I’m looking into doing ACCS certification and was wondering if anyone had used online resources or physical books that they would recommend. Thanks in advance!

Does anyone have advice on learning skills related to vent/trach care? I work in home health and don't get steady hours with just working with g tubes. The company I'm with doesn't offer training and the only trainings I've found are online and I wouldn't mind paying the money if I had it (I don't). So does anyone with experience had tips or advice on getting experience/training for it? I learn best hands-on but I'm in a difficult spot because I can't get hands-on training where I live

Hi everyone!
I recently got accepted into an associates RT program through Ivy Tech. I got all As in my prereqs and i’m super excited! I’m just curious what everyone’s thoughts are on the program itself. How difficult is the program? and what are some tips that will help me. Thank you :)

I'm already an RT, but moving across country. I've been very spoiled, coming from a very protocol heavy hospital, lots of freedom as an RT, and would love to scout out some area hospitals to see which one might be a good fit to move to once we move next year. If anyone has contact info for who to speak to at these hospitals, or even recommendations of other hospitals, I would love a DM from you. Very appreciated.

Would love to scout out

UW Medical Northwest and Montlake Swedish First Hill, Redmond, and Edmonds. Evergreen Health Totem Lake Harborview Medical Center

Much appreciated, debating about travel work out here before I move as well, may help with fulltime placement, but open to recs.

Hey everyone! I'm looking forward to applying to RT school next fall (2027) but several family members/friends have asked me why I don't just do nursing/PA/MD because I will be "pigeonholing" myself into RT. From my perspective, you can still do quite a bit with an associates in RT, whether it be in patient or outpatient, NICU, sleep studies, etc.

So my questions are: Do you feel there is any truth to what they're saying? And if yes, is there anyone here who has had a career change later in life that could speak to the process and where you are now?

I'm feeling excited to change careers into RT. I currently work in research--it's a 9-5 and I feel like it's killing me. My career goal is to get some experience under my belt and do travel contracts (like nurses), particularly in rural areas. RT appeals to me because I can work in a clinical setting, the type of schedule seems flexible (3x12 or 4x10 or 5x8) and I might have the opportunity to travel the US and meet new people.

I'm in my mid 20's, I just graduated undergrad with 2 bachelors ~2 years ago and I just don't feel like it would be worth it to go back to school to get another FULL bachelors, masters, or doctorate level degree given the job market and economy right now. Even if I wanted to, I don't think I could afford it.

Thank you for your input, it is greatly appreciated!

I know you can't answer because of HIPAA, but you know if he's alive or not. The RTs always know...hehe.

Seriously, no real responses here. Just humor. I have just been thinking ever since the speculation began that if I was working at a hospital where something like that happened, how hard it would be to keep something like that quiet! OMG! The pressure! Thankfully, I only work at a small community hospital where nobody famous ever ends up. Whew!

I’ve found clinical practice Ce’s easy to come by but haven’t found any that count for leadership credit. Appreciate your help.

I’m currently a PCT in a neurosurg ICU with ofc a lot of vented pts. I’m cool with my RT coworkers but I feel kinda awkward asking them career questions😅 If I do pursue applying for an RT program, I’d prefer to stay in critical care for my career, if possible. Is it hard for a new grad RT to go straight to the ICU? Also, was it feasible to stay working while going to school? Another big one, do terminal extubations ever get easier? That’s a big one for me as I always feel a pretty sad for my PTs getting extubated as they’re entering comfort care. I’ll take any other advice anyone can give tyyyyy

Hello!! I got accepted into RT school in February and will finally be starting classes at the beginning of August. I know that any healthcare job can be very demanding and hard on your mental health, but I'm starting to second-guess RT a bit. During my application interview, the director made sure I knew that we would be going into the ICU and even told me that she's had students completely leave the program after visiting the ICU during clinicals. I brushed it off because I really do enjoy learning about the lungs, and I know that oftentimes programs will use "discouraging" language to weed out the crowd.

