room and gives me a hand pound comparable to a corpse. Now, I admittedly take a very hard pound and not every one that comes into my room has the physical strength to comply, but I'm not talking about them. I'm talking about the RT's who are very physically able to perform a good, strong hand pound, yet choose to give a piss poor effort. And if you don't have the physical strength, just come in giving it your best. It doesn't matter how much you weigh or how strong you are, everyone can give 100%.

Attitude. And more explicitly- a good, working attitude. I understand that you have other stuff going in your life besides work. I totally get that you and your husband may be having issues. I can sympathize with you that some of your work takes extreme physical labor. I know that some days you're just simply dog-tired. I know that for some of you this is "just a job". So how do I put this nicely? Ummmmmm, you're not a volunteer. Unlike me, you're actually getting paid to come into my room and perform a task. Unlike me, you're not forced to be there because you feel like crap. And unlike me, you're able to go home to your wife. I understand that you're human. I understand that you can't always “be on". But please understand that I tell you the truth when I say "I'd much rather not be here then you".

Don't stink. You wouldn't even think that RT's coming into my room smelling like an ashtray would be an issue, but believe it or not, it is. Just as I wouldn't go into someone's house smelling like alcohol who was suffering from cirrhosis of the liver, you shouldn't come into my room smelling like smoke. It's downright disrespectful. And yes, I would rather you come in smelling like body odor then smelling like you just took a shower in the latest fragrance by Britney Spears. What can I say, my lungs are sensitive (and even more so when I'm in need of a tune-up). So although I respect your right to smell how you want to smell, I respect my right to breathe even more.

So that's it, a short and sweet list of what I expect out of respiratory therapists. So what do you think guys? I'd love to get your thoughts and opinions in the comments section below.

Comments (24)

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Well said. I agree 100% with everything you said!!
I totally agree with you. I started using the vest during my hospital stays because the therapists we're doing that good of a job and I didn't want to be effected by it. Now, they piss me off even more because they bring in my nebs and are like... 'you don't need me to babysit you, right? You're good to do your treatment on your own" and I feel like, THE HECK! NO I DON'T NEED YOU HERE, BUT I'M PAYING FOR YOU TO DO MY TREATMENTS....SO DO THEM. Next, hospital stay I'm NOT going to do the Vest, only percussion and I will throw a fit if they aren't doing a good job. I'm so sick of it. Every treatment costs 68.20 (x4 a day) at my hospital and nebs and medicine are not incuded 72.00 per neb (3 per day), Albuterol $20 (a piece x4 a day) plus the saline they mix with it $35 (x4 a day), $60 hypertonic (x2 a day), DNASE $76 (x1 day), and pulmicort $37.50 (1x day)...that's $1014.13 a day for treatments....It doesn't cost me that at home and they aren't doing that good of job. After looking over that...they will be pounding me each treatment, and I will be bringing my own medication, the only thing they'll supply me is the nebs and that only because I want new ones each day with the hospital germs...it's not worth doing it any other way. Wow! I really feel raped.

Sorry for the huge vent session.
1 reply · active less than 1 minute ago
Wow, when you put it into the perspective of cost, it's kind of mind numbing :)
And I went over my last hospital bill while writing this...these are real numbers from my hospital what they billed my insurance.
"Don't Stink" is huge. Every time I'm in a hospital setting and I smell perfume I wonder if that person actually showered or they just have something in their locker in case the shower doesn't happen. I also don't like when people come in too chipper. It just freaks me out.
1 reply · active 723 weeks ago
I only mind "too chipper" if it's at 7 o'clock in the morning :)
we had one RT who would come in and say "oh your the patients mother, you should know how to do this stuff" yes i do know how to do it, but they are in the hospital, it is now your job to do it - not mine. then we would have other ones who would come in and sit on their bed or sit on all of the furniture and text on the phone - hello - your supposed to be working not on break!
1 reply · active less than 1 minute ago
That's crazy! I swear some of them think they're volunteers :)
To tell you the truth, the RT's at my hospital are outstanding. They come in ready to work, they never assume that I don't need them there, and they're always willing to do more. The only thing I wish they did differently would be bringing in new neb cups each treatment. But, I feel the need to give credit where credit is due. :)
1 reply · active 723 weeks ago
I think there are good RTs at every hospital...this is directed to the bad ones :)
Traci Johnson's avatar

Traci Johnson · 723 weeks ago

Wow Ronnie! Marisa would absolutely love this post! It's like you reached into her head and wrote down all of her thoughts and frustrations. Attitude, effort, smell and basic respect. It IS their job and if each and every one of them stopped to think about how the patients felt and what they were going through, they would have more compassion and give 100% +. There's a fairly new RT at UMC (at least I think he's new) and he was wonderful with Marisa (and there are many other great RT's). I don't remember his name but you would know him, he has had a lot of health issues himself and has an artificial leg. Anyway, he gave Marisa great pounds and would rub her back afterwards. He was so caring and attentive. He explained to us that he has spent a lot of time in the hospital and understands what it's like and wants to show the same care and compassion to patients that he would want for himself.

