SLP 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:

 


Fluency
 A   B   C   D    Neurogenic A   B   C   D 
Voice:
   CVA
Videostroboscopy   Aphasia
Visi-Pitch   Traumatic Brain Injury A   B   C   D 
Aural Rehab
 A   B   C   D    Cognitive Rehab
Sign Language   Coma Stimulation
Audiometric screenings   Rancho Levels
Cued Speech   Craniotomy
Speech Reading   Motor Speech Disorders A   B   C   D 
Cleft Palate
A   B   C   D    Apraxia
Prosthetic device   Dysarthria
Palatal lifts   E-Stim
Obturators   Progressive Disorders A   B   C   D 
Feeding Disorders   ALS
Augmentative Communications A   B   C   D    MS
Computer Applications   Parkinson's
Communication Board   Huntington's
Dysphagia A   B   C   D    Guillian-Barre
Videofluoroscopy/MBS   Vents/Trachs A   B   C   D 
Ultrasound   Trach Management
Cervical Auscultation   Ventilator Interpretation
SEMG - (Surface Electro Myography)   Passy Muir Valves
Adaptive Equipment   Pulse Oximetry
F.E.E.S.   Medical A   B   C   D 
Bedside Exams   Suctioning
Thermo Stim   Head and Neck Cancers
DPNS - (Deep Pharyngeal Nuero Stim)   Trauma
Electrical Stimulation   Vital Signs
Diet Classification   Laryngectomee A   B   C   D 
PT/Caregiver Training & Instruction   Electro Larynx
Pediatrics A   B   C   D    Esophkgeal Speech
Autism   Education A   B   C   D 
Developmental Delays
   In-services/Education
Phonological Processes
   Special Education
Articulation   IPE (Individual Education Plan)
Phonetic Transcription   Documentation A   B   C   D 
Dysphasia
   Cared Planning Meetings
Language Stimulation
   700 & 701 Forms
Feeding Disorders
   MDS Forms
      PPS Forms
Cerebral Palsy A   B   C   D    FIM Scores (Functional Independence Measures)
Genetic Syndromes   NOMS (National Outcomes Measurement System)
Oral/Motor
   SOAP Notes (Subjective Objective Assessment Plan)
Early Intervention Evaluations   Chart Review
Sensory Integration   Group Treatment
Dementia Management A   B   C   D    Supervision A   B   C   D 
Dysphasia Dining
   Supervise Assistants
Memory Book
   Supervise Aides
Additional Comments or Skills     Management of other rehab disciplines
     
     
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