Respiratory Therapist Skills Checklist
Document and assess your core respiratory therapy skills and experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current Licensure/Certification Status
*
Registered Respiratory Therapist (RRT)
Certified Respiratory Therapist (CRT)
Student/Graduate
Other
Years of Experience as a Respiratory Therapist
*
Please indicate your proficiency in the following core skills:
*
Rows
No Experience
Needs Supervision
Competent
Proficient/Trainer
Airway Management
1
2
3
4
Oxygen Therapy
5
6
7
8
Mechanical Ventilation
9
10
11
12
Nebulizer Therapy
13
14
15
16
Arterial Blood Gas Sampling
17
18
19
20
Patient Assessment
21
22
23
24
Which respiratory therapy equipment are you proficient with? (Select all that apply)
Ventilators
CPAP/BiPAP Devices
Suction Devices
Pulse Oximeters
Nebulizers
Other
Additional Comments or Information
Submit Checklist
Should be Empty: