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Online Education Guide

Guide to College Majors in Respiratory Therapy

What is Respiratory Therapy?

Respiratory therapy is the healthcare field that assists patients with cardiopulmonary illnesses and breathing difficulties. Respiratory therapists and respiratory therapy technicians are the health care providers who assess, treat, and monitor these patients.

Respiratory therapy involves the use of diagnostic testing and equipment to determine patients' lung capacity, oxygen levels in the blood, and other data. This information is used to diagnose patients and to develop treatment plans. Respiratory therapists work with respiratory technicians and other health care professionals to create and carry out these treatment plans.

Most employers require that respiratory therapy employees have an associate's degree from an accredited respiratory therapy school. In some cases a certificate in respiratory therapy may be sufficient, but an associate's degree is rapidly becoming the minimum educational level required for respiratory therapists and technicians.

Degree programs in respiratory therapy focus heavily on math and science courses. Courses specific to the field of respiratory therapy are also required. These courses might include cardiopulmonary physiology, respiratory pharmacology, and cardiopulmonary diagnostics.

Accredited respiratory therapy programs usually prepare the student to become Certified Respiratory Therapists or Registered Respiratory Therapists, credentials that are often required by state licensing boards. Significant fieldwork is usually required before graduation from an accredited respiratory therapy school.

Respiratory therapy majors become respiratory therapists, respiratory therapy technicians, pulmonary function technologists, and neonatal-pediatric specialists. With more education and experience, they may advance to the level of management, becoming medical and health services managers.

According to the Bureau of Labor Statistics, the outlook for careers in the field of respiratory therapy is very good. Respiratory therapists with a specialization in pediatrics or cardiopulmonary care are expected to have the best opportunities. Hospitals typically employ the largest number of respiratory therapists, but home healthcare, nursing homes, and physician's offices are expected to have increased needs for respiratory therapists as well.

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Career Education in Respiratory Therapy

Undergraduate and Graduate degree and certificate programs

Accredited respiratory therapy degree programs typically offer associate's degrees or certifications. Though graduate degrees can be helpful for advancement in any field, advanced respiratory therapy degrees are uncommon.

Respiratory therapy certificate programs are usually classified as either entry-level or advanced. Though some entry-level certification programs exist, most are being replaced, as the associate's degree becomes the educational standard for most careers in respiratory therapy. Entry-level certification programs provide the education and clinical experience needed to pass the Certified Respiratory Therapist examination that most states require for licensure.

An associate's degree in respiratory therapy is typically a two-year course of study. Associate's degree programs are considered to be advanced level respiratory therapy programs. These programs prepare the student to take the CRT examination. Fieldwork is typically required for the completion of an associate's degree program in respiratory therapy.

An associate's degree is excellent preparation for a bachelor's degree. In addition to courses specific to the field of respiratory therapy, an associate's degree program requires that the student take general education courses, such as college algebra, English composition, public speaking, and psychology.

Advanced certificate programs, in combination with an associate's degree, prepare students to take the Registered Respiratory Therapist examination. The Registered Respiratory Therapist examination is typically required for employment in advanced respiratory therapy positions. Completion of an associate's degree is often a pre-requisite for entering an advanced degree program.

Advanced certificate programs are usually short courses of study. If courses are taken on a full-time basis, the advanced certificate program can most often be completed in one year. Courses required in the advanced certificate program include advanced cardiopulmonary therapeutic procedures, mechanical ventilation, advanced pharmacologic interventions, patient monitoring, and clinical practice.

A bachelor's degree in respiratory therapy is preparation for an advanced respiratory therapy career. Bachelor's degree completion programs are available for health care professionals who already have an associate's degree or advanced certification. These programs allow students to build on their prior education so that they may complete their bachelor's degree in a short amount of time. Degree completion programs often are designed to work around the schedules of students who are employed full-time.

A bachelor's degree typically takes four years to complete. A bachelor's degree completion program, however, can take significantly less time. Courses taken in advanced certification programs and associate's degree programs can be applied toward the bachelor's degree completion program, lessening the student's course load and allowing them to finish the degree program more quickly.

Respiratory therapy degree programs focus strongly on science and mathematics courses. Anatomy and physiology, chemistry, physics, pharmacology, and college level mathematics courses are usually required. Courses specific to respiratory therapy often teach diagnostic testing, the use of respiratory therapy equipment, and CPR.

Advanced degrees with a focus on respiratory therapy are uncommon. Respiratory therapy students seeking graduate level education often enter graduate programs in business, health administration, and education.

Universities offering online respiratory therapy degree programs:

Touro University International - Respiratory Therapy Degree

What can you do with a College Degree in Respiratory Therapy?

Career options for aspiring respiratory therapists and technicians

• Respiratory Therapist
  Respiratory therapists assist patients with breathing problems and cardiopulmonary disorders. They work with health care professionals to develop treatment plans and assess options for the patient. Respiratory therapists are responsible for implementing and following the treatment plan. Respiratory therapists work under the supervision of a doctor and may supervise respiratory therapy technicians.
  
