Physical Therapy Skills Checklist

Fill Out and Submit your Skills Checklist

(Physical Therapy)

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I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.

Instructions:This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently

Work Settings

Adult/adult ICU:

★★★★

Children's hospital:

★★★★

General acute care:

★★★★

Home health care:

★★★★

Outpatient neuro:

★★★★

Outpatient ortho:

★★★★

Pediatrics/PICU:

★★★★

Psychiatric hospital:

★★★★

Rehabilitation hospital:

★★★★

School setting:

★★★★

Early intervention:

★★★★

Skilled care facility:

★★★★

Subacute:

★★★★

Orthopedics

Upper extremities:

★★★★

Arthritis programs:

★★★★

Back syndrome:

★★★★

Cervical injuries:

★★★★

Chronic fatigue syndrome:

★★★★

Fibromyalgia:

★★★★

Halo traction:

★★★★

Hand injury:

★★★★

Hip fracture:

★★★★

Kyphoplasty:

★★★★

Manual therapy:

★★★★

Mobilization techniques:

★★★★

Pelvic fracture:

★★★★

Postpolio syndrome:

★★★★

Shoulder injuries:

★★★★

TMJ dysfunction:

★★★★

Total hip/total knee:

★★★★

Total joint replacement:

★★★★

Total shoulder/CPM:

★★★★

Neurologic

ALS:

★★★★

Brain tumors:

★★★★

Cerebral palsy:

★★★★

Multiple sclerosis:

★★★★

Muscular dystrophy:

★★★★

Polio/post polio syndrome:

★★★★

Spinal cord injury:

★★★★

Adaptive equipment:

★★★★

Functional splinting:

★★★★

Neurodevelopmental testing (NDT):

★★★★

Head trauma:

★★★★

Glasgow coma scale:

★★★★

Stroke rehabilitation:

★★★★

Wheelchair prescription:

★★★★

Pediatrics

Activities of daily living:

★★★★

Adaptive:

★★★★

Developmental disability:

★★★★

Equipment assessment:

★★★★

Individualized education programs:

★★★★

Neurodevelopmental testing (NDT):

★★★★

Orthotics:

★★★★

Sequencing testing:

★★★★

Sports Medicine

Biodex:

★★★★

Bracing/joint:

★★★★

Cybex:

★★★★

Immobilization:

★★★★

Lido:

★★★★

Medical expenses (Norwegian):

★★★★

Nautilus/eagle:

★★★★

Orthotron/kinetron:

★★★★

Stabilization techniques:

★★★★

Swiss ball:

★★★★

Taping/strapping:

★★★★

Prosthetics/Orthotics

Dynamic splints:

★★★★

LE prosthetics:

★★★★

Protonics:

★★★★

Removeable rigid dressings:

★★★★

Serial casting:

★★★★

Static splints:

★★★★

UE prosthetics:

★★★★

Modalities

Anodyne:

★★★★

Biofeedback:

★★★★

Edema massage:

★★★★

Fluidotherapy:

★★★★

Iontophoresis:

★★★★

JOBST compression pump:

★★★★

Muscle stimulation:

★★★★

Paraffin bath:

★★★★

Phonophoresis:

★★★★

TENS:

★★★★

Therapeutic pool:

★★★★

Ultrasound:

★★★★

Other

Burn management:

★★★★

Cardiac rehabilitation:

★★★★

Chest physical therapy:

★★★★

DME ordering:

★★★★

FIM scoring:

★★★★

Job task analysis:

★★★★

Lymphedema management:

★★★★

OASIS assessment for home care:

★★★★

Obstetrics in physical therapy:

★★★★

Tone management/spasticity:

★★★★

Wheelchair ordering for SCI patients:

★★★★

Work capacity evaluation:

★★★★

Work hardening:

★★★★

Wound care:

★★★★

Knowledge of payment sources:

Medicare:

★★★★

Medicaid:

★★★★

MDS:

★★★★

General Skills

Patient/family teaching:

★★★★

Patients in isolation:

★★★★

Patients in restraints:

★★★★

Initial evaluation:

★★★★

Lift/transfer devices:

★★★★

Specialty beds:

★★★★

End of life care/palliative care:

★★★★

Computerized Charting:

Cerner:

★★★★

EPIC:

★★★★

McKesson:

★★★★

Meditech:

★★★★

National Patient Safety Goals:

Accurate patient identification:

★★★★

Effective communication:

★★★★

Pain assessment & management:

★★★★

Infection control:

★★★★

Universal precautions:

★★★★

Care of patients in isolation:

★★★★

Minimize risk of falls:

★★★★

Prevention of pressure ulcers:

★★★★

Age Specific Competencies

Infant (birth to 1 year):

★★★★

Toddler (ages 1-3 years):

★★★★

Preschooler (ages 3-5 years):

★★★★

Childhood (ages 6-12 years):

★★★★

Adolescents (ages 12-21 years):

★★★★

Young Adults (ages 21-39 years):

★★★★

Adults (ages 40-64 years):

★★★★

Older Adults (ages 65-79 years):

★★★★

Elderly (ages 80+ years):

★★★★

Please list any Additional Skills

Additional training:

Additional equipment: