If a patient exhibits worsening symptoms requiring immediate evaluation, what should be the RT's first action?

In a situation where a patient is exhibiting worsening symptoms that necessitate immediate evaluation, the first action of a respiratory therapist (RT) should be to assess airway patency. This is crucial because the airway is the foundation for effective ventilation and oxygenation. If the airway is obstructed or compromised in any way, it can lead to severe respiratory distress or failure, which can quickly endanger the patient's life.

Assessing airway patency allows the RT to determine whether the airway is clear and functioning properly. If there are any indications of obstruction or difficulties in breathing, the appropriate interventions can be initiated right away to secure the airway, such as suctioning or positioning adjustments.

While increasing the oxygen supply may be necessary later if hypoxemia is present, it won’t be effective if the airway is not patent. If the airway is compromised, monitoring the patient closely or calling a code would also not address the immediate threat. Thus, ensuring the airway is open and clear takes precedence in this critical scenario.