Respiratory Therapy Skills Checklist Date:* Name: (First, MI, Last)* Email Treatments/ProceduresAssessment* N/A Inexperienced Limited Experience Experienced Highly Experienced Breath sounds:* N/A Inexperienced Limited Experience Experienced Highly Experienced Peak flow rate:* N/A Inexperienced Limited experience Experienced Highly Experienced Pulmonary function testing:* N/A Inexperienced Limited Experience Experienced Highly Experienced Rate and work of breathing:* N/A Inexperienced Limited Experience Experienced Highly Experienced Transcutaneous monitoring:* N/A Inexperienced Limited Experience Experienced Highly Experienced Interpretation of lab results* N/A Inexperienced Limited Experienced Experienced Highly Experienced Arterial blood gases:* N/A Inexperienced Limited Experience Experienced Highly Experienced Basic EKG:* N/A Inexperienced Limited Experience Experienced Highly Experienced Blood chemistry:* N/A Inexperienced Limited Experience Experienced Highly Experienced Chest x-ray:* N/A Inexperienced Limited Experience Experienced Highly Experienced Equipment & procedures* N/A Inexperienced Limited Experienceq Experienced Highly Experienced Airway management devices/suctioning* N/A Inexperienced Limited Experience Experienced Highly Experienced Endotracheal tube/suctioning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Endotracheal tube/suctioning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nasal airway placement:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nasal airway/suctioning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Oral airway placement:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Oropharyngeal/suctioning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Sputum specimen collection:* N/A Inexperienced Limited Experience Experienced Highly Experienced Tracheostomy/suctioning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Analyze oxygen:* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial line insertion:* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the patient with a chest tube* N/A Inexperienced Limited Experience Experienced Highly Experienced Assess function/proper operation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Placement assistance:* N/A Inexperienced Limited Experience Experienced Highly Experienced Chest physiotherapy:* N/A Inexperienced Limited Experience Experience Highly Experienced Drawing arterial blood gases* N/A Inexperienced Limited Experience Experienced Highly Experienced Arterial line:* N/A Inexperienced Limited Experience Experienced Highly Experienced Brachial artery:* N/A Inexperienced Limited Experience Experienced Highly Experienced Femoral artery:* N/A Inexperienced Limited Experience Experienced Highly Experienced Radial artery/Allen tests:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Extubate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Extubation assistance:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hemodynamic monitoring:* N/A Inexperienced Limited Experience Experienced Highly Experienced Incentive spirometry:* N/A Inexperienced Limited Experience Experienced Highly Experienced Infection control practices:* N/A Inexperienced Limited Experience Experienced Highly Experienced Intubate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Intubation assistance:* N/A Inexperienced Limited Experience Experienced Highly Experienced Medication delivery systems* N/A Inexperienced Limited Experience Experienced Highly Experienced Aerosol heated/cool:* N/A Inexperienced Limited Experience Experienced Highly Experienced Aerosol set up-mask:* N/A Inexperienced Limited Experience Experienced Highly Experienced Aerosol set up-trach:* N/A Inexperienced Limited Experience Experienced Highly Experienced IPPB:* N/A Inexperienced Limited Experience Experienced Highly Experienced Medihaler:* N/A Inexperienced Limited Experience Experienced Highly Experienced Metered dose inhalers:* N/A Inexperienced Limited Experience Experienced Highly Experienced O2* N/A Inexperienced Limited Experience Experienced Highly Experienced Bag and mask:* N/A Inexperienced Limited Experience Experienced Highly Experienced ET tube:* N/A Inexperienced Limited Experience Experienced Highly Experienced External CPAP:* N/A Inexperienced Limited Experience Experienced Highly Experienced Face masks:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nasal cannula:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cold Nebulizer:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hand held Nebulizer:* N/A Inexperienced Limited Experience Experienced Highly Experienced Heated Nebulizer:* N/A Inexperienced Limited Experience Experienced Highly Experienced Ultrasonic Nebulizer:* N/A Inxperienced Limited