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Skills Checklists

Congratulations on your decision to apply for an allied position with ClubStaffing! Before we can offer you an allied employment opportunity, an electronic skills assessment must be completed. From the skills checklist below, please locate the list that matches your specialty and complete the online form. Be sure to review your information thoroughly before clicking the submit button. Thank you!

ClubStaffing
5901 Broken Sound Pkwy.
Suite 450
Boca Raton, Florida 33487
Fax: (561) 367-0884


PT/PTA Skills Checklist

*
Denotes required field

This profile is for use by healthcare professionals in this discipline and specialty.  It will not be a determining factor for the program.
Please enter your full legal name as it appears on your Social Security Card.
First Name* Middle Name Last Name*
Last 4 of Social Security Number*
- -
E-Mail Address* Phone Number*
or
 
 
Please mark your level of experience
1. No theory and/or experience
2. Limited experience/need supervision and/or support
3. Experienced/minimal support needed to perform
4. Proficient/can perform independently
 
WORK SETTINGS
1 2 3 4
 
Acute Care
 
Rehabilitation Facility
 
Outpatient
 
Children's Hospital
 
Home Health Care
 
Skilled Nursing Care
 
Long Term Acute Care (LTAC)
 
School
 
MODALITIES/MANUAL SKILLS/THERAPIES
1 2 3 4
 
Manual Therapy
 
Taping/Strapping
 
Bracing/Joint Immobilization
 
Spinal Mobilization
 
Extremity Mobilization
 
Mechanical Traction
 
Strength and Endurance Training
 
Compression Stockings
 
Gait Analysis
 
Adaptive Equipment
 
Therapeutic Exercise/Home Programs
 
Aquatic Therapy
 
Muscle Energy Techniques
 
Continuous Passive Motion Machine
 
Ultrasound
 
Diathermy
 
Myofascial Release
 
Electrical Stimulation
 
Biofeedback
 
TENS
 
EVALUATION TOOLS
1 2 3 4
 
Evaluation for Treatment/Services
 
Biodex
 
Fatigue Characteristics
 
Fiber Type
 
Work Capacity
 
NeuroCom Balance
 
Wheelchair/Equipment Assessment
 
ORTHOPEDICS
1 2 3 4
 
Total Joint Replacement
 
Back Syndromes
 
Neck Injury
 
Hand Injury
 
Arthritis
 
Transmandibular Joint Dysfunction
 
NEUROLOGIC
1 2 3 4
 
Brain Injury
 
SCI
 
CVA
 
Degenerative Diseases
 
Head Trauma/Concussion
 
Vertigo
 
BPPV
 
PROSTHETICS/ORTHOTICS
1 2 3 4
 
Above/Below Knee Prosthetics
 
Ankle/Foot Orthosis
 
Static Splints
 
Dynamic Splints
 
PEDIATRICS
1 2 3 4
 
Early Intervention Programs
 
Gross Motor Assessments
 
Neurodevelopmental Treatment
 
Cerebral Palsy
 
WOUND CARE
1 2 3 4
 
Pressure Ulcers
 
Arterial Ulcers
 
Venous Ulcers
 
Diabetic Ulcers
 
Burn Management
 
CARDIOPULMONARY
1 2 3 4
 
Cardiac Rehab
 
Post Surgical
 
Chest Physiotherapy
 
Cardiac Disorders
 
Pulmonary Disorders
 
TECHNOLOGY
1 2 3 4
 
Casamba (Smart)
 
Care Manager
 
Cerner
 
Epic
 
McKesson
 
Meditech
 
Rehab Optima
 
Other (fill in the blank )
 
Other (fill in the blank )
 
 
EMR Conversion
 
BILLING/DOCUMENTATION
1 2 3 4
 
PDPM
 
Medicare Part A
 
Medicare Part B
 
Medicaid/Medical
 
OASIS
 
Section GG
 
ICD-10 Coding: Medical Diagnosis
 
ICD-10 Coding: Treatment Diagnosis
 
PT Evaluation Coding
 
PROFESSIONAL KNOWLEDGE AND SKILLS
1 2 3 4
 
Supervisory/Management Experience
 
Screening/Adding Caseload
 
National Patient Safety Goals/Core Measures
 
Fall Risk Assessment/Prevention
 
Age Specific/Population-Based Care
 
Infection Prevention
 
Pain Assessment & Management
 
Group Therapy
 
Concurrent Therapy
 
Interdisciplinary Case Management/Case Management
 
CERTIFICATIONS
 
APTA Specialty
 
"BIG" Certification
 
Lymphedema Management
 
ATC
 
NDT
 
BLS
 
Other:Specify
PT/PTA Skills Checklist, version 5

I attest that the information I have given is true and accurate to the best of my knowledge and that I am the individual completing this form. I hereby authorize the Company to release this Skills Checklist to the Client facilities in relation to consideration of employment as a Healthcare Professional with those facilities.

© 2018 AMN Healthcare, Inc. All rights reserved. Reproduction and distribution of these materials is prohibited without the expressed written authorization of AMN Healthcare, Inc.