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Hudson Staffing Travel Nurses| Respiratory Therapist Online Checklist
Respiratory Therapist Online Checklist
Thank you for your decision to apply for a travel nursing position with
Hudson Staffing
! Before we can offer you a nursing employment opportunity in the Respiratory Therapist field, an electronic skills assessment must be completed. Please, complete the nursing skills checklist below, and be sure to review your information thoroughly before clicking the submit button.
GENERAL INFORMATION
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This profile is for use by healthcare professionals in the Respiratory Therapist discipline and specialty.
It will not be a determining factor for the program.
CHECKLIST INSTRUCTIONS
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
Treatment/ Procedures
1. Assessment
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2
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4
Breath Sounds
Peak Flow Rate
Pulmonary Function Testing
Rate and Work of Breathing
Transcutaneous Monitoring
2. Interpretation of Lab Results
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2
3
4
Arterial Blood Gases
Basic EKG
Blood Chemistry
Chest X-Ray
3. Equipment and Procedures
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2
3
4
Airway Management Devices/ Suctioning
Check Intracuff Pressure
Endotracheal Tube/ Suctioning
Nasal Airway Placement
Nasal Airway/ Suctioning
Oral Airway/ Placement
Oropharyngeal/ Suctioning
Sputum Specimen Collection
Tracheostomy/ Suctioning
Analyze Oxygen
Arterial Line Insertion
Care of the Patient With a Chest Tube:
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3
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Assessment of Function/ Proper
Placement Assistance
Chest Physiotherapy
Drawing Arterial Blood Gasses:
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2
3
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Arterial Line
Brachial Artery
Femoral Artery
Radial Artery; Allen Tests
Extubate
Extubation Assistance
Hemodynamic Monitoring
Incentive Spirometry
Infection Control Procedures
Intubate
Intubation Assistance
Medication Delivery Systems:
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4
Aerosol Heated/cool
Aerosol Setup-Mask
Aerosol Set up-Trach
IPPB
Medihaler
Metered Dose Inhaler
02 Therapy:
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2
3
4
Bag and Mask
ET Tube
External CPAP
Face Masks
Nasal Cannula
Nebulizer:
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3
4
Cold
Hand Held
Heated
Ultrasonic
Portable 02 Tank
T-Piece
Trach Collar
Thoracentesis Assistance
Cardiac Surgery
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2
3
4
CHF
COPD
Cystic Fibrosis
Epiglottitis
Fresh Tracheostomy
Gullian-Barre
Hemo pneumothorax
Laryngospasm
Myasthenia Gravis
Pneumonia
Pulmonary Edema
Pulmonary Embolism
Smoke Inhalation
Status Asthmaticus
Tension Pneumothorax
Thoracotomy
Tracheo-Esophageal Fistula
Tuberculosis
5. Medications
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2
3
4
Administration of:
Aerobid, Vanceril
Aminophyline (Theophyline)
Azmacort
Bicarbonate
Combivent
Cromolyn Sodium (Intal)
Decadron
Flonase
Flovent
Inhaled Steroids
Ipratropium Bromade
(Atrovent)
Isoetharine (Bronkosol)
Isoproterenol (Isuprel)
Metaproterenol
Mucomyst
Nasacort
Racemic Epinephrine
Salbutamol (Albuterol,
Proventil, Ventolin)
Terbutaline Sulfate (Bricanyl)
Familiar with the Effects Of:
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3
4
Anectine
Atropine
Ventilator Set Up and Care:
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2
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4
Assist/ Control
CPAP
Flow-by
High Frequency Jet Ventilator
High Frequency Oscillator
IMV
Inverse Ratio Ventilator
Pressure Support
Pressure Vents
SIMV
Trouble Shooting High
