PT/PTA Skills Checklist Checklist


Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Total Stars:

Obtained Stars:

Ranking: 0%

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

  ADULT         Rating Stars (Click) 1 2 3 4
  Neck Injuries / Surgeries  
  Back Injuries / Surgeries  
  Hip Fractures / Injuries  
  Total Hip Replacement  
  Knee Injuries  
  Total Knee Replacement  
  Upper Extrem Joint Replacements  
  Shoulder Injuries  
  Degen. Joint Disease / Arthritis  
  Hand Injuries  
  Temporomandibular Joint (TMJ)  
  Post Operative Care  
  Amputations  
  Stroke Rehabilitation  
  Cognitive Disorders  
  Head Trauma  
  Sports Medicine         Rating Stars (Click) 1 2 3 4
  LIDO  
  Nautilus / Eagle  
  Taping  
  Other  
  Chest PT  
  Cardiac Rehab  
  ICU Procedures  
  CCU Procedures  
  SICU Procedures  
  Burn Management  
  Work Hardening - Work Site Eval  
  Work Capacity Eval  
  Procedures / Treatments:         Rating Stars (Click) 1 2 3 4
  Ankle / Foot Orthosis  
  Slings  
  Splints - Wrist / Hand  
  CPM Machine  
  Hydrotherapy  
  Whirlpool  
  Hubbard Tank  
  Therapeutic Pool  
  TENS  
  Electrical Stimulation  
  Ultrasound  
  Cryotherapy  
  Massage  
  Diathermy  
  Acupressure  
  Spinal Mobilization  
  Extremity Mobilization  
  Myofacial Release  
  Craniosacral Techniques  
  Cervical Traction  
  Lumbar Traction  
  Activities of Daily Living  
  Gait Training  
  transfers  
  Sports Medecine  
  Athletic Injuries  
  Biodex  
  Cybex  
  Orthotron  
  Other         Rating Stars (Click) 1 2 3 4
  Functional Capacity Eval  
  Muscle Energy Techniques  
  Activities of Daily Living  
  Universal Precautions  
  Skilled Nursing Documentation  
  Medicare A  
  Medicare B  
  State Healthcare  
  Skilled Nursing Documentation  
  Modalities         Rating Stars (Click) 1 2 3 4
  Anodyne  
  Biofeedback  
  Edema massage  
  Fluidotherapy  
  Iontophoresis  
  JOBST compression pump  
  Muscle stimulation  
  Paraffin bath  
  Phonophoresis  
  TENS  
  Therapeutic pool  
  Ultrasound