Respiratory Therapy | Ikajuq Care

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Call us: 1-888-272-9977

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Opthalmic/Otic Medication

1

2

3

Rectal/vaginal medication

1

2

3

IM/SQ medication

1

2

3

IV push medications

1

2

3

IVPB medications

1

2

3

Continuous infusions

1

2

3

PPN

1

2

3

TPN

1

2

3

Respiratory Therapy Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

GENERAL SKILLS

Fall Risk Assessment

1

2

3

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

SETTINGS

Adult Critical Care

1

2

3

Pediatrics/PICU

1

2

3

Neonatal ICU

1

2

3

Emergency Room

1

2

3

Home Health

1

2

3

Sleep Lab

1

2

3

Pulmonary Rehabilitation

1

2

3

Transports( Air/Ambulance)

1

2

3

MEDICATIONS

Advair

1

2

3

Aerobid

1

2

3

Albuterol

1

2

3

Atropine

1

2

3

Atrovent

1

2

3

Amphotericin

1

2

3

Anectine

1

2

3

Artificial Surfactant

1

2

3

Bicarbonate

1

2

3

Colistin

1

2

3

Cremolyn Sodium ( Intal)

1

2

3

Corticosteroids

1

2

3

Digitalis

1

2

3

Digoxin

1

2

3

Dopamine

1

2

3

Duoneb

1

2

3

Foradil

1

2

3

Flonase

1

2

3

Flovent

1

2

3

Inhaled Steroids

1

2

3

Isotharine ( Bronkosol)

1

2

3

Isuprel

1

2

3

Lidocaine

1

2

3

Morphine

1

2

3

Metaproterenol ( Alupent)

1

2

3

Maxair

1

2

3

Mycomyst

1

2

3

Nipride

1

2

3

Pavulon

1

2

3

Pulmicort (Budesonide)

1

2

3

Pulmozyme ( Dornase Alfa)

1

2

3

Racemic Epinephrine ( Vaponephrine)

1

2

3

Ribaviran

1

2

3

Terbutaline Sulfate ( Bricanyl)

1

2

3

Theo-dur

1

2

3

Tilade

1

2

3

Tobramycin

1

2

3

Valium

1

2

3

Xopenex

1

2

3

Xylocaine

1

2

3

CARE OF PATIENTS WITH

Aspiration Pneumonia

1

2

3

ARDS

1

2

3

Asthma

1

2

3

Status Asthmaticus

1

2

3

Acute/Chronic Bronchitis

1

2

3

Bronchopulmonary Dysplasia (BPD)

1

2

3

Bacterial/Viral Pneumonia

1

2

3

Bronchiectasis

1

2

3

Bronchiolitis

1

2

3

Croup

1

2

3

Cystic Fibrosis

1

2

3

Cardiac Surgery

1

2

3

Diabetic Ketoacidosis

1

2

3

Epiglottitis

1

2

3

Empyema

1

2

3

Failure to Thrive

1

2

3

Guillian Barre

1

2

3

Hyaline Membrane Disease

1

2

3

Lung Cancer

1

2

3

Meconium Aspiration

1

2

3

Myesthenia Gravis

1

2

3

Rectal

1

2

3

Sub-q

1

2

3

Unit Dose

1

2

3

Z-Technique

1

2

3

SETTINGS

Pediatric/Adolescent

1

2

3

Adult

1

2

3

Partial

1

2

3

Inpatient

1

2

3

Outpatient

1

2

3

Eating Disorder Clinic

1

2

3

Home Health

1

2

3

Locked Unit

1

2

3

Rehab Unit

1

2

3

Substance Abuse/Rehabilitation

1

2

3

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