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)

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 ICU
General Acute Care
Rehabilitation
Home Health
Outpatient
Psychiatric Hospitals
Skilled Nursing Facility
Pediatrics/PICU
School
Early Intervention
Children's Hospital

Orthopedics

Arthritis
Cervical/thoracic, lumbar spine treatment
Chronic Fatigue
Fibromyalgia
Elbow,wrist,hand injury
Halo Traction
Kyphoplasty
Pelvic Fractures
Post operative conditions ( ACL,rotator cuff repair, hip arthroscopy)
Shoulder,hip,knee,ankle arthroscopy
Total Joint Replacement
Temporomandibular Dysfunction

Neurologic

Adaptive Equipment
ALS
Brain Tumors
Cerebral palsy
Functional Splinting/Bracing
Glasgow coma scale
Traumatic Brain Injury
Multiple Sclerosis
Muscular Dystrophy
Postoperative Neurosurgery Rehabilitation
Neurodevelopment testing (NDT)
Spinal Cord Injury
Stroke Rehabilitation
Wheelchair prescription

Pediatrics

Activities of Daily Living
Adaptive Equipment
Cerebral palsy
Developmental Disability
Gross Motor Assessment Tools
Special Needs Patient
Neurodevelopmental testing (NDT)
Orthotics
Spina Bifida
Sequencing testing

Other

Aquatic Therapy
Burn Management
Cardiac Rehabilitation
Chest Physiotherapy
DME Ordering
FIM scoring
Functional Capacity Evaluation
Job Task Analysis
Lymphedema Management
OASIS assessment for home health
Obstetrics in Physical Therapy
Tone Management /Spasticity
Wheelchair/Equipment Assessment
Wound care

Sports Medicine

Biodex/BTE Testing
Bracing/Casting/Splinting
Functional Movement Screening
Immobilization
Injury Prevention Programs
Nautilus/Eagle
Physical Performance Testing
Strength/Endurance Training
Stabilization techniques
Taping/Strapping

Prosthetics/orthotics

Above Knee Prosthetics
Ankle Foot Orthosis
Below Knee Prosthetics
Dynamic Splints
Gait Analysis
LE Prosthetics
Orthoplast/Aquaplast
Protonics
Removable Rigid Dressings
Serial/ Inhibitory Casting
Static Splints
UE Prosthetics

Modalities

Anodyne
Biofeedback
Continuous Passive Motion Machine
Craniosacral Therapy
Cryotherapy
Diathermy
Edema massage
Fluidotherapy
Ionotophoresis
JOBST Compression Pump
Massage
Muscle Stimulation
Myofascial Release Techniques
Neuro Probe
Paraffin
Phonophoresis
Strain/Counter Strain Techniques
TENS
Traction
Ultrasound

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