Ventilator Competency Checklist Form
Evaluate staff competency in ventilator setup, operation, safety, and troubleshooting.
Select your role:
*
Registered Nurse
Respiratory Therapist
Physician
Other
Rate your knowledge of ventilator modes.
*
1
2
3
4
5
Which of the following is the correct initial step in ventilator setup?
*
Verify equipment function
Connect patient to circuit
Adjust tidal volume
Other
Rate your confidence in performing ventilator safety checks.
*
1
2
3
4
5
Select the most appropriate response if a high-pressure alarm sounds.
*
Check for patient coughing or obstruction
Increase ventilator pressure
Silence the alarm and continue
Other
How frequently should ventilator settings be reassessed?
*
Every shift
Every 24 hours
When clinically indicated
Other
Ventilator Troubleshooting Scenarios
*
Rows
Recognize Problem
Take Correct Action
Low tidal volume alarm
1
2
Apnea alarm
3
4
Circuit disconnect
5
6
Rate your ability to monitor patient-ventilator synchrony.
*
1
2
3
4
5
Identify the correct PPE required for ventilator management.
*
Gloves
Gown
Face shield
N95 respirator
Other
Submit Assessment
Should be Empty: