Respiratory Therapist Skills Checklist

Skills Checklist

Let’s assess your clinical skills and experience. Fill out this checklist to get one step closer to your next opportunity.

1

= No theory and/or experience
2

= Limited Experience
3

= Experienced/minimal support needed to perform
4

= Proficient

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*
MM slash DD slash YYYY

Skills Checklist

Age of Patients Cared For

General Skills

Care of Patients With

Medication Administration

Knowledge of Effects of

Ventilator Set-Up

Oxygen & Air Delivery Systems

Nebulizer

Metered Dose Inhaler

Procedures

Airway Management & Suctioning

Assist With High Risk Deliveries

Teaching

Work Settings