Experience Experienced Highly Experienced T-piece:* N/A Inexperienced Limited Experience Experienced Highly Experienced Trach collar:* N/A Inexperienced Limited Experience Experienced Highly Experienced Thoracentesis assistance:* N/A Inexperienced Limited Experience Experienced Highly Experienced Ventilator set up and care* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist/control:* N/A Inexperienced Limited Experience Experienced Highly Experienced CPAP:* N/A Inexperienced Limited Experience Experienced Highly Experienced Flow-by:* N/A Inexperienced Limited Experience Experienced Highly Experienced High frequency jet ventilator:* N/A Inexperienced Limited Experience Experienced Highly Experienced High frequency oscillator:* N/A Inexperienced Limited Experience Experienced Highly Experienced IMV:* N/A Inexperienced Limited Experience Experienced Highly Experienced Inverse ratio ventilator:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pressure support:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pressure vents:* N/A Inexperienced Limited Experience Experienced Highly Experienced SIMV:* N/A Inexperienced Limited Experience Experienced Highly Experienced Trouble shoot pressure alarms:* N/A Inexperienced Limited Experience Experienced Highly Experienced Volume vents:* N/A Inexperienced Limited Experience Experienced Highly Experienced Weaning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nitric (INO):* N/A Inexperienced Limited Experience Experienced Highly Experienced Subambient O2:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bivent:* N/A Inexperienced Limited Experience Experienced Highly Experienced NIV pressure support:* N/A Inexperienced Limited Experience Experienced Highly Experienced NIV pressure control:* N/A Inexperienced Limited Experience Experienced Highly Experienced Heliox:* N/A Inexperienced Limited Experience Experienced Highly Experienced Heliox on Ventilator:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bipap:* N/A Inexperienced Limited Experience Experienced Highly Experienced NAVA:* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the patient with* N/A Inexperienced Limited Experience Experienced Highly Experienced Acute/chronic bronchitis:* N/A Inexperienced Limited Experience Experienced Highly Experienced ARDS (adult respiratory distress syndrome):* N/A Inexperienced Limited Experience Experienced Highly Experienced Aspiration:* N/A Inexperienced Limited Experience Experienced Highly Experienced Asthma:* N/A Inexperienced Limited Inexperience Experienced Highly Experienced Bronchoscopy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cardiac surgery:* N/A Inexperienced Limited Experience Experienced Highly Experienced CHF:* N/A Inexperienced Limited Experience Experienced Highly Experienced COPD:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cystic fibrosis:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Epiglottitis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Fresh tracheostomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Gullian Barre:* N/A Inexperienced Limited Experience Experienced Highly Experienced Hemopneumothorax:* N/A Inexperienced Limited Experience Experienced Highly Experienced Laryngospasm:* N/A Inexperienced Limited Experience Experienced Highly Experienced Myasthenia:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pneumonia:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary edema:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary embolism:* N/A Inexperienced Limited Experience Experienced Highly Experienced Smoke inhalation:* N/A Inexperienced Limited Experience Experienced Highly Experienced Status asthmaticus:* N/A Inexperienced Limited Experience Experienced Highly Experienced Tension pneumothorax:* N/A Inexperienced Limited Experience Experienced Highly Experienced Thoracotomy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Tracheo-esophageal fistula:* N/A Inexperienced Limited Experience Experienced Highly Experienced Tuberculosis:* N/A Inexperienced Limited Experience Experienced Highly Experienced MedicationsAdministration of:* N/A Inexperienced Limited Experience Experienced Highly Experienced Aerobid, Vanceril:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Aminophylline (Theophylline):* N/A Inexperienced Limited Experience Experienced Highly Experienced Azmacort:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bicarbonate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Combivent:* N/A Inexperienced Limited Experience Experienced Highly Experienced Cromolyn Sodium (Intal):* N/A Inexperienced Limited Experience Experienced Highly Experienced Decadron:* N/A Inexperienced Limited Experience Experienced Highly Experienced Flonase:* N/A