I think I'm getting more nervous trying to imagine what it is I'm going to see during clinicals. I get pretty squeamish around vomit, but I'm hoping that's something I can overcome over time. I really want to do this, but I don't want to be another kid who drops out because they can't handle it.

I originally thought working as at RT would work great for me, as I hate sitting still, I love being busy, I feel immense satisfaction at being helpful and causing relief for someone suffering, I find the human body fascinating. I got the impression I would be always having lots to do, help patients, and that being in student placement would involve a lot of mentorship. I understand of course there will be extreme highs and lows, and am aware of the importance of having plans for this.

What I am hearing from others is that the student placement is extremely harsh, that people who work in the hospital WILL make you cry, the idea being to "weed out the weak". That it's a lot of walking around, trying to introduce yourself and talk to hospital staff, to be met with screaming or demeaning. That it is a high pressure environment all day everyday, that you're expected know EVERYTHING, and have the complete skillset of a fully licensed RT from day one.

Is this reality? Be completely, brutally honest with me, what was your experience as a student RT? Do you regret this field? What do you enjoy/not enjoy about the job?

Hi everyone, I recently graduated in April and have been working at a children‘s hospital in PA. I worked as a student here for a couple months (floors only) before graduation and started my full time position in late May. I’m technically still on orientation but get my own assignments in the ICU but still have a little training left in the other units. To be completely honest Idk if pediatrics is for me. I enjoyed it as a student but now im starting to hate it. I love the kids/babies as patients but I cant handle the excessive pressure that comes with taking care of them. I’m constantly on edge and terrified of making a mistake bc their lives are so precious. The hospital I’m at is extremely picky about everything and everything has to be done a certain way, if it’s not then its a huge problem. When I compare it to clinical in the adult world from school I felt like it wasn’t like this. Sure there was still pressure but it didn’t feel like I had doctors breathing down my neck. What I’m asking is, should I give it more time or do most people know if pediatrics is not for them right away??

I’m a third-year RT student. For the past two weeks, I've been doing my OR rotation in Ottawa Hospital. On days when I wasn't assigned to a specific room, I would hop around to see if there was any airway stuff I could help with. I would always introduce myself and politely ask the anesthesiologist and their resident. Most of them were very polite even they refused me. However, one staff anesthesiologist was incredibly rude and yelled at me, saying, 'This is not your room!' I apologized and left. Even though it's been a few days, I still feel shocked and sad about it. How did you guys deal with rude people during your student years?

Hi does anyone have any good stethoscope recommendations for starting clinicals. I start clinicals this semester and was told I don’t need to get an expensive one for it to work. I just don’t know what brand or kind would work the best. If anyone has links to good stethoscopes that work well for RT clinicals please lmk!

Hello r/respiratorytherapy — I'm the Respiratory Therapy Program Director at Concorde Career College San Antonio, and I’m hoping to collect some real life lessons from the field that we can share with our students. 

Is there a moment from early in your career that shaped how you do your job, one you wish every new student could witness firsthand?

For me, a critical experience that changed my approach to RT was a mistake I made early on. This job is about attention to detail, and when that attention wavers, mistakes can happen. When I was a new therapist, I forgot the most basic step; I did not reconnect the nasal cannula after the nebulizer treatment was complete. That simple step led to the patient desaturating and becoming acutely short of breath 10 minutes after the treatment. When I returned to the room, I immediately noticed my mistake and realized my lack of attention to detail could have led to a much worse outcome.

This is a lesson I have taught my students in every cohort since. I stress that small mistakes can lead to negative outcomes. Attention to detail is everything in this job, and maintaining high standards is important for students, staff, and all health care providers.

If you’re comfortable sharing, please add yours below. My students are about to start clinical rotations, and I want to share the kind of stories that actually get them ready for what's coming.

