Respiratory Therapy Skills Checklist

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1-2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

Please rate your experience / frequency within the last year
0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1-2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

General Skills

Electronic Documentation
Ventilator/Weaning
Universal Precautions
Working with patients in isolation
Working with patients in restraints
Patient/Family teaching
Patient Identification
Specialty beds
End of life care/palliative care
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores

Settings

Adult Critical Care
Pediatrics/PICU
Neonatal ICU
Emergency Room
Home Health
Sleep Lab
Pulmonary Rehabilitation
Transports( Air/Ambulance)

Medications

Advair
Aerobid
Albuterol
Atropine
Atrovent
Amphotericin
Anectine
Artificial Surfactant
Bicarbonate
Colistin
Cremolyn Sodium ( Intal)
Corticosteroids
Digitalis
Digoxin
Dopamine
Duoneb
Foradil
Flonase
Flovent
Inhaled Steroids
Isotharine ( Bronkosol)
Isuprel
Lidocaine
Morphine
Metaproterenol ( Alupent)
Maxair
Mycomyst
Nipride
Pavulon
Pulmicort (Budesonide)
Pulmozyme ( Dornase Alfa)
Racemic Epinephrine ( Vaponephrine)
Ribaviran
Terbutaline Sulfate ( Bricanyl)
Theo-dur
Tilade
Tobramycin
Valium
Xopenex
Xylocaine

Care Of Patients With

Aspiration Pneumonia
ARDS
Asthma
Status Asthmaticus
Acute/Chronic Bronchitis
Bronchopulmonary Dysplasia (BPD)
Bacterial/Viral Pneumonia
Bronchiectasis
Bronchiolitis
Croup
Cystic Fibrosis
Cardiac Surgery
Diabetic Ketoacidosis
Epiglottitis
Emphysema
Empyema
Failure to Thrive
Guillian Barre
Hyaline Membrane Disease
Lung Cancer
Meconium Aspiration
Myesthenia Gravis
Myocardial Infarction
Near Drowning
Neonatal Pneumonia
Pacemakers
Persistent Fetal Circulation
Pneumothorax
Pulmonary Interstitial Emphysema (PIE)
Pulmonary Edema
Pulmonary Emboli
Transient Tachypnea of the Newborn
Transesophageal Fistula
Thoracotomy
Tuberculosis

Therapeutics And Procedures

Nasal
Masks
Trach
Aerosol Set-up/Mask/Trach
Aerosol Heated/Cool
Oxygen Tank Set-up
Croup Tent Set-up/Troubleshoot
Infant Hood Set-up
Analyze Oxygen
Intubate Adult
Intubate Infant
Assist with Intubation
Extubate
Assist with Extubation
Assist with High Risk Delivery
Nasotracheal Suction
Endotracheal Suction
Ventilate Patient with Manual Resuscitator
Check Intracuff Pressures
Change/Clean Trach Tubes
Oral Airway Placement
Nasal Airway Placement
Isolation Procedures
Disinfection & Sterile Techniques
Incentive Spirometry
IPPB
Hand Held Nebulizers
Ultrasonic Nebulizer
Chest Physiotherapy/Postural Drainage
Splinting
Medihaler
Inhaler Reservoirs (Inspirease/Aerochamber)
Pursed Lip Breathing
Diaphragmatic Breathing
Segmental Breathing
Ventilator Set-up
Troubleshoot Ventilators
Ventilator Set-up
Negative Inspiratory Force
Vital Capacity
Nasal CPAP
BiPap nasal/mask
Assist/Control
Control
CPAP
IMV
SIMV
PEEP
High-Frequency Ventilator
Inverse Ratio Ventilation
Pulmonary Stress Testing
Pulmonary Function Testing
Bedside Screening
Peak Flow Rate
Apnea Monitor
Oximetry
Transcutaneous Monitoring
Assist with Bronchoscopies

Arterial Blood Gases

Allen Test
Analyzing
Interpretation
Arterial Line
Radial/Brachial Artery
Femoral Artery