Speech Language Pathologist Skills Checklist

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PLEASE RATE YOUR LEVEL OF SKILLS & FREQUENCY OF PERFORMANCE FOR THE FOLLOWING PROCEDURES/SKILLS:

Proficiency

  1. I have never done the stated task.
  2. I have performed the task/skill infrequently; I require more experience/practice to feel comfortable and proficient.
  3. I have performed the task/skill several times and feel moderately comfortable functioning independently but would require a resource person nearby.
  4. I have performed the task/skill frequently and would feel very comfortable and proficient performing it without supervision or practice.

Frequency

  1. 5 or less Annually
  2. 5 or less Quarterly
  3. 3 or less Monthly
  4. 1 - 5 times Daily/Weekly
ASSESSMENT TOOLS & TREATMENT TECHNIQUES *
SKILLFREQUENCY
Bedside Swallow Evaluation
Boston Assessment of Severe Aphasia
Boston Diagnostic Aphasia Examination
CADL (Communication Ability for Daily Living)
Cognitive Training
Co-Treatment with OT
Co-Treatment with PT
FEES (Fiber Endoscopic Evaluation Study)
Minnesota Test for Differential
Myofunctional Therapy
Diagnosis of Aphasia
Modified Barium Swallow Study
PICA (Porch Index of Communicative Abilities)
Prostetics - Cleft Palate
Rehab Feeding Group
Sign Language
Evaluation of Communication
Safety Awareness
Thermal Stimulation
Thickening Agents
Tracheostomy
Ventrilator
Videofluoroscopy
Vital Stimulation
Western Aphasia Battery
Ross Information Processing
Assessment - Geriatric
ADAPTIVE EQUIPMENT *
SKILLFREQUENCY
Augmentative/Alternative Communication
Communication Board
Communication Devices
Feeding Equipment
Memory Aide
TYPES OF DISABILITIES *
SKILLFREQUENCY
Aphasia
Apraxia
Cleft Palate
Obturators Testing
Palatal Lifts
Prosthetic Devices
Dementia/Alzheimers
Dysarthria
Dysphagia
Compensatory Techniques
Laryngectomy
Tracheotomy
Ventilator Dependent/Assisted
Fluency/Stuttering
Head injury
Hearing impaired
Progressive Neurological Disease
Traumatic Brain Injury
Stroke/CVA/Rehab
CARE SETTINGS *
SKILLFREQUENCY
Community Re-entry
Day Treatment Center
Early Intervention
Home Health Care
General Acute Care
Home Health
Inpatient Acute Rehab
School Sustem
Outpatient Clinic
Pediatric Rehab
Private Practice
Psychiatric
Skilled Nursing Facility
ELECTRONIC DOCUMENTATION *
SKILLFREQUENCY
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
Sorian
AGE SPECIFIC COMPETENCIES *
SKILLFREQUENCY
Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler (1-3 years)
Preschooler (3-5 years)
School age children (5-12 years)
Adolescents (12-18 years)
Young adults (18-39 years)
Middle adults (39-64 years)
Older adults (64-79 years)
Elderly adults (80+ years)

Attestation

ATTESTATION: *