ADEX Medical Staffing - Physical Therapist Skills Checklist

Physical Therapist Skills Checklist

This assessment is for determining your experience in the below outlined clinical areas. This checklist will not be used as a determining factor in accepting your application for employment with ADEX Medical Staffing, LLC.

Proficency Scale:

1 = No Experience - Theory only

2 = Limited Experience - Infrequent

3 = Moderate Experience - Able to perform independently

4 = Proficient - Able to perform proficiently and instruct

Personal Information
Name:
Email:
City:
Country:
State/Region:

Work Settings	1	2	3	4
General Acute Care
Home Health
Nursing Home
Outpatient Clinic
Pediatric Rehab
Acute Rehab Hospital
Rehab Unit in Hospital
School System

Modalities	1	2	3	4
Biofeedback
Continuous Passive Motion Machine
Cryotherapy
Ergometer
Fluidotherapy
Hot/Cold Packs
Hubbard Tank
Massage Therapy
Muscle Stimulation
Myofacial Release Technique
Neuromuscular Reeducation
Paraffin
Sterilization Technique
TENS
Traction - Cervical
Traction - Lumbar
Ultrasound
Whirlpool
Wound Dressing / Debridement

Neuro	1	2	3	4
Cerebral Vascular Accident
Coma Patients
Head Trauma
Spinal Cord Injury
Parkinson's Disease
Traumatic Brain Injury

Ortho	1	2	3	4
Arthritis Programs
Back Syndrome
Gait Training
Hand Injury
Hip Fractures
Mobilization Techniques
Neck Injuries
TMJ Dysfunction
Total Hip / Total Knee
Total Joint Replacement

Pediatrics	1	2	3	4
Adaptive Equipment Assessment
Cerebral Palsy
Developmental Disability Sequencing Test
Early Intervention
Equipment Assessment - Activities of Daily Living
Equipment Assessment
Learning Disabilities
NDT Bobath Testing
NICU Treatment
Orthotics
Spina Bifida
Autism

Prosthetics / Orthotics	1	2	3	4
AK Prosthetics
Amputees
Ankle Foot Orthosis
BK Prosthetics
Bracing / Joint Immobilization
Dynamic Splinting
Orthoplast
Resting Splints
Serial / Inhibitor Casting
Static Splinting
UE Prosthetics

Sports Medicine	1	2	3	4
Biodex
Cybex
Lido
Nautilus / Eagle
Orthotrom / Kinetron
Strength & Endurance Testing
Taping / Strapping

Other	1	2	3	4
AIDS Patients
Amputees
Burn Management
Cardiac Rehabilitation
Chest Physiotherapy
Function Capacity Evaluation
Geriatrics
Inservice Education
Manual Therapy
Medicare 'A' Documentation
Medicare 'B' Documentation
Neonatology
Pain Management
Physical Capacity
Pre-Employment Testing
Work Capacity
Work Hardening
Pulmonary Rehab

Signature
The information represented above is true and correct to the best of my knowledge. I authorize ADEX Medical Staffing, LLC to share this skills checklist with its clients.
Initials:

Form Reviewed by ADEX Clinician - 10/14/2009