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ApexRespiratory

Printable — Clinical Form

SBT & Weaning Readiness Checklist

A spontaneous breathing trial worksheet: screen readiness against objective criteria, capture the rapid shallow breathing index, monitor tolerance through the trial, and document the pass/fail decision and plan.

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SBT & Weaning Readiness Checklist
Date ____________Shift ____________RT ____________
Patient / MRN
Date / Time
Vent mode & settings before SBT
Readiness Screen — all should be met before trial
Underlying cause of respiratory failure improving / resolving
Adequate oxygenation: P:F > 150 or SpO₂ ≥ 90% on FiO₂ ≤ 0.4, PEEP ≤ 5–8
Hemodynamically stable (minimal / no vasopressors)
Able to initiate spontaneous breaths
Afebrile
Adequate cough / manageable secretions
Rapid Shallow Breathing Index (RSBI)
f (breaths/min)
Vt (L)
RSBI = f / Vt

Measure during 1 min of spontaneous breathing · RSBI < 105 favorable for weaning.

During SBT — tolerance monitoring
TimeRRHRSpO₂BPDistress (accessory use · diaphoresis · anxiety)
0 min
30 min
120 min
Outcome
Pass
Fail
Plan (extubate / rest / reassess)

Apex Respiratory · apexrespiratory.com — educational template; verify against facility policy. Not part of the medical record.

Educational use only. A decision-support worksheet — weaning and extubation decisions are made by the team per orders and protocol. This material supports respiratory therapy education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional protocols, or physician orders. Always follow facility policies and current provider orders, and verify calculations independently before clinical use.

Pairs well with

Weaning & SBTReadiness criteria, trial conduct, and failure signs
Open →
RSBI CalculatorCompute the rapid shallow breathing index
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