Respiratory Therapist Skills Checklist

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( Respiratory Therapist)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

General Skills

Care of Patient in Restraints:

★★★★

Electronic Documentation:

★★★★

Isolation Precautions:

★★★★

Medicare Documentation:

★★★★

Patient/Family Education:

★★★★

Written Documentation:

★★★★

Care of Patients With

Acute/Chronic Bronchitis:

★★★★

ARDS:

★★★★

Aspiration Pneumonia:

★★★★

Asthma:

★★★★

Atelectasis:

★★★★

Bacterial/Viral Pneumonia:

★★★★

Bronchiectasis:

★★★★

Broncho-Pulmonary Dysplasia:

★★★★

Cardiac Surgery:

★★★★

Congestive Heart Failure:

★★★★

Croup:

★★★★

Cystic Fibrosis:

★★★★

Diabetic Ketoacidosis:

★★★★

Emphysema:

★★★★

Epiglottitis:

★★★★

Failure to Thrive:

★★★★

Fem-pop Bypass:

★★★★

Gullian Barre:

★★★★

Hayaline Membrane Disease (HMD/IRDS):

★★★★

Lung Cancer:

★★★★

Meconium Aspiration:

★★★★

Myasthenia Gravis:

★★★★

Myesthena Gravis:

★★★★

Myocardial Infarction:

★★★★

Near Drowning:

★★★★

Neonatal Pneumonia:

★★★★

Open Hearts:

★★★★

Pacemakers:

★★★★

Persistant Fetal Circulation:

★★★★

Pulmonary Interstitial Emphysema (PIE):

★★★★

Pleural Effusion:

★★★★

Pulmonary Edema:

★★★★

Pulmonary Embolism:

★★★★

Respiratory Failure:

★★★★

Respiratory Syncytial Virus:

★★★★

Respiratory Distress Syndrome:

★★★★

Respiratory Distress Syndrome:

★★★★

Tracheo-Esophageal Fistula:

★★★★

Transient Tachpnea:

★★★★

Thoracotomies:

★★★★

Tuberculosis:

★★★★

Therapy and Procedures

Apnea Monitor:

★★★★

Assessment of Breath Sounds:

★★★★

Carbogen Delivery:

★★★★

Diaphragmatic Breathing:

★★★★

Disinfection and Sterilization:

★★★★

End-Tidal CO2 Monitoring:

★★★★

Nasal-Oral Airway Placement:

★★★★

Oximetry:

★★★★

Pursed Lip Breathing:

★★★★

Transcutaneous Monitoring:

★★★★

Oxygen Administration:

Acapella:

★★★★

Aerosol Set Up/Mask/Trach:

★★★★

Analyze Oxygen:

★★★★

BiPAP Nasal/Mask:

★★★★

Bronchial Hygiene Therapy:

★★★★

Chest Physical Therapy/Postural Drainage:

★★★★

CPAP Nasal/Mask:

★★★★

Continuous Medication Nebulizer:

★★★★

Cough Assisted machine:

★★★★

Croup Tent Set Up:

★★★★

EzPAP Expansion Therapy:

★★★★

Flutter Valve Therapy:

★★★★

Hand Held Nebulizer:

★★★★

Heated Aerosol Mask/Trach Collar:

★★★★

Heliox Delivery:

★★★★

Incentive Spirometry (IS):

★★★★

Infant Hood Set Up:

★★★★

Intrapulmonary Percussive Ventilation (IPV):

★★★★

Metered Dose Inhaler:

★★★★

Nasal Cannula:

★★★★

Nitric Oxide Delivery:

★★★★

Oxgen Tank Set Up/Change Tank:

★★★★

Partial Rebreather/Non-Rebreather Mask:

★★★★

PEP Mask/PEP Valve Therapy:

★★★★

Positive Pressure Breathing (IPPB):

★★★★

Simple Mask:

★★★★

Splint Cough:

★★★★

Sputum Induction:

★★★★

Venturi Mask:

★★★★

Vest Airway Clearance:

★★★★

Obtaining Arterial Blood Gases:

ABG Interpretation/Analyzer:

★★★★

Airway Pressure Release Ventilation (ARPV):

★★★★

Allen Test:

★★★★

Arterial Blood Gas Analysis:

★★★★

Arterial Line Insertion:

★★★★

Arterial Line Maintenance:

★★★★

Bronchoscopies/Assist:

★★★★

Change, Clean Trach Tubes:

★★★★

Check Intracuff Pressures:

★★★★

Continuous Positive Airway Pressure (CPAP):

★★★★

Endotracheal:

★★★★

Extubations:

★★★★

Perform Independently:

★★★★

Assist Only:

★★★★

Femoral Artery:

★★★★

Flow/Volume/Pressure Waveform Interpretation:

★★★★

High Frequency Ventilator:

★★★★

Independent Sychronous Lung Ventilation:

★★★★

Inhaler Reservoirs:

★★★★

Intra Aortic Balloon Pump (IABP):

★★★★

Intubations:

★★★★

Perform Independently:

★★★★

Assist Only:

★★★★

Inverse Ratio Ventilation:

★★★★

Nasotracheal:

★★★★

Negative Inspiratory Force:

★★★★

Peak Flow Rat Monitoring:

★★★★

Positive End Expiratory Pressure (PEEP):

★★★★

Pressure Assist/Control:

★★★★

Pressure Regulated Volume Control (PRVC):

★★★★

Pressure Support Ventilation (PSV):

★★★★

Pulmonary Function Testing:

★★★★

Pulmonary Stress Testing:

★★★★

Radial/Brachial Artery:

★★★★

Ventilator Management:

Intermittent Mandatory Ventilation (IMV):

★★★★

Inverse Ratio Ventilation:

★★★★

Pressure Release Modes/Techniques:

★★★★

Suctioning:

★★★★

Synchronized Intermittent Mandatory Ventilation (SIMV):

★★★★

Ventilate Patient with Manual Resuscitator:

★★★★

Ventilator Modes:

★★★★

Ventilator Set Up/On Tanks:

★★★★

Volume Assist/Control:

★★★★

Other:

★★★★

Settings

Acute Care:

★★★★

Adult Critical Care Unit:

★★★★

Burn ICU:

★★★★

Emergency Room:

★★★★

Home Care:

★★★★

Medical/Surgical General Floor Care:

★★★★

Neonatal ICU Level II:

★★★★

Neonatal ICU Level III:

★★★★

Pediatric General Floor Care:

★★★★

Pediatric ICU:

★★★★

Pediatric ICU Level II:

★★★★

Pediatric ICU Level III:

★★★★

Pulmonary Rehabilitation:

★★★★

Pulmonary Function Lab:

★★★★

Skilled Nursing:

★★★★

Sleep Lab:

★★★★

Transplant:

★★★★

Transports:

★★★★

Equipment

Bird/Avea:

★★★★

Drager:

★★★★

Puritan-Bennett:

★★★★

Sechrist-Infant Star:

★★★★

Servo:

★★★★

Siemens:

★★★★

SIMS:

★★★★

Age

Newborn (birth – 30 days):

★★★★

Infant (30 days – 1 year):

★★★★

Toddler (1 – 3 years):

★★★★

Preschooler (3 – 5 years):

★★★★

School Age (5 – 12 years):

★★★★

Adolescents (12 – 18 years):

★★★★

Young Adults (18 – 39 years):

★★★★

Middle Adults (39 – 64 years):

★★★★

Older Adults (64+ years):

★★★★

Please list any Additional Skills

Additional training:

Additional equipment: