Physical Therapy Skills Checklist

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Therapeutic Resources, Inc

 Therapeutic Resources, Inc.


Directions: By completing this checklist to the best of your ability, you will help us match your skills and areas of interest with our available assignments. Please place a check in the column that most accurately describes your level of experience with each skill.

Submit your completed form by clicking the Submit button at the bottom of this form.
A= No Training or Experience
 C= Some Experience, need review and supervision
B= Classroom training only, never performed
 D= Performs proficiently and independently


First and Last Name:
Acute A   B   C   D    Outpatient A   B   C   D 
Gait Training   Soft Tissue trauma
General Medical   Wound care
General Surgical   Arthritis
Orthopedics   Progressive strengthening
Wound Care   Orthotics prescription
ICU/SICU   Prosthetics fitting and training
Oncology   Sports medicine
Geriatric      
Pediatric   Manual Therapy A   B   C   D 
Respiratory   Spinal
Transplants   Extremity
Neurological A   B   C   D    Back: A   B   C   D 
CVA   McKenzie
Coma Management   Maitland
SCI   Other
MS      
Parkinson's   Neck: A   B   C   D 
TBI   McKenzie
      Maitland
Rehabilitation A   B   C   D    Other
General medicine/deconditioning      
Orthopedics   Knee: A   B   C   D 
Cardiac/Pulmonary   ACL Rehab
Amputee   Arthroscopic Surgery
Home evaluations   Patella-Femoral Disorders
MVA      
SCI   Modalities A   B   C   D 
CVA   US/ Phono
TBI   Traction
MS   Heat/cold
MD   Myofascial release
Chronic Pain   Electrical Stimulation
NDT   Whirlpool
      Iontophoresis
Extended Care A   B   C   D    EMG/NCV
Free Standing   Modalitites
Hospital Standing   Biofeedback
MDS   TENS
RUGS level   Isokinetics A   B   C   D 
Work Hardening A   B   C   D    BTE
FCE   Cybex Biodex
Sensory Integration   KinCom
Work site evaluation   Lido
General Skills A   B   C   D    AGE COMPETENCY A   B   C   D 
Documentation:   Newborn/ Neonate
(birth -30days)
Oasis   Infant (30days-1 yr)
MDS   Toddler (1-3 years)
700 & 701   Preschooler (3-5 years)
Computer Skills   School age children (5-12 years)
Electronic Medical Records   Adolescents (12-18 years)
Other:     Young Adults (18-39 years)
  Middle Adults (39-64 years)
  Older Adults (64+)
 
Signature: Date:   Supervision A   B   C   D 
  Supervise Assistants
  Supervise Aides
  Management of other rehab disciplines