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.
Work Settings | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
General acute care |
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Adult/adult ICU |
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Pediatrics/PICU |
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Children’s hospital |
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Hand therapy |
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Home health care |
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Outpatient neuro |
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Outpatient ortho |
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Psychiatric hospital |
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Rehabilitation hospital/inpatient rehabilitation unit |
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Skilled care facility |
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School setting |
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Early intervention |
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Subacute |
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Orthopedics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Hand injury |
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Total joint replacement/upper extremities |
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Lower back/spinal surgeries |
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Arthritis programs |
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Soft tissue injuries |
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Knee injuries & total knee replacement |
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Hip fractures & total hip replacement |
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Mobilization techniques |
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Prosthetics/amputations |
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Neurologic | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Alzheimers/dementia |
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Degenerative diseases of the CNS |
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Multiple sclerosis |
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Parkinson’s disease |
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Spinal cord injury |
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Adaptive equipment |
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Neurodevelopmental testing (NDT) |
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Wheelchair evaluation |
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Stroke acute |
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Stroke rehabilitation |
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Functional splinting |
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Traumatic brain injury |
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Pediatric Assessments | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Neurodevelopmental testing |
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Developmental screening |
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Sensory-motor testing |
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Visual perceptual testing |
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Feeding/swallowing/oral motor |
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Seating & positioning assessment (i.e. w/c) |
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Other Assessments | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Physical capacity evaluation |
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Home assessments/home accessibility |
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Activities of daily living |
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Driving evaluation |
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Cognitive/perception |
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Treatment Approaches | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
ADL |
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Cognitive retraining |
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Community re-entry |
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Energy conservation/work simplification techniques |
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Functional transfer training |
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Home safety |
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Lymphedema management |
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Orthotics/Prosthetics training |
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Treatment Approaches - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Patient, family & staff training |
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PNF |
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SI |
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Therapeutic exercises/activities |
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Work hardening |
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Splinting |
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Neurodevelopmental testing (NDT) |
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Incontinence management |
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Modalities | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Anodyne |
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Biofeedback |
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Electrical stimulation |
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Fluidotherapy |
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Oral motor facilities |
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Paraffin bath |
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TENS |
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Therapeutic pool |
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Ultrasound |
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Prosthetics/Orthotics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
UE prosthetics |
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Static splints |
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Dynamic splints |
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Serial casting |
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Other | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Burn management |
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Cardiac rehabilitation |
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Cognitive retraining |
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Computer skills |
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FIM scoring |
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Geriatrics |
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Group dynamics |
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IEP skills |
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Other - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Inservice education |
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Job task analysis |
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Therapeutic media |
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Knowledge of payment sources |
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Medicare |
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Medicaid |
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MDS |
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General Skills | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Patient/family teaching |
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Patients in isolation |
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Patients in restraints |
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Initial evaluation |
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Lift/transfer devices |
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Specialty beds |
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End of life care/palliative care |
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Cerner |
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EPIC |
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McKesson |
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Meditech |
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Accurate patient identification |
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Effective communication |
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Pain assessment & management |
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Infection control |
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Universal precautions |
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Care of patients in isolation |
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Minimize risk of falls |
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Prevention of pressure ulcers |
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Age Specific Competencies | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Infant (birth to 1 year) |
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Toddler (ages 1-3 years) |
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Preschooler (ages 3-5 years) |
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Childhood (ages 6-12 years) |
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Age Specific Competencies - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Adolescents (ages 12-21 years) |
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Young Adults (ages 21-39 years) |
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Adults (ages 40-64 years) |
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Older Adults (ages 65-79 years) |
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Elderly (ages 80+ years) |
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Additional training: | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Additional equipment: | Rating Stars (Click) | 1 | 2 | 3 | 4 |