Respiratory Therapist Skills Checklist

Respiratory Therapy Skills Checklist


Directions: By completing this checklist to the best of your ability, you will help us match your skills and areas of interest with our available assignments. Please place a check in the column that most accurately describes your level of experience with each skill. Submit your completed form by clicking the Submit button at the bottom of this form.
A= No Training or Experience	C= Some Experience, need review and supervision
B= Classroom training only, never performed	D= Performs proficiently and independently

First and Last Name:

Last 4 digits of Social Security Number:

Age	A B C D
Newborn (birth-30 days)
Infant (30days -1year)
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)

Geneal Skills	A B C D
Standard Precautions
Isolation Precautions
Patient Head to Toe Assessment
Infant/ Neonatal Cardiac/ Respiratory Arrest
Adult Respiratory/ Cardiac Arrest
Prep and Administration of Emergency Meds
Crash Carts
Defibrillators
Care of Patient in Restraints
Automated Med Dispensing Systems

Care of Patients with:	A B C D
ARDS (adult respiratory distress syndrome)
Acute/ chronic bronchitis
Aspiration Asthma
Status Asthmaticus
Bronchoscopy
Bronco-Pulmonary dysplasia
CHF (congestive heart failure)
COPD (chronic obstructive pulmonary disease)
Croup
Cystic fibrosis
Epiglottis
Guillain Barre
Hemopneumothorax
Myasthenia Gravis
Pneumonia
Pulmonary edema
Pulmonary embolism
Smoke inhalation
TB (tuberculosis)
Tension pneumothorax
Thoracotomy
Tracheal-esophageal fistula
Tracheotomy
Failure to thrive
Fem-pop bypass
Laryngospasm
Meconium aspiration
Near drowning
Persistent pulmonary hypertension
Pulmonary interstitial emphysema
RSV (respiratory syncytial virus)
Transient tachypnea of newborn

Medical Administration	A B C D
Atrovent
Albuterol
Bicarbonate
Breo
Combivent
Incruse
Isuprel
Mucomyst
Pulmicort
Racemic epinephrine
Spiriva
Terbutaline sulfate
Theophylline
Xopenex

Knowledge of Effects Of:	A B C D
Alupent
Anectine
Atropine
Azmacort
Bronkosol
Corticosteroids
Cromolyn sodium
Decadron
Diazepam
Digoxin
Dopamine
Flovent
vInhaled steroids
Ketamine
Lasix
Lidocaine
Morphine
Nitric oxide
Pavulon
Propofol
Tobramycin
Versed

Ventilator set up	A B C D
Achieva
Siemens
Bi-Pap
PB7200
Sechrist IV 100B
Servo V60
Assist control
CPAP
Flow-by
High frequency ventilator
IMV
Inverse ratio vent
Pressure support
Pressure vents
SIMV
Troubleshooting high and low alarms

Oxygen/ Air delivery systems	A B C D
Ambu bag
Croup tent
e-cylinders
Nasal cannula
Non-rebreather
T-piece
Trach collar
Venturi mask
ABG - List

Nebulizer	A B C D
Hand held
Humidification (cool/ warm)
Ultrasonic nebulizer

MDI (metered dose inhaler)	A B C D
Aero chamber
IPPB (intermittent positive pressure)

Procedures	A B C D
Postural drainage
Chest percussion therapy
Sputum collection/ sampling
ABG’s (arterial blood gas)
Allen test
Femoral
Arterial
Set up and calibrate arterial lines
Radial
Analyzing ABG's
Interpreting ABG's

Airway Management & Suctioning	A B C D
Tracheal
Endotracheal
Nasotracheal
Oral
In-line suctioning

Adult	A B C D
Checking cuff pressure
Extubation
Intubations

Manual ventilation	A B C D
Neo-natal
Pediatrics

Diagnostic	A B C D
Pulmonary function testing
Assist with bronchoscopes

Assist with high risk deliveries	A B C D
Obtain umbilical blood gas
Obtain capillary blood gas
Assist with thoracentesis
Homodynamic monitoring

Teaching	A B C D
Incentive spirometer
Peak flow meter
Pursed lip breathing
Segmental breathing
Splinting

Additional Comments or Skills

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Respiratory Therapy Skills Checklist