85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216
P: (800) 437-7560
For Therapists
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Skills Inventory - OT & OTA
Please complete ALL the questions below.
Enter NA or select No Experience for any area that does not apply.
Name:
Email:
Date:
Graduation Date:
1
= No Experience
2
= Intermittent Experience
3
= Experienced
4
= Supervise & Teach
ADULT
1
2
3
4
CVA Rehabilitation
Coma Management
Head Injury
Nerve Injury
Tendon Repair
Reattachment
Head Trauma
Spinal cord injury
Amputee
Upper Extremity
Lower Extremity
PEDIATRICS
1
2
3
4
Neurodevelopment testing
Disability sequence test
Orthotics
Equipment assessment adaptive
Early Intervention
NICU Treatment
Neurodevelopmental Treatment
Sensory Integrative Treatment
Developmental Delay
Mental Retardation
Cerebral Palsy
Learning Disability
Spina Bifida
Discharge Planning
Activities of daily living
PROSTHETICS/ ORTHOTICS
1
2
3
4
Above knee prosthetics
Below knee prosthetics
Upper extremity prosthetics
Orthoplast
Static splints
Serial/Inhibitory
ADAPTIVE EQUIPMENT
1
2
3
4
Assessment
Fabrication
Wheelchair (Seating & Ordering)
Functional Activities
Home Environment
Activities of Daily Living
Pre-Discharge Planning
Standardized Assessments
Group Treatment
Substance Abuse
Crisis Intervention
Acute Disorder
Chronic Disorder
Community Re-entry
PREVOCATIONAL TRAINING
1
2
3
4
Perceptual Assessment
Cognitive Assessment
Work Hardening
Myofascial Release Techniques
Join Mobilization
Biofeedback
TENS
Fluidotherapy
OTHER
1
2
3
4
Work capacity evaluation
Functional capacity evaluation
Cardiac rehabilitation
Chest physiotherapy
Burn Management
Geriatrics
Developmental Disability
Home Accessibility
Driving Evaluation
Cognitive Retraining
Group Dynamics
In-service Education
Computer Familiarity
Feeding Techniques
Family Education
Patient Education
Energy Conservation
Sensory Evaluation
CPM
AIDs/HIV
Arthritis
Feldenkrais
OBRA Nursing Home Restoration
Research
Senior Therapist
Student Supervisor
AREAS OF EXPERIENCE
Inpatient
Outpatient
Months
Years
Months
Years
General acute care
Rehabilitation hospital
Sports Medicine clinic
Children's hospital
School System
Home Health Care
Physician's Office
Skilled nursing facility
Age Specific Competencies
I possess the minimum knowledge, skills and abilities for the following patient populations:
Neo-Natal
Pediatrics
Adolescent
Adult
Geriatrics
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Yes
No
N/A
Knowledge of growth and development
Ability to assess age specific data
Ability to provide age specific data
Possess communication skills necessary to interpret age specific response to
Ability to involve family or significant other in decision making related to plan of care
Call us Toll Free at
(800) 437-7560
Our clients include:
Acute Care - Inpatient
Acute Care - Outpatient Department
Ambulatory Care Clinic
Corporate/ Industrial
Home Health
Private Practice/ Physician Office
Rehabilitation Center
School
Skilled Nursing Facility
Sports Medicine Center
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