PT/PTA Skills 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

(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
Skill Level
1
2
3
4
1
2
3
4
ADULT
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
Spinal Cord Injury
Functional Splinting
Adaptive Equipment-Wheelchair
Neuromuscular Diseases
Multiple Sclerosis
Upper Extremity Prosthetics
Above Knee Prosthetics
Below Knee Prosthetics
Sports Medicine
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
Functional Capacity Eval
Muscle Energy Techniques
Activities of Daily Living
Universal Precautions
Skilled Nursing Documentation
Medicare A
Medicare B
State Healthcare
Procedures / Treatments
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 Medicine
Athletic Injuries
Biodex
Cybex
Orthotron
AGE
Newborn (birth-30 days)
Infant (30 days - 1 year)
Toddler (1 - 3 years)
Preschooler (3 - 5 years)
School Age (5 - 12 years)
Adolescents (12 - 18 years)
Young Adults (18 - 39 years)
Middle Adults (39 - 64 years)
Older Adults (64+ years)