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 | ||
Adult/adult ICU |
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Children’s hospital |
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General acute care |
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Home health care |
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Outpatient neuro |
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Outpatient ortho |
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Pediatrics/PICU |
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Psychiatric hospital |
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Rehabilitation hospital |
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School setting |
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Early intervention |
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Skilled care facility |
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Subacute |
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Orthopedics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Upper extremities |
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Arthritis programs |
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Back syndrome |
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Cervical injuries |
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Chronic fatigue syndrome |
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Fibromyalgia |
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Halo traction |
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Hand injury |
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Hip fracture |
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Kyphoplasty |
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Orthopedics - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Manual therapy |
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Mobilization techniques |
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Pelvic fracture |
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Postpolio syndrome |
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Shoulder injuries |
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TMJ dysfunction |
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Total hip/total knee |
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Total joint replacement |
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Total shoulder/CPM |
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Neurologic | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
ALS |
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Brain tumors |
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Cerebral palsy |
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Multiple sclerosis |
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Muscular dystrophy |
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Polio/post polio syndrome |
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Spinal cord injury |
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Adaptive equipment |
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Functional splinting |
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Neurodevelopmental testing (NDT) |
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Head trauma |
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Glasgow coma scale |
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Stroke rehabilitation |
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Wheelchair prescription |
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Pediatrics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Activities of daily living |
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Adaptive |
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Developmental disability |
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Equipment assessment |
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Individualized education programs |
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Neurodevelopmental testing (NDT) |
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Orthotics |
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Sequencing testing |
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Sports Medicine | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Biodex |
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Bracing/joint |
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Cybex |
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Immobilization |
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Lido |
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Medical expenses (Norwegian) |
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Nautilus/eagle |
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Orthotron/kinetron |
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Stabilization techniques |
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Swiss ball |
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Taping/strapping |
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Prosthetics/Orthotics | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Dynamic splints |
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LE prosthetics |
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Protonics |
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Removeable rigid dressings |
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Serial casting |
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Static splints |
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UE prosthetics |
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Modalities | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Anodyne |
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Biofeedback |
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Edema massage |
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Fluidotherapy |
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Iontophoresis |
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JOBST compression pump |
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Muscle stimulation |
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Paraffin bath |
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Phonophoresis |
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TENS |
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Therapeutic pool |
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Ultrasound |
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Other | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
Burn management |
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Cardiac rehabilitation |
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Chest physical therapy |
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DME ordering |
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FIM scoring |
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Job task analysis |
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Lymphedema management |
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OASIS assessment for home care |
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Obstetrics in physical therapy |
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Tone management/spasticity |
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Wheelchair ordering for SCI patients |
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Work capacity evaluation |
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Work hardening |
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Wound care |
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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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General Skills - cont. | Rating Stars (Click) | 1 | 2 | 3 | 4 | ||
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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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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