85 NE LOOP 410, SUITE 610, SAN ANTONIO, TX 78216
P: (800) 437-7560
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Skills Inventory - PT & PTA
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
ORTHOPEDIC
1
2
3
4
Back syndromes
Hip fractures
Total upper joint replacement
Total hip replacement
Hand Injury
TMJ
Arthritis Programs
Mobilization techniques
NEUROLOGICAL
1
2
3
4
Smoke rehabilitation
Head trauma
Spinal cord injury
Functional splinting
Adaptive Equipment
SPORTS MEDICINE
1
2
3
4
Biodex
Cybex
Orthotron
LIDO
Nautilus/Eagle
Bracing/Joint immobilization
Taping/Strapping
PEDIATRICS
1
2
3
4
Neurodevelopment testing
Disability sequence test
Orthotics
Equipment assessment adaptive
Activities of daily living
MODALITIES
1
2
3
4
CPM
Whirlpool
Hubbard Tank
Therapeutic pool
Biofeedback
TENS
1
2
3
4
Muscle stimulation
Ultrasound
Diathermy
Cryotherapy
Acupuncture
Cervical traction
Massage
Wound Dressing
PROSTHETICS/ORTHOTICS
1
2
3
4
Above knee prosthetics
Below knee prosthetic
Upper extremity prosthetics
Orthoplast
Resting splints
Dynamic splints
Ankle foot orthosis
OTHER
1
2
3
4
Work capacity evaluation
Functional capacity evaluation
Cardiac rehabilitation
Chest physiotherapy
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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