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
(PROFICIENCY)
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
(FREQUENCY)
1 = Never performed observed only
2 = Less than 6 times per year
3 = 1-2 times per month
4 = Daily or Weekly
PROFICIENCY / FREQUENCY
PROFICIENCY
FREQUENCY
Rehabilitation hospital/inpatient rehabilitation unit
Total joint replacement/upper extremities
Lower back/spinal surgeries
Knee injuries & total knee replacement
Hip fractures & total hip replacement
Degenerative diseases of the CNS
Neurodevelopmental testing (NDT)
Neurodevelopmental testing
Visual perceptual testing
Feeding/swallowing/oral motor
Seating & positioning assessment (i.e. w/c)
Physical capacity evaluation
Home assessments/home accessibility
Activities of daily living
Energy conservation/work simplification techniques
Functional transfer training
Orthotics/Prosthetics training
Treatment Approaches - cont.
Patient, family & staff training
Therapeutic exercises/activities
Neurodevelopmental testing (NDT)
Knowledge of payment sources
End of life care/palliative care
Accurate patient identification
Pain assessment & management
Care of patients in isolation
Prevention of pressure ulcers
Age Specific Competencies
Preschooler (ages 3-5 years)
Childhood (ages 6-12 years)
Age Specific Competencies - cont.
Adolescents (ages 12-21 years)
Young Adults (ages 21-39 years)
Adults (ages 40-64 years)
Older Adults (ages 65-79 years)