Respiratory Therapist Skills Checklist

Age of Patients Cared For

Newborn/Neonate (birth to 30 days)*

1
2
3
4

Infant (1 month to 1 year)*

1
2
3
4

Toddler (1 year to 3 years)*

1
2
3
4

Preschooler (3 years to 5 years)*

1
2
3
4

School Age Child (5 years to 12 years)*

1
2
3
4

Adolescents (12 years to 18 years)*

1
2
3
4

Young Adults (18 years to 39 years)*

1
2
3
4

Middle Adults (39 years to 64 years)*

1
2
3
4

Older Adults (64 years to 79 years)*

1
2
3
4

Elderly Adults over 79+ years)*

1
2
3
4

General Skills

Standard Precautions*

1
2
3
4

Isolation Precautions*

1
2
3
4

Patient Head to Toe Assessment*

1
2
3
4

Pediatric Respiratory / Cardiac Arrest*

1
2
3
4

Adult Respiratory / Cardiac Arrest*

1
2
3
4

Prep and Administration of Emergency Meds*

1
2
3
4

Crash Carts*

1
2
3
4

Defibrillators*

1
2
3
4

Care of Patients in Restraints*

1
2
3
4

Care Planning & Discharge Planning*

1
2
3
4

Care of Patients With

Acute/ chronic bronchitis*

1
2
3
4

ARDS (adult respiratory distress syndrome)*

1
2
3
4

Aspiration Asthma*

1
2
3
4

Status Asthmaticus*

1
2
3
4

Bronchoscopy*

1
2
3
4

Bronco-Pulmonary dysplasia*

1
2
3
4

CHF (congestive heart failure)*

1
2
3
4

COPD (chronic obstructive pulmonary disease)*

1
2
3
4

Croup*

1
2
3
4

Cystic fibrosis*

1
2
3
4

Epiglottis*

1
2
3
4

Guillain Barre*

1
2
3
4

Hemopneumothorax*

1
2
3
4

Myasthenia Gravis*

1
2
3
4

Pneumonia*

1
2
3
4

Pulmonary edema*

1
2
3
4

Pulmonary embolism*

1
2
3
4

Smoke inhalation*

1
2
3
4

TB (tuberculosis)*

1
2
3
4

Tension pneumothorax*

1
2
3
4

Thoracotomy*

1
2
3
4

Tracheal-esophageal fistula*

1
2
3
4

Tracheotomy*

1
2
3
4

Failure to thrive*

1
2
3
4

Fem-pop bypass*

1
2
3
4

Laryngospasm*

1
2
3
4

Meconium aspiration*

1
2
3
4

Near drowning*

1
2
3
4

Persistent pulmonary hypertension*

1
2
3
4

Pulmonary interstitial emphysema*

1
2
3
4

RSV (respiratory syncytial virus)*

1
2
3
4

Transient tachypnea of newborn*

1
2
3
4

Medication Administration

Atrovent*

1
2
3
4

Albuterol*

1
2
3
4

Bicarbonate*

1
2
3
4

Breo*

1
2
3
4

Combivent*

1
2
3
4

Incruse*

1
2
3
4

Isuprel*

1
2
3
4

Mucomyst*

1
2
3
4

Pulmicort*

1
2
3
4

Racemic epinephrine*

1
2
3
4

Spiriva*

1
2
3
4

Terbutaline sulfate*

1
2
3
4

Theophylline*

1
2
3
4

Xopenex*

1
2
3
4

Knowledge of Effects of

Alupent*

1
2
3
4

Anectine*

1
2
3
4

Atropine*

1
2
3
4

Azmacort*

1
2
3
4

Bronkosol*

1
2
3
4

Corticosteroids*

1
2
3
4

Cromolyn sodium*

1
2
3
4

Decadron*

1
2
3
4

Diazepam*

1
2
3
4

Digoxin*

1
2
3
4

Dopamine*

1
2
3
4

Flovent*

1
2
3
4

Heliox therapy*

1
2
3
4

Inhaled steroids*

