175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Review Information. Guidelines. Basic Respiratory Therapy

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1 Respiratory Therapy Clinical Competency Assessment 175 E. Olive Avenue Suite 101, Burbank, CA TEL: FAX: Your Name: Date: Review Information Guidelines Complete this review, using the following scale: 0 = No experience 1 = Infrequent experience 2 = 1 Year consistent experience 3 = 2 years consistent experience 4 = Able to teach and supervise Please check the column that best describes your level of experience with each skill. Basic Respiratory Therapy Nasal Oxygen Setup Various Oxygen Masks (Venturi, Non- Rebreathing, Partial Rebreathing, Hiflow) Heated Nebulizers, Cold Nebulizers, Heated Aerosols Trach Patient Setups for Aerosol Treatment Ultrasonic Nebulizers Aerosol for Medication Oxygen Tanks Calculate Amount of Time Left in Each Oxygen Tank Basic Treatments Incentive Spirometry (Bedside, Disposable) IPPB Treatment Hand Held Nebulizers Chest Physical Therapy, Postural Drainage Medihalers Metered Dose Inhalers InsperEase or Aerochamber Ultrasonic Nebulizers (for hydration, cough) Ohio Mist Tent Riboviron Deliveray Equipment- Continuous Page 1 of 6

2 BIPAP Nasal CPAP Mask CPAP Specific Skills Patient Monitoring and Assessment Allen Test Measure Peak Flow Rate VD/VT Ration Calculate AdDO2 Compliance (Dynamic & Static), Calculate Airway Resistance Mechanics 1. Negative Insiratory Force 2. Vital Capacity 3. Minute Ventilation 4. Tidal Volume Ability to use 1. Use of Oxygen Analyzer 2. Calibrate the Device 3. Sample FiO2 on any setup 4. Assist with Intubation (Adult) 5. Perform Independent Intubation (Adult) 6. Perform Extubation (Adult) 7. Retape ETT 8. Blind Suction Patient 9. Suction Endotracheal Tubes 10. Ventilate Patient with Manual Resuscitator 11. Check Intracuff Pressure 12. Use of Arterial Monitor 13. Perform Pulmonary Artery Monitoring Troubleshooting Ventilators Knowledge of Chest Tubes Assist with Bronchoscopies Change and Clean Trach Tubes Documentation Skills (Flow Sheet, Progress Notes) Placing 1. Oral Airway 2. Nasal Airway Working In 1. ICU 2. PACU Page 2 of 6

3 3. ER Trauma Transport Simple Computer Use for: 1. Input of Changes 2. Charting 3. Blood Gas Result Entry EKG/ECG Holter EKGs Stress Testing Co-Oximetry ET CO2 Monitor Sputum Induction RSV Wash Spag Unit Pulse Oximetry List Additional Specific Skills: Echocardiography Color Doppler Dobutamine Stress Test Doppler Echocardiography Limited Doppler M-Mode Echocardiography Transesophageal Echocardiography Intra-Op TE Real Time Two-Dimensional Echocardiography EPIs Holters Neonatal Pediatric Adult Pulmonary Function Drawing ABGs 1. Radial 2. Brachial Artery 3. Femoral Artery 4. Arterial Line Page 3 of 6

4 ABG Interpretation Bronchoscopy, Fiberopic Diffuse Cap Diffusion and Bronchodilators, PFT Exercise Evaluation Recognize Need for Additional Testing Flow Volume Loop Forced Expiratory Volume Functional Residual Capacity Maximum Voluntary Ventilation Methacholine Challenge MIP/MEP Needle Lung Biopsy Oxygen Consumption, Lateral Position Pleural Biopsy Pulse Oximetry Thoracentesis Tidal and Minute Volume, PFT Vital Capacity Screening Bedside PFTs (FEV, FVC) Ventilators Pressure Pre-Set Volume Pre-Set Bear I Bear II Bird BP Emerson MA-1 MA- 2+2 Newport Bear 5 Siemens Sechrist Puritan Bennett 7200 Series Infant Ventilators Respiratory Therapy Medications Racemic Epinephrine (Vaponefrim) Metaproterenol (Alupent) Salbutamol (Albuterol, Proventil, Ventolin) Atropine Sulfate (Robinul) Mucomyst Bicarbonate Vanceril Page 4 of 6

5 Pentamidine Cromolyn Sodium (Intal) Duramorph Atrovent Tornalate Riboviron Isoproterenol (Isoprel) Terbutaline Sulfate (Bicanyl) Gentamycin Tobramycin Decadron Flovent Azmacort Pulmicort Serevent Combivent Pediatric and Neonatal Skills Pediatric 1. Resuscitation 2. Assist Intubation 3. Independent Intubation 4. Assist Extubation 5. Independent Extubation Neonatal 1. Resuscitation 2. Assist Intubation 3. Independent Intubation 4. Assist Extubation 5. Independent Extubation Capillary Gases Umbilical Artery Catheters Ambulance Transport Assist in High Risk Delivery IMV ECMO Work Summary Intensive Care Unit Page 5 of 6

6 Coronary Care Unit Burn Unit Transplant Pediatrics Pediatric ICU Neonatal ICU Level II Neonatal ICU Level III Emergency Room Pulmonary Rehabilitation Sleep Lab Home Care Transports Certifications BCLS # ACLS # PALS # NALS # EMT # CRTT # RRT # RCP # Other: Signature: Date: Page 6 of 6

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