Respiratory Therapist ICU Report Template Mechanical Ventilation 🫁

Stay organized during ICU clinicals, orientation, or daily practice with this comprehensive Respiratory Therapy report sheet designed specifically for mechanically ventilated patients.

This one-page template helps you quickly organize the information you need for patient handoffs, assessments, ventilator management, and clinical decision-making—all in one place.

Includes sections for:

• Patient demographics & admission information
• Pertinent medical history
• Airway assessment (ETT/Traach, cuff pressure, tube depth, etc.)
• Ventilator settings
• Measured ventilator values (PIP, Plateau, Driving Pressure, Compliance, ETCO₂, RSBI, and more)
• Oxygenation parameters
• Vital signs
• Respiratory assessment
• ABG trend table
• Pertinent laboratory values
• Recent chest imaging findings
• Respiratory medications
• Events during shift
• RT assessment, goals, recommendations, and handoff notes

Perfect for:

• Respiratory Therapy students
• Clinical rotations
• ICU rotations
• New graduate RTs
• RT orientation
• Practicing respiratory therapists

What’s Included

• 1 high-quality printable PDF
• US Letter size (8.5” × 11”)
• Unlimited personal printing

Please Note

This resource is intended as an organizational and educational tool. It does not replace your facility’s documentation or clinical judgment.