This document discusses how respiratory therapists can increase their influence and involvement in hospital settings. It notes that respiratory therapy is often not represented at important meetings and tables, despite RTs receiving extensive education and training. The document recommends that RTs step up by getting involved in committees, attending meetings, presenting in-services on their areas of expertise, being proactive in quality improvement processes, and showing their professionalism through leadership roles. The overall message is that now is the time for RTs to more actively engage and ensure their voice is represented.