Thanks for all that you do to help the CF community. Don't know what we'd do without you!
2 replies · active less than 1 minute ago
I'll have to figure out who that RT is and thank him :)
I know who it is...ill send it in a message on facebook for privacy. And yes...he is very good with patients!
I have a great respect for RTs….perhaps it is because I understand the difficulty level of their education & that the boards they must endure are in fact, the toughest out there. Their knowledge of cardiopulmonary system exceeds many, even if it is not necessarily applied to their work after board succession & entering the work force. However, with that said….no matter who you are or what your job description is at a place designed to get an individual healthy again, I believe those 3 expectations should be maintained universally. Everyone has an off day….100% won’t always be given, but that doesn’t mean repeat the behavior. Patients will see you again & again, so if a bad impression was initiated, it can be swayed & turned around. The stinking factor, personally, I think it should be hospital policy their workers must maintain odor requirements as part of their uniform description & at many institutions, perfumes are banned. If the overpowering odor of flowers & fruits are not suppose to be in place on the body to ensure patient safety, then I think common sense should tell us, the stench of smoke should be included.
2 replies · active 723 weeks ago
well said.
As always, you are good with words my friend :)
Missy Roark's avatar

Missy Roark · 723 weeks ago

I respect the RT's as well, but I'll tell ya.. we CF patients know our stuff. I have had to educate many an RT that wanted to argue with me that Pulmozyme could be mixed with drug XYZ because they just wanted to hurry the treatment along. Percussion therapy is all I want when I'm sick because that is truly what really works for me....I got such a varying degree of "quality" that I went back to using the vest. One very zealous RT advised me to talk to the RT in charge at my admission and state you want their best and 2nd best rotated however they need to so you get good consistent treatments.
Missy Roark's avatar

Missy Roark · 723 weeks ago

Part II since my comment was too long. lol
Most of the time, I have had WONDERFUL RT'S that were even thoughful enough to bring me cozy fuzzy socks and a crossword puzzle book....or one old school RT did a serious massage (asked me if it was ok...and I told her...uhm...YESSSSS sister!!) She loosened all of the muscles and tissues around my lungs and I swear my resting sats went up an easy 3%. I felt soooo good. I guess they used to train them in that.
Worst RT treatment I ever had...........I still laugh about this one.....I'm in my 20's, hospitalized when I was living in Florida. Dude comes in to do my midnight percussion treatment..........looks like Joe Dirt. (mullet and all) He kept falling asleep and has hand would sliiiiiiiiiiide down my shirt. YES! I'm serious!! My husband has a hayday with that one for years when he would do my treatments...... Thankfully never saw that perv again! (the RT not my husband...lol)
1 reply · active less than 1 minute ago
I'll just have you know that I have since gotten rid of that mullet :)
Ronnie, this is one of your best posts yet... and I think you have a TON of great posts, but as a cyster- this one is by far telling it like it is hands down, no apologies for wanting what should be BASIC understanding of someone with cystic fibrosis that requires treatments such as these while in the hospital setting under the care of hospital staff, just to function somewhat noramlly. RT's take note- these words Ronnie has written are not meant to be complaints or to add more to your already long list of things to learn and do in your day- just basic common courtesy in the cf world. Well done Ronnie. And thank you.
1 reply · active 723 weeks ago
Thanks Audrey. If I throw enough hooks into the lake I'll eventually get a bite :)
As a lurker RT, I appreciate this post! I mostly live in the critical care world, but get a CF tacked on to the workload occasionally. Thank you for life perspectives from the other side of the bedrail. And I do wear a healthy dose of deo with CPT & isolation gowns, but no froo-froo perfume or smoke. I wish my co-workers didn't stink, too!
1 reply · active less than 1 minute ago
Thanks for the comment Marcy! I encourage you to share this post with your co-workers :)

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