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How Do Differences in Scope of Practice, Equipment, and Resources Impact Respiratory Therapy Practice?

Jessica Hewitt, MSOL, RCP, RRT

June 15, 2025

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Question

How do differences in scope of practice, equipment, and resources impact respiratory therapy practice?

Answer

Respiratory therapy practice can vary significantly across states and healthcare facilities, creating challenges for both new graduates and experienced clinicians. Differences in scope of practice mean that tasks permitted in one state may be prohibited in another, requiring practitioners to adapt their skills and knowledge to comply with local regulations. These variations can complicate education and training, making it difficult for instructors to prepare students for the wide range of settings they may encounter.

Equipment and protocol differences add another layer of complexity. Facilities may use entirely different ventilators, BiPAP machines, or monitoring systems, requiring RTs to learn new technologies with each job change. This constant adaptation can be time-consuming and may temporarily slow workflow, particularly when paired with unfamiliar clinical protocols.

Resource disparities between facilities also influence clinical practice. Hospitals with ample staffing and equipment may allow for lighter patient loads, while those with fewer resources may require RTs to manage more patients with less support. These differences impact workload, time management, and the ability to provide optimal patient care. Adjusting to new equipment, varying scopes of practice, and different resource levels demands flexibility, strong problem-solving skills, and a willingness to continuously learn.

This Ask the Expert is an edited excerpt from the course, Bridging the Gap: From Student to Professionalpresented by Jessica Hewitt, MSOL, RCP, RRT.


jessica hewitt

Jessica Hewitt, MSOL, RCP, RRT

Respiratory Therapy Instructor

Jessica Hewitt is a Registered Respiratory Therapist licensed in California. After dedicating significant time to bedside care, primarily in adult medical and surgical ICUs, she transitioned to her current role as a Respiratory Therapy Instructor. Jessica holds a Bachelor of Science in Exercise Science, an Associate of Science in Respiratory Therapy, and a Master of Science in Organizational Leadership with a focus on Healthcare Administration. Her diverse educational background, combining in-person and online learning, coupled with her clinical and teaching experience, provides her with a unique perspective on bridging academic knowledge with practical healthcare application.


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