  Patients of all ages with a variety of health issues may require the services of a respiratory therapist to help ease their breathing or aid in ventilation. Respiratory therapists treat premature newborns, performing diagnostic tests and assisting with ventilation when needed. They see heart attack patients and patients with breathing disorders such as emphysema, asthma, or bronchitis. Respiratory therapists may deal with patients in critical situations on life support or in the intensive care unit.
  
  Respiratory therapists use a variety of treatments to assist their patients. For people with asthma, an aerosol medicine is often prescribed. Other patients may require an oxygen mask or chest physiotherapy. Respiratory therapists in some areas are permitted to take electrocardiograms, perform stress tests, and draw blood for testing.
  
  Respiratory therapists work with patients dealing with difficult health issues and must be sensitive to their concerns and needs. They work well as part of a team of health professionals, but can also make important decisions independently. Respiratory therapists are detail-oriented and understand the importance of keeping good records.
  
  Hospitals employ the largest number of respiratory therapists. Respiratory therapists may also be found in nursing homes, physician's offices, sleep disorder clinics, and home health care settings. They typically work full time and may be required to work nights and weekends. Respiratory therapists working in sleep disorder clinics usually work night shifts.
  
  Graduation from an accredited respiratory therapy school is required to become a Certified or Registered Respiratory Therapist. Schools are accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). An associate's degree usually is the preferred educational level for respiratory therapists.
  
  Respiratory therapists are required to be licensed in most states. States typically require that respiratory therapists complete an accredited education program as well as a national examination. Completion of these requirements earns the respiratory therapist the title of CRT, or certified respiratory therapist. Further education, testing, and experience offer respiratory therapists the chance to become RRT's, or registered respiratory therapists. RRT's qualify for higher level positions than CRT's and often are given more responsibility.
  
  
• Respiratory Therapy Technician
  Respiratory therapy technicians work with patients under the supervision of a respiratory therapist. They treat patients according to the treatment plan developed by the respiratory therapist and other health care staff.
  
  Respiratory therapy technicians have many of the same duties as a respiratory therapist but do not have the same level of responsibility. A respiratory therapy technician does not usually operate life support, nor do respiratory therapy technicians typically work with patients in intensive care units.
  
  Respiratory therapy technicians are usually required to have an entry-level respiratory therapy certificate or associate's degree from an accredited respiratory therapy school. They often are required to pass the CRT exam, but may only be required to be eligible to take the exam. Requirements for a respiratory therapy technician vary considerably from state to state.
  
  As with respiratory therapists, respiratory therapy technicians are patient and sensitive. They are often responsible for documenting patients' treatments, and must be thorough and responsible with these duties. Respiratory therapy technicians must be able to communicate well with many types of people in all age groups.
  
  
• Pulmonary Function Technologist
  Respiratory therapists often qualify for positions as pulmonary function technologists. Pulmonary function technologists prepare patients and equipment for diagnostic testing involving lung functioning. They sometimes assist the doctor with these tests and record the tests' results.
  
  Pulmonary function technologists may be responsible for performing basic diagnostic testing such as spirometry, lung volume testing, and oximetry. They are often responsible for explaining tests to patients and putting them at ease before the procedure. Pulmonary function technologists work under the direct supervision of a doctor. They work most frequently in physician's offices and hospitals.
  
  Pulmonary function technologists often are Certified Respiratory Therapists (CRT) or Registered Respiratory Therapists (RRT) who learn pulmonary function technology skills on the job. Credentials are available to pulmonary function technologists through the National Board for Respiratory Care. A CRT who successfully completes the examination requirements becomes a Certified Pulmonary Function Technologist (CPFT). An RRT who successfully completes the examination becomes a Registered Pulmonary Function Technologist (RPFT).
  
  
• Health and Medical Services Manager
  Medical and health services managers plan, deliver, and coordinate health care services for large and small health care facilities. Respiratory therapists with proper education and experience can advance to positions in health services management. They may administrate a large facility, such as the respiratory therapy unit in a hospital. They may work instead at a smaller facility, such as a sleep disorder clinic, home healthcare center, or nursing home.
  
  In smaller facilities, health and medical services managers often are responsible for staff issues, accounts payable and receivable, and patient admissions. In larger facilities, they often are responsible for developing policies and procedures, for creating and maintaining budgets, and for the hiring, retention, and training of personnel.
  
  Medical and health services managers are meticulous and precise. They have good supervisory skills and are able to work well with a diverse population. Medical and health services managers have excellent written and oral communications skills, which allow them to communicate effectively with patients, staff, and the community.
  
  Medical and health services managers are usually educated in one field of the health care profession, such as respiratory therapy. Following this segment of their education, they usually complete a graduate degree in business or health care administration.
  
