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RADIATION ONCOLOGY

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RESPIRATORY

EMPLOYERS
 
RESPIRATORY THERAPIST SKILLS CHECKLIST
 
The following checklist is used to assess your experience and skills in order to assist us in placing you in a successful assignment. Please provide an accurate self-assessment of your skills using the following guidelines:
Frequency
Experience
  1. Never Done or Observed Only
  2. Rarely Done (less than 6 times/year)
  3. Occasionally Done (1-2 times/month)
  4. Frequently Done (daily or weekly)
  1. No Experience
  2. Limited Experience
  3. Experienced
  4. Highly Skilled
 
Contact Information      
Name:
Home Phone:
Cell Phone:
Email:
 
Frequency
Experience
General Skills
1
2
3
4
1
2
3
4
Care of Patient in Restraints  
Electronic Documentation  
Isolation Precautions  
Medicare Documentation  
Patient/Family Education  
Written Documentation  
                   
Care of Patients With
1
2
3
4
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  
Myesthena Gravis  
Myocardial Infarction  
Near Drowning  
Neonatal Pneumonia  
Open Hearts  
Pacemakers  
Persistant Fetal Circulation  
Pulmonary Interstitial Emphysema (PIE)  
Pleural Effusion  
Pulmonary Edema  
Pulmonary Embolism  
Respiratory Failure  
Respiratory Syncytial Virus  
Respiratory Distress Syndrome  
Respiratory Distress Syndrome  
Tracheo-Esophageal Fistula  
Transient Tachpnea  
Thoracotomies  
Tuberculosis  
                   
Therapy and Procedures
1
2
3
4
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:                  
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  
Oxgen 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 Sychronous 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
1
2
3
4
1
2
3
4
Acute Care  
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
1
2
3
4
1
2
3
4
Bird/Avea  
Drager  
Puritan-Bennett  
Sechrist-Infant Star  
Servo  
Siemens  
SIMS  
                   
Age
1
2
3
4
1
2
3
4
Newborn (birth – 30 days)  
Infant (30 days – 1 year)  
Toddler (1 – 3 years)  
Preschooler (3 – 5 years)  
School Age (5 – 12 years)  
Adolescents (12 – 18 years)  
Young Adults (18 – 39 years)  
Middle Adults (39 – 64 years)  
Older Adults (64+ years)  
                   
Additional Skills                  
 
Additional Training                  
 
Additional Tools & Equipment                  
 

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Next Medical Staffing to release this Skills Checklist and any supporting information to staffing clients of Next Medical Staffing.
                 

 

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