The debate is officially on! It’s a question that comes up quite often: Which job is better: Respiratory Therapist or Nurse?
In this article, we’re going to take a look at the pro and cons of each profession. Are you a student looking to enter the medical field but can’t decide? Or maybe you’re already a Registered Nurse or Respiratory Therapist looking to change careers?
Disclaimer: Before we get into all the details, just know that BOTH are amazing careers. Respiratory Therapists and Nurses are both vital members of the healthcare team. With that said, this is a Respiratory Therapy website and I am a Registered Respiratory Therapist. So naturally, I am somewhat biased towards the field of Respiratory Care. This is just something to consider as you read through the article. All opinions expressed here are based on my own personal view.
What is the Difference Between a Nurse and a Respiratory Therapist?
There are several differences between a Respiratory Therapist and a Nurse. They are two different fields of study and practice. The similarity is in the fact that both are respected professions that emphasize providing the best care possible for their patients.
Nurses do have a broader scope of practice. They must consider the whole patient thus multiple body systems. Respiratory Therapists, on the other hand, concentrate on the cardiopulmonary system. This means that they focus specifically on patients with conditions of the heart and lungs.
Nurses are provided with a general education of the entire human body. Respiratory Therapists are provided with a more detailed education on the cardiopulmonary system.
What Tasks Do Respiratory Therapists and Nurses Perform?
|Patient Assessment||Nurses are responsible for the entire body.||Respiratory Therapists primarily focus on the patient’s breathing.|
|General Patient Care||Nurses are required to help with the activities of daily living including bathing, changing, cleaning etc.||Respiratory Therapists are required to perform oral care when a patient is intubated and receiving mechanical ventilation. They also provide tracheostomy care when an airway is in place.|
|Medication Administration||Nurses can administer a wide range of medications and routes depending on a variety of patient illnesses.||Respiratory Therapists mostly provide cardiopulmonary medications, usually via nebulization.|
|Patient Diagnosis||Nurses help develop a diagnosis, formulate a plan of care, and implement the needed interventions. They communicate directly with physicians concerning the patient’s needs.||Respiratory Therapists also help develop a diagnosis, formulate a plan of care, and implement the needed interventions. They also communicate directly with physicians concerning the patient’s needs.|
|Discharge Planning||Nurses are always involved.||Respiratory Therapists are only involved when the patient needs oxygen or other types of respiratory therapy at home.|
|Patient Response to Therapy||Nurses provide post-treatment care and evaluate the patient’s response to treatments and advise or request changes if needed.||Respiratory Therapists also provide post-treatment care and evaluate the patient’s response to treatments and advise or request changes if needed.|
|Mechanical Ventilation||Nurses are not trained to manage ventilators, BiPAP, CPAP, or other airway adjuncts. They are, however, usually provided with a general education of ventilatory support but must call RT for assistance when an issue arises.||Respiratory Therapists are fully trained to operate mechanical ventilators, BiPAP, and CPAP devices. This includes intubation, initiation, management, and weaning from ventilatory support.|
|Needle Sticks||Nurses are licensed and trained to stick veins. They can initiate IV therapy for fluid management and medication deliverance. They are trained to give shots as well. Nurses typically are not trained to stick arteries.||Respiratory Therapists are licensed and trained to stick arteries. They can draw a sample of arterial blood to assess a patient’s oxygenation and ventilation status. Respiratory Therapists are typically not trained to stick veins.|
|Electrocardiogram (EKG)||Nurses are trained to perform an Electrocardiogram (EKG) on all types of patients.||Respiratory Therapists are trained to perform an Electrocardiogram (EKG) on all types of patients.|
|Pulmonary Function Testing (PFT)||Nurses are not trained to perform pulmonary function tests.||Respiratory Therapists are trained to perform and/or assist with pulmonary function tests.|
As demonstrated by the table above, the two professions perform many of the same tasks. Keep in mind, both Nurses and Respiratory Therapists perform many other types of tasks that aren’t mentioned in this table. These are just a few of the common duties that occur in both Nursing and Respiratory Therapy.
Nurses and Respiratory Therapists Working Together
Nurses usually perform more tasks in a day than a Respiratory Therapist due to the fact they must consider the whole patient. Respiratory Therapists are typically more limited in scope of practice by facility protocols and permissions.
While Respiratory Therapists may not be in charge of body systems outside of the heart and lungs, they still must use observational and assessment skills to notice when a problem arises.
For example, a Respiratory Therapist is not directly responsible for managing a patient’s fluid levels. With that said, they may notice wet lung sounds and jugular venous distention which indicates that the patient is receiving too many fluids. In this case, they could recommend that the Nurse consider administering a diuretic medication.
The same thing applies to Nurses as well. Nurses can make certain recommendations if they notice that a patient has developed a respiratory issue.
What are the Requirements for Respiratory Therapy and Nursing School?
Both professions, in general, require at least a one or two-year degree initially to practice. And as I mentioned before, after graduating from an accredited program, you must pass the licensure board exams to obtain credentials and practice Nursing or Respiratory Care.
