Difficulty getting appropriate orders for patient being held for transfer or admission. The hospital is two hours from a higher level of care, so very sick patients may stay much longer than your comfort level.

Work six 12 hour shifts. When you leave work you are on call until 7 am. Be ready to be more of a secretary than a respiratory therapist . There is absolutely nothing to do in this area. You have to drive 1 1/2 hours to get to a bigger town