Physical Therapist 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
AREAS OF EXPERTISE *
SKILLFREQUENCY
General Acute Care
Rehabilitation Hospital
Sports Medicine Clinic
Children's Hospital
School System
Home Health Care
Physician's Office
Skilled Nursing Facility
Management Duties
Outpatient
Assisted Living Facility
DIAGNOSTIC *
SKILLFREQUENCY
Cerebrovascular Accident/Stroke
Neurologic
Orthopedic
Head Trauma
Burns
Head injuries
Sports injuries
Amputees
Spinal Cord Injury
Cardiac Rehab
Pulmonary Rehab
ORTHOPEDICS *
SKILLFREQUENCY
Total Hip
Total Knee
Hip Fractures
Total Joint Replacement
Back Syndrome
Hand injury
TMJ Dysfunction
Arthritis Programs
Mobilization Techniques
Gait Training
Neck injury
PEDIATRICS *
SKILLFREQUENCY
Early intervention
NICU Treatment
Neurodevelopmental Treatment
Developmental Disability Sequencing Test
Orthotics
Adaptive Equipment Assessment
Activities of Daily Living
Mental Retardation
Learning Disabled
Spina Bifida
NEUROLOGIC *
SKILLFREQUENCY
Stroke Rehabilitation
Head Trauma
Coma Management
Spinal Cord injury
SPORTS MEDICINE *
SKILLFREQUENCY
Bracing Joint Immobilization
Biodex
Cybex
Lido
Nautilus/Eagle
Orthotron
Taping/Strapping
Strength and Endurance Training
MODALITIES/MANUAL SKILLS *
SKILLFREQUENCY
Acuscope
Biofeedback
Continuous Passive Motion Machine
Craniosacral Therapy
Cryotherapy
Diathermy
Electro-acupuncture
Extremity mobilization
Fluidotherapy
Hot/Cold Packs
Ultrasound
Paraffin Bath
Massage
Cervical Traction
Lumbar Traction
Wound Dressing
Hubbard Tank
Therapeutic Pool
Whirlpool
Myofacial Release Techniques
Vasopneumatic Devices
PROSTHETICS/ORTHOTICS *
SKILLFREQUENCY
Above Knee Prosthetics
Upper Extremities Prosthetics
Orthoplast
Resting Splints
Ankle-Foot Orthosis
Static Splints
Dynamic Splinting
Serial/Inhibitory Casting
OTHER *
SKILLFREQUENCY
Seating Wheelchair
Ordering Wheelchair
Burn Management
Cardiac Rehabilitation
Chest Physiotherapy
Geriatrics
ELECTRONIC DOCUMENTATION *
SKILLFREQUENCY
Allscripts
Care360
Cerner
CPSI
eClinicalWorks
Eclipsys
EPIC
MACLAB
McKesson/Paragon
Meditech
PACS
Quadramed
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: *