RESPIRATORY THERAPIST SKILLS CHECKLIST

This profile is for use by Respiratory Therapists with more than one year experience in their discipline and specialty.   It will not be a determining factor for the Advantage RN program.

Please enter your full legal name as it appears on your Social Security Card.

First Name:   Last Name: email :

Please check the boxes below for each age roup for which you have provided age-appropriate care:

A. Newborn/Neonate (birth-30days ) 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)    

Please indicate your level of experience: A. Theory, no practice B. Intermittent C. One-Two Years Current Experience D. Two-plus years experience, can function independently

A. FLOOR THERAPY A B C D
B. CRITICAL CARE  
1. Ventilators:  
a. Type: A B C D
b. Type: A B C D
C. CARDIOVASCULAR  
1. Cardio/respiratory arrest team A B C D
2. Arterial monitoring A B C D
3. Pulmonary artery monitor A B C D
4. CVP A B C D
5. EKG's A B C D
6. Holter EKG A B C D
7. Stress testing A B C D
8. Cardiac output monitor A B C D
9. IABP A B C D
D. PEDIATRIC  
1. Resuscitation A B C D
2. Intubation A B C D
3. Extubation A B C D
4. Ventilators:  
a. Type: A B C D
b. Type: A B C D
E. NEONATAL  
1. Resuscitation A B C D
2. Intubation A B C D
3. Extubation A B C D
4. Assist high risk delivery A B C D
5. Aerosol treatment A B C D
6. CPT A B C D
7. Ventilators:  
a. Type: A B C D
b. Type: A B C D
F. AMBULANCE TRANSPORT  
1. Portable resp. equipment A B C D
2. Ventilators:  
a. Type: A B C D
b. Type: A B C D
3. Pulmonary function testing A B C D
4. Arterial blood gases A B C D
a. Drawing A B C D
b. Analysis A B C D
5. Insertion of A-Lines A B C D
6. Adult intubation A B C D
7. Adult extubation A B C D

 

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Advantage RN to release this Respiratory Checklist to facilities of Advantage RN in relation to consideration of my employment.