Acute Rehab CheckList

Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.

Proficiency Scale:

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Work Settings Rating Stars (Click) 1 2 3 4  
General Acute Care 
Home Health 
Nursing Home 
Outpatient Clinic 
Pediatric Rehab 
Acute Rehab Hospital 
Rehab Unit in Hospital 
Neuro Rating Stars (Click) 1 2 3 4  
Cerebral Vascular Accident 
Coma Patients 
Head Trauma 
Spinal Cord Injury 
Parkinsonís Disease 
Traumatic Brain Injury 
Neuromuscular Disease 
Post Craniotomy 
Bowl/Bladder Programs 
Ortho Rating Stars (Click) 1 2 3 4  
Arthritis Programs 
Back Syndrome 
Cervical Traction 
Continuous Passive Motion Machine N/A 
Gait Training 
Hand Injury 
Hip Fractures 
Care of Patient with Halo 
Hot/Cold Packs 
Mobilization Techniques 
Neck Injuries 
TMJ Dysfunction 
Total Hip Replacement 
Total Knee Replacement 
Pulmonary Rating Stars (Click) 1 2 3 4  
Assessment of breath sounds 
Chest Physiotherapy 
Nasal cannula 
Face Mask 
Portable O2 tank 
Nasotracheal Suctioning 
Tracheal Suctioning 
Care of patient w/Mechanical Vent 
Pediatrics Rating Stars (Click) 1 2 3 4  
Cerebral Palsy 
Activities of Daily Living 
Learning Disabilities 
Spina Bifida 
AK Prosthetics 
BK Prosthetics 
Bracing/Joint Immobilization 
Resting Splints 
Casts/Check for Circulation 
Upper Extremity Prosthetics 
Nutritional Requirements Rating Stars (Click) 1 2 3 4  
Thickened Liquids 
Extra Thick 
Pudding Thick 
NG Tubes 
Peg Tubes 
Restraints Rating Stars (Click) 1 2 3 4  
Shoulder Strap 
Hand Mitts 
Pelvic Strap 
EMR Rating Stars (Click) 1 2 3 4  
Other Computerized System 
Computerized Physician Order Entry 
Bar Coding for Medication Administration 
Other Rating Stars (Click) 1 2 3 4  
Ability to evaluate and assign Functional Independence Score 
AIDS Patients 
Burn Management 
Cardiac Rehabilitation 
Function Capacity Evaluation 
Manual Therapy 
Massage Therapy 
Muscle Stimulation 
Pain Management/Giving Meds 
Physical Capacity 
Pulmonary Rehab 
Sterilization Technique 
Wound Debridement/Dressing Change 
Age Specific Competencies Rating Stars (Click) 1 2 3 4  
Infant (Birth - 1 year) 
Preschooler (ages 2-5 years) 
Childhood (ages 6-12 years) 
Adolescents (ages 13-21 years) 
Young Adults (ages 22-39 years) 
Adults (ages 40-64 years) 
Older Adults (ages 65-79 years) 
Elderly (ages 80+ years)