Many don’t realize that both educational programs are very similarly ranked. To give a simple example, just look at their names:
- Registered Nurse (RN)
- Registered Respiratory Therapist (RRT)
Both careers provide the professional with respectable credentials although Nursing is far more widely known by the general public than Respiratory Therapy.
A nurse can start out as an LVN/LPN. An LVN is a Licensed Vocational Nurse. These nurses usually did not attend a traditional “brick and mortar” school for nursing and may have tested to get their license through reciprocity.
This means that they worked in another health field and had enough school credits to challenge the LVN-NCLEX exam. Most states do not allow nurses who receive their LVN this way to practice outside of that state. New York and California are two states that have these types of Nurses and they cannot practice outside of the state without having to jump through a lot of hoops.
LPNs are traditionally school trained nurses. The courses range from 18 months to 2 years. Depending on how much of the pre-requisites were done before entering school.
More commonly known, the field of nursing also has Registered Nurses who have attended a traditional program for 2 – 4 years of education. This allows them to sit for the NCLEX-RN exam. Registered Nurses have a much broader range of practice than their LVN or LPN couterparts.
Respiratory Therapy Requirements
A Respiratory Therapist usually attends school for 2 – 4 years. After graduating from a CoARC Accredited Program, then you become eligible to take the licensure board exams.
There are two exams to pass in order to obtain the RRT credential:
The TMC Exam offers two passing scores, a low-cut score, and a high-cut score. In order to become eligible to take the CSE, you must first pass the TMC with the high-cut score. Then, if you make a passing score on the CSE, you will have earned the RRT credential.
Which School Program is Harder?
When talking about the difficulty of Nursing and Respiratory Therapy School, it’s really hard to quantify because there are a lot of variables at play. Either program could be more difficult for some than for others. Not to mention, some schools simply do have more strict requirements than others.
Taking that into consideration, it’s reasonable to say that both programs are fairly difficult. Neither one would be classified as a cakewalk.
In all likelihood, the difficulty of each program is probably about even.
Both careers have general education requirements, such as English and electives, anatomy and physiology, biology, and chemistry. Clinical rotations with certified instructors are required in both careers as well.
Most importantly, both careers require passing the licensing board exams in order to practice in all 50 states. Generally speaking, Nursing and Respiratory Therapy School are both equally difficult in their own way. But, through my experience, I’ve noticed the following:
Nursing School seems to be harder than Respiratory Therapy School.
Unfortunately, I do not have any evidence or raw data to back this up. Just from speaking with medical professionals who have gone through both programs, most claim that Nursing School was much harder for them than the Respiratory Therapy program.
Again, this is definitely not always the case. It really depends on your location and the program that you’re interested in. This is just a generalization that I’ve noticed over the years.
Nurses are responsible for knowing and learning a broader scope of the entire body. Respiratory Therapists are generally more focused on the heart and lungs. Therefore, Nurses tend to learn a little about a lot, whereas, Respiratory Therapists tend to learn a lot about a little.
This is definitely something to consider if you’re trying to decide between becoming a Nurse or Respiratory Therapist. Of course, do you own research, weight all the pros and cons, and do whatever is best for you.
What is the Cost of Nursing and Respiratory Therapy School?
According to College Tuition Compare, the average cost for Respiratory Therapy School is $4,174 for in-state residents and $10,861 for out-of-state students.
According to Cost Figures, the average cost of tuition for Nursing School is $3,000 to $14,000 per year from community colleges to become a Registered Nurse (RN).
The BSN option for Nurses is more expensive. It’s the bachelor’s degree option that can be obtained from a 4-year university. The cost ranges anywhere from $40,000 to $100,000 per year depending on the institution.
A bachelor’s degree in Nursing does offer more advancement opportunities, which explains why the cost is much more. However, if you know that you only want to practice as a Registered Respiratory Therapist (RRT) or Registered Nurse (RN), the 2-year programs that are offered by community colleges are a great way to keep costs as low as possible.
Here are lists of all the programs by state:
While we’re talking about costs and fees, it is important to consider all the books, tools, and resources that will be required of you during the program.
Here are some examples:
Different programs have different requirements when it comes to expenses. This is just something to keep in mind.
What is the Job Outlook for Respiratory Therapists and Nurses?
Respiratory Therapy is a newer field compared to Nursing, which is why it’s not as widely known. With that said, both fields are rapidly growing and gaining more recognition each year.
As the “Baby Boomer” generation continues to age, even more Nurses and Respiratory Therapists will be needed to keep up with the demand of new patients. Therefore, it’s safe to say that the job outlook is great for both careers.
- Respiratory Therapist Job Outlook (2018 – 2028): 21% Expected Growth
- Nurse Job Outlook (2018 – 2028): 12% Expected Growth
Both fields are rapidly growing but Respiratory Therapy seems to be growing at a faster rate than Nursing. This is likely due to an increase in the prevalence of COPD and smoking-related conditions.
Who Earns a Higher Salary?
Does a Respiratory Therapist make more than a Nurse? Or do Nurses earn a higher salary? To answer these questions, it really just depends on the state and institution where you work. However, generally speaking, both Nurses and Respiratory Therapists do quite well when it comes to salary.
Here are the average median salaries according to the BLS:
- Nurse – $73,300 per year
- Respiratory Therapist – $61,330 per year
On average, Nurses tend to earn a higher salary than Respiratory Therapists. Again, keep in mind that average wages are very dependant on location, among many other factors.
Some states simply pay more than others. Thankfully, though, Respiratory Therapists and Nurses both earn respectable salaries.
Which Job is More Stressful?
Both professions deal with sick people in critical situations. This means that, naturally, both professions have their moments of high stress situations.
Responding to a “code blue” is an example. This usually means that a patient has stopped breathing or doesn’t have a pulse. The entire team is involved in performing CPR, but the Respiratory Therapist will most likely be the one responsible for securing the breathing tube into the airway.
This process is referred to as Intubation and can be very tense and stressful. It requires the ability to keep cool under pressure.
Normally, the Nurse is not the one running the code. That is the job of the Physician. Nurses are responsible for taking notes, assisting with compressions, and administering proper medications. The Respiratory Therapist is also responsible for setting up the patient on the mechanical ventilator for life support.
This is not to say that Nurse do not have intense situations. They definitely do. But if you’re an adrenaline junkie, there is usually never a shortage of excitement when working as a Respiratory Therapist in most hospitals.
Working as a Nurse is stressful in its own way. For example, “Nurses always get the blame,” is a common quote in the healthcare industry. Because of their job requirements, they bear a great deal of responsibility. Unfortunately, this means that they often take the blame for things outside of their control, such as long ER wait times and clerical errors.
Nurse are required to spend more time directly with patients and their family members. This can definitely be stressful for some.
Which Job is More Exciting?
There are many variable that come into play in regard to on-the-job excitement. It all comes down to your individual facility and area that you work in. Obviously, an emergency room Respiratory Therapist is likely going to have a more exciting job than a Nurse who works in a clinic.
And vice versa if the roles were reversed. The level of action and excitement just depends on where you work.
Another benefit of working in the medical field for an adrenaline junkie is that Nurses and Respiratory Therapists are able to work on flight teams after a few years of critical care experience. This entails flying in medical helicopters to treat patients in emergency situations.
Becoming part of a flight team requires a significant amount of extra training and it’s a competitive field to get into. But it definitely is a nice option for both Nurses and Respiratory Therapists to consider.
So, in terms of what job is more exciting, I would say that they are equal. Both professions can have exciting days and not so exciting days. It all just depends on your assignment, where you work, and what is happening at that moment.
What are the Career Advancement Opportunities for Nurses and Respiratory Therapists?
Career Advancement Opportunities for Nurses:
Nurses can earn a bachelor’s degree to work in hospital administration and management. They can also advance their education with a master’s degree to become a Family Nurse Practitioner (FNP). This allows them to practice under the supervision of a physician or even alone in some states.
There are even more advancement opportunities for Nurses, such as Nurse Anesthetists, pediatric and neonatal specialists, Nurse Midwives, and educators. There is even a Doctorate of Nursing Practice (DNP) that can be pursued. The opportunities are widely abundant for Nurses.
Career Advancement Opportunities for Respiratory Therapists:
Respiratory Therapy is a relatively new field compared to Nursing. This explains why there aren’t quite as many advancement opportunities.
A practitioner can earn their CRT and RRT credential in Respiratory Care. They can also earn a bachelor’s degree in order to work in hospital administration and management. In fact, more bachelor’s degree programs for Respiratory Therapy have been opening over recent years.
Another advancement that is common for Respiratory Therapists in to obtain a master’s degree to become a Physician’s Assistant (PA). This path is similar to a Nurse Practitioner for Nurses.
If you see yourself as an entrepreneur, a Respiratory Therapist can start a home care company. These types of companies supply equipment, clinical services, respiratory diagnostic services, and patient education on various medications and therapies.
And lastly, a Respiratory Therapist can gain the following specialty credentials through the National Board of Respiratory Care (NBRC):
- Adult Critical Care Specialist (ACCS)
- Neonatal/Pediatric Specialist (NPS)
- Sleep Disorders Specialist (SDS)
- Registered Pulmonary Function Technologist (RPFT)
These allow for specialization and advancement in certain areas of the field of Respiratory Care. Not to mention, certain credentials may be a requirement for some positions.
Well, what’s the final verdict? Which career field is better? Is Respiratory Therapy better than Nursing? Or should you stick with becoming a Nurse?
That depends on you!
It’s up to you to weigh all the pros and cons in order to decide which field is a better fit for your lifestyle and personality. I’ve given my opinion that was crafted from experiences working as a Respiratory Therapist. I hope that it’s been helpful for you. However, it’s important to do your own research and take everything into consideration before making a decision.
Whatever you decide, just know that both are amazing, respectable careers! You really can’t go wrong when choosing between a career as a Nurse or Respiratory Therapist.
Both professions, like any, have their ups and downs — their positives and negatives. But, by becoming a Nurse or Respiratory Therapist, ultimately you will gain a well-paying and respectable career that will allow you to live a fulfilled life knowing you are making a difference helping people each and every day.
What more could you ask for? Thank you so much for reading and as always, breathe easy my friend.
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