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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 1 2 3 4
     Breath Sounds
     Peak Flow Rate
     Pulmonary Function Testing
     Rate and Work of Breathing
     Transcutaneous Monitoring
2. Interpretation of Lab Results 1 2 3 4
     Arterial Blood Gases
     Basic EKG
     Blood Chemistry
     Chest X-Ray
3. Equipment and Procedures 1 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: 1 2 3 4
     Assessment of Function/ Proper
     Placement Assistance
     Chest Physiotherapy
Drawing Arterial Blood Gasses: 1 2 3 4
     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: 1 2 3 4
     Aerosol Heated/cool
     Aerosol Setup-Mask
     Aerosol Set up-Trach
     IPPB
     Medihaler
     Metered Dose Inhaler
02 Therapy: 1 2 3 4
     Bag and Mask
     ET Tube
     External CPAP
     Face Masks
     Nasal Cannula
Nebulizer: 1 2 3 4
     Cold
     Hand Held
     Heated
     Ultrasonic
     Portable 02 Tank
     T-Piece
     Trach Collar
     Thoracentesis Assistance
Cardiac Surgery 1 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 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
Ventilator Set Up and Care: 1 2 3 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: 1 2 3 4
     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 1 2 3 4
Equipment & Procedures:
     Drawing Blood From Central
     Line
     Drawing Blood From
     Peripheral Line
     Drawing Venous Blood
7. Neonatal/ Pediatrics 1 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 1 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: 1 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. You will not be able to submit until you have marked the checkbox.

* 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 (44.192.65.228) which will be used as a digital signature.



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