06Jun

Since first being proclaimed in 1982, National Respiratory Care Week has been celebrated in hospitals and clinics by respiratory therapists, their healthcare colleagues and patients.

This year is different. COVID-19 has made us all acutely aware of the important work respiratory therapists do. In the early months of the outbreak, therapists traveled to the places that were the hardest hit to help overworked staff. They managed patients on ventilators and when there were more patients than ventilators, they improvised.

As one respiratory therapist told MedpageToday a few months ago, “When you’ve maxed everything out, where do you go from there?”

Not only are they frontline workers, their jobs brought them in close contact with the sickest patients, exposing them to the virus in a way few other healthcare workers were.

In more normal times, respiratory therapists work in a variety of settings, including in private homes, hospitals, care facilities and sleep centers, treating patients with lung and breathing problems. The range of these problems is broad, from asthma and bronchitis to trauma patients and including those with Lou Gehrig’s disease and sleep apnea.

Becoming a respiratory therapist requires an associate’s degree in respiratory care and licensing by the state. The National Board for Respiratory Care conducts a formal exam, which is recognized by the licensing boards of several states. Once licensed, a therapist must maintain their skills, demonstrating that by earning continuing education credits.

For the lifesaving work respiratory therapists are doing this year, and the critical job they do all the time, we say thank you to these professionals and honor their commitment to us all.

Photo by Kelly Sikkema on Unsplash

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Jun 6, 2023

Recognizing the Work of Radiologic Technologists

125 years ago this week, William Roentgen made one of the most momentous discoveries in both physics and medicine.

On November 8, 1895, Roentgen discovered x-rays and took the world’s first x-ray pictures, one of which was of his wife’s hand showing the bones and her wedding ring.

This week, National Radiologic Technology Week, we celebrate that discovery and the work of today’s radiology technologists.

R.Ts., sometimes called rad techs, do far more, of course, than simply taking x-rays. They perform a broad range of diagnostic imaging procedures. They may specialize in breast imaging, computed tomography, cardiac-interventional procedures, magnetic resonance imaging, nuclear medicine, ultrasound, radiation therapy and general diagnostic radiology

Technologists must have at least an associate’s degree, many hold 4-year college degrees. Registered radiologic technologists must pass a national test to become certified. The American Registry of Radiologic Technologists counts over 300,000 technologists.

The leading organization for radiologic technologists is the American Society of Radiologic Technologists, which created National Radiologic Technology Week in 1979.

And just for the record, there is often confusion between the terms radiologic technologist and technician. Though they may be used interchangeably, and some organizations say the difference is that a technologist has somewhat more training and is able to perform more imaging procedures, others insist the difference is that a tech repairs and manages the equipment.

Photo by National Cancer Institute on Unsplash

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Jun 6, 2023

High Altitude Nursing

No one who’s ever been in a hospital, even as just a visitor, will deny that nursing is a frontline, adrenaline charged job. The nurse you see calmly entering patient information one minute may be racing the next to provide life-saving care.

Yet even among all the demanding nursing specialties, one stands out for its high altitude adrenaline rush. Flight nurses, also known as transport nurses, perform their patient care in helicopters and airplanes.

“These specialized nurses,” says Nurse.org, “provide comprehensive pre-hospital, emergency critical care, and hospital-level care either from the scene of an accident or while transporting inter-facility from hospital to hospital. They are often charged with the care of a vast scope of patient populations.”

It helps to be an adrenaline junkie, Nurse.org agrees. That’s particularly so for nurses working on helicopters. Fixed-wing air ambulances typically transport patients between medical facilities after they’ve been stabilized. Helicopters perform that function too, but they also are summoned to the scene of major accidents and disasters to carry seriously injured victims to trauma centers.

It takes a special personality to perform well, often working alone in the cramped space of an aircraft while doing the same things an ICU or ER nurse in a hospital does.

Flight nurses – rotor wing, air ambulance and commercial medical escort – are almost all RNs. Most jobs require a minimum of 3-5 years’ experience working in an emergency room or ICU. In addition, employers look for certification as a flight registered nurse from the Board of Certification for Emergency Nursing.

Other certifications may also be required, said Bob Bacheler, managing director of Flying Angels, a service that provides RN escorts for non-emergency patients on commercial flights.

Speaking to Minority Nurse, Bacheler said ”165,000 nurses are providing direct patient care in the transport environment.” Men, who comprise about 11% of the nation’s 3.2 million RNs, make up about 18% of flight nurses, he noted.

Average pay for a flight RN is right around $71,000, according to PayScale. But the range is broad. In Seattle, the average for a flight nurse is $88,000.

Kelley Holdren, administrative director and chief flight nurse at the University of Chicago Aeromedical Network, told Nurse.org that pay can be as high as $120,000.

She says the field is competitive and difficult to enter, “but not impossible.” “Flight nurse positions can be found at various teaching/university hospitals and aviation companies that operate in many communities.”

“It’s just an amazing role to be a flight nurse, to be able to make a difference in so many lives, never knowing who you may be picking up to transport, using your critical thinking skills, all while flying around… I couldn’t ask for a better career or office.”

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