Berean Healthcare Staffing - Travel Nursing Respiratory Therapy Skills Checklist

Respiratory Therapy Skills Checklist

This profile is for use by Respiratory Therapy nurses with more than one year's experience in their discipline and specialty.

After completing your skills checklist, click "Submit".

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Current Job Title:
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Date:

Please indicate your level of experience

A. Theory, no practice	C. One - two years experience
B. Intermittent experience	D. Two plus years experience


A. TREATMENTS/PROCEDURES

	1. Assessment
		a. Breath sounds			A B C D
		b. Peak flow rate			A B C D
		c. Pulmonary function testing			A B C D
		d. Rate and work of breathing			A B C D
		e. Transcutaneous monitoring			A B C D
	2. Interpretation of lab results
		a. Arterial blood gases			A B C D
		b. Basic EKG			A B C D
		c. Blood chemistry			A B C D
		d. Chest x-ray			A B C D
	3. Equipment & procedures
		a. Airway management devices/suctioning
			(1) Check intracuff pressure		A B C D
			(2) Endotracheal tube/suctioning		A B C D
			(3) Nasal airway placement		A B C D
			(4) Nasal airway/suctioning		A B C D
			(5) Oral airway placement		A B C D
			(6) Oropharyngeal/suctioning		A B C D
			(7) Sputum specimen collection		A B C D
			(8) Tracheostomy/suctioning		A B C D
		b. Analyze oxygen			A B C D
		c. Arterial line insertion			A B C D
		d. Care of the patient with a chest tube
			(1) Assessment of function/proper operation		A B C D
			(2) Placement assistance		A B C D
		e. Chest physiotherapy			A B C D
		f. Drawing arterial blood gases
			(1) Arterial line		A B C D
			(2) Brachial artery		A B C D
			(3) Femoral artery		A B C D
			(4) Radial artery/Allen tests		A B C D
		g. Extubate			A B C D
		h. Extubation assistance			A B C D
		i. Hemodynamic monitoring			A B C D
		j. Incentive spirometry			A B C D
		k. Infection control practices			A B C D
		l. Intubate			A B C D
		m. Intubation assistance			A B C D
		n. Medication delivery systems
			(1) Aerosol heated/cool		A B C D
			(2) Aerosol set up-mask		A B C D
			(3) Aerosol set up-trach		A B C D
			(4) IPPB		A B C D
			(5) Medihaler		A B C D
			(6) Metered dose inhalers		A B C D
		o. O2 therapy
			(1) Bag and mask		A B C D
			(2) ET tube		A B C D
			(3) External CPAP		A B C D
			(4) Face masks		A B C D
			(5) Nasal cannula		A B C D
			(6) Nebulizer
				a. Cold	A B C D
				b. Hand held	A B C D
				c. Heated	A B C D
				d. Ultrasonic	A B C D
			(7) Portable O2 tank		A B C D
			(8) T-piece		A B C D
			(9) Trach collar		A B C D
		p. Thoracentesis assistance			A B C D
		q. Ventilator set up and care
			(1) Assist/control		A B C D
			(2) CPAP		A B C D
			(3) Flow-by		A B C D
			(4) High frequency jet ventilator		A B C D
			(5) High frequency oscillator		A B C D
			(6) IMV		A B C D
			(7) Inverse ratio ventilator		A B C D
			(8) Pressure support		A B C D
			(9) Pressure vents		A B C D
			(10) SIMV		A B C D
			(11) Trouble shooting high pressure alarms		A B C D
			(12) Trouble shooting low pressure alarms		A B C D
			(13) Volume vents		A B C D
			(14) Weaning		A B C D


B. CARE OF THE PATIENT WITH:

	a. Acute/chronic bronchitis	A B C D
	b. ARDS (adult respiratory distress syndrome)	A B C D
	c. Aspiration	A B C D
	d. Asthma	A B C D
	e. Bronchoscopy	A B C D
	f. Cardiac surgery	A B C D
	g. CHF	A B C D
	h. COPD	A B C D
	i. Cystic fibrosis	A B C D
	j. Epiglottitis	A B C D
	k. Fresh tracheostomy	A B C D
	l. Gullian Barre	A B C D
	m. Hemopneumothorax	A B C D
	n. Laryngospasm	A B C D
	o. Myesthenia gravis	A B C D
	p. Pneumonia	A B C D
	q. Pulmonary edema	A B C D
	r. Pulmonary embolism	A B C D
	s. Smoke inhalation	A B C D
	t. Status asthmaticus	A B C D
	u. Tension pneumothorax	A B C D
	v. Thoracotomy	A B C D
	w. Tracheo-esophageal fistula	A B C D
	x. Tuberculosis	A B C D


C. MEDICATIONS

	1. Administration of:
		a. Aerobid, Vanceril	A B C D
		b. Aminophylline (Theophylline)	A B C D
		c. Azmacort	A B C D
		d. Bicarbonate	A B C D
		e. Combivent	A B C D
		f. Cromolyn Sodium (Intal)	A B C D
		g. Decadron	A B C D
		h. Flonase	A B C D
		i. Flovent	A B C D
		j. Inhaled steroids	A B C D
		k. Ipratropium bromide (Atrovent)	A B C D
		l. Isoetharine (Bronkosol)	A B C D
		m. Isoproterenol (Isuprel)	A B C D
		n. Metaproterenol (Alupent)	A B C D
		o. Mucomyst	A B C D
		p. Nasalcort	A B C D
		q. Racemic epinephrine	A B C D
		r. Salbutamol (Albuterol, Proventil,Ventolin)	A B C D
		s. Terbutaline sulfate (Bricanyl)	A B C D
	2. Familiar with effects of:
		a. Anectine	A B C D
		b. Atropine	A B C D
		c. Corticosteroids	A B C D
		d. Digitalis	A B C D
		e. Digoxin	A B C D
		f. Dopamine	A B C D
		g. Duramorph	A B C D
		h. Heli/ox therapy	A B C D
		i. Ketamine	A B C D
		j. Lidocaine	A B C D
		k. Morphine sulfate	A B C D
		l. Nipride	A B C D
		m. Nitric oxide therapy	A B C D
		n. Pavulon	A B C D
		o. Pentamidine isethionate	A B C D
		p. Propofol	A B C D
		q. Theo-dur	A B C D
		r. Valium	A B C D
		s. Versed	A B C D


D. PHLEBOTOMY

	1. Equipment & procedures
		a. Drawing blood from central line	A B C D
		b. Drawing blood from peripheral line	A B C D
		c. Drawing venous blood	A B C D


E. NEONATAL/PEDIATRICS

	1. Equipment & procedures
		a. Assist in high risk delivery	A B C D
		b. Capillary blood gases	A B C D
		c. ECMO	A B C D
		d. O2 to tent	A B C D
		e. Umbilical blood gases	A B C D
	2. Care of the infant or child with:
		a. Bronchopulmonary dysplasia (BPD)	A B C D
		b. Croup	A B C D
		c. Epiglottitis	A B C D
		d. Meconium aspiration	A B C D
		e. Near drowning	A B C D
		f. Persistent pulmonary hypertension(PPHN)	A B C D
		g. Pulmonary interstitial emphysema (PIE)	A B C D
		h. Respiratory distress syndrome (RDS)	A B C D
		i. Respiratory syncytial virus	A B C D
		j. Transient tachypnea of the newborn	A B C D

AGE SPECIFIC PRACTICE CRITERIA
Please check the boxes below for each age group for which you have expertise in providing age-appropriate nursing care.

A. Newborn/Neonate (birth - 30 days)	F. Adolescents (12 - 18 years)

B. Infant (30 days - 1 year)	G. Young adults (18 - 39 years)

C. Toddler (1 - 3 years)	H. Middle adults (39 - 64 years)

D. Preschooler (3 - 5 years)	I. Older adults (64+)

E. School age children (5 - 12 years)

EXPERIENCE WITH AGE GROUPS:	A	B	C	D	E	F	G	H	I
Able to adapt care to incorporate normal growth and development.
Able to adapt method and terminology of patient instructions to their age, comprehension and maturity level.
Can ensure a safe environment reflecting specific needs of various age groups.

Experienced with the following ventilators:
	Bear	Series (name or number)
	Bird	Series (name or number)
	BP	Series (name or number)
	Hamilton Amadeus, Veolar	Series (name or number)
	MA	Series (name or number)
	Newport	Series (name or number)
	Sechrist	Series (name or number)
	Servo	Series (name or number)
	Drager Infant
	Emerson
	Engstrom
	Puritian Bennett 7200
	Others, List

My experience is primarily in: (Please indicate number of years.)

General adult inpatient	year(s)		Pediatrics	year(s)
Home care	year(s)		Pulmonary rehab	year(s)
Intensive care unit	year(s)		Sleep lab	year(s)
Long term care	year(s)		Subacute	year(s)
Neonatal ICU	year(s)	Level

Certification: (mo/year)

BCLS	Exp. date:	ACLS	Exp. Date:
PALS	Exp. date:	NRP	Exp. Date:
EKG technician	Date:	RRT	Date:
EEG technician	Date:	CRTT	Date:
Arterial blood gas technician			Date:

Other (type):

Exp. date:

Computerized charting system:

Date:

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Berean Healthcare Staffing to release this Respiratory Therapy RN Skills Checklist to Client facilities of Berean Healthcare Staffing in relation to consideration of my employment with those facilities.

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