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Respiratory Therapist - Adult / PICU / NICU

This checklist was electronically signed on September 12, 2026

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

PATIENT RIGHTS

Communicate and obtain information while respecting patient rights, privacy, and confidentiality of information in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Involve the patient and family and respect their role in determining the nature of care to be provided
Meet patient's and families' needs regarding communication, including interpreter services
Provide accurate information to patients and families in a timely manner

COMMUNICATION

Communicate with patients and their companions in a courteous manner
Understand the chain of communication, who to contact, and when
Listen actively to patient concerns and address them appropriately.
Cultural Sensitivity and Language Skills

GENERAL INFECTION CONTROL MEASURES

Aseptic Technique
Standard Precaution
Universal Precaution

TRANSMISSION-BASED PROTOCOL

Airborne Precaution
Contact Precaution
Droplet Precaution
Reverse Precaution

REGULATORY AGENCIES/STANDARDS OF CARE AGENCIES

World Health Organization (WHO)
Centers for Medicare and Medicaid Services (CMS)
Agency for Healthcare Research and Quality (AHRQ)

ASSESSMENT

Demonstrate knowledge of human growth and development, assessment, range of treatment, and care of patients appropriate to the ages of patients served, as per the Scope of Service
Breath Sounds
Peak Flow Rate
Pulmonary Function Testing
Rate and work of breathing
Transcutaneous monitoring

CARE OF INFANT/CHILD WITH RESPIRATORY DISEASE

Bronchopulmonary Dysplasia (BPD)
Croup
Epiglottitis
Meconium Aspiration
Near Drowning
Persistent Pulmonary Hypertension (PPHN)
Pulmonary Interstitial Emphysema (PIE)
Respiratory Distress Syndrome (RDS)
Respiratory Syncytial Virus
Transient Tachypnea of the Newborn
Respond to all high-risk deliveries, including those of infants born before 32 weeks of gestation, infants with serious congenital defects, or infants who need respiratory assistance upon delivery
Respond to other critical events within the hospital, such as newborn rapid response, newborn and pediatric code blue, and code OB

CARE OF PATIENT WITH RESPIRATORY DISEASE

Assist in adult respiratory care when needed
Acute Bronchitis
Chronic Bronchitis
Adult Respiratory Distress Syndrome (ARDS)
Aspiration
Asthma
Bronchoscopy
Cardiac Surgery
Congestive Heart Failure (CHF)
Chronic Obstructive Pulmonary Disease (COPD)
Cystic Fibrosis
Epiglottitis
Fresh Tracheostomy
Guillain-Barre Syndrome
Hemopneumothorax
Laryngospasm
Myasthenia Gravis
Pneumonia
Pulmonary Edema
Pulmonary Embolism
Smoke Inhalation
Status Asthmaticus
Tension Pneumothorax
Thoracotomy
Tracheo-Esophageal Fistula
Tuberculosis

CARE OF PATIENT WITH CHEST TUBE

Assessment of Function/Proper Operation
Placement Assistance

EQUIPMENT AND PROCEDURES

Aerosol heated/cool
Aerosol set up mask
Aerosol setup-trach
Analyze oxygen
Arterial line insertion
Assessment of the function/proper operation of the chest tube
Care of the patient with a chest tube
Check intracuff pressure
Chest physiotherapy
Cold Nebulizer
Drawing arterial blood gases (arterial, brachial, and femoral artery)
Endotracheal tube/ suctioning
ET Tube
External CPAP
Extubate
Extubation assistance
Face masks
Handheld nebulizer
Heated nebulizer
Heliox
High Flow Nasal Cannula
Hemodynamic monitoring
Incentive Spirometry
Intubate
Intubation Assistance
IPPB
Medi haler
Metered-dose inhalers
Nasal cannula
Oral airway placement
Oropharyngeal/ suctioning
Oxygen delivery through bag and mask
Placement assistance of a chest tube
Sputum specimen collection
T piece
Trach collar
Tracheostomy/ suctioning
Ultrasonic nebulizer

EQUIPMENT AND PROCEDURES: NEONATAL/PEDIATRICS

Capillary Blood Gases
ECMO
Oxyhood
Oxygen
Umbilical Blood Gases
Neonatal Ventilator Management
Infant Ventilator Management
Pediatric Ventilator Management

INTERPRETATION OF LAB RESULTS

Basic EKG
Blood Chemistry
Blood Gasses
Chest X-Ray

PHLEBOTOMY

Drawing Blood from Central Line
Drawing Blood from a Peripheral Line
Drawing Venous Blood

TECHNOLOGY

Telehealth platforms
Smartphones
Tablets
Remote Monitoring Equipment
Electronic Health Record (EHR)
Data Analytics
Artificial Intelligence (AI): Chatbots
Artificial Intelligence (AI): Robots
Patient Engagement Tools
Video Conferencing Software
Secure Messaging Platforms
Clinical Decision Support Systems (CDSS): UpToDate
Clinical Decision Support Systems (CDSS): Zynx Health
Clinical Decision Support Systems (CDSS): VisualDX
Clinical Decision Support Systems (CDSS): Cerner
Clinical Decision Support Systems (CDSS): Epic

FAMILIARITY OF MEDICATION EFFECTS

Anectine
Atropine
Corticosteroids
Digitalis
Digoxin
Dopamine
Duramorph
Heli/Oxygen Therapy
Heliox Therapy
Ketamine
Lidocaine
Morphine Sulfate
Nipride
Nitric Oxide Therapy
Pavulon
Pentamidine Isethionate
Propofol
Theo-dur
Valium
Versed

MEDICATIONS

Antiarrhythmic Drugs
Anticholinergic
Anticoagulants/Thrombolytics
Antidiabetic Drugs
Anti-Infectives
Anti-Inflammatory/Analgesic Drugs
Antihyperlipidemic Drugs
Antihypertensive
NS Stimulants
Diuretics
Electrolyte Therapy
Gastrointestinal Drugs
Hormones
Mental Health Medications
Muscle Relaxants
Narcotics/Opioids
Neurocognitive Drugs
Neuromuscular Blocking Agent
Ophthalmic
Pulmonary Drugs
Steroids
Vaccines

ELECTRONIC DOCUMENTATION

Allscripts
Care360
Cerner (Oracle)
CPSI
eCLinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Soarian

AGE-SPECIFIC COMPETENCIES

Newborn/Neonate (birth-30 days)
Infant (30 days-1 year)
Toddler (1-3 years)
Preschooler (3-5 years)
School-age children (5-12 years)
Adolescents (12-18 years)
Young adults (18- 39 years)
Middle adults (39- 64 years)
Older adults (64-79 years)
Elderly adults (80+ years)