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Respiratory Therapist CheckList

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 Rating Stars (Click) 1 2 3 4  
Care of Patient in Restraints 
 
Electronic Documentation 
 
Isolation Precautions 
 
Medicare Documentation 
 
Patient/Family Education 
 
Written Documentation 
 
Care of Patients With Rating Stars (Click) 1 2 3 4  
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 Rating Stars (Click) 1 2 3 4  
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: Rating Stars (Click) 1 2 3 4  
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: Rating Stars (Click) 1 2 3 4  
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: Rating Stars (Click) 1 2 3 4  
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 Rating Stars (Click) 1 2 3 4  
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 Rating Stars (Click) 1 2 3 4  
Bird/Avea 
 
Drager 
 
Puritan-Bennett 
 
Sechrist-Infant Star 
 
Servo 
 
Siemens 
 
SIMS 
 
Age Rating Stars (Click) 1 2 3 4  
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)