  The outlook for careers in medical and health services management is favorable. Employment in this field is expected to grow more quickly than average, especially in home healthcare services.
  
  
• Sales
  A degree in respiratory therapy and experience as a respiratory therapist is often sufficient for beginning a career in the field of medical equipment sales and rental. For example, companies that make diagnostic equipment used to test patient's lung capacity are often interested in hiring a respiratory therapist to sell their product to hospitals and physician's offices. Respiratory therapists use their experience to accurately demonstrate the product and explain its uses and functions.
  
  Sales representatives work with clients on a regular basis and must be able to communicate effectively with them. They should be knowledgeable of their products and of the client's needs. Sales representatives market their products well and successfully show their clients how company needs can be met by using the representative's products.
  
  Educational requirements for positions in sales vary, but many require at least a bachelor's degree. Experience with the type of products being sold often is more important than formal education. With experience, respiratory therapists can be uniquely qualified for positions in the sale or rental of medical devices and equipment.
  
  Though no license is required to be a sales representative, a respiratory therapist who chooses a career in sales may be required to keep his or her certifications and licenses current. It is important that all sales people stay informed about trends in their field. Current and up-to-date knowledge of both the products and their applicable fields ensures that the sales person will be successful.
  
  Sales positions are often stressful because of the impact that job performance has on job security. Sales people are often paid on commission, or a percentage of their sales. This practice can be rewarding for high achieving sales people and disappointing for those with poor sales performance. Rewards are high for those sales people who meet and exceed sales goals. Cash bonuses and vacation rewards are common.

Salary Expectations for Careers in Respiratory Therapy

According to the Bureau of Labor Statistics, respiratory therapy technicians have a median annual income of $34,130. Respiratory therapists have more stringent licensing and employment requirements and often receive higher salaries. In 2002, they earned a median annual income of $40,220. Pulmonary function technologists reported a median annual income of $32,830.

Medical and health services managers are required to have extensive education and experience in the healthcare field. Their earnings vary with the size of the facility they manage and the amount of responsibility they have. The Bureau of Labor Statistics reports a median annual income of medical and health services managers in home healthcare environments as $56,320. Medical and health services managers in hospitals reported median annual earnings of $65,950, and those in nursing homes earned a median annual income of $55,320.

Certification and Licensure

In most states, respiratory therapists must be licensed to practice. Of those states requiring licensure, most recognize the Certified Respiratory Therapist (CRT) and the Registered Respiratory Therapist (RRT) as the acceptable credentials for respiratory therapists. Both the CRT and RRT are credentials offered by the National Board for Respiratory Care (NBRC).

To qualify for the CRT credential, graduation from an accredited respiratory therapy program is required. Upon successful completion of a respiratory therapy program, CRT candidates must take an examination. The credential of Certified Respiratory Therapist is awarded to candidates after completion of the examination. Certified Respiratory Therapists are qualified for entry-level positions in respiratory therapy.

Candidates seeking the credential of Registered Respiratory Therapist must be Certified Respiratory Therapists. After obtaining the CRT and meeting all additional educational requirements, candidates must take a written content examination and a clinical simulation examination. After both exams are successfully completed, the credential of Registered Respiratory Therapist is awarded. The RRT credential is usually required for advanced respiratory therapy positions that require significant amounts of responsibility.

Though respiratory therapists work with patients of all ages, some choose to specialize in the area of pediatrics. For these respiratory therapists, the National Board for Respiratory Care offers the Neonatal/Pediatric Respiratory Care Specialty Examination. This examination is open to CRT's with one year of experience in neonatal/pediatric respiratory care and to all RRT's. Successful completion of this examination awards the Neonatal-Pediatric Specialist (NPS) credential.

Respiratory therapists interested in becoming pulmonary function technicians should complete the National Board for Respiratory Care examination to become a Registered Pulmonary Function Technologist (RPFT). This credential is available to RRT's and CRT's and offers respiratory therapists expanded career options.

In addition to these certifications, most states require that respiratory therapists and other registered respiratory professionals maintain current CPR certifications. These certifications can be renewed in a short amount of time, often by taking a quick refresher course.

Many states require that licensed respiratory therapists renew their licensure through continuing education credits. State requirements vary, but most require renewal every three years by obtaining at least 30 hours of continuing education credit. Continuing education credit can be obtained by taking respiratory therapy courses, participating in professional associations, and attending professional seminars and conferences.

Students interested in licensing requirements for respiratory therapy should consult their local licensing board. Each state has its own licensing requirements, and it is important that they be researched carefully before beginning any degree program.

Other Associations and Certification Bodies:

• American Association for Respiratory Care
• American Lung Association
• American Respiratory Care Foundation
• American Thoracic Society (ATS)
• Canadian Society of Respiratory Therapists
• Committee on Accreditation for Respiratory Care (CoARC)
• National Board for Respiratory Care

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