SLP/CFY/SLPA 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)

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

Settings

Acute Care/ Hospital
Rehabilitation - Acute
Rehabilitation - Long Term
Home Health
Outpatient
Day Treatment Centers
Skilled Nursing Facility
Physician's Office
Early Intervention

Patient Populations/disorders

Alzheimer's
Amyotrophic Lateral Sclerosis ( ALS)
Anoxia
Aphasia
Apraxia
Autism
Adult Mental Retardation ( Mild-Moderate)
Adult Mental Retardation ( Severe-Profound)
Pediatric Mental retardation ( Mild-Moderate)
Pediatric Mental Retardation ( Severe-Profound)
Brain Injury
Cleft Palate
Coma Stimulation
Cognitive Impairment
CVA
Dysarthria
Feeding Disorders
Fluency
Hearing Impairment
Head Trauma
Learning disabilities/Early Intervention
Laryngectomy
Muscular Dystrophy
Multiple Sclerosis
Parkinson's Disease
Progressive Neurological Disease
TIA
Trachs
Ventilator Dependent patients

Assessment

Aphasia Language Performance Scale
Augmentative Devices
Bedside Swallow Testing
Boston
Blue Dye Test
Cervical Auscultation
CADL ( Communication Ability for Daily Living)
Detroit
FEES ( Flexible Endoscopic Evaluation of Swallowing)
Fiber optic Voice Evaluation
Modified Barium Swallow Study
Minnesota (Schuell)
PICA ( Porch Index of Communication Ability)
Pure Tone Screening
Reading comprehension battery for aphasia
Ross information processing assessment - geriatric
Rossetti Infant-Toddler Language Scale
Rehabilitation Institute of Chicago evaluation of communication
Western Aphasia Battery

Treatment

Individual
Co-Treatment
Cognitive Training
Community Re-Entry
Computer
Group
Dysphagia management
Feeding Equipment
Memory Aids
Safety Awareness
Total Communication
Vital Stimulation

Regulations/documentation

FIMS
Home Health Documentation
Medi-Cal
Medicare
Omnibus budget reconciliation
RUG levels