Respiratory Therapist

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

General Skills

Care of Patient in Restraints *

Electronic Documentation *

Isolation Precautions *

Medicare Documentation *

Patient/Family Education *

Written Documentation *

Care of Patients With

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 Distress Syndrome *

Tracheo-Esophageal Fistula *

Transient Tachypnea *

Thoracotomies *

Tuberculosis *

Therapy and Procedures

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

Acapella *

Aerosol Set Up/Mask/Trach *

Analyze Oxygen *

BiPAP Nasal/Mask *

Bronchial Hygiene Therapy *

Chest Physical Therapy/Postural Drainage *

CPAP Nasal/Mask *

Continuous Medication Nebulizer *

Cough Assisted machine *

Croup Tent Set Up *

EzPAP Expansion Therapy *

Flutter Valve Therapy *

Hand Held Nebulizer *

Heated Aerosol Mask/Trach Collar *

Heliox Delivery *

Incentive Spirometry (IS) *

Infant Hood Set Up *

Intrapulmonary Percussive Ventilation (IPV) *

Metered Dose Inhaler *

Nasal Cannula *

Nitric Oxide Delivery *

Oxygen Tank Set Up/Change Tank *

Partial Rebreather/Non-Rebreather Mask *

PEP Mask/PEP Valve Therapy *

Positive Pressure Breathing (IPPB) *

Simple Mask *

Splint Cough *

Sputum Induction *

Venturi Mask *

Vest Airway Clearance *

Obtaining Arterial Blood Gases

ABG Interpretation/Analyzer *

Airway Pressure Release Ventilation (ARPV) *

Allen Test *

Arterial Blood Gas Analysis *

Arterial Line Insertion *

Arterial Line Maintenance *

Bronchoscopies/Assist *

Change, Clean Trach Tubes *

Check Intracuff Pressures *

Continuous Positive Airway Pressure (CPAP) *

Endotracheal *

Extubations *

Perform Independently *

Assist Only *

Femoral Artery *

Flow/Volume/Pressure Waveform Interpretation *

High Frequency Ventilator *

Independent Synchronous Lung Ventilation *

Inhaler Reservoirs *

Intra Aortic Balloon Pump (IABP) *

Intubations *

Perform Independently *

Assist Only *

Inverse Ratio Ventilation *

Nasotracheal *

Negative Inspiratory Force *

Peak Flow Rat Monitoring *

Positive End Expiratory Pressure (PEEP) *

Pressure Assist/Control *

Pressure Regulated Volume Control (PRVC) *

Pressure Support Ventilation (PSV) *

Pulmonary Function Testing *

Pulmonary Stress Testing *

Radial/Brachial Artery *

Ventilator Management

Intermittent Mandatory Ventilation (IMV) *

Inverse Ratio Ventilation *

Pressure Release Modes/Techniques *

Suctioning *

Synchronized Intermittent Mandatory Ventilation (SIMV) *

Ventilate Patient with Manual Resuscitator *

Ventilator Modes *

Ventilator Set Up/On Tanks *

Volume Assist/Control *

Other *

Settings

Intermittent Mandatory Ventilation (IMV) *

Adult Critical Care Unit *

Burn ICU *

Emergency Room *

Home Care *

Medical/Surgical General Floor Care *

Neonatal ICU Level II *

Neonatal ICU Level III *

Pediatric General Floor Care *

Pediatric ICU *

Pediatric ICU Level II *

Pediatric ICU Level III *

Pulmonary Rehabilitation *

Pulmonary Function Lab *

Skilled Nursing *

Sleep Lab *

Transplant *

Transports *

Equipment

Bird/Avea *

Drager *

Puritan-Bennett *

Sechrist-Infant Star *

Servo *

Siemens *

SIMS *

Age Specific Competencies

Newborn (birth 30 days) *

Infant (30 days 1 year) *

Toddler (age 1 year 3 years) *

Preschooler (3 y 5 years) *

School Age (5 y 12 years) *

Adolescents (12 y 18 years) *

Young Adults (18 y 39 years) *

Middle Adults (39 y 64 years) *

Older Adults (64+ years) *

Respiratory Therapist

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