Therapy Skills Checklist
Answer Key
1. No Experience 2. Requires Supervision 3. Proficient 4. Can Teach Others
Clinical Settings
*
1
2
3
4
Outpatient Clinic
Rehab Hospital
Skilled Nursing Facility
Sports Medicine Clinic
Children's Hospital
General Acute Care Facility
School Setting
Home Health
Pediatric Clinic
Computerized Charting
*
1
2
3
4
Hand Held Devices
Word
Excel
Cerner
EPIC
McKesson
Meditech
Knowledge of Payment Sources
*
1
2
3
4
Medicare
Medicaid
MDS
RUG Levels
Modalities/Skills
*
1
2
3
4
Muscle Stimulation
Paraffin Bath
Acuscope
Biofeedback
Continuous Passive Machine
Craniosacral Therapy
Electro-acupuncture
Extremity Mobilization
Fluidotherapy
Hot/Cold Packs
Hubbard Tank
Therapeutic Pool
Whirlpool
Massage
Muscle Energy Techniques
Neuro Probe
Strain/Counterstrain Techniques
Spinal Mobilization
TENS
Cervical Traction
Lumbar Traction
Ultrasound
Wound Dressing
Neurologic
*
1
2
3
4
Head Trauma
Stroke Rehabilitation
Neurosurgery
Spinal Cord Injuries
Adaptive Equipment
Functional Splinting
Orthopedic
*
1
2
3
4
Arthritis Programs
Hip Fractures
Backs
Hand Injuries
Mobilization Techniques
Total Joint Replacement
Total Hip / Knee Replacement
Transmandibular Joint Dysfunction
Neck Injuries
Sports
*
1
2
3
4
Bracing/Joint Immobilization
Biodex
Cybex
LIDO
Orthotron
Nautilus/Eagle
Strength and Endurance Training
Prosthetics/Orthotics
*
1
2
3
4
Above Knee Prosthetics
Below Knee Prosthetics
Upper Extremity Prosthetics
Ankle Foot Orthosis
Pediatrics
*
1
2
3
4
Orthotics
Early Intervention
Equipment Assessment
Neurodevelopmental Treatment
Additional Responsibilities
*
1
2
3
4
Burn Management
Cardiac Rehabilitation
Inservice Education
Wheelchair/Equipment Assessment
Age Specific
*
1
2
3
4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)
Undertaking
*
The Information I Provided is True & Accurate
Name Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: