fewer than 5 years 6-10 years 11-15 years 16-20 years more than 20 years

I work exclusively in neonatal care. I work exclusively in pediatric care. I work in neonatal and pediatric care and not in adult care. I work in neonatal, pediatric and adult care. I work exclusively with adults. (Please note that if you work exclusively with adults, you do not need to complete the rest of this survey.)

I do not work with neonatal patients. 0-5 years 6-10 years 11-15 years More than 15 years

I do not work with pediatric patients. 0-5 years 6-10 years 11-15 years More than 15 years

I do not work with neonatal patients. Using respiratory care equipment and supplies safely Providing oxygen therapy including high flow oxygen therapy Administering bronchodilators Administering surfactant Administering nitric oxide Inserting and maintaining artificial airways Performing care for surgical airways (including tracheostomy) Performing bronchopulmonary hygiene procedures Performing lung recruitment procedures Providing humidity therapy Assisting with bronchoscopy Assisting with the delivery of anesthesia Maintaining thermal regulation Managing or assisting with the administration of blood products or fluids during anesthesia Evaluating patients receiving sedation Evaluating the patient’s airway before sedation Assisting or providing analgesic sedation Initiating and maintaining invasive mechanical ventilation Initiating and maintaining non-invasive mechanical ventilation Initiating and maintaining alternative modes of mechanical ventilation (HFO, jet ventilation) Performing diagnostic tests for sleep-disordered breathing Inserting esophageal tubes Inserting gastric tubes Maintaining gastric suction Managing invasive vascular lines (intravenous, intraosseous, umbilical) Inserting/managing arterial lines Performing arterial puncture Performing venous puncture Performing capillary puncture Assisting with vascular access through central line/PA catheter Collect samples from indwelling catheters (arterial, central venous, pulmonary artery, umbilical) External patient transport Newborn resuscitation (preterm or term) Resuscitation of micropremature infant (less than 28-30 weeks) Management of the complex neonate (congenital heart defects, diaphragmatic hernia, etc.) Other option

I do not work with pediatric patients. Using respiratory care equipment and supplies safely Providing oxygen therapy including high flow oxygen therapy Administering bronchodilators Administering nitric oxide Inserting and maintaining artificial airways Performing care for surgical airways (including tracheostomy) Performing bronchopulmonary hygiene procedures Performing lung recruitment procedures Providing humidity therapy Assisting with bronchoscopy Assisting with the delivery of anesthesia Maintaining thermal regulation Managing or assisting with the administration of blood products or fluids during anesthesia Evaluating patients receiving sedation Evaluating the patient’s airway before sedation Assisting or providing analgesic sedation Initiating and maintaining invasive mechanical ventilation Initiating and maintaining non-invasive mechanical ventilation Initiating and maintaining alternative modes of mechanical ventilation (HFO, jet ventilation) Performing diagnostic tests for sleep-disordered breathing Inserting esophageal tubes Inserting gastric tubes Maintaining gastric suction Managing invasive vascular lines (intravenous, intraosseous) Inserting/managing arterial lines Performing arterial puncture Performing venous puncture Performing capillary puncture Assisting with vascular access through central line/PA catheter Collect samples from indwelling catheters (arterial, central venous, pulmonary artery) External patient transport Pediatric resuscitation Pulmonary function testing Assist in the insertion of a chest tube/drain Maintain thoracic suction or drainage in patients Other option

Yes No

Not applicable: I did not receive additional education or clinical training to work with neonatal and/or pediatric patients. I completed post-diploma education in neonatal/pediatric respiratory care from an organization that was not my employer. I received education and training from another respiratory therapist in the clinical environment as we provided patient care. My employer provided some education outside of the clinical environment prior to starting work with neonates and pediatric patients where additional education and training were provided. A combination of theory, simulation and clinical practice was used to provide the additional education and training.

Not applicable. I do not work with neonates. No. The competency gaps are not sufficient enough to warrant such education and clinical training. No. My organization or facility has the resources to provide the education and clinical training to address any competency gaps. Yes.

Not applicable. I do not work with pediatric patients. No. The competency gaps are not sufficient enough to warrant such education and clinical training. No. My organization or facility has the resources to provide the education and clinical training to address any competency gaps. Yes.