Pressure Alarms
Trouble Shooting Low
Pressure Alarms
Volume Vents
Weaning
4. Care of the Patient With:
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2
3
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Acute/ Chronic Bronchitis
ARDS (Adult Respiratory
Distress Syndrome)
Aspiration
Asthma
Bronchoscopy
Cardiac Surgery
CHF
COPD
Cystic Fibrosis
Epiglottitis
Fresh Tracheostomy
Gullian-Barre
Hemo pneumothorax
Laryngospasm
Myasthenia Gravis
Pneumonia
Pulmonary Edema
Pulmonary Embolism
Smoke Inhalation
Status Asthmaticus
Tension Pneumothorax
Thoracotomy
Tracheo-Esophageal Fistula
Tuberculosis
5. Medications
1
2
3
4
Administration of:
Aerobid, Vanceril
Aminophyline (Theophyline)
Azmacort
Bicarbonate
Combivent
Cromolyn Sodium (Intal)
Decadron
Flonase
Flovent
Inhaled Steroids
Ipratropium Bromade
(Atrovent)
Isoetharine (Bronkosol)
Isoproterenol (Isuprel)
Metaproterenol
Mucomyst
Nasacort
Racemic Epinephrine
Salbutamol (Albuterol,
Proventil, Ventolin)
Terbutaline Sulfate (Bricanyl)
Familiar with the Effects Of:
1
2
3
4
Anectine
Atropine
Corticosteroids
Digitalis
Digoxin
Dopamine
Duramorph
Heli/ox Therapy
Ketamine
Lidocaine
Morphine Sulphate
Nipride
Nitric Oxide Therapy
Pavulon
Pentamidine Isethionate
Propofol
Theo-dur
Valium
Versed
6. Phlebotomy
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2
3
4
Equipment & Procedures:
Drawing Blood From Central
Line
Drawing Blood From
Peripheral Line
Drawing Venous Blood
7. Neonatal/ Pediatrics
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2
3
4
Equipment & Procedures:
Assist In High Risk Delivery
Capillary Blood Gasses
ECMO
02 To Tent
Umbilical Blood Gasses
Care of the Infant or Child With:
1
2
3
4
Bronchopulmonary Dysplasia
(BPD)
Croup
Epiglottis
Meconium Aspiration
Near Drowning
Persistent Pulmonary
Hypertension (PPHN)
Pulmonary Interstitial
Emphysema (PIE)
Respiratory Distress Syndrome
(RDS)
Respiratory Synical Virus
Transient Tachypnea of the
Newborn
Age Specific Practice Criteria
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2
3
4
Newborn/Neonate (birth – 30 days)
Infant (30 days – 1 year)
Toddler (1 – 3 years)
Preschooler (3 – 5 yrs)
School age children (5 – 12 years)
Adolescents (12 – 18 years)
Young Adults (18 – 39 years)
Middle Adults (39 – 64 years)
Older Adults (64+ years)
Care of Patient with:
Able to adapt care to incorporate normal growth and
development
Able to adapt method and terminology of
patient instructions to their age,
comprehension, and maturity level.
Can ensure a safe environment, reflecting
specific needs of various groups.
Experience With the Following Ventilators:
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2
3
4
Ventilator:
Bear
Bird
BP
Hamilton Amedeus,
Veolar
MA
Newport
Sechrist
Servo
Drager Infant
Emerson
Engstrom
Putitan Bennett 7200 Series
Primary Experience:
1
2
3
4
General Adult
Home Care
Intensive Care Unit
Long Term Care
Neonatal ICU
Pediatrics
Pulmonary Rehab
Sleep Lab
Subacute
Certification:
BCLS
PALS
ACLS
NRP
EKG Technician
EEG Technician
RRT
CRTT
Arterial Blood Gas Technician
Computerized charting system
Please read and agree to the statements below by marking the checkbox.
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I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize Hudson Staffing to release this Respiratory Therapist Skills Checklist to the client facilities in relation to consideration of employment as a healthcare professional with those facilities.
Privacy Note:
Hudson Staffing will record anonymous electronic information about your connection when you click on the submit button. This information is used for security purposes only. This information will include your IP Address (3.221.159.255) which will be used as a digital signature.
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Hudson Staffing
Phone:
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