{"id":16115,"date":"2021-10-25T08:00:12","date_gmt":"2021-10-25T08:00:12","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=16115"},"modified":"2024-02-06T23:50:31","modified_gmt":"2024-02-06T23:50:31","slug":"the-rise-of-respiratory-therapy","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/the-rise-of-respiratory-therapy\/","title":{"rendered":"The Rise of Respiratory Therapy","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

Flattening the curve. Virus variants. Social distancing \u2014 the COVID-19 pandemic has changed the way we talk, introducing many of us to a whole new lexicon. Another term that has been thrust into the spotlight? Respiratory therapy.<\/p>\n

Before our lives became dominated by COVID-19, respiratory therapy was a field that tended to garner little attention. Most people outside the realm of medicine knew little about it. Yet respiratory therapists have been a vital part of the health care team for more than 50 years. <\/a>Now, in large part due to COVID-19, these highly skilled, sometimes overlooked professionals are getting some long overdue recognition.<\/p>\n

\u201cBefore the pandemic, troubled lungs weren\u2019t something people thought about much,\u201d says Kevin Gunn, CRT, manager of respiratory therapy services at MultiCare Deaconess Hospital<\/a>. \u201cBut with COVID-19 attacking the lungs so prevalently, our experience and knowledge has really been brought to the forefront.\u201d<\/p>\n

\"Kevin

Kevin Gunn, CRT, manager of respiratory therapy services at MultiCare Deaconess Hospital.<\/p><\/div>\n

 <\/p>\n

What\u2019s in a day\u2019s \u2014 or a night\u2019s \u2014 work <\/strong><\/h2>\n

If you ask a hospital-based respiratory therapist (RT) what a typical shift looks like, they are likely to tell you that there\u2019s no such thing. RTs care for patients who have a lung disease or difficulty breathing, but these patients are of all ages, from infants to the elderly. And RTs are not tied to one unit; they roam all over the hospital, seeing people in the emergency department, in the intensive care unit (ICU), in outpatient clinics, in operating rooms and all the floors in between. This level of variety is often part of the profession\u2019s appeal.<\/p>\n

\u201cNo two shifts are really the same,\u201d says EJ Iglesias, RRT, a respiratory therapist at MultiCare Tacoma General Hospital<\/a>. \u201cIt keeps it interesting when you get to work with so many different patients and staff members. I also love the fast pace.\u201d<\/p>\n

As for what RTs do on a shift, the duties are innumerable: They perform procedures such as bronchoscopies, intubations and pulmonary function testing. They assess oxygen levels and the need for respiratory medications. They educate patients and help develop care plans. They assist with resuscitation efforts if patients \u201ccode\u201d \u2014 when they go into cardiac or respiratory arrest. They operate sophisticated equipment, such as ventilators. And if they work the night shift, like Iglesias, they frequently monitor patients on CPAP and BiPAP machines to ensure their airways remain open and they can rest.<\/p>\n

\u201cWhen somebody can\u2019t breathe, that\u2019s a huge, scary thing,\u201d says Gunn. \u201cA patient will just have this look in their eye and you think to yourself, \u2018Here we go \u2014 this patient needs me.\u2019\u201d<\/p>\n

Taking the lead against COVID-19<\/strong><\/h2>\n

When COVID-19 began to spread across the globe 18-plus months ago, it didn\u2019t necessarily change what respiratory therapists do, but it did affect the volume of their work \u2014 and how sick their patients are. On a typical busy day, pre-pandemic, Gunn\u2019s team at Deaconess Hospital attended to five or six patients on ventilators. Now on average, it\u2019s about 13, sometimes even as high as 17.<\/p>\n

\u201cBefore the pandemic, patients on ventilators often got better. You\u2019d remove the tubes and hear their voices for the first time,\u201d says Gunn. \u201cNow, that doesn\u2019t happen as much. A lot of the ICU patients with COVID-19 don\u2019t survive. I don\u2019t get to hear their voices, and that\u2019s heartbreaking.\u201d<\/p>\n

Given the damage the disease can inflict on the lungs, RTs are heavily involved in the care of patients with COVID-19. Aside from ventilator management, they deliver breathing treatments, such as high-dose oxygen. Every day, they don extensive personal protective equipment because they conduct procedures that potentially expose them to aerosolized particles (droplets in the air) which may contain the virus.<\/p>\n

RTs also take the lead in proning, a common strategy for treating patients in the ICU who are experiencing respiratory distress. Proning is a delicate, highly orchestrated process that entails turning a patient \u2014 who is often hooked up to a plethora of sensors, tubes and lines \u2014 onto their stomach in order to lessen pressure on their lungs.<\/p>\n

\u201cIt takes a lot of teamwork to prone a patient,\u201d says Iglesias. \u201cAn RT is usually at the head of the bed, serving as the primary watch for a team of seven people. The RT monitors the patient\u2019s airway and tracks the big picture to ensure the turn is successful and everyone stays safe.\u201d<\/p>\n

And the teamwork doesn\u2019t stop there. If there are silver linings to a global pandemic, one of them might be unique opportunities for collaboration among respiratory therapists and other health care professionals. For example, Gunn recalls a pregnant patient with COVID-19 who needed to deliver her baby early.<\/p>\n

\u201cSuddenly, people who had never worked together before were all in the same room,\u201d says Gunn. \u201cRespiratory therapists, labor and delivery nurses, a pediatric RT and doctors of various kinds were all involved. It was a crossover you don\u2019t often see \u2014 there was something really special about everyone coming together like that to help this mother and her baby.\u201d<\/p>\n

Collaboration among colleagues is key, but so too is collaboration with patients and families.<\/p>\n

\u201cAs RTs, we just try and support people in whatever we can,\u201d says Iglesias, \u201cWhether that\u2019s answering questions, offering a treatment or even just being by their side for their last breath.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Flattening the curve. Virus variants. Social distancing \u2014 the COVID-19 pandemic has changed the way we talk, introducing many of us to a whole new lexicon. Another term that has been thrust into the spotlight? Respiratory therapy. Before our lives became dominated by COVID-19, respiratory therapy was a field that tended to garner little attention. […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[51],"tags":[],"class_list":["post-16115","post","type-post","status-publish","format-standard","hentry","category-covid-19"],"acf":[],"yoast_head":"\nThe Rise of Respiratory Therapy - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Flattening the curve. 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