PICU-RRT Skills checklist One program to handle all talent management needs from acquisition to development Personal Information HiddenOverall ScoreName(Required) First Middle Last Last 4 Digits of Social Security Number Email(Required) HiddenDate MM slash DD slash YYYY Proficiency Scale1 – No Experience 2 – Need Training 3 – Able to perform with supervision 4 – Able to perform independentlyWork SettingsAdult Critical Care(Required) 1 2 3 4 Emergency Department(Required) 1 2 3 4 Home Care(Required) 1 2 3 4 Long Term Acute Care (LTAC)(Required) 1 2 3 4 NICU(Required) 1 2 3 4 Pediatric Critical Care(Required) 1 2 3 4 Pediatrics(Required) 1 2 3 4 Pulmonary Function Test Lab(Required) 1 2 3 4 Pulmonary Rehab(Required) 1 2 3 4 Transports(Required) 1 2 3 4 Airway Management Devices / SuctioningDirect Intubation(Required) 1 2 3 4 Extubation(Required) 1 2 3 4 Intubation Assist(Required) 1 2 3 4 Nasal airway placement(Required) 1 2 3 4 Nasal airway suctioning(Required) 1 2 3 4 Oral airway placement(Required) 1 2 3 4 Oral/nasal suctioning(Required) 1 2 3 4 Pulmonary Hygiene(Required) 1 2 3 4 Sputum specimen collection(Required) 1 2 3 4 Suctioning (ETT, NT)(Required) 1 2 3 4 Tracheostomy care/management(Required) 1 2 3 4 Care of Patient WithARDS(Required) 1 2 3 4 Aspiration(Required) 1 2 3 4 Bronchoscopy(Required) 1 2 3 4 COVID(Required) 1 2 3 4 Cystic fibrosis(Required) 1 2 3 4 ECMO(Required) 1 2 3 4 Fresh tracheostomy(Required) 1 2 3 4 Pneumonia(Required) 1 2 3 4 Medication AdministrationAlbuterol(Required) 1 2 3 4 Atrovent(Required) 1 2 3 4 Bicarbonate(Required) 1 2 3 4 Combivent(Required) 1 2 3 4 Flovent(Required) 1 2 3 4 Inhaled Flolan(Required) 1 2 3 4 Inhaled Steroids(Required) 1 2 3 4 Isuprel(Required) 1 2 3 4 Ketamine(Required) 1 2 3 4 Lidocaine(Required) 1 2 3 4 Mucomyst(Required) 1 2 3 4 Nitric Oxide (iNO)(Required) 1 2 3 4 Performist(Required) 1 2 3 4 Pulmicort(Required) 1 2 3 4 Racemic epinephrine(Required) 1 2 3 4 Spiriva(Required) 1 2 3 4 Terbutaline Sulfate(Required) 1 2 3 4 Theophylline(Required) 1 2 3 4 Tobramycin(Required) 1 2 3 4 Xopenex(Required) 1 2 3 4 Medication Delivery SystemsAerosol set up mask(Required) 1 2 3 4 Aerosol set up trach(Required) 1 2 3 4 MediHaler(Required) 1 2 3 4 Metered Dose Inhaler (MDI)(Required) 1 2 3 4 NebulizerCold(Required) 1 2 3 4 Hand held(Required) 1 2 3 4 Heated(Required) 1 2 3 4 T-piece(Required) 1 2 3 4 Trach collar(Required) 1 2 3 4 Ultrasonic(Required) 1 2 3 4 Oxygen TherapyBag and mask(Required) 1 2 3 4 ET Tube(Required) 1 2 3 4 High Flow Nasal Cannula (HFNC)(Required) 1 2 3 4 Hyperbaric(Required) 1 2 3 4 Oxygen tanks(Required) 1 2 3 4 Protocol Driven ECMO(Required) 1 2 3 4 T-piece(Required) 1 2 3 4 Trach collar(Required) 1 2 3 4 Pulmonary Function ExperienceArterial punctures(Required) 1 2 3 4 Bronchial Provocation Testing(Required) 1 2 3 4 Cold Air Studies(Required) 1 2 3 4 Diffusion Testing(Required) 1 2 3 4 Exhaled Breath Testing(Required) 1 2 3 4 HAST Studies(Required) 1 2 3 4 Lung Volume – Helium Dilution(Required) 1 2 3 4 Lung Volume – Nitrogen Washout(Required) 1 2 3 4 Lung Volume – Plethysmograph(Required) 1 2 3 4 Respiratory Therapy Administration(Required) 1 2 3 4 Shunt Studies(Required) 1 2 3 4 Spirometry(Required) 1 2 3 4 Stress Test Administration(Required) 1 2 3 4 Ventilator ManagementBIPAP(Required) 1 2 3 4 CPAP(Required) 1 2 3 4 Flow-by(Required) 1 2 3 4 High frequency jet ventilator(Required) 1 2 3 4 High frequency oscillator(Required) 1 2 3 4 IMV(Required) 1 2 3 4 Patient Transport (inter-departmental/ambulance)(Required) 1 2 3 4 SIMV(Required) 1 2 3 4 Troubleshooting high pressure alarms(Required) 1 2 3 4 Weaning from mechanical ventilation(Required) 1 2 3 4 Neonatal / Pediatrics – Equipment & ProceduresApnea Monitor(Required) 1 2 3 4 Assist in high risk delivery(Required) 1 2 3 4 Bivent(Required) 1 2 3 4 Bubble CPAP(Required) 1 2 3 4 Capillary blood gases(Required) 1 2 3 4 CPAP/Nasal CPAP/BIPAP(Required) 1 2 3 4 Direct Intubation (Neonatal)(Required) 1 2 3 4 Direct Intubation (Peds)(Required) 1 2 3 4 ECMO(Required) 1 2 3 4 High frequency jet ventilator(Required) 1 2 3 4 IMV/SIMV(Required) 1 2 3 4 Intubation Assist(Required) 1 2 3 4 Neonatal transports(Required) 1 2 3 4 Oscillating Ventilator(Required) 1 2 3 4 Pressure/Volume Ventilator(Required) 1 2 3 4 Umbilical blood gases(Required) 1 2 3 4 Care of the Infant / Child WithBronchopulmonary Dysplasia(Required) 1 2 3 4 Near drowning(Required) 1 2 3 4 Respiratory distress syndrome(Required) 1 2 3 4 RSV(Required) 1 2 3 4 Transient tachypnea of the newborn(Required) 1 2 3 4 Professional Knowledge & Additional SkillsBasic EKG(Required) 1 2 3 4 Chest Physiotherapy(Required) 1 2 3 4 Chest Physiotherapy: Vest(Required) 1 2 3 4 Drawing Arterial Blood Gases(Required) 1 2 3 4 Interpretation of Arterial Blood Gases (ABGs)(Required) 1 2 3 4 Management/lead experience(Required) 1 2 3 4 Additional SkillsOther – see special equipment(Required) 1 2 3 4 Other – Servo U(Required) 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