Occupational 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)

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)

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)

MM slash DD slash YYYY

Age Of Patients Cared For

Newborn/Neonate (birth to 30 days)
Infant (31 days to 12 months)
Toddler/Preschool (13 months to 5 years)
School Age Child/adolescent (6 years to 18 years)
Young Adults/ Middle Adult (19 years to 64 years)
Older Adults/Elderly (65+ years)

Settings

Acute Care/ Hospital
Sub Acute
Rehabilitation - Acute
Rehabilitation - Long Term
Home Health
Outpatient
Adults/ Adult ICU
Pediatrics/PICU
Psychiatric Hospital
Skilled Nursing Facility
School Setting
Early Intervention

Neurological

Adaptive Equipment
Alzheimer's/Dementia
CVA
Degenerative Diseases of the CNS
Functional Splinting
Head Trauma
Peripheral Nerve Injuries
Multiple Sclerosis
Parkinson's Disease
Spinal Cord Injury
Stroke Rehabilitation
Traumatic Brain Injury
Wheelchair Evaluation
Neurodevelopmental testing (NDT)

Orthopedics

Arthritis Programs
Joint protection
Hip Fractures
Mobilization Techniques
Total Joint Replacements upper extremities
Total Knee/Hip Replacement
Lower back/spinal surgery
Soft tissue Injury
Prosthetics/amputations

Pediatrics

Developmental Testing
Neurodevelopmental testing (NDT)
Feeding/swallowing/oral motor
Equipment Assessment
Orthotics
Sensory Integrative Testing
Visual Perceptual Skills Testing
Wheelchair Positioning Device
Muscular Dystrophy
Cerebral Palsy
Cystic Fibrosis
Birth Defects

Prosthetics/orthotics

Above/Below Knee Prosthetics
Dynamic Splints
UE Prosthetics
Orthoplast
Serial/inhibitory Casting
Static Splints

Adaptive Equipment

Assessment
Fabrication

Functional Activities:

ADL's
Home Environment
Pre-discharge Planning
Splinting
Wheelchair

Vocational Training

Cognitive Assessment
Functional Capacity Evaluation
Job Task Analysis
Perceptual Assessment
Work Hardening
BTE
Valpar

Modalities

Anodyne
Biofeedback
Community Re-Entry
Feeding Techniques
Fluidotherapy
Gait Training
Massage
Muscle Stimulation
Oral Motor Facilities
Paraffin Bath
TENS
Therapeutic Pool
Ultrasound
Wound Management

General Skills

Electronic Documentation
Universal Precautions
Working with patients in isolation
Working with patients in restraints
Patient/Family teaching
Patient Identification
Specialty beds
End of life care/palliative care
Knowledge of "Do Not Use Abbreviations"
Do you have charge/supervisor experience?
Knowledge of current Joint Commission National Patient Safety Goals
Knowledge/familiarity with HCAHPS scores