Respiratory Therapist

I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Proficiency Scale

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
General Skills Rating Stars (Click) 1 2 3 4
Care of Patient in Restraints
Electronic Documentation
Isolation Precautions
Medicare Documentation
Patient/Family Education
Written Documentation
Care of Patients With Rating Stars (Click) 1 2 3 4
Acute/Chronic Bronchitis
ARDS
Aspiration Pneumonia
Asthma
Atelectasis
Bacterial/Viral Pneumonia
Bronchiectasis
Broncho-Pulmonary Dysplasia
Cardiac Surgery
Congestive Heart Failure
Croup
Cystic Fibrosis
Diabetic Ketoacidosis
Emphysema
Epiglottitis
Failure to Thrive
Fem-pop Bypass
Gullian Barre
Hayaline Membrane Disease (HMD/IRDS)
Lung Cancer
Meconium Aspiration
Myasthenia Gravis
Myocardial Infarction
Near Drowning
Neonatal Pneumonia
Open Hearts
Pacemakers
Persistent Fetal Circulation
Pulmonary Interstitial Emphysema (PIE)
Pleural Effusion
Pulmonary Edema
Pulmonary Embolism
Respiratory Failure
Respiratory Syncytial Virus
Respiratory Syncytial Virus
Respiratory Distress Syndrome
Tracheo-Esophageal Fistula
Transient Tachypnea
Thoracotomies
Tuberculosis
Therapy and Procedures Rating Stars (Click) 1 2 3 4
Apnea Monitor
Assessment of Breath Sounds
Carbogen Delivery
Diaphragmatic Breathing
Disinfection and Sterilization
End-Tidal CO2 Monitoring
Nasal-Oral Airway Placement
Oximetry
Pursed Lip Breathing
Transcutaneous Monitoring
Oxygen Administration Rating Stars (Click) 1 2 3 4
Acapella
Analyze Oxygen
Chest Physical Therapy/Postural Drainage
CPAP Nasal/Mask
Cough Assisted machine
Croup Tent Set Up
Flutter Valve Therapy
Hand Held Nebulizer
Heated Aerosol Mask/Trach Collar
Heliox Delivery
Incentive Spirometry (IS)
Infant Hood Set Up
Intrapulmonary Percussive Ventilation (IPV)
Oxygen Tank Set Up/Change Tank
PEP Mask/PEP Valve Therapy
Simple Mask
Sputum Induction
Vest Airway Clearance