PTA - Skills Checklist - Precision Healthcare

Setting

Acute*

0
1
2
3
4
5

Rehab*

Inpatient*

Adult Orthopedic

Neck Injuries/Surgeries*

Back Injuries/Surgeries*

Hip Fractures/Injuries*

Total Hip Replacement*

Knee Injuries*

Total Knee Replacement*

Upper Extremity Joint Replacements*

Shoulder Injuries*

Degenerative Joint Disease/Arthritis*

Hand Injuries*

Temporomandibular Joint (TMJ)*

Post Operative Care*

Amputations*

Adult Neurologic

Stroke Rehabilitation*

Cognitive Disorders*

Head Trauma*

Spinal Cord Injury*

Functional Splinting*

Adaptive Equipment – Wheelchair*

Neuromuscular Diseases*

Multiple Sclerosis*

Adult Prosthetics/Orthotics

Upper Extremity Prosthetics*

Above Knee Prosthetics*

Below Knee Prosthetics*

Sports Medicine

LIDO Machine*

Nautilus Machine*

Taping*

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*

Cranisacral Techniques*

Cervical Traction*

Lumbar Traction*

Activites of Daily Living*

Gait Training*

Transfers*

Sports Medicine*

Athletic Injuries*

Biodex*

Cybex*

Orthotron*

Other

Chest PT

Cardiac Rehab

ICU Procedures

CCU Procedures

SICU Procedures

Burn Management

Work Hardening – Work Site Eval

Work Capacity Eval

Functional Capacity Eval

Muscles Energy Techniques

Universal Precautions

Skilled Nursing Documentation

Medicare A

Medicare B

State Health Care

Electronic Documentation

Electronic Documentation – List Types

Age of Patient Cared For

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 (30 – 64 years)*

Older Adults (over 64+ years)*

Information & Agreement

Application ID*

Please enter your application ID. This ID should be 15 characters long and have the format of PHNMS##########. You should have received an email containing your application ID when you submitted your initial application. If not, please contact our staff.

Applicant Name*

First Last

Applicant Email*

Applicant Phone*

I certify that the information provided above accurately reflects education received and my experience in each of the clinical areas identified within the last 2 years.*

I agree to the terms below.

The information I have given is true and accurate to the best of my knowledge, and I hereby authorize Fusion Medical Staffing to release this Skills Checklist to staffing clients of Precision Nationwide Staffing. Submit this skills evaluation with your initial application. To be updated annually.

Signature*

PTA – Skills Checklist