1
2
3
4

Ketamine*

1
2
3
4

Lasix*

1
2
3
4

Lidocaine*

1
2
3
4

Morphine*

1
2
3
4

Nitric oxide*

1
2
3
4

Pavulon*

1
2
3
4

Propofol*

1
2
3
4

Tobramycin*

1
2
3
4

Versed*

1
2
3
4

Ventilator Set-Up

Achieva*

1
2
3
4

Siemens*

1
2
3
4

Bi-Pap*

1
2
3
4

PB7200*

1
2
3
4

Sechrist IV 100B*

1
2
3
4

Servo V60*

1
2
3
4

Assist control*

1
2
3
4

CPAP*

1
2
3
4

Flow-by*

1
2
3
4

High frequency ventilator*

1
2
3
4

IMV*

1
2
3
4

Inverse ratio vent*

1
2
3
4

Pressure support*

1
2
3
4

Pressure vents*

1
2
3
4

Troubleshooting high and low alarms*

1
2
3
4

SIMV*

1
2
3
4

Oxygen & Air Delivery Systems

Ambu bag*

1
2
3
4

Croup tent*

1
2
3
4

e-cylinders*

1
2
3
4

Nasal cannula*

1
2
3
4

T-piece*

1
2
3
4

Non-rebreather*

1
2
3
4

Trach collar*

1
2
3
4

Venturi mask*

1
2
3
4

Nebulizer

Hand held*

1
2
3
4

Humidification (cool/ warm)*

1
2
3
4

Ultrasonic nebulizer*

1
2
3
4

Metered Dose Inhaler

Aero chamber*

1
2
3
4

IPPB (intermittent positive pressure)*

1
2
3
4

Procedures

Postural drainage*

1
2
3
4

Chest percussion therapy*

1
2
3
4

Sputum collection/ sampling*

1
2
3
4

ABG’s (arterial blood gas)*

1
2
3
4

Allen test*

1
2
3
4

Femoral*

1
2
3
4

Arterial*

1
2
3
4

Set up and calibrate arterial lines*

1
2
3
4

Radial*

1
2
3
4

Analyzing ABG’s*

1
2
3
4

Interpreting ABG’s*

1
2
3
4

Airway Management & Suctioning

Tracheal*

1
2
3
4

Endotracheal*

1
2
3
4

Nasotracheal*

1
2
3
4

Oral*

1
2
3
4

In-line suctioning*

1
2
3
4

Adult Checking cuff pressure*

1
2
3
4

Adult Extubation*

1
2
3
4

Adult Intubation*

1
2
3
4

Neo-natal manual ventilation*

1
2
3
4

Pediatrics Manual Ventilation*

1
2
3
4

Diagnostic: Pulmonary function testing*

1
2
3
4

Diagnostic Assist with bronchoscopes*

1
2
3
4

Assist With High Risk Deliveries

Obtain umbilical blood gas*

1
2
3
4

Obtain capillary blood gas*

1
2
3
4

Assist with thoracentesis*

1
2
3
4

Homodynamic monitoring*

1
2
3
4

Teaching

Incentive spirometer*

1
2
3
4

Peak flow meter*

1
2
3
4

Pursed lip breathing*

1
2
3
4

Segmental breathing*

1
2
3
4

Splinting*

1
2
3
4

Work Settings

CCU/ ICU*

1
2
3
4

Emergency department*

1
2
3
4

Home care*

1
2
3
4

Neonatal ICU*

1
2
3
4

Pediatric*

1
2
3
4

Pulmonary rehabilitation*

1
2
3
4

Transport*

1
2
3
4

Please list the EMR systems you have used*

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form.*

I hereby consent to allow CrossMed Healthcare Staffing Solutions to release these skills checklist to the client facilities.*

Your Recruiter*

Name*

First Last

Email*

Phone*

TODAY'S DATE*

Respiratory Therapist Skills Checklist