Medical Massage Therapist Skills Checklist

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Today's Date: * +

First Name: *

Last Name: *

Mobile Phone Number: *

Email Address: *

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GENERAL SKILLS EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Supervisor experience	123
National Patient Safety Goals/Core Measures	123
Awareness of HCAHPS	123
Accurate Patient Identification	123
Demonstrates knowledge of anatomy	123
Use proper body mechanics	123
Use of transfer/lifting devices	123
Infection Control	123
Universal Precautions	123
Isolation Precautions	123
Minimize fall risks	123
Crash Cart	123
Defibrillator	123
Care of patient in restraints	123
Obtain Vital Signs	123
Patient /Family education	123
Ensures HIPAA compliance	123

FUNCTIONAL STATUS AND KINESIOLOGY:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Patient Positioning	123
Assess Patient Posture, Body Weight, and Movement	123
Assess Patient Balance, Equilibrium, and Stability	123
Assess Patient’s ADLs and their relation to their quantity and quality of movement	123
Assess Range of Motion (ROM)	123
Joint Assessment	123
Stretching	123
Providing Stretching and ROM Education	123
Isometric ROM	123
Isotonic ROM	123
Eccentric ROM	123
Concentric ROM	123
Reciprocal ROM	123
Post-isometric Relaxation and Contract Relax	123

INFECTION CONTROL:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Standard Precaution	123
Bag Technique	123
Hand Hygiene	123
Handling Biohazardous Material	123
Sharps Disposal	123
Providing Education on Infection Control	123
Documentation of Patient Condition and Communication to Healthcare Team	123
Communication of Patient Condition to Healthcare Team	123

PATIENT SAFETY:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Identifying and communicating potential and actual problems	123
Updating Plan of Care	123
Fall Precautions	123
Fall Scale Rating	123

GENERAL FUNCTIONS:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Applying Knowledge of Anatomy and Physiology to Determine Appropriate Massage Technique	123
Assess and Evaluate General Movement and Compensatory Patterns	123
Treatment Plan Development	123
Tissue Palpation	123
Communication with Health Care team to review patient condition and data	123
Verifying and Documenting based on Physician Orders for Therapy	123
Pain Assessment	123
Patient and Patient Family Communication	123
Patient and Patient Family Education	123

DATA MANAGEMENT, DOCUMENTATION, AND EMR EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Epic Computerized charting	123
Cerner	123
Meditech	123
McKesson	123
Other computerized charting platform	123
Note Charting	123
Assessment Charting	123
Education Charting	123

COMMUNICATION AND INTERPERSONAL SKILLS:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Effective communication with other healthcare professionals	123
Effective communication with patients	123
Effective Communication with Patient Families	123

BASIC MEDICAL KNOWLEDGE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Medical terminology and abbreviations	123
Patient Safety	123

PROBLEM-SOLVING, CRITICAL THINKING, ETHICAL, AND PROFESSIONAL CONDUCT:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Ability to identify and troubleshoot common issues that may arise	123
Decision-making ability based on protocols and guidelines	123
Maintain patient confidentiality and adhere to ethical standards	123
Follow professional codes of conduct	123

WORK SETTING:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Inpatient Hospital	123
Outpatient	123
Small Facility	123
Large/Regional Teaching Facility	123
Clinic setting	123
Skilled Nursing Facility	123
Acute Care	123
Rehab Care	123
Home Health	123
Hospice	123

AGE-SPECIFIC EXPERIENCE:

Rank each of the following sections on a scale of 1 to 3:
1) Limited or no experience
2) Experienced, but may need review or supervision
3) Able to function independently *

Newborn / neonate (birth-30 days)	123
Infant (31 days-1 year)	123
Toddler (ages 2-3 years)	123
Preschool (ages 4-5 years)	123
School age (ages 6-12 years)	123
Adolescent (ages 13-21 years)	123
Young adult (ages 22-39 years)	123
Adult (ages 40-64 years)	123
Older adult (ages 65-79 years)	123
Elderly (ages 80+ years)	123

Attestation

ATTESTATION: *

I certify that the information provide above accurately reflects my experience in each of the clinical areas identified within the past three years.

If you agree with the Attestation above, please electronically sign your name. *