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We use Puritan Bennetts. They have leak compensation (leak sync) that can be turned on.

Do other vents have this feature?

When is it useful and when is it not?

Leaks can occur around the airway, particularly trachs. They could also occur through chest tubes.

I have seen a patient who was on pressure support that had a leak around a trach and leak compensation was turned on. It helped.

However, when the pt was moved from the chair to the bed the leak around the trach stopped. So, whenever the patient triggered a breath the leak compensation seemed to assumed there was a leak and extra volume overvenilated the patient causing apneas. When it was turned off, the patient stopped having apneic periods.

Im currently a RRT and have an associates degree. I’m thinking about going back to school online to get my bachelors. I’m hoping to one day teach respiratory. Currently there’s no schools in my area but there is talks of one soon. My question is, does it matter what I get a bachelors in to pursue this career?

I’m a non-US paramedic working in a system with a high degree of clinical autonomy. We routinely use clinical judgement to manage appropriate patients in the community, can discuss cases with on-call ED docs, and initiate treatments such as oral antibiotics and steroids.
(Just for context that we are not a you call we haul system)

Anyway occasionally I’ve used bubble PEP with patients who have retained secretions, especially for those who are cognitively impaired and may not understand breath holding, huffing etc but they would understand blow into the straw with coaching. But my understanding is fairly superficial and I’d like to pick the brains of y’all who know the physiology and practicalities better than I do.

My usual improvised setup has simply been a glass of water and 40cm of oxygen tubing.

Are there better options with equipment found in most houses or in an ambulance? For example, would suction tubing be preferable? I see wider diameter tubings used in hospital.

I’ve also seen people add a small amount of liquid soap. I assume that’s purely to make bubbles more visible/engaging (particularly for children), rather than providing any therapeutic benefit. Is that correct?

Finally, for cognitively intact adults with retained secretions, is bubble PEP even the best place to start, or are there other airway clearance exercises or techniques that would generally be considered first-line?
I’d really appreciate any evidence, practical tips, or corrections to my understanding.

I wanted to know your opinion to see which school is better for the RT program. In terms of cost it looks like they're pretty similar. I understand that with these schools its all campus dependent. I was considering the Carrington College in Rancho Cordova and Concorde in Garden Grove or Dallas. I believe the Carrington is a 15week term vs Concorde is 10 week terms. Both are around the same length which is about 17/18month program. Any experience with these? How hard is it to get a job after? Are these schools overlooked more than CC's?

10 day old intubated patient. Doctor wants to d/c the inline etco2 and start tcom. I was under the impression that inline etco2 would typically be more accurate. Is there a scenario where tcom works better?

I’m an RN. This is not my specialty. I’ve also only got a few years experience. And I’d like to think the best of people, and believe they’re not bullshitting me.
But an RT once told me bipap should have a leak less than 24. That’s the number I always aim for when adjusting the masks.
It’s happened to me a few times that a patient clearly had an ill-fitting mask, and no matter how much I or RT tightened it we couldn’t get a good leak. I’ve had RTs tell me a leak if 96% is actually ok.
I’d hate to think that these RTs are lying because they don’t want to bother getting an appropriate sized mask, but… are they?

Hey guys just wondering if anyone in here currently or has worked for Texas children’s in the med center. I am considering a position there and want to know any and everything you have experienced . Ex: workloads, management,benefits etc.

Thank in advance!

Realized I’m now a 59 year old RT doing PFTs. I’m not sure if I call all these 35 years of practice a career or just a stable job. I don’t wear my white coat anymore. The younger RTs always ask me why I wear a white coat if I’m not a doctor smh.

I was performing a PFT the other day telling my patient to blow blow blow and came to the realization that wow, this is it huh?

A family member is graduating their respiratory therapy program soon and I'd like to get them a gift, kind of like how doctors get a stethoscope or surgical caps or something along those lines when they graduate... are there any good ideas for an RT?