Respiratory Therapy

SKILLS CHECKLIST

Respiratory Therapy
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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 : - 1 = Never Performed 2 = Limited Experience 3 = Comfortable Performing 4 = Proficient
Frequency : - 1 = Never 2 = Sometimes 3 = Often 4 = Always
Patient Data Evaluation
Collect and evaluate pertient patient clinical data
 
Integrate individualized interview techniques to
determine patient's overall health status
 
Perform a comprehencive physical examination
on patient
 
Auscultate Breath sounds
 
Assess Rate & Work of breathing
 
Recognize normal and abnormal results of
cardiopulmonary monitoring
 
Identify normal and abnormal cough, sputum amount,
color, and character
 
Perform palpation techniques to determine patient's
cardiopulmonary status
 
Assess Peak flow rate
 
Perform Pulmonary function testing
 
Obtaining ABG's
Brachial artery
 
Femoral artery
 
Radial artery
 
Perform Allen test
 
Blood Sample from arterial line
 
Interpretation of lab results
Arterial blood gases
 
Basic EKG
 
Blood chemistry
 
Chest x-ray
 
Perform
Arterial Line insertion
 
12-lead EKG
 
Chest Physiotherapy
 
Vent set up and care
 
Assist with Thoracentesis
 
Provision of Care
Acute/Chronic bronchitis
 
ARDS (Adult Respiratory Distress Syndrome)
 
Aspiration
 
Asthma
 
Bronchoscopy
 
Cardiac Surgery
 
CHF
 
Care of patient with a chest tube
 
COPD
 
Cystic fibrosis
 
Epiglottis
 
Fresh tracheostomy
 
Guillain Barre
 
Hemopneumothorax
 
Laryngospasm
 
Myasthenia Gravis
 
Pneuomonia
 
Pneumothorax
 
Pulmonary Edema
 
Smoke inhalation
 
Staus asthmaticus
 
Tension pneumothorax
 
Thoracotomy
 
Tracheo-esophageal fistula
 
Tuberculosis
 
Equipment Manipulation
Select and assemble equipment related to
support of the respiratory system
Bag and mask
 
ET Tube
 
CPAP
 
Face masks
 
Nasal Cannula
 
Nebulizer
 
Ultrasonic
 
Oxygen
 
T-piece
 
Trach collar
 
High frequency jet ventilator
 
High frequency oscillator
 
IMV
 
Inverse ratio ventilator
 
Pressure support
 
Pressure vents
 
SIMV
 
Troubleshooting high pressure alarms
 
Troubleshooting low pressure alarms
 
Volume vents
 
Weaning
 
PEEP
 
Breath Actuated Nebulizer
 
Venti-Masks
 
Troubleshoot equipment related to respiratory
system support
High pressure vent alarms
 
Low pressure vent alarms
 
Oxygen-related equipment
 
Infection/Quality Control
Perform QC (quality control) procedures for
equipment
 
Maintain aseptic technique when applicable, ensuring
infection control
 
Remove bronchopulmonary secretions
 
Documentation/Record Maintenance
Review existing data in the patient record and
document current information in record as it relates
to current respiratory care plan
 
Airway Maintenance
Function as an assistant to physician during special
procedures
 
Initiate and conduct pulmonary rehabilitation with
patient when indicated
 
Initiate and conduct emergency cardiopulmonary
support, including BCLS,ACLS,PALS, and NRP
when indicated
 
Nasal airway placement
 
Oral airway placement
 
Oropharyngeal/suctioning
 
Sputum specimen collection
 
Tracheostomy/suctioning
 
Incentive spirometry
 
Intubation
 
Intubation assistance
 
Extubation
 
Extubation assistance
 
Evaluation of Respiratory Care
Perform venous, arterial, and capillary sticks for
analyzing blood gases
 
Initiate patient education when indicated
i.e.: MDI, nebulizer treatments
 
Modification/Recommendation of Respiratory Care
Maintain and achieve adequate respiratory support
for the patient
 
Evaluate and monitor patient’s objective and
subjective responses to respiratory care
 
Modify treatment modalities based upon patient’s
response to respiratory care
 
Recommend modifications to respiratory treatment
when indicated
 
Initiate, conduct, or modify respiratory therapy
treatments/techniques in an emergency setting
 
Medication Administration
Delivery System
Aerosol heated/cooled
 
Aerosol set up mask
 
Aerosol set up trach
 
IPPB
 
Medihaler
 
Metered dose inhalers
 
Medications
Aerobid, Vanceril
 
Aminophylline (Theophylline)
 
Azmacort
 
Sodium Bicarbonate
 
Combivent
 
Cromolyn Sodium (Intal)
 
Decadron
 
Flonase
 
Flovent
 
Inhaled steroids
 
Ipratropium bromide (Atrovent)
 
Isoetharine
 
Isoproterenol (Isuprel)
 
Metaproterenol (Alupent)
 
Nasacort
 
Racemic epinephrine
 
Albuterol(Proventil, Ventolin)
 
Terbutaline sulfate
 
Mucomyst
 
Xopenex
 
Recognition of effects on respiratory system
Anectine
 
Atropine
 
Corticosteroids
 
Digitalis
 
Digoxin
 
Dopamine
 
Duramorph
 
Heliox therapy
 
Ketamine
 
Lidocaine
 
Morphine sulfate
 
Nipride
 
Nitric oxide therapy
 
Pavulon
 
Pentamide isethionate
 
Propofol
 
Theo-dur
 
Valium
 
Versed
 
Neonatal/Pediatric Population
Provision of Care
Assist in high risk delivery
 
Capillary blood gases
 
Oxygen delivery system
 
Umbilical blood gases
 
Bronchopulmonary dysplasia (BPD)
 
Croup
 
Epiglottitis
 
Meconium aspiration
 
Near drowning
 
Persistent pulmonary hypertension
 
Respiratory interstitial emphysema
 
Respiratory distress syndrome
 
Respiratory syncytial virus
 
Transient tachypnea of the newborn
 
Age Specific
Please indicate the frequence with which you provide care for each age group:
Infant (Birth to 1 year)
 
Toddler (1-3 years)
 
Pre-school (3-6 years)
 
School Age (6-12 years)
 
Adolescent (12-18 years)
 
Young Adult (18-30 years)
 
Mature Adult (30-60 years)
 
Elderly (>60 years)
 
Years Experience in Clinical Speciality :
Most recent facility worked at :