Physical Therapy | Ikajuq Care

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Physical Therapy Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only

1 = Limited Experience / Rarely Done (<6 times/year)

2 = May Need Some Review / Occasionally Done (1 - 2 times/month)

3 = Experienced / Frequently Done (daily or weekly)

AGE OF PATIENTS CARED FOR

Newborn/Neonate (birth to 30 days)

1

2

3

Infant (31 days to 12 months)

1

2

3

Toddler/Preschool (13 months to 5 years)

1

2

3

School Age Child/adolescent (6 years to 18 years)

1

2

3

Young Adults/Middle Adult (19 years to 64 years)

1

2

3

Older Adults/Elderly (65+ years)

1

2

3

SETTINGS

Acute Care/ Hospital ICU

1

2

3

General Acute Care

1

2

3

Rehabilitation

1

2

3

Home Health

1

2

3

Outpatient

1

2

3

Psychiatric Hospital

1

2

3

Skilled Nursing Facility

1

2

3

Pediatrics/PICU

1

2

3

School

1

2

3

Early Intervention

1

2

3

Children's Hospital

1

2

3

ORTHOPEDICS

Arthritis

1

2

3

Cervical/thoracic, lumbar spine treatment

1

2

3

Chronic Fatigue

1

2

3

Fibromyalgia

1

2

3

Elbow,wrist,hand injury

1

2

3

Halo Traction

1

2

3

Kyphoplasty

1

2

3

Pelvic Fractures

1

2

3

Post operative conditions ( ACL,rotator cuff repair, hip arthroscopy)

1

2

3

Shoulder,hip,knee,ankle arthroscopy

1

2

3

Total Joint Replacement

1

2

3

Temporomandibular Dysfunction

1

2

3

NEUROLOGIC

Adaptive Equipment

1

2

3

ALS

1

2

3

Brain Tumors

1

2

3

Cerebral palsy

1

2

3

Functional Splinting/Bracing

1

2

3

Glasgow coma scale

1

2

3

Traumatic Brain Injury

1

2

3

Multiple Sclerosis

1

2

3

Muscular Dystrophy

1

2

3

Postoperative Neurosurgery Rehabilitation

1

2

3

Neurodevelopment testing (NDT)

1

2

3

Spinal Cord Injury

1

2

3

Stroke Rehabilitation

1

2

3

Wheelchair prescription

1

2

3

PEDIATRICS

Activities of Daily Living

1

2

3

Adaptive Equipment

1

2

3

Cerebral palsy

1

2

3

Developmental Disability

1

2

3

Gross Motor Assessment Tools

1

2

3

Special Needs Patient

1

2

3

Neurodevelopmental testing (NDT)

1

2

3

Orthotics

1

2

3

Spina Bifida

1

2

3

Sequencing testing

1

2

3

OTHER

Aquatic Therapy

1

2

3

Burn Management

1

2

3

Cardiac Rehabilitation

1

2

3

Chest Physiotherapy

1

2

3

DME Ordering

1

2

3

FIM scoring

1

2

3

Functional Capacity Evaluation

1

2

3

Job Task Analysis

1

2

3

Lymphedema Management

1

2

3

OASIS assessment for home health

1

2

3

Obstetrics in Physical Therapy

1

2

3

Tone Management /Spasticity

1

2

3

Wheelchair/Equipment Assessment

1

2

3

Wound care

1

2

3

SPORTS MEDICINE

Biodex/BTE Testing

1

2

3

Bracing/Casting/Splinting

1

2

3

Functional Movement Screening

1

2

3

Immobilization

1

2

3

Injury Prevention Programs

1

2

3

Nautilus/Eagle

1

2

3

Physical Performance Testing

1

2

3

Anodyne

1

2

3

Stabilization techniques

1

2

3

Taping/Strapping

1

2

3

PROSTHETICS/ORTHOTICS

Above Knee Prosthetics

1

2

3

Ankle Foot Orthosis

1

2

3

Below Knee Prosthetics

1

2

3

Dynamic Splints

1

2

3

Muscle Stimulation

1

2

3

LE Prosthetics

1

2

3

Orthoplast/Aquaplast

1

2

3

TENS

1

2

3

Removable Rigid Dressings

1

2

3

Static Splints

1

2

3

UE Prosthetics

1

2

3

MODALITIES

Anodyne

1

2

3

Biofeedback

1

2

3

Continuous Passive Motion Machine

1

2

3

Craniosacral Therapy

1

2

3

Cryotherapy

1

2

3

Edema massage

1

2

3

Fluidotherapy

1

2

3

Ionotophoresis

1

2

3

JOBST Compression Pump

1

2

3

Massage

1

2

3

Muscle Stimulation

1

2

3

Myofascial Release Techniques

1

2

3

Neuro Probe

1

2

3

Paraffin

1

2

3

Phonophoresis

1

2

3

TENS

1

2

3

Traction

1

2

3

Ultrasound

1

2

3

GENERAL SKILLS

Electronic Documentation

Allscripts

eCLinicalWorks

McKesson

Soarian

Care360

EPIC

Meditech

N/A

Cerner

MACLAB

PACS

Other Electronic Documentation

Universal Precautions

1

2

3

Working with patients in isolation

1

2

3

Working with patients in restraints

1

2

3

Patient Identification

1

2

3

End of life care/palliative care

1

2

3

Knowledge of "Do Not Use Abbreviations"

1

2

3

Do you have charge/supervisor experience?

Yes

No

Knowledge of current Joint Commission National Patient Safety Goals

1

2

3

Knowledge/familiarity with HCAHPS scores

1

2

3

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