Inexperienced Limited Experience Experienced Highly Experienced Flovent:* N/A Inexperienced Limited Experience Experienced Highly Experienced Inhaled steroids:* N/A Inexperienced Limited Experience Experienced Highly Experienced Ipratropium bromide (Atrovent):* N/A Inexperienced Limited Experience Experienced Highly Experienced Isoetharine (Bronkosol):* N/A Inexperienced Limited Experience Experienced Highly Experienced Isoproterenol (Isuprel):* N/A Inexperienced Limited Experience Experienced Highly Experienced Metaproterenol (Alupent):* N/A Inexperienced Limited Experience Experienced Highly Experienced Mucomyst:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Nasalcort:* N/A Inexperienced Limited Experience Experienced Highly Experienced Racemic epinephrine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Salbutamol (Albuterol, Proventil, Ventolin):* N/A Inexperienced Limited Experience Experienced Highly Experienced Terbutaline sulfate (Bricanyl):* N/A Inexperienced Limited Experience Experienced Highly Experienced Familiar with effects of:* N/A Inexperienced Limited Experience Experienced Highly Experienced Anectine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Atropine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Corticosteroids:* N/A Inexperienced Limited Experience Experienced Highly Experienced Digitalis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Digoxin:* N/A Inexperienced Limited Experience Experienced Highly Experienced Dopamine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Duramorph:* N/A Inexperienced Limited Experience Experienced Highly Experienced Heli/ox therapy:* N/A Inexperienced Limited experienced Experienced Highly Experienced Ketamine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Lidocaine:* N/A Inexperienced Limited Experience Experienced Highly Experienced Morphine sulfate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nipride:* N/A Inexperienced Limited Experience Experienced Highly Experienced Nitric oxide therapy:* N/A Inexperienced Limited Experience Experienced Highly Experienced Pavulon:* N/A Inexperienced Limited Experienced Experienced Highly Experienced Pentamidine isethionate:* N/A Inexperienced Limited Experience Experienced Highly Experienced Propofol:* N/A Inexperienced Limited Experience Experience Highly Experienced Theo-dur:* N/A Inexperienced Limited Experience Experienced Highly Experienced Valium:* N/A Inexperienced Limited Experience Experienced Highly Experienced Versed:* N/A Inexperienced Limited Experience Experienced Highly Experienced PhlebotomyEquipment & procedures:* N/S Inexperienced Limited Experienced Experienced Highly Experienced Drawing blood from central line:* N/A Inexperienced Limited Experience Experienced Highly Experienced Drawing blood from peripheral line:* N/A Inexperienced Limited Experience Experienced Highly Experienced Drawing venous blood:* N/A Inexperienced Limited Experience Experienced Highly Experienced Neonatal/PediatricsEquipment & procedures:* N/A Inexperienced Limited Experience Experienced Highly Experienced Assist in high risk delivery:* N/A Inexperienced Limited Experience Experienced Highly Experienced Capillary blood gases:* N/A Inexperienced Limited Experience Experienced Highly Experienced ECMO:* N/A Inexperienced Limited Experience Experienced Highly Experienced O2:* N/A Inexperienced Limited Experience Experienced Highly Experienced Umbilical blood gases:* N/A Inexperienced Limited Experience Experienced Highly Experienced Care of the infant or child with:* N/A Inexperienced Limited Experience Experienced Highly Experienced Bronchopulmonary dysplasia (BPD):* N/A Inexperienced Limited Experience Experienced Highly Experienced Croup:* N/A Inexperienced Limited Experience Experienced Highly Experienced Epiglottitis:* N/A Inexperienced Limited Experience Experienced Highly Experienced Meconium aspiration:* N/A Inexperienced Limited Experience Experienced Highly Experienced Near drowning:* N/A Inexperienced Limited Experience Experienced Highly Experienced Persistent pulmonary hypertension(PPHN):* N/A Inexperienced Limited Experience Experienced Highly Experienced Pulmonary interstitial emphysema (PIE):* N/A Inexperienced Limited Experienced Experienced Highly Experienced Respiratory distress syndrome (RDS):* N/A Inexperienced Limited Experience Experienced Highly Experienced Respiratory syncytial virus:* N/A Inexperienced Limited Experience Experienced Highly Experienced Transient tachypnea of the newborn:* N/A Inexperienced Limited Experience Experienced Highly Experienced Areas of Expertise:Consent* By submitting this form, I agree to all terms and conditions and agree to authorize consent PhoneThis field is for validation purposes and should be left unchanged.
