PT/PTA Skills Checklist

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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

ADULT

Orthopedic

Neck Injuries / Surgeries:

★★★★

Back Injuries / Surgeries:

★★★★

Hip Fractures / Injuries:

★★★★

Total Hip Replacement:

★★★★

Knee Injuries:

★★★★

Total Knee Replacement:

★★★★

Upper Extrem Joint Replacements:

★★★★

Shoulder Injuries:

★★★★

Degen. Joint Disease / Arthritis:

★★★★

Hand Injuries:

★★★★

Temporomandibular Joint (TMJ):

★★★★

Post Operative Care:

★★★★

Amputations:

★★★★

Neurologic

Stroke Rehabilitation:

★★★★

Cognitive Disorders:

★★★★

Head Trauma:

★★★★

Spinal Cord Injury:

★★★★

Functional Splinting:

★★★★

Adaptive Equipment-Wheelchair:

★★★★

Neuromuscular Diseases:

★★★★

Multiple Sclerosis:

★★★★

Prosthetics / Orthotics

Upper Extremity Prosthetics:

★★★★

Above Knee Prosthetics:

★★★★

Below Knee Prosthetics:

★★★★

Sports Medicine

LIDO:

★★★★

Nautilus / Eagle:

★★★★

Taping:

★★★★

Other

Chest PT:

★★★★

Cardiac Rehab:

★★★★

ICU Procedures:

★★★★

CCU Procedures:

★★★★

SICU Procedures:

★★★★

Burn Management:

★★★★

Work Hardening - Work Site Eval:

★★★★

Work Capacity Eval:

★★★★

Procedures / Treatments

Ankle / Foot Orthosis:

★★★★

Slings:

★★★★

Splints - Wrist / Hand:

★★★★

CPM Machine:

★★★★

Hydrotherapy:

★★★★

Whirlpool:

★★★★

Hubbard Tank:

★★★★

Therapeutic Pool:

★★★★

TENS:

★★★★

Electrical Stimulation:

★★★★

Ultrasound:

★★★★

Cryotherapy:

★★★★

Massage:

★★★★

Diathermy:

★★★★

Acupressure:

★★★★

Spinal Mobilization:

★★★★

Extremity Mobilization:

★★★★

Myofacial Release:

★★★★

Craniosacral Techniques:

★★★★

Cervical Traction:

★★★★

Lumbar Traction:

★★★★

Activities of Daily Living:

★★★★

Gait Training:

★★★★

transfers:

★★★★

Sports Medecine:

★★★★

Athletic Injuries:

★★★★

Biodex:

★★★★

Cybex:

★★★★

Orthotron:

★★★★

Other

Functional Capacity Eval:

★★★★

Muscle Energy Techniques:

★★★★

Activities of Daily Living:

★★★★

Universal Precautions:

★★★★

Skilled Nursing Documentation:

★★★★

Medicare A:

★★★★

Medicare B:

★★★★

State Healthcare:

★★★★

Skilled Nursing Documentation:

★★★★

AGE

Newborn (birth-30 days):

★★★★

Infant (30 days - 1 year):

★★★★

Toddler (1 - 3 years):

★★★★

Preschooler (3 - 5 years):

★★★★

School Age (5 - 12 years):

★★★★

Adolescents (12 - 18 years):

★★★★

Young Adults (18 - 39 years):

★★★★

Middle Adults (39 - 64 years):

★★★★

Older Adults (